Authorization Out of Pocket CPT E&M Codes Percentage Discounts Northern VA and DC General Reimbursement Type of Bill Medicare CMS- 1500 Clean Claims Act Out of Network Major Medical Plan Allowance DX Codes Medigap UB04 Timely Filing Bilaterial Procedure TOS OPL Department Panic Disorder Copay Visit Maximum HB255 Maintenance of Benefit Participating Providers Reimbursement RT/LT BlueCard Submission Format Medicare Fee Schedule Technical Component COB Physician Charge LLP HCPCS Code Set Emergency Room Visit MD & DC Office Modifier 26 Deductible DME Over Maximum Member Liability BlueShield Authorization Out of Pocket CPT E&M Codes Percentage Discounts Northern VA and DC General Reimbursement Type of Bill Medicare CMS- 1500 Clean Claims Act Out of Network Major Medical Plan Allowance DX Codes Medigap UB04 Timely Filing Bilaterial Procedure TOS OPL Department Panic Disorder Copay Visit Maximum HB255 Maintenance of Benefit Participating Providers Reimbursement RT/LT BlueCard Submission Format Medicare Fee Schedule Technical Component COB Physician Charge LLP HCPCS Code Set Emergency Room Visit MD & DC Office Modifier 26 Deductible DME Over Maximum Member Liability BlueShield
(Print)
Authorization
Out of Pocket
CPT
E&M Codes
Percentage Discounts
Northern VA and DC
General Reimbursement
Type of Bill
Medicare
CMS-1500
Clean Claims Act
Out of Network
Major Medical
Plan Allowance
DX Codes
Medigap
UB04
Timely Filing
Bilaterial Procedure
TOS
OPL Department
Panic Disorder
Copay
Visit Maximum
HB255
Maintenance of Benefit
Participating Providers
Reimbursement
RT/LT
BlueCard
Submission Format
Medicare Fee Schedule
Technical Component
COB
Physician Charge
LLP
HCPCS
Code Set
Emergency Room Visit
MD & DC
Office Modifier 26
Deductible
DME
Over Maximum
Member Liability
BlueShield
