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