- The beneficiary's name
- The Medicare Health Insurance Claim Number (HICN) of the beneficiary
- The specific services(s) and/or item(s) for which the reopening is being requested and the specific date(s) of service,
- The wheelchair base with which the accessory is being used
- The supplier’s PTAN
- The printed name and signature of the person filing the request
Retro application of the correct allowables for A6450 and A6451. Two compression bandage codes have been assigned a specific fee schedule of $1.94/unit (A6450, A6451). Providers that billed these items prior to assignment of the fee schedule in July can have claims reprocessed back to service dates of January 1, 2016 and after.
If you provided any of these three services between January and July, utilize the reopening process to get these claims adjusted in a prompt fashion.
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