DESCRIPTION EFFECTIVE DATE |
-
- DESCRIPTION:
Charges exceed your contracted/ legislated fee arrangement.
-
- DESCRIPTION:
Charge exceeds fee schedule/maximum allowable or contracted/legislated
fee arrangement. (Use group Codes PR or CO depending upon liability).
-
- DESCRIPTION:
Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement. (Use only with Group Codes PR or CO depending upon liability).
-
- DESCRIPTION:
Charge exceeds fee schedule/maximum allowable or contracted/legislated
fee arrangement. Note: this must not duplicate provider adjustment
amounts (payments and contractual reductions) that have resulted from
prior payer(s) adjudication. (Use only with Group Codes PR or CO
depending upon liability)
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