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ML201 - Intercare Holdings Insurance, Inc.: Grade A

ML201 - Intercare Holdings Insurance, Inc.: Grade A

Claims administrator properly processed reimbursement for ML201. Date of Service: 04/05/2021

MLFS Code(s)

ML201 - Comprehensive Medical-Legal Evaluation

MLFS Modifier(s)

96 - Evaluation performed by a Psychiatrist or Psychologist when a psychiatric or psychological evaluation is the primary focus of the medical-legal evaluation

MLFS Grade

A

Claims Administrator

Intercare Holdings Insurance, Inc.

Bill Review Vendor

2CS

Employer

City of San Jose


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