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#81 Posted : Monday, November 12, 2018 9:47:06 AM(UTC)

Rank: Member

Joined: 10/13/2015(UTC)
Posts: 11

Hi Guest!

In order for original/traditional Medicare to offer coverage for custom made oral appliances for OSA, the dental practice must be enrolled as a Medicare DME supplier. Once enrolled, there is actually no pre-authorization required for OAT for OSA.

If you are not currently enrolled, it may be best to refer this patient to a practice that is, as the enrollment process typically takes anywhere between 3-6 months.

Hope this helps!
#82 Posted : Thursday, August 27, 2020 3:41:06 PM(UTC)

Rank: Guest

Joined: 9/8/2012(UTC)
Posts: 1,155

Was thanked: 16 time(s) in 15 post(s)
Have couple of questions.

1. Want to know your experience lately with UHC for E0486. Multiplan sends you an agreement, you sign it and send and Optum never pays. Anyone here?
2. Aetna is not credentialing dentist for DME (E0486) says the doctor should be an oral Surgeon. Comments please.

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