ML201 - Liberty Mutual Insurance: Grade A

ML201 - Liberty Mutual Insurance: Grade A

Claims administrator properly processed reimbursement for ML201. Date of Service: 04/20/2021

MLFS Code(s)

ML201 - Comprehensive 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

Chute Systems LLC

Expected Fee Schedule

$2,015.00

Bill Payment Total

$2,015.00

Bill Processing Day Count

8 days to process bill from submission


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