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(973) 850-3121
CityDME

New York workers’ comp & no-fault

Send a DME referral

One online form for patients, attorneys, treating providers, and adjusters or case managers. CityDME reviews submitted referrals the next business day.

How do I send a DME referral in NY?

Use the online form below with the patient’s name, phone number, prescribed equipment, and claim path if known. Patients, attorneys, treating providers, and adjusters or case managers may submit online. Providers may also fax referrals to (973) 846-7077 or email referral@citydme.com. A prescription is required.

Claim type
Who’s sending this referral?

Who’s this for?

What’s needed?

Whatever the prescription calls for — brace, CPM machine, cold therapy unit, TENS supplies, wheelchair…

Prescription required. If anything’s missing, we explain what to send.

No file handy? Send the referral now — fax it or ask for a secure upload link after.

How do we reach you?

The number we should call about this referral.

Prescription details, documents you’ll send — or ask for a secure upload link and we’ll reply with one.

We review referrals the next business day. $0 out of pocket where your claim applies and documentation is complete.

By submitting, you agree CityDME may contact you about this request. See our privacy policy.

Other referral channels

Patients, attorneys, and adjusters or case managers may call during business hours.

(973) 850-3121

Providers may also fax referrals to (973) 846-7077 or email them to referral@citydme.com. Provider referrals are not accepted by phone. Email is not a secure channel. To request a secure upload option, contact CityDME first. Do not include patient documents in your initial message.

  • Next-day

    Referral review

  • WC + NF

    New York claim paths we handle daily

  • NYC + LI

    Brooklyn, Queens, Manhattan, the Bronx, Staten Island, and Long Island

  • Rx-first

    Documentation confirmed before fulfillment