Overview

The DME Navigator is a specialized product within ABM designed to manage and administer DME benefits. It includes:
Utilization management: Ensures appropriate use of equipment through pre-service authorizations.
Order management: Facilitates equipment ordering workflows.
Provider network management: Maintains and optimizes supplier directories.
Claims processing: Handles both pre-adjudication and postpay claims workflows.
Pricing orchestration: DME pricing is handled via orchestration services that reduce dependency on CES and enable flexible innovation.
Claims API services: Supports both prepay and postpay claims editing, integrated with CareSelect and CDSS services.
Medical network integration: ABM acts as both a payer and submitter, managing claims and sending 277 responses through its CES instance.

How to try an API?