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