MLFS Report Card
ML203 / MLPRR - Beta Healthcare Group Risk Management Authority: Grade F
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...
ML201 - Farmers Insurance: Grade F
Apr 1, 2021
ML201 - Farmers Insurance: Grade F
Claims administrator failed to properly reimburse ML201. Farmers incorrectly re-coded ML201 to ML103. Date of Service: 04/05/2021
ML201 - AmTrust North America: Grade F
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: 04/13/2021
ML203 / MLPRR - Helmsman Management Services: Grade F
Apr 1, 2021
ML203 / MLPRR - Helmsman Management Services: Grade F
Claims administrator failed to properly reimburse ML203 and MLPRR. Helmsman Management Services incorrectly denied valid medical-legal code as not reimbursable. Date of Servi...
ML203 - State Compensation Insurance Fund (CA): Grade A
Apr 1, 2021
ML203 - State Compensation Insurance Fund (CA): Grade A
Claims administrator properly processed reimbursement for ML203. Date of Service: 04/15/2021
ML201 - State Compensation Insurance Fund (CA): Grade A
Apr 1, 2021
ML201 - State Compensation Insurance Fund (CA): Grade A
Claims administrator properly processed reimbursement for ML201. Date of Service: 04/20/2021
ML201 - Guard Insurance Group: Grade F
Apr 1, 2021
ML201 - Guard Insurance Group: Grade F
Claims administrator failed to properly reimburse ML201. Guard Insurance Group incorrectly denied valid medical-legal code as exceeding fee schedule allowance. Date of Servic...
ML201 - State Compensation Insurance Fund (CA): Grade A
Apr 1, 2021
ML201 - State Compensation Insurance Fund (CA): Grade A
Claims administrator properly processed reimbursement for ML201. Date of Service: 04/17/2021
ML201 - Liberty Mutual Insurance: Grade A
Apr 1, 2021
ML201 - Liberty Mutual Insurance: Grade A
Claims administrator properly processed reimbursement for ML201. Date of Service: 04/20/2021
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Apr 1, 2021
ML200 - Sedgwick Claims Management Services: Grade A
Claims administrator properly processed reimbursement for ML200. Date of Service: 04/05/2021
ML200 - Next Level Administrators: Grade A
Apr 1, 2021
ML200 - Next Level Administrators: Grade A
Claims administrator properly processed reimbursement for ML200. Date of Service: 04/10/2021
ML200 - Next Level Administrators: Grade A
Apr 1, 2021
ML200 - Next Level Administrators: Grade A
Claims administrator properly processed reimbursement for ML200. Date of Service: 04/17/2021