Claim Completion Requirements for Facility Location (Item 32)

When a supplier submits a claim for DMEPOS provided in a location other than the beneficiary’s home (POS 12), the supplier must enter in Item 32, Facility Location, the name and address of the location where the order was accepted.

For example, if a beneficiary received a shipment of supplies while in an inpatient Part B SNF stay, the supplier would indicate the name and address of the SNF in Item 32 as follows:

ABC SNF
123 Somewhere Street
Anywhere, OH 41111

Reminder: New Facility Location Requirement

When the beneficiary has a representative payee or date of death on file, the supplier must enter the state and five-digit ZIP code in which the beneficiary resides. This information must be entered in Item 32, Facility Name, for all CMS 1500 claims submitted to the DME MAC. When claims are submitted electronically using ANSI 837 4010A1, the information is reported in loop 2310D.

For all NCPDP claims, when the POS is other than 12, the facility location is required in Item 32 or its electronic equivalent.

When a beneficiary has a representative payee or date of death on file, and the above information is not reported in the Facility Location, the claim will be returned/rejected for correction.