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