ML201 - State Compensation Insurance Fund (CA): Grade A

ML201 - State Compensation Insurance Fund (CA): Grade A

Claims administrator properly processed reimbursement for ML201. Date of Service: 04/17/2021

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

State Compensation Insurance Fund (CA)

Bill Review Vendor

State Compensation Insurance Fund (CA)

Employer

CA Highway Patrol

Expected Fee Schedule

$2,015.00

Bill Payment Total

$2,015.00

Bill Processing Day Count

6 days to process bill from submission


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