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