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ML200 - Guard Insurance Group: Grade B

ML200 - Guard Insurance Group: Grade B

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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