MLFS Report Card
Apr 1, 2021
ML201 - Liberty Mutual Insurance: Grade F
Claims administrator failed to properly reimburse ML201. Liberty Mutual incorrectly reduced reimbursement by failing to process code with Modifiers 93 and 94. Date of Service...
Apr 1, 2021
ML201 - Helmsman Management Services: Grade F
Claims administrator failed to properly reimburse ML201. Helmsman Management Services incorrectly reduced reimbursement by failing to process code with Modifier 93. Date of S...
Apr 1, 2021
ML202 - Benchmark Insurance Company: Grade A
Claims administrator properly processed reimbursement for ML202. Date of Service: 04/01/2021
Apr 1, 2021
ML200 - State Compensation Insurance Fund (CA): Grade A
Claims administrator properly processed reimbursement for ML200. Date of Service: 04/08/2021
Apr 1, 2021
ML200 - State Compensation Insurance Fund (CA): Grade A
Claims administrator properly processed reimbursement for ML200. Date of Service: 04/08/2021
Apr 1, 2021
ML200 - State Compensation Insurance Fund (CA): Grade A
Claims administrator properly processed reimbursement for ML200. Date of Service: 04/24/2021
Apr 1, 2021
ML200 - State Compensation Insurance Fund (CA): Grade A
Claims administrator properly processed reimbursement for ML200. Date of Service: 04/08/2021
Apr 1, 2021
ML201 - State Compensation Insurance Fund (CA): Grade A
Claims administrator properly processed reimbursement for ML201. Date of Service: 04/03/2021
Apr 1, 2021
ML201 - Broadspire: Grade A
Claims administrator properly processed reimbursement for ML201. Date of Service: 04/09/2021
Apr 1, 2021
ML201 - Broadspire: Grade B
Claims administrator properly processed reimbursement for ML201. The lower grade reflects that the explanation of review (EOR) incorrectly lists 99199 as the ‘Rev./Proc. Code...
Apr 1, 2021
ML201 - State Compensation Insurance Fund (CA): Grade A
Claims administrator properly processed reimbursement for ML201. Date of Service: 04/08/2021
Apr 1, 2021
ML203 / MLPRR - Beta Healthcare Group Risk Management Authority: Grade F
Claims administrator failed to properly reimburse MLPRR. Beta Healthcare Group incorrectly reduced reimbursement for record review citing “charge exceeds the official medical...