ML201 - Sedgwick Claims Management Services: Grade B

ML201 - Sedgwick Claims Management Services: Grade B

Claims administrator properly processed reimbursement for ML201. The lower grade reflects that the explanation of review (EOR) incorrectly lists 99199 as the ‘Reimbursed Code.’ Date of Service: 04/01/2021

MLFS Code(s)

ML201 - Comprehensive Medical-Legal Evaluation

MLFS Modifier(s)

95 - Evaluation performed by a panel selected Qualified Medical Evaluator

MLFS Grade


Claims Administrator

Sedgwick Claims Management Services

Bill Review Vendor

Genex Services, Inc.


Federal Express Corporation

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