The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. This means that the numbers do not carry other information about healthcare providers, such as the state in which they live or their medical specialty. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). What is a NPI Number? : The National Provider Identifier (NPI) is a unique identification number for covered health care providers. Provider Business Mailing Address Details:ĭurable Medical Equipment & Medical Supplies The mailing address for Norco, Inc is 1125 W Amity Rd,, Boise, Idaho - 83705-5412 (mailing address contact number - 20). The current location address for Norco, Inc is 655 Nw Jackpine Ave,, Redmond, Oregon and the contact number is 54 and fax number is 54. The NPI Number for Norco, Inc is 1275066417. This program requires you to use a contracted supplier for certain supplies.įor more information about the Competitive Bidding Program, Click Here.Norco, Inc (NORCO, INC) is a Durable Medical Equipment & Medical Supplies Supplier in Redmond, Oregon. Medicare uses the bids to set the amount they will pay for items. Under the Competitive Bidding Program suppliers submit bids to provide certain medical equipment and supplies to people with original Medicare plans living in (or visiting) Competitive Bidding Areas. This necessity must be documented in the patient's medical record. Medicare pays for equipment or supplies that are medically necessary. This means that the equipment or supplies ordered are reasonable and necessary based on evidence based clinical standards of care. This visit should document when the physician or practitioner saw the patient, as well as document how the patient's condition, as seen during the visit, supports the need for the equipment or supply ordered. The face-to-face requirement ensures that the orders for equipment or supplies are based on a physician's current knowledge of a patient's medical condition. You will be asked to choose an option on the ABN and sign it to say that you read and understood the notice, and that you may have to accept responsibility for payment.įor more information about ABNs, Click Here. Your ABN should list the items that Medicare isn't expected to pay, an estimate of the cost of the item, and a specific reason as to why Medicare isn't expected to pay. ABNs are not required for items that Medicare never covers. This is a notice you will receive when we, the supplier, believe Medicare will not cover your equipment or supplies. We emphasize that notice of payment or denial will go directly to you.Īlso known as the “allowed amount” or maximum allowable this is the dollar amount considered by a health insurance company to be a reasonable reimbursement rate.Īdvanced Beneficiary Notice of Non-Coverage (ABN) Regardless of whether your insurance’s criteria is met, Norco may not accept assignment for some items. You will be responsible for 100% of the total bill. Non-Assigned: Norco will file a claim to your primary insurance and the notice of payment will go directly to you. You or your co-insurance company will be responsible for the remaining 20% of the allowed amount. For example, your primary insurance will pay Norco 80% of the allowed amount for a particular item. DMEPOS- Durable Medical Equipment, Prosthetics, Orthotics, and Supplies.Īssignment: This means Norco will file a claim to Medicare and payment goes directly to Norco. NORCO REDMOND OREGON MANUALSome examples of DME include (but aren't limited to) hospital beds, manual wheelchairs and power mobility devices, oxygen equipment, and walkers. Some equipment and supplies even require that we, the supplier, receive additional documentation from your healthcare provider before we can deliver your items to you.īelow are some terms you may encounter during this process.ĭurable Medical Equipment must meet the following criteria: be durable (long-lasting), used for a medical reason, not typically useful for someone that is not injured or ill, and is used in your home. Supporting documentation relevant to your prescription, such as chart notes from a face-to-face visit, are needed for most equipment and supplies. Items billed to Medicare require a physician's order. To learn more about Medicare Supplier Standards, Click Here. To learn more about Medicare coverage Click Here. Medicare Part B covers certain medical supplies. There are different parts of Medicare that help cover specific services. Medicare is the federal health insurance program for people who are 65 or older, as well as certain younger people with disabilities, and people with End-Stage Renal Disease (ESRD).
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