maxTimes1 Benefit amount >$100k, <$500 Dual coverage requiring override Medical student taxonomy code Override to Bariatric Surgery benefit Override to member's cost- sharing AA off for BR that goes to audit Newborn: no outreach done Fertility services covered by network Newborn: outreach done, pend Vague revenue code NOT 761 or 940 Dependent not found Lesser-of requiring override EXC_MN_ModSG Gap exception requiring override Benefit Amount >$500k EXC_Natpath Requires per diem pricing EXC_Tattoo Taxonomy code 246Z00000X Strapping code(s) billed with PT benefit High Importance note from 2016 Third adjustment Documentation code(s) >$0 maxTimes1 Benefit amount >$100k, <$500 Dual coverage requiring override Medical student taxonomy code Override to Bariatric Surgery benefit Override to member's cost- sharing AA off for BR that goes to audit Newborn: no outreach done Fertility services covered by network Newborn: outreach done, pend Vague revenue code NOT 761 or 940 Dependent not found Lesser-of requiring override EXC_MN_ModSG Gap exception requiring override Benefit Amount >$500k EXC_Natpath Requires per diem pricing EXC_Tattoo Taxonomy code 246Z00000X Strapping code(s) billed with PT benefit High Importance note from 2016 Third adjustment Documentation code(s) >$0
(Print)
maxTimes1
Benefit amount >$100k, <$500
Dual coverage requiring override
Medical student taxonomy code
Override to Bariatric Surgery benefit
Override to member's cost-sharing
AA off for BR that goes to audit
Newborn: no outreach done
Fertility services covered by network
Newborn: outreach done, pend
Vague revenue code NOT 761 or 940
Dependent not found
Lesser-of requiring override
EXC_MN_ModSG
Gap exception requiring override
Benefit Amount >$500k
EXC_Natpath
Requires per diem pricing
EXC_Tattoo
Taxonomy code 246Z00000X
Strapping code(s) billed with PT benefit
High Importance note from 2016
Third adjustment
Documentation code(s) >$0
