ML200 - Benchmark Insurance Company: Grade A

ML200 - Benchmark Insurance Company: Grade A

Claims administrator properly processed reimbursement for ML200. Date of Service: 04/02/2021

MLFS Code(s)

ML200 - Missed Appointment for a Comprehensive or Follow-Up Medical-Legal Evaluation

MLFS Modifier(s)

95 - Evaluation performed by a panel selected Qualified Medical Evaluator

MLFS Grade

A

Claims Administrator

Benchmark Insurance Company

Bill Review Vendor

Comprehensive Cost Solutions, Inc

Employer

Certified A C Services Inc


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