ML200 - Liberty Mutual Insurance: Grade A

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ML200 - Liberty Mutual Insurance: Grade A

Claims administrator properly processed reimbursement for ML200. Date of Service: 04/13/2021

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

Liberty Mutual Insurance

Bill Review Vendor

Liberty Mutual Insurance

Employer

Shipmonk, Inc.


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