Medicare DME MAC (Durable Medical Equipment)
Also covers / subsidiaries: DME MAC, DMEPOS MAC, DME Medicare
Core Payer & Clearinghouse Profile
Electronic Payer ID
CAMK0
Four DME MAC jurisdictions (A, B, C, D) process DMEPOS claims, separate from A/B MACs. Contractors include CGS Administrators and Noridian. Confirm jurisdiction by the beneficiary's permanent address.
Timely Filing Limit (TFL)
1 calendar year from date of service (Medicare FFS statutory limit)
Appeal Window
Redetermination: 120 days from receipt of the Remittance Advice / initial determination
Clearinghouse Gateway
National Clearinghouse / EDI Gateway
Provider Services
Varies — confirm via portal / clearinghouse
Claims Fax
Varies — confirm via portal / clearinghouse
Claims Address
Varies — confirm via portal / clearinghouse
Provider Portal
Varies — confirm via portal / clearinghouse
DMEPOS claims route to one of four DME MACs (A–D) based on the beneficiary's residence. CGS handles B & C; Noridian handles A & D.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for Medicare DME MAC (Durable Medical Equipment).
Associated Clearinghouse Payer IDs
National clearinghouse networks maintain dedicated routing IDs for specific transaction lines or subsidiaries under Medicare DME MAC (Durable Medical Equipment).
| Clearinghouse Name | Electronic Payer ID | Status | Enrollment | Supported Services |
|---|---|---|---|---|
| Edic | J1289 | Non-Par | None | Workers Comp |
| Edic | WB021 | Non-Par | None | Workers Comp |
| Medi Cal | CAMK0 | Non-Par | Required | 837P837I835 ERA |
| Medica | 10125 | Non-Par | None | 837P837I270/271276/277Dental |
| Medica | 94265 | Non-Par | Required | 837P837I835 ERA |
| Medicare | 00431 | Non-Par | None | 837P837I270/271Dental |
Resolution Tools for Medicare DME MAC (Durable Medical Equipment) Claims
Values vary by plan, line of business, and provider agreement. Confirm in the payer portal or with your clearinghouse gateway before submitting electronic claims.
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