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 |
B |
Claims Administrator |
Sedgwick Claims Management Services |
Bill Review Vendor |
Genex Services, Inc. |
Employer |
Federal Express Corporation |
DaisyBill provides content as an insightful service to its readers and clients. It does not offer legal advice and cannot guarantee the accuracy or suitability of its content for a particular purpose.