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A code to categorize services monitoring promises. A "services tracking claim" is accustomed to report lump sum payments that cannot be attributed to an individual enrollee.
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The brand new tool is at present undergoing screening. Suppliers/bidders will likely be knowledgeable with the MOD Shipping staff at a degree where roll out of your Resource can start. There is at present no release day.
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For providers been given throughout just one come across which has a supplier, the day the provider included by this assert was gained. For products and services involving a number of encounters on unique days, or intervals of care extending more than two or even more times, the day on which the services coated by this declare ended.
The final day which the corresponding prevalence code or occurrence span code was relevant. If occurrence day span is an individual working day, value need to be equal to the worth in the involved Event Code Helpful Day.
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The claim header level utmost sum based on the payer as remaining 'allowable' underneath the provisions on the contract prior to the resolve of precise payment.
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