ALL DME BILLING FOR THIS PT MUST COME THROUGH MEDTEC.
ALL DME 1500 CLAIM FORMS SHOULD BE DIRECTED TO: MEDTECH ENGINUITY CORP. MCSIP DME CLAIMS: 1401 MERCANTILE LANE SUiTE 301 LARGO,MD 20774 Fax: 301-761-3303 Email: 1500@medtecheng.com
NEED A REFERRAL FOR MCSIP WC DME Dear (?) Please submit a request for service, accompanied by a script for the (DME) and medical necessity for (Patient) / Claim # (?)via fax to (866) 434-0546. Upon receipt, a precertification will be performed regarding the medical necessity of the requested DME unit. Upon approval, a DME request for service will be completed and submitted to MedTech Enginuity Corp. Please don't include pricing. ALL DME 1500 CLAIM FORMS SHOULD BE DIRECTED TO: MEDTECH ENGINUITY CORP. MCSIP DME CLAIMS: 1401 MERCANTILE LANE SUiTE 301 LARGO,MD 20774 Fax: 301-761-3303 Email: 1500@medtecheng.com