For physicians + discharge planners

Over 50% of fax orders
are initially declined.

We handle the documentation chain so your DME referrals don't bounce back. Three ways to refer, one number for everything, and a checklist per category so you don't have to guess what we need.

Refer a patient Documentation checklists

A physician typing on a laptop in a warm, modern home office

For case managers & discharge planners

Track your whole caseload against discharge dates.

Refer once with no login, or log in to your facility account to see every patient on one roster, watch each referral move (Received → Verifying benefits → Approved → In fulfillment), and get flagged before a discharge date slips. We chase documentation with the prescribing office — never your patients.

See how the portal works Log in to your facility account

Three ways to refer

Pick the one that fits your workflow.

Fax the order

Refer the way most offices already work — fax the Rx and chart notes to 1-855-365-3159. We confirm receipt and chase any documentation gaps with your office, not the patient.

Fax details + checklist

Online referral form

Send the full referral in three minutes. We confirm in one business day and chase missing documentation directly with your office.

Open the referral form

Provider phone line

Call the provider-only line to start a referral by phone or get a same-day eligibility check before you write.

Call 1-800-779-5479

Refer a patient

Send the referral in three minutes.

Give us the patient, the prescriber, and what you're ordering. We confirm in one business day and chase any missing documentation with your office — not the patient.

Prescribing physician

The clinician who wrote the order. At least one contact method is required so we can chase missing documentation.

Physician name

NPI (10 digits)

Office phone

Office fax

Office email

Patient

Name is required. Everything else helps speed up triage but is optional — leave blank if you'll send a face sheet.

First name

Last name

Date of birth

Patient phone

Patient email

Street address

Apt / Suite

City

State (e.g. MN)

ZIP

Insurance

Helps us verify benefits before reaching out to the patient. Optional — we'll capture this on the verification call if you skip.

Payer / plan

Member ID

Group #

Equipment & diagnosis

Tell us what you're prescribing. Equipment category lets us route to the right intake specialist immediately.

Equipment category

Equipment description

ICD-10 diagnosis codes

Comma or newline separated. We'll match these against the Medicare LCD for the equipment category.

Additional notes

Anything else our intake team should know — clinical context, urgency, special instructions.

You'll get a reference number on the next screen. Documentation (Rx, face sheet, etc.) can be faxed or emailed to us — instructions on the confirmation page.

Provider-only line

Same-day eligibility check before you write.

Providers don't queue behind patient calls. Reach us directly.

1-800-779-5479 providers@affinitymedservices.com

Documentation checklists

What Medicare wants for each category.

Summaries cover the load-bearing requirements per category. The full PDF version ships with every accepted referral — or call us and we'll walk through it before the order.

CPAP / Sleep Therapy

AHI ≥ 5 with symptoms (or AHI ≥ 15) · Face-to-face within 90 days · Compliance documentation for resupply.

Oxygen Therapy

Qualifying ABG / SpO2 within 30 days · Face-to-face evaluation · Tested on the modality being prescribed.

Mobility (PMD)

Face-to-face mobility evaluation · ATP involvement for power · Home accessibility assessment.

Hospital Beds

Documented medical necessity for elevation or position changes · Face-to-face evaluation · Weight for bariatric.

Why discharge teams refer to us

Clean documentation.
Real-time visibility.
Honest answers.

Documentation handled
We assemble the Medicare-required documentation chain before the order ships. Less back-and-forth, fewer rejections.
Eligibility before you write
A 270/271 eligibility check means your patient gets an answer before the order moves. No surprise bills downstream.
One number for everything
Status checks, supply add-ons, documentation questions, escalations. Not five different toll-free lines.
Same-day for metro Phoenix discharges
Loaner walker delivery the day of discharge in AZ — not when the paperwork finishes processing.

A caregiver helping an older adult with a walker — the discharge moment

Have a question?

Three fields, real payer data, plain-English answer. Or talk to a person — we're fast.

Verify my coverage

Where we serve 1-800-779-5479

Over 50% of fax ordersare initially declined.