ML200 - Mitsui Sumitomo Insurance: Grade A

ML200 - Mitsui Sumitomo Insurance: 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


Claims Administrator

Mitsui Sumitomo Insurance

Bill Review Vendor



Brar Enterprises, Inc.

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