Which Review Contractors Accept esMD Transactions?

PMD Prior Authorization Requests

The following Review Contractors will begin accepting Power Mobility Devices (PMD) Prior Authorization requests through esMD system:

• DME Medicare Administrative JC (CGS) {Jan 7, 2013}
• DME Medicare Administrative JD (Noridian) {Jan 7, 2013}
• DME Medicare Administrative JA (NHIC) {Jan 9, 2013}
• DME Medicare Administrative JB (NGS) {Feb 22, 2013}

For more information about the PMD Prior Authorization process, click the link called "PMD Prior Authorization" in the 'Related Links' section below.

Medical Documentation Requests

The following Review Contractors accept responses to medical documentation requests through esMD system:

Recovery Audit Contractors

• Region A Medicare Recovery Audit  (DCS) {Sep 2011}
• Region B Medicare Recovery Audit  (CGI) {Sep 2011}
• Region C Medicare Recovery Auditor (Connolly) {May 2012}
• Region D Medicare Recovery Audit (HDI) {Mar 2012}

A/B Medicare Administrative Contractors

• MAC J1 (Palmetto GBA) {Sep 2011}
• MAC JF (J2 & J3) (Noridan) {Sep 2011}
• MAC J5 (WPS) {Sep 2011}
• MAC J9 (First Coast) {Sep 2011}
• MAC J11 (Palmetto) {Sep 2011}
• MAC J12 (Novitas Solutions) {Sep 2011}
• MAC J14 (NHIC) {Sep 2011}
• MAC J13 (NGS) {Sep 2011}
• MAC J10 (Cahaba) {Feb 2012}
• MAC J15 (CGS) {Apr 2012}
• MAC JH (Novitas Solutions) {Nov 2012}
• MAC J8 (WPS) {Feb 2013}

Durable Medical Equipment (DME)

• DME MAC JA (NHIC) {Sep 2011}
• DME MAC JB (NGS) {Sep 2011}
• DME MAC JC (CGS) {Apr 2012}
• DME MAC JD (Noridian) {Sep 2011}

Other Contractors

• Comprehensive Error Rate Testing (CERT) Contractor {Sep 2011}
• Program Error Rate Measurement (PERM) Contractor {Sep 2011}
• Legacy Contractor Title 18 J6 (NGS) {Dec 2012}
• ZPIC Zone 1 (SafeGuard Services) {Jan 2013}
• ZPIC Zone 7 (SafeGuard Services) {Jan 2013}
• Supplemental Medical Review Contractor (SMRC) (Strategic Health Solutions) {Mar 2013}

The following Review Contractors are planning to participate in the esMD program:

• ZPIC Zone 4 (Health Integrity)