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