Most Recent Articles
Apr 1, 2021
ML202 - CorVel: Grade B
Claims administrator properly processed reimbursement for ML202. The lower grade reflects that the explanation of review (EOR) incorrectly lists ML201 as the reimbursed code....
Apr 1, 2021
ML200 - Intercare Holdings Insurance, Inc.: Grade A
Claims administrator properly processed reimbursement for ML200. Date of Service: 04/12/2021
Apr 1, 2021
ML200 - Beta Healthcare Group Risk Management Authority: Grade A
Claims administrator properly processed reimbursement for ML200. Date of Service: 04/12/2021
Apr 1, 2021
ML200 - Benchmark Insurance Company: Grade A
Claims administrator properly processed reimbursement for ML200. Date of Service: 04/09/2021
Apr 1, 2021
ML200 - AmTrust North America: Grade F
Claims administrator failed to properly reimburse ML200. AmTrust incorrectly re-coded ML200 to ML100. Date of Service: 04/02/2021
Apr 1, 2021
ML201 - Barrett Business Services Inc.: Grade A
Claims administrator properly processed reimbursement for ML201. Date of Service: 04/09/2021
Apr 1, 2021
ML201 - Athens Administrators: Grade F
Claims administrator failed to properly reimburse ML201. Athens incorrectly reduced reimbursement by failing to adjudicate service with Modifier 93. Date of Service: 04/14/20...
Apr 1, 2021
ML200 - Sedgwick Claims Management Services: Grade F
Claims administrator failed to properly reimburse ML200. Sedgwick incorrectly denied valid medical-legal code as “not considered a valid reimbursable code.” Date of Service: ...
Apr 1, 2021
ML200 - Sedgwick Claims Management Services: Grade F
Claims administrator failed to properly reimburse ML200. Sedgwick incorrectly denied valid medical-legal code as “not considered a valid reimbursable code.” Date of Service: ...
Apr 1, 2021
ML200 - CorVel: Grade A
Claims administrator properly processed reimbursement for ML200. Date of Service: 04/20/2021
Apr 1, 2021
ML201 - AmTrust North America: Grade F
Claims administrator failed to properly reimburse ML201. AmTrust incorrectly re-coded ML201 to ML102. Date of Service: 04/08/2021
Apr 1, 2021
ML203 - AIG Claims, Inc.: Grade F
Claims administrator failed to properly reimburse ML203. AIG incorrectly denied valid medical-legal code as not in the fee schedule. Date of Service: 04/01/2021