ML200 - County of Riverside (CA): Grade F
Claims administrator failed to properly reimburse ML200. County of Riverside (CA) incorrectly reduced reimbursement by taking a noncompliant PPO reduction.
Date of Service: 04/16/2021
MLFS Code(s) |
ML200 - Missed Appointment for a Comprehensive or Follow-Up Medical-Legal Evaluation |
MLFS Grade |
F |
Claims Administrator |
County of Riverside (CA) |
Bill Review Vendor |
Mitchell International |
Employer |
County of Riverside |
|
EOR Adjustment Reason |
G4 - This charge was adjusted to comply with the rate and rules of the contract indicated. |
Second Review Reason to dispute incorrect reimbursement |
Claims administrator incorrectly reduced reimbursement. Medical Legal services are not subject to PPO / Network Reductions. ML200 payment due: $50.37. In addition to payment, penalties and interest are now due. |
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