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