ML201 - State Compensation Insurance Fund (CA): Grade A
Claims administrator properly processed reimbursement for ML201. Date of Service: 04/08/2021
MLFS Code(s) |
ML201 - Comprehensive Medical-Legal Evaluation |
MLFS Modifier(s) |
95 - Evaluation performed by a panel selected Qualified Medical Evaluator 96 - Evaluation performed by a Psychiatrist or Psychologist when a psychiatric or psychological evaluation is the primary focus of the medical-legal evaluation |
MLFS Grade |
A |
Claims Administrator |
State Compensation Insurance Fund (CA) |
Bill Review Vendor |
State Compensation Insurance Fund (CA) |
Employer |
Dept of Transportation |
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