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