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