Claims administrator properly processed reimbursement for ML200. The lower grade reflects that the explanation of review (EOR) incorrectly lists 99199 as the ‘Rev./Proc. Code.’ Date of Service 04/05/2021
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 |
B |
Claims Administrator |
Guard Insurance Group |
Bill Review Vendor |
Guard Insurance Group |
Employer |
Jimmie's Market & Liquor Inc |
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