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For primary care + family medicine practices · Texas

Primary care DME referrals in Texas

One referral for diabetic, urological, wound, nebulizer & more. We ship to your door anywhere Medicare reaches — your supplies arrive by mail on a recurring schedule, no local trip required.

You see everything, so we take everything: diabetic and CGM supplies, catheters, wound dressings, nebulizer supplies, ostomy, and more — one referral, one fax line, one team that verifies benefits and ships to your patient. Send the order; we map it to the right Medicare benefit.

What we take from primary care

  • Diabetic supplies + CGM
  • Urological / catheter supplies
  • Nebulizer supplies
  • Wound dressings, ostomy, compression & more

What Medicare needs

  • The diagnosis supporting the item.
  • A standard written order — item, quantity, your signature and date.
  • A face-to-face note within the last 6 months.
  • That's it — we map the rest to the Medicare LCD for the specific item.

HCPCS: A4253 · A4259 · A4239 · E2103. Send the order — we assemble the rest and chase missing signatures.

Refer a patient

Submit a primary care referral

Pre-filled for primary care in Texas. Add the patient and your NPI and you're done — we verify benefits and take it from there. No login required.

Prescribing physician

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

Patient

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

Insurance

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

Equipment & diagnosis

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

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.

Three ways to send a referral

Online form

Use the pre-filled form above — about 60 seconds. You get a reference number on submit.

Fax to 855-365-3159

Fax the order + face sheet to our referral line. It lands in our intake queue automatically — no portal.

e-Prescribe / EHR

Send DME orders electronically through your EHR's DME workflow. Ask us to set up the connection.

Benefits verified first

We run the eligibility check before anything ships — no surprise denials sent back to your office.

Documentation handled

We assemble the Medicare-required documentation chain and chase missing signatures so your staff doesn't.

Shipped + resupplied

We deliver to the patient and manage compliant recurring resupply — you refer once.

For referring providers

Primary care referrals in Texas — common questions

Can I send different product types on one referral?+

Yes. Use the form or fax one order and note the items; we route each to the right intake specialist internally so your office submits once.

Do you chase the patient for the missing pieces?+

We do. After you refer, we contact the patient to confirm details and set up delivery — your staff is out of the loop after the order.

Do you accept primary care DME referrals in Texas?+

Yes. Affinity Medical Services is an enrolled Medicare DMEPOS supplier and we take primary care referrals across Texas. We ship to your door anywhere Medicare reaches — your supplies arrive by mail on a recurring schedule, no local trip required. Submit the order above or fax it to 855-365-3159 and we verify benefits before anything ships.

Have a question?

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