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