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