[{"claim_control_number":"2134627","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92002","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134627","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92015","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132431","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92004","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Disagree","Error Code":"Incorrect Coding"},{"claim_control_number":"2132431","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"G8427","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134052","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92002","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134052","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"G8427","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135381","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92004","Provider Type":"Ophthalmology","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135381","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92025","Provider Type":"Ophthalmology","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135381","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"76514","Provider Type":"Ophthalmology","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135381","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92134","Provider Type":"Ophthalmology","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135704","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92002","Provider Type":"Ophthalmology","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135704","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92020","Provider Type":"Ophthalmology","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134628","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92002","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134628","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92015","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136450","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92004","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134770","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92002","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2134770","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92015","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136166","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92004","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136303","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92002","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136303","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92015","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136303","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"76512","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136303","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"76512","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136303","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92134","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135705","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92002","Provider Type":"Ophthalmology","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136613","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92133","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136613","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92083","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136304","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92002","Provider Type":"Ophthalmology","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134771","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92004","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134771","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92015","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135925","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92002","Provider Type":"Ophthalmology","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135926","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92004","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135926","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92015","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135926","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"G8427","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135542","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92002","Provider Type":"Ophthalmology","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135542","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"G8427","Provider Type":"Ophthalmology","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135542","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"4040F","Provider Type":"Ophthalmology","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135542","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"1036F","Provider Type":"Ophthalmology","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135542","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"G8482","Provider Type":"Ophthalmology","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135706","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92004","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135706","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92015","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135706","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92134","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135706","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92012","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135706","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92083","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135706","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92133","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135543","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92004","Provider Type":"Ophthalmology","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135543","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92015","Provider Type":"Ophthalmology","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135382","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92002","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135707","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92004","Provider Type":"Ophthalmology","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135707","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92285","Provider Type":"Ophthalmology","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135707","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92015","Provider Type":"Ophthalmology","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135383","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92002","Provider Type":"Ophthalmology","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135383","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92025","Provider Type":"Ophthalmology","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133995","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92004","Provider Type":"Ophthalmology","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133995","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92133","Provider Type":"Ophthalmology","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133995","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92015","Provider Type":"Ophthalmology","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135708","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92002","Provider Type":"Ophthalmology","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134501","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92002","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134501","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"G9974","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134501","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"G8427","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134501","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"G9903","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134501","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"1036F","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136070","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92004","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132372","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92004","Provider Type":"Ophthalmology","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132372","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92015","Provider Type":"Ophthalmology","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132372","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92134","Provider Type":"Ophthalmology","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133697","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92002","Provider Type":"Ophthalmology","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136305","Part":"1. Part B","DRG":"","HCPCS Procedure Code":"92004","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Disagree","Error Code":"Incorrect Coding"},{"claim_control_number":"2134502","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7046","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134629","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L1843","Provider Type":"General Practice","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2133594","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L1851","Provider Type":"Medical supply company with orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2134630","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7030","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134630","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7031","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134630","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7037","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134630","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7038","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132640","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4222","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132738","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0465","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2132738","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0465","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2132738","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0465","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2134772","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0607","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134631","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A5513","Provider Type":"Podiatry","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2134773","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5100","Provider Type":"Individual prosthetic\/orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134773","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5620","Provider Type":"Individual prosthetic\/orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134773","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5637","Provider Type":"Individual prosthetic\/orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134773","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5629","Provider Type":"Individual prosthetic\/orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134773","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5974","Provider Type":"Individual prosthetic\/orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134773","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5671","Provider Type":"Individual prosthetic\/orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134773","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5673","Provider Type":"Individual prosthetic\/orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134773","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5910","Provider Type":"Individual prosthetic\/orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134773","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5940","Provider Type":"Individual prosthetic\/orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134773","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L8440","Provider Type":"Individual prosthetic\/orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134773","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L8470","Provider Type":"Individual prosthetic\/orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134773","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L8420","Provider Type":"Individual prosthetic\/orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134164","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L1832","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2134164","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L2397","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2134164","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L2810","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2137864","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4259","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134774","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0570","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2135102","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0784","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134503","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J7606","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134503","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J7699","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2134503","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"Q0513","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135192","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0822","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135192","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0195","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135192","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0955","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2145892","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4224","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2145892","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4225","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2132760","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L3960","Provider Type":"Podiatry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134326","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J7512","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134326","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"Q0511","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134165","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J3285","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134504","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0822","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2132244","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0570","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134940","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J7507","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134940","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"Q0511","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134775","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4221","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134775","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4222","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134775","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J1575","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134775","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J1575","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134632","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4314","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2134632","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4357","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2133662","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L4360","Provider Type":"General Practice","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2134776","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"Q0513","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134776","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0574","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134776","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J7686","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132666","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0471","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132680","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"G0069","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2132692","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4223","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133698","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L0648","Provider Type":"Medical Supply Company with Pedorthic Personnel","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133834","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7037","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135103","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0470","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135104","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0466","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135193","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0431","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135193","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1390","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135105","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0434","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2135105","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0439","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2134395","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4185","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134395","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4193","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134395","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4224","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134395","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4220","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134396","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J1569","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134396","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"Q2052","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134633","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2619","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134633","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2619","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134633","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0108","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134633","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0108","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134633","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0108","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134633","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2220","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134633","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0072","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134633","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0108","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134633","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2206","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134633","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2206","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134633","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0108","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134633","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0108","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134633","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0019","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135384","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J7605","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135384","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"Q0513","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135384","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J7626","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135194","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0955","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135194","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1028","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135194","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1028","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135194","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1028","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135194","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1028","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135194","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1028","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135709","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L1851","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135709","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L2397","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2133912","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A6402","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Disagree","Error Code":"Incorrect Coding"},{"claim_control_number":"2139178","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4253","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135927","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A6234","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135927","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4338","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Incorrect Coding"},{"claim_control_number":"2135927","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4310","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Incorrect Coding"},{"claim_control_number":"2135927","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4357","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Incorrect Coding"},{"claim_control_number":"2135927","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A6212","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2133996","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L3908","Provider Type":"Orthopedic Surgery","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135106","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L1833","Provider Type":"General Practice","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135106","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L2397","Provider Type":"General Practice","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135877","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0570","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135385","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J1459","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135385","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4223","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135385","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4221","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135878","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4221","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135878","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0455","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135878","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4222","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135878","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J1325","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134941","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L0650","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135928","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0841","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135928","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1007","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135928","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2311","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135928","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2361","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135928","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0955","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135928","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1028","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135928","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2622","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135928","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2313","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135928","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2377","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135928","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1012","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135928","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1028","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132608","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L1832","Provider Type":"Medical supply company with prosthetic\/orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135107","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0553","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135107","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0554","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133397","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4604","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132935","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L3030","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132935","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L3030","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132426","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4150","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132426","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4035","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132426","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4150","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132426","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4035","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2142955","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4259","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2133114","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4314","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133114","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4357","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132550","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0483","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136071","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0601","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2134634","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A6252","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2134634","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A6446","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134634","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A6222","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134634","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A6223","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134634","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4452","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Incorrect Coding"},{"claim_control_number":"2134397","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4629","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134397","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7526","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134397","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7521","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134397","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4623","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135710","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4352","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136072","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0562","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136126","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1161","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136126","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0955","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136126","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1028","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2138607","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4154","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133997","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0651","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133997","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0667","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132238","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1390","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136127","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0143","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2136127","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0156","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2135929","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J7613","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2132592","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1810","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133998","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"G0068","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Incorrect Coding"},{"claim_control_number":"2136073","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0195","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136073","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0978","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136073","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2611","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136073","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0056","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2136073","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2601","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136073","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0950","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2136073","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0973","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2136073","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0973","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2136073","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0971","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136073","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0971","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133627","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7000","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2133627","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A6550","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133627","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A6550","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133627","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7000","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134505","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A5500","Provider Type":"Orthopedic Surgery","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2134505","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A5500","Provider Type":"Orthopedic Surgery","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2134505","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A5514","Provider Type":"Orthopedic Surgery","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2134505","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A5514","Provider Type":"Orthopedic Surgery","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2134398","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A6021","Provider Type":"Podiatry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2147923","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4259","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"No Documentation"},{"claim_control_number":"2132916","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0445","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135711","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7000","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135711","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A6550","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135711","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2402","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133417","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4362","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133417","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A5120","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135386","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4407","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135386","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4456","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135386","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A5063","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135386","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A5120","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135386","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A6216","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136167","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4206","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132917","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7033","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132917","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7038","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135544","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4604","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135544","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7032","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135544","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7034","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136451","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0570","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2132292","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0466","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136452","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0195","Provider Type":"Supplier of oxygen and\/or oxygen related equipment","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132589","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1392","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136453","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J9190","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136453","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4222","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136453","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4221","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136453","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"G0070","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2133558","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L8000","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2147924","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4259","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135545","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L1851","Provider Type":"Orthopedic Surgery","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2136614","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4259","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135930","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A5512","Provider Type":"Pedorthic Personnel","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133433","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2601","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133433","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2611","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133433","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0973","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133433","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0973","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136306","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0861","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2136306","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1028","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2136306","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2361","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2136306","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2377","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2136306","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2313","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2136306","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1007","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2136306","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2611","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2136306","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0955","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2136306","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1028","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2136306","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1012","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2136306","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0953","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136306","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0953","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136306","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1028","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135387","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0553","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2148522","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4259","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134635","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7031","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133999","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L4361","Provider Type":"Orthopedic Surgery","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2134250","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7034","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2134250","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7035","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2132804","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0114","Provider Type":"Orthopedic Surgery","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134777","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0002","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134778","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5620","Provider Type":"Unknown Physician Specialty","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134778","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5637","Provider Type":"Unknown Physician Specialty","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134778","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5645","Provider Type":"Unknown Physician Specialty","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134778","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5910","Provider Type":"Unknown Physician Specialty","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134778","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L8440","Provider Type":"Unknown Physician Specialty","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134778","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L8470","Provider Type":"Unknown Physician Specialty","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134778","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L8420","Provider Type":"Unknown Physician Specialty","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134778","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5629","Provider Type":"Unknown Physician Specialty","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134778","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5940","Provider Type":"Unknown Physician Specialty","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134778","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5301","Provider Type":"Unknown Physician Specialty","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134778","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5980","Provider Type":"Unknown Physician Specialty","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134778","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5986","Provider Type":"Unknown Physician Specialty","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134778","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5647","Provider Type":"Unknown Physician Specialty","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134636","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7030","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2134636","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7031","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2134636","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7037","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2134636","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7038","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2133440","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0776","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134942","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5910","Provider Type":"Individual prosthetic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134942","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5680","Provider Type":"Individual prosthetic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134942","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5940","Provider Type":"Individual prosthetic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134942","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L8417","Provider Type":"Individual prosthetic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135108","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0570","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135109","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0570","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134779","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7521","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2133012","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A6219","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133012","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A6196","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2147166","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4225","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2147166","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4224","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134780","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1390","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2134780","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0431","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2134637","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L1851","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2134399","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L3310","Provider Type":"Individual orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134506","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4351","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2133144","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L0641","Provider Type":"Hospital","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134507","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4353","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134166","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L0642","Provider Type":"Individual orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134638","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0570","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134943","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L0650","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2134112","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"V2303","Provider Type":"Hospital","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134112","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"V2750","Provider Type":"Hospital","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134112","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"V2020","Provider Type":"Hospital","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134112","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"V2781","Provider Type":"Hospital","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134112","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"V2784","Provider Type":"Hospital","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2141163","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4259","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Incorrect Coding"},{"claim_control_number":"2135388","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4221","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135388","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0552","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135388","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J1559","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2146448","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4253","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135195","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0466","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132599","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0884","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132599","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1007","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132599","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2363","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132599","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2300","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132599","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2377","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132599","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2313","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132599","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2311","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132599","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2620","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132599","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0956","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132599","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1028","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132599","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0955","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132599","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1028","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132599","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2624","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135389","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L4396","Provider Type":"Podiatry","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2134508","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J7503","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134508","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"Q0512","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2146492","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4259","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2135546","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0738","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135547","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1390","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135547","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1392","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135712","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0443","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132554","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L1833","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135713","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0570","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134509","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0005","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134509","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2201","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134509","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2203","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134509","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2611","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134509","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0951","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134509","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0951","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134509","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0973","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134509","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0973","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134509","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0971","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134509","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0971","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134509","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0978","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134509","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2607","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136074","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4259","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133871","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L1970","Provider Type":"Podiatry","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2133871","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L2330","Provider Type":"Podiatry","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2133871","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L2820","Provider Type":"Podiatry","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2133871","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L1970","Provider Type":"Podiatry","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2133871","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L2330","Provider Type":"Podiatry","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2133871","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L2820","Provider Type":"Podiatry","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2134113","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J7527","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134113","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"Q0512","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135931","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7035","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133398","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4185","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2133398","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4189","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133398","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4220","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2133398","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4224","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2136128","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0570","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135932","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0553","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136129","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0001","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136129","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0260","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135933","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0570","Provider Type":"Medical supply company with prosthetic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133958","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0606","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135934","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L1851","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2135934","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L2397","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2135934","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L1851","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2135934","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L2397","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2135934","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L3960","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2135935","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0570","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135879","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1390","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135879","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0431","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2133209","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A6197","Provider Type":"Podiatry","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2133209","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A6220","Provider Type":"Podiatry","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135936","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7038","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2139827","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J7626","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2139827","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"Q0513","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2139827","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J7620","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2139827","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7004","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2139827","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7003","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2140734","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4259","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2147312","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4259","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2132271","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J2260","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2132271","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4222","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132271","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J2260","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2134327","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0149","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135390","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J7620","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2135390","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"Q0513","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2134639","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0601","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134639","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0562","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135714","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L1844","Provider Type":"Physical Medicine and Rehabilitation","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2135714","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L2397","Provider Type":"Physical Medicine and Rehabilitation","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2136168","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0195","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2136168","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0001","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2134251","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"V2744","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134251","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"V2744","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133023","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5987","Provider Type":"Individual orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133023","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5986","Provider Type":"Individual orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135391","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4220","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135391","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4220","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135391","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4220","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135391","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4199","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135391","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4199","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135391","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4199","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135391","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4224","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135391","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4224","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135391","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4224","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135937","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4520","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135937","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4927","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135937","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4927","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2148397","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4259","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Incorrect Coding"},{"claim_control_number":"2135392","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"WW093","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135392","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"Q0511","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2136169","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7031","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133304","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4520","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136307","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0466","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135938","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0002","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135938","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0195","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2132778","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0002","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136454","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L1971","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136454","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L1971","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136454","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L3960","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135715","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7005","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135715","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7015","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134510","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0486","Provider Type":"Oral Surgery (dentists only)","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2140396","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4152","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2140396","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4034","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135939","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7002","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133158","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1390","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135940","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J7507","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135940","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"Q0512","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135940","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J7517","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135941","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B9002","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2132542","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L0637","Provider Type":"Individual orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2136615","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4357","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134167","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7032","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2134167","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7034","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2134167","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7046","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2134167","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7038","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2134167","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7037","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2134053","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L0650","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134000","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0861","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134640","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L0631","Provider Type":"General Practice","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2133305","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4222","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132977","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A6209","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2132977","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A6402","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2132977","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A6207","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2132977","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A6446","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Incorrect Coding"},{"claim_control_number":"2132977","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4450","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Incorrect Coding"},{"claim_control_number":"2133361","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0465","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134944","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0570","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134511","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0163","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2134641","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7037","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134641","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7038","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134641","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7030","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134642","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0553","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134168","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4367","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2134168","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4394","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134168","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4406","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134168","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4456","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134168","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A5056","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134781","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0003","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132686","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J1817","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133378","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0434","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2139179","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4197","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2139179","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4224","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2139179","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4220","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2139179","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4185","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2134782","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0303","Provider Type":"Supplier of oxygen and\/or oxygen related equipment","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134782","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0006","Provider Type":"Supplier of oxygen and\/or oxygen related equipment","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2134782","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0910","Provider Type":"Supplier of oxygen and\/or oxygen related equipment","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2134114","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L1843","Provider Type":"Multispecialty Clinic or Group Practice","Type of Bill":"","Review Decision":"Disagree","Error Code":"Medical Necessity"},{"claim_control_number":"2134512","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0007","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2140989","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4253","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132907","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0431","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134945","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0149","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2134783","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L1851","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2134783","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L2397","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2134783","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L1690","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2133159","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0466","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134643","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J7512","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134643","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"Q0511","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134784","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A5131","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2133699","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7038","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133699","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7034","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133699","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7035","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133699","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7037","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133699","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7033","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135110","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0570","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133283","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A6217","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2133283","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A6402","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2133283","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A6252","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2132328","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A5513","Provider Type":"Podiatry","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2132328","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A5513","Provider Type":"Podiatry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134400","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1390","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133913","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0570","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134401","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L1833","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2134401","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L2397","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2134644","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4623","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134644","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4624","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134644","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A6402","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134644","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7520","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133663","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J7699","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133663","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"G0333","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133441","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L4360","Provider Type":"Orthopedic Surgery","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134645","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J7518","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134645","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"Q0512","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135393","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"V2627","Provider Type":"Individual prosthetic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135393","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"V2628","Provider Type":"Individual prosthetic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2135394","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4221","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135394","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4222","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135394","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J7340","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134946","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L3908","Provider Type":"Orthopedic Surgery","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134785","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4624","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134786","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5301","Provider Type":"Individual prosthetic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134786","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5620","Provider Type":"Individual prosthetic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134786","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5629","Provider Type":"Individual prosthetic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134786","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5637","Provider Type":"Individual prosthetic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134786","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5645","Provider Type":"Individual prosthetic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134786","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5671","Provider Type":"Individual prosthetic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134786","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5673","Provider Type":"Individual prosthetic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134786","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5910","Provider Type":"Individual prosthetic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134786","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5940","Provider Type":"Individual prosthetic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134786","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5972","Provider Type":"Individual prosthetic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134786","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5968","Provider Type":"Individual prosthetic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134786","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L8420","Provider Type":"Individual prosthetic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2139180","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4034","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2139180","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4150","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2139180","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4213","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132856","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0784","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134001","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"Q0513","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2134001","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0574","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134001","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J7686","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2133727","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J7502","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2133727","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"Q0512","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135111","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J7507","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135111","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"Q0512","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2132577","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0165","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2134947","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0466","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135196","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1390","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134787","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J1555","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134787","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0552","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134787","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4221","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135395","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1161","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135395","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1028","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135395","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1028","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135395","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1028","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135395","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0955","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135396","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L0650","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133628","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J1575","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133628","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4221","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134328","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0745","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134788","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0607","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132951","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J3370","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134948","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0553","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132668","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0823","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135197","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0562","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135197","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0601","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134115","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L0642","Provider Type":"Orthopedic Surgery","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2133168","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4357","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134169","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A6212","Provider Type":"Medical supply company with prosthetic\/orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2134646","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A5500","Provider Type":"Podiatry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134646","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A5500","Provider Type":"Podiatry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134646","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A5512","Provider Type":"Podiatry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134646","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A5512","Provider Type":"Podiatry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134170","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"Q0513","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134170","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J7644","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135112","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2361","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135112","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1028","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135112","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1002","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135112","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2620","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135112","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2311","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135112","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0955","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135112","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1028","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135112","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1012","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135112","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2607","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135397","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L1851","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135397","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L2397","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135397","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L0457","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133331","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L1832","Provider Type":"Orthopedic Surgery","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134402","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J7606","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134402","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"Q0513","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135548","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7000","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135548","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7002","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135113","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0470","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135398","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7037","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2134949","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0651","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2134949","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0667","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135549","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0570","Provider Type":"Supplier of oxygen and\/or oxygen related equipment","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135942","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1390","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2132718","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0471","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135399","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J1569","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135399","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0552","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2135399","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4221","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135716","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1038","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134789","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7035","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2134789","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7038","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2134789","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7030","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2134789","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7037","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2135717","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4221","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135717","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0455","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135717","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4222","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135717","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J3285","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2141702","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4259","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Incorrect Coding"},{"claim_control_number":"2135880","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0466","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134513","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L1833","Provider Type":"Medical supply company with orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135943","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0630","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134950","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7031","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135400","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J7030","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135400","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4223","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135400","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4223","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135400","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J7030","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135400","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J7030","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135400","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4223","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135400","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J7030","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135400","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4223","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2138299","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4034","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2138299","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4154","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132194","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L0650","Provider Type":"General Practice","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133629","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4352","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134514","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4604","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2135718","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0141","Provider Type":"Orthopedic Surgery","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136130","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0483","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134054","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7033","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134054","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7035","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134054","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7038","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136075","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0738","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135944","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1390","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135944","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1392","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134515","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4414","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2134515","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4432","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2134790","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L4361","Provider Type":"Podiatry","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2134790","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L2397","Provider Type":"Podiatry","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135945","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L1851","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135945","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L2397","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135945","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L1851","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135945","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L2397","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135945","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L0648","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136170","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0738","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2134055","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7046","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2134055","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7037","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2134055","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7038","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2134055","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7032","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2133835","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1392","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2136131","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0562","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134647","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L8000","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135550","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L0648","Provider Type":"Multispecialty Clinic or Group Practice","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2134516","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0143","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134791","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0570","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134791","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7005","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136076","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0466","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135946","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J0713","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135946","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4223","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2139828","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4035","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135719","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4407","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2136132","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0149","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2133700","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A6021","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135720","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7003","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2147313","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4253","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133115","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A6010","Provider Type":"Podiatry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135721","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7000","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135721","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A6550","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135721","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2402","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135551","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4311","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135551","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4358","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135722","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J7605","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135722","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J7626","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135722","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"Q0513","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136077","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4185","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2136077","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4193","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2136077","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4224","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2136077","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4220","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2136077","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0781","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135947","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7005","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136308","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1390","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135948","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5700","Provider Type":"Individual orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135948","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5679","Provider Type":"Individual orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135948","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5685","Provider Type":"Individual orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135948","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5910","Provider Type":"Individual orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135948","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L8470","Provider Type":"Individual orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135948","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L8420","Provider Type":"Individual orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135948","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5645","Provider Type":"Individual orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135948","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5637","Provider Type":"Individual orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135948","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5629","Provider Type":"Individual orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135948","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5647","Provider Type":"Individual orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135948","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5940","Provider Type":"Individual orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135948","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5620","Provider Type":"Individual orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2136171","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0553","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2132826","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0570","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132826","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0570","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132826","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0570","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132826","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0570","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133024","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"G0069","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136172","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0149","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2134252","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"V2020","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2134252","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"V2203","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2134252","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"V2203","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2134252","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"V2755","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2135949","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A6550","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136078","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0443","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2134792","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0135","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2147437","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4259","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133978","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0606","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136309","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5845","Provider Type":"Individual prosthetic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136309","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5848","Provider Type":"Individual prosthetic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136309","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5856","Provider Type":"Individual prosthetic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136309","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5925","Provider Type":"Individual prosthetic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136309","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5981","Provider Type":"Individual prosthetic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136309","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5986","Provider Type":"Individual prosthetic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136309","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L8430","Provider Type":"Individual prosthetic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136309","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L8480","Provider Type":"Individual prosthetic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136309","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5850","Provider Type":"Individual prosthetic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135552","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L3916","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135723","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L0650","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133418","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0277","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132184","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A5512","Provider Type":"Supplier of oxygen and\/or oxygen related equipment","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132184","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A5512","Provider Type":"Supplier of oxygen and\/or oxygen related equipment","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2145576","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4259","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135553","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0601","Provider Type":"Medical supply company with prosthetic\/orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135553","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7038","Provider Type":"Medical supply company with prosthetic\/orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135553","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4604","Provider Type":"Medical supply company with prosthetic\/orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135553","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0562","Provider Type":"Medical supply company with prosthetic\/orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135553","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7034","Provider Type":"Medical supply company with prosthetic\/orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135553","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7033","Provider Type":"Medical supply company with prosthetic\/orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135553","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7035","Provider Type":"Medical supply company with prosthetic\/orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133130","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L1851","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135950","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0955","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135950","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1028","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134403","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J7503","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2134403","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"Q0511","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135951","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J1459","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133728","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0149","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2136310","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0570","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136616","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0260","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136616","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0940","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136173","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4314","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136173","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4358","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136133","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L3960","Provider Type":"Medical supply company with orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2136617","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0466","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133483","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1390","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135952","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7507","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2136311","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4604","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136311","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7034","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133630","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A6196","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2136455","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4351","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136312","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7003","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133169","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0935","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133169","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L1833","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2133169","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0218","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133169","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0218","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136456","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0001","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2136457","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0570","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136313","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7035","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2136313","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7037","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2136313","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7038","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2136313","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7039","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2136313","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7046","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135724","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4332","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135724","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4353","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136458","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0003","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136458","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0195","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136459","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0570","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2136787","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0195","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136460","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J2260","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136460","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4221","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136460","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4222","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136314","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7015","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136618","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4185","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136618","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4199","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2136618","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4224","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2136315","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L1851","Provider Type":"Orthopedic Surgery","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134116","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L3933","Provider Type":"Medical supply company with prosthetic\/orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135725","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0470","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135725","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0562","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135725","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7039","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135725","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7038","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135725","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7037","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135725","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7030","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135725","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7035","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132391","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0776","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136461","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L0637","Provider Type":"Medical supply company with orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136462","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0163","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2133025","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L0650","Provider Type":"Pain Management","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136463","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0553","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136619","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0861","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136619","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2359","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136619","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2359","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136619","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1028","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136619","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2377","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136619","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2313","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136619","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1007","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136619","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2311","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136619","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2620","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136619","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1012","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136619","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0955","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136619","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2605","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132695","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5984","Provider Type":"Individual prosthetic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132695","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L5987","Provider Type":"Individual prosthetic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136174","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A6250","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136174","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4927","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134517","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7038","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2134517","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7039","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2134793","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1390","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134648","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J1559","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134648","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4221","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134648","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0552","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133794","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J1568","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134794","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J7030","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134794","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4222","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134795","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L0631","Provider Type":"Individual orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134951","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L3677","Provider Type":"Optometry","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2134329","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J7500","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134329","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"Q0511","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133747","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0466","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135198","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0570","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134796","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L2385","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134796","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L2755","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134796","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L2397","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135199","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0570","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2133306","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7032","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2133306","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7035","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2133306","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7034","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2133306","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4604","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2132989","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L3908","Provider Type":"Rheumatology","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134797","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7031","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2135554","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L1851","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2135554","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L1971","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135554","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L2397","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2135554","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L0650","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2135554","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L1971","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2134518","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L4387","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2134952","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0570","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2134798","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0005","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134798","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2201","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134798","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0951","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134798","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0961","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134798","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0973","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134798","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0971","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135200","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L4350","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135200","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0114","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2141703","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4253","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135401","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1390","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132278","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4189","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2132278","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4185","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2132278","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4224","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2132278","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4220","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2141324","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4259","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134519","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J7527","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134519","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"Q0512","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134117","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4520","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135402","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J7620","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135402","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J7626","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2135402","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"Q0513","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135114","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J7613","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135114","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"Q0513","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134649","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J1817","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2146493","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4259","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135115","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0570","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135726","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0466","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135555","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0165","Provider Type":"Medical supply company with orthotic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135727","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0570","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2133570","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0738","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135728","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0553","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134404","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L1833","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134404","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L2397","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135403","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2359","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135403","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0739","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135729","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4221","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135729","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4222","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135729","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J7340","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135881","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0465","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135881","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0465","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135556","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4035","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2135556","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4152","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2135556","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B9002","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2135556","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0776","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2135953","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7046","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135201","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J7517","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135201","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"Q0512","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132250","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2209","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2132250","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2311","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"2136079","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1390","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134364","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0570","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135954","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0601","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135557","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J1250","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135557","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4222","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135955","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0277","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2139829","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4259","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2139829","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4259","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134520","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L1851","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134520","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L2397","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132214","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L0650","Provider Type":"General Practice","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135730","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7005","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134953","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7038","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134953","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7035","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134953","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7031","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134953","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7030","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134953","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7037","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135956","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J1575","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135956","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4222","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135956","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4221","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135202","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0471","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132570","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4247","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132570","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4554","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132570","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4927","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136175","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7038","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2136175","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7033","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2136175","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7037","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2136175","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7034","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2136175","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A7035","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135558","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J7512","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135558","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"Q0511","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135559","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"WW093","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135559","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"Q0511","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135957","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0108","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135957","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0108","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135957","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1028","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135957","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0108","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135957","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0108","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135957","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E2312","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2135957","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0739","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2132345","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4185","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132345","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4197","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132345","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4220","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132345","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B4224","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132345","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"B9004","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134405","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J7520","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2134405","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"Q0512","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136464","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"A4221","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136464","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J1555","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136464","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"K0552","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2132585","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0466","Provider Type":"Medical Supply Company with Respiratory Therapist","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135731","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L8030","Provider Type":"Medical supply company with prosthetic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135731","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L8030","Provider Type":"Medical supply company with prosthetic personnel certified by an accrediting organization","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135732","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1028","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135732","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0956","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135732","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0956","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135732","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1028","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2135732","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1028","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136080","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"J7518","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2136080","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"Q0511","Provider Type":"Pharmacy","Type of Bill":"","Review Decision":"Disagree","Error Code":"Other"},{"claim_control_number":"2133033","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E1390","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136316","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0652","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136316","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0667","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136316","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0667","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136316","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0656","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136465","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0570","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136134","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L4360","Provider Type":"Podiatry","Type of Bill":"","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"2136176","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L2397","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2136176","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"L2397","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"2134171","Part":"2. DME MAC","DRG":"","HCPCS Procedure Code":"E0570","Provider Type":"Medical supply company not included in 51, 52, or 53","Type of Bill":"","Review Decision":"Agree","Error Code":"-"}]