MedicaidAdministrativeHigh impact
Using the Web Portal Claim History Inquiry to Prevent DME Claim Denials pdf
Connecticut Medicaid (HUSKY Health)·Orthopedics, PM&R (Physical Medicine & Rehab), Wound Care·Coding
We identified it
Jun 20, 2026
Summary
DME providers must use the Web portal claim history inquiry feature to check if clients have previously received medical equipment, devices, or supplies from other providers within the past 365 days before submitting claims. This prevents claim denials due to quantity limitations and rental/purchase restrictions.
Action Required
Immediately: DME billing team must check Web portal claim history for ALL DME, medical surgical supplies, and orthotic/prosthetic device claims before submission. Access 'Claims' then 'Claim History for Specific Services' on secure portal, enter client ID, inquiry type, and service date to view previous 365 days of history. This step is mandatory to prevent claim denials for quantity-limited items.