A
VISITS AND MINOR PROCEDURES, SAME DIAGNOSIS - LARGER FEE ONLY IS PAID. DIFFERENT DIAGNOSIS - LESSER FEE PAID AT 50%.
What is KB?
THIS SERVICE IS INCLUDED IN A PREVIOUSLY PAID ITEM.
What is FV?
PAID ACCORDING TO THE TIME AND/OR DURATION STATED.
What is IO?
MUTLIPLE PROCEDURES AT THE SAME TIME, THE LESSER FEE(S) PAID AT 50%.
What is QM?
THIS CLAIM HAS BEEN PAID TO AN ASSOCIATED DOCTOR OR ALTERNATE PAYMENT NUMBER
What is HD?
A FEE ITEM HAS BEEN ESTABLISHED FOR THIS SERVICE. PLEASE RESUBMIT UNDER THE APPROVED CODE.
What is MJ?
THERE IS INSUFFICIENT MEDICAL NECESSITY TO PROCESS THIS CLAIM.
What is ED?
A MAJOR CONSULTATION IS NOT PAYABLE IF THE PATIENT HAS BEEN SEEN WITHIN 6 MONTHS FOR THE SAME CONDITION.
What is GC?
SERVICE IS WITHIN THE PRE OR POST-OPERATIVE PERIOD.
What is QE?
PAYABLE AT 50% WHEN BILLED WITH DELIVERY FEES.
What is NA?
THESE EXAMS ARE PAID TO A MAXIMUM OF THREE PER DAY.
What is MG?
THIS CLAIM HAS BEEN PAID TO YOU.
What is HA?
MULTIPLE INJECTIONS ARE PAID TO A MAXIMUM OF THREE PER SITTING.
What is IC?
THE MEDICAL NECESSITY IS REQUIRED TO ASSESS THIS CLAIM.
What is QC?
SERVICE BY DEFINITION IS BILATERAL OR MULTIPLE.
What is FH?
THESE FEES ARE NOT A BENEFIT WHEN USED FOR OVERTIME COMPENSATION.
What is EZ?
THIS SERVICE CHARGE IS NOT APPLICABLE FOR THE TIME/DATE AND/OR THE ITEM BILLED.
What is IM?
VISIT FEES ARE NOT PAYABLE AT THE TIME ANESTHETIC SERVICES ARE RENDERED.
What is LQ?
THIS FEE IS INCLUDED IN THE CONSULTATION OR VISIT FEE.
What is GG?
OUR RECORDS INDICATE THIS IS A REFERRED CASE.
What is GJ?
PLEASE RESUBMIT WITH DETAILS OF THE EMERGENCY CALL OUT.
What is I1?
THIS CLAIM HAS BEEN PAID TO THE OBSTETRICIAN
What is NL?
FEE ITEMS 00931-00936, 00942, 00943 ARE PAID AT 100 PERCENT WHEN BILLED TOGETHER
What is JD?
PROFESSIONAL/TECHNICAL FEE PAID TO ANOTHER FACILITY. TOTAL FEE NOT PAYABLE.
What is FL?
PLEASE RESUBMIT WITH AN EXPLANATORY NOTE. RECORD PER THE DIRECTION PROVIDED IN THE NOTE(S) LISTED UNDER THE FEE ITEM.
What is NF?