Real-Time Same or Similar by Episode Alert - Noridian D
Date and Time Stamp: 11/07/23 1:38 PM Ran by: Mishamgill24@[Link] (Tasaif Business NPI: 7629316497
Solutions)
Beneficiary's Basic Info
First Name Last Name Medicare # / MBI Date of Birth MAC & Juris HCPCS Entered
melani hutton 9A85TN5NV53 02/11/1951 Noridian D L
Summary Report
SNS Found SNS Found Detail Report Found
Potential Issue found Yes
Same or Similar Found
From / To Category HCPCS Modifier Units Supplier Phone Status
Number
04/15/2022 upper limb orthotics L3916 RTKX 1.00 BLOOMFIELD VENTURES CORPORATION 281-903-7419 Allowed
04/15/2022 upper limb orthotics L3916 LTKX 1.00 BLOOMFIELD VENTURES CORPORATION 281-903-7419 Allowed
04/27/2023 orthotic additions L2397 RTKX 1.00 NEW ENGLAND MEDICAL SUPPLIES INC 508-301-2644 Allowed
04/27/2023 orthotic additions L2397 LTKX 1.00 NEW ENGLAND MEDICAL SUPPLIES INC 508-301-2644 Allowed
04/19/2023 orthotic additions L2397 KXRT 1.00 SUPPORT MEDICAL SUPPLY INC 347-968-9411 Allowed
04/19/2023 orthotic additions L2397 KXLT 1.00 SUPPORT MEDICAL SUPPLY INC 347-968-9411 Allowed
04/19/2023 knee orthoses L1852 KXRT 1.00 SUPPORT MEDICAL SUPPLY INC 347-968-9411 Allowed
04/19/2023 knee orthoses L1852 KXLT 1.00 SUPPORT MEDICAL SUPPLY INC 347-968-9411 Allowed
04/27/2023 knee orthoses L1845 RTKX 1.00 NEW ENGLAND MEDICAL SUPPLIES INC 508-301-2644 Allowed
04/27/2023 knee orthoses L1845 LTKX 1.00 NEW ENGLAND MEDICAL SUPPLIES INC 508-301-2644 Allowed
09/25/2023 back brace L0651 1.00 A NEW DAY MEDICAL COMPANY INC 678-680-4412 Allowed
Additional Claim History - None Found
