Payer Name: Medicaid Louisiana DME Only (PAYER ID REQD)

Enrollment Required (ENR): No
Type / Model: Government/Non-Par
State: LA

Professional (CMS 1500)

Real Time Eligibility (RTE): NO
Real Time Claim Status (RTS): NO

Electronic Remittance Advice (835) [ERA]: NO

Secondary Electronic Claims (SEC): YES

Note: DME (Durable Medical Equipment) Claims Only

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