Certificate of Medical Necessity
Looking for Medical Device or Braces checks? Look no further! pVerify now has A,E,B and K codes in addition to L codes service (our Same/Similar service). The new pVerify service Certificate of Medical Necessity (CMN) claim history for Medical Devices will process A,E,B, and K codes associated with medical devices. It will then return claim history for the patient for entered codes, to identify if the patient is eligible for a new device.
CMN through pVerify allows users to view payable Certificates of Medical Necessity (CMNs) for specific beneficiaries, for specific Healthcare Common Procedure Coding System (HCPCS) codes. This will provide the following information when a same or similar HCPCS code is found in the common working file or the DME Jurisdiction’s local records:
HCPCS code and modifier
Last day the item was billed
Initial date on file
Recertification date (if applicable)
Supplier phone number
CMN through pVerify will search and provide status on these types of items:
Pneumatic compression devices
Transcutaneous electrical nerve stimulators (TENS)
Seat lift mechanisms
Enteral/ parenteral nutrition
External infusion pumps
Here’s how it works:
You submit a batch of patients or type the patient into our portal. Then you can get an instant response showing detailed history for that claim, or a file showing claim responses for your batch patient list.