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