[{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"82108","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"82728","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"83540","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"83550","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"83970","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J2501","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J2501","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J2501","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J2501","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J2501","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J2501","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J2501","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J2501","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J2501","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J2501","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J2501","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535360","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534164","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"132","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534164","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"36415","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"132","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534164","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"85610","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"132","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1533983","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1533983","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1533983","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1533983","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1533983","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1533983","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"RVA50","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1532316","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"130","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1532316","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"71010","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"130","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534430","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"140","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534430","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"36415","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"140","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534430","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"86304","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"140","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535665","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"212","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535665","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"212","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535665","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"212","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535665","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"212","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535665","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"212","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535665","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"212","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535665","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"212","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535665","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"212","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535665","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"RVC10","Provider Type":"SNF","Type of Bill":"212","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1536489","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"Critical Access Hospital (CAH) Outpatient Services","Type of Bill":"850","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1536489","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"36415","Provider Type":"Critical Access Hospital (CAH) Outpatient Services","Type of Bill":"850","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1536489","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"71020","Provider Type":"Critical Access Hospital (CAH) Outpatient Services","Type of Bill":"850","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1536489","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"80053","Provider Type":"Critical Access Hospital (CAH) Outpatient Services","Type of Bill":"850","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1536489","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"81001","Provider Type":"Critical Access Hospital (CAH) Outpatient Services","Type of Bill":"850","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1536489","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"83605","Provider Type":"Critical Access Hospital (CAH) Outpatient Services","Type of Bill":"850","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1536489","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"85025","Provider Type":"Critical Access Hospital (CAH) Outpatient Services","Type of Bill":"850","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1536489","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"85652","Provider Type":"Critical Access Hospital (CAH) Outpatient Services","Type of Bill":"850","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1536489","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"87040","Provider Type":"Critical Access Hospital (CAH) Outpatient Services","Type of Bill":"850","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1536489","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"87077","Provider Type":"Critical Access Hospital (CAH) Outpatient Services","Type of Bill":"850","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1536489","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"87081","Provider Type":"Critical Access Hospital (CAH) Outpatient Services","Type of Bill":"850","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1536489","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"87086","Provider Type":"Critical Access Hospital (CAH) Outpatient Services","Type of Bill":"850","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1536489","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"87088","Provider Type":"Critical Access Hospital (CAH) Outpatient Services","Type of Bill":"850","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1536489","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"87088","Provider Type":"Critical Access Hospital (CAH) Outpatient Services","Type of Bill":"850","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1536489","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"87186","Provider Type":"Critical Access Hospital (CAH) Outpatient Services","Type of Bill":"850","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1536489","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"87186","Provider Type":"Critical Access Hospital (CAH) Outpatient Services","Type of Bill":"850","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1536489","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"87880","Provider Type":"Critical Access Hospital (CAH) Outpatient Services","Type of Bill":"850","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1536489","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"99283","Provider Type":"Critical Access Hospital (CAH) Outpatient Services","Type of Bill":"850","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1536489","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"99284","Provider Type":"Critical Access Hospital (CAH) Outpatient Services","Type of Bill":"850","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534804","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"131","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534804","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"36416","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"131","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534804","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"85610","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"131","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534285","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"214","Review Decision":"Disagree","Error Code":"Incorrect Coding"},{"claim_control_number":"1534285","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"214","Review Decision":"Disagree","Error Code":"Incorrect Coding"},{"claim_control_number":"1534285","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"214","Review Decision":"Disagree","Error Code":"Incorrect Coding"},{"claim_control_number":"1534285","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"214","Review Decision":"Disagree","Error Code":"Incorrect Coding"},{"claim_control_number":"1534285","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"214","Review Decision":"Disagree","Error Code":"Incorrect Coding"},{"claim_control_number":"1534285","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"214","Review Decision":"Disagree","Error Code":"Incorrect Coding"},{"claim_control_number":"1534285","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"RUB2D","Provider Type":"SNF","Type of Bill":"214","Review Decision":"Disagree","Error Code":"Incorrect Coding"},{"claim_control_number":"1534285","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"RVB10","Provider Type":"SNF","Type of Bill":"214","Review Decision":"Disagree","Error Code":"Incorrect Coding"},{"claim_control_number":"1533911","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"131","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1533911","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"99213","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"131","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535581","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535581","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"1AGM1","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535581","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0151","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535666","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535666","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535666","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535666","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535666","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535666","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535666","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0155","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535666","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0156","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535666","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0156","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535666","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0156","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535666","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0156","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535666","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0156","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535666","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0156","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535666","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0156","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535666","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0156","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535666","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0156","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535666","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0156","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535666","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0156","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535666","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0156","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535666","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q5003","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535582","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535582","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"83540","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535582","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"83550","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535582","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535582","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535582","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535582","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535582","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535582","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535582","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535582","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535582","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535582","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535582","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535582","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535582","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535582","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535582","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535582","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535582","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535582","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535582","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535582","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535582","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535582","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535582","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535582","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535582","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535582","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J1756","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535582","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J1756","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535582","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J1756","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535582","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J1756","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535582","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J1756","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535582","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J1756","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535582","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535582","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535582","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535582","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535582","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535582","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534498","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534498","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534498","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534498","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534498","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534498","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534498","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534498","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534498","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534498","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534498","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534498","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534498","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534498","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534498","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534498","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534498","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534498","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534498","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534498","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"1BGKT","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534498","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534498","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534498","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534498","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534498","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534498","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534498","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534498","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534498","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534498","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534498","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534498","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534498","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534498","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534498","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534498","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534498","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534498","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534498","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534498","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534498","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534498","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534498","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534498","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0164","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535361","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"FQHC","Type of Bill":"771","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535361","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"99213","Provider Type":"FQHC","Type of Bill":"771","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534736","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"Hospice","Type of Bill":"811","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534736","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"Hospice","Type of Bill":"811","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534736","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"Hospice","Type of Bill":"811","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534736","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"Hospice","Type of Bill":"811","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534736","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"Hospice","Type of Bill":"811","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534736","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"Hospice","Type of Bill":"811","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534736","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"Hospice","Type of Bill":"811","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534736","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"Hospice","Type of Bill":"811","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534736","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0155","Provider Type":"Hospice","Type of Bill":"811","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534736","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0155","Provider Type":"Hospice","Type of Bill":"811","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534736","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0155","Provider Type":"Hospice","Type of Bill":"811","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534736","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0156","Provider Type":"Hospice","Type of Bill":"811","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534736","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0156","Provider Type":"Hospice","Type of Bill":"811","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534736","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q5004","Provider Type":"Hospice","Type of Bill":"811","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534376","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"Critical Access Hospital (CAH) Outpatient Services","Type of Bill":"851","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534376","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"97110","Provider Type":"Critical Access Hospital (CAH) Outpatient Services","Type of Bill":"851","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534923","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534923","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534923","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534923","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"1CGKU","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534923","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534923","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534923","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534923","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534923","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534923","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534923","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534923","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534923","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534923","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0163","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534923","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0163","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534923","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0163","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534923","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0163","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534216","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534216","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534216","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534216","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534216","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534216","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534216","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"RUA30","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534216","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"RVA0D","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534553","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"132","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534553","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"97001","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"132","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534553","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"97035","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"132","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534553","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"97035","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"132","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534553","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"97035","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"132","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534553","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"97110","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"132","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534553","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"97110","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"132","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534553","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"97140","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"132","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534553","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"97140","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"132","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534553","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"97140","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"132","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534805","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"RHCs","Type of Bill":"711","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534805","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"11721","Provider Type":"RHCs","Type of Bill":"711","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534554","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534554","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"1BGL1","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534554","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0151","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534554","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0151","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534554","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0151","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534554","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0151","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534554","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0151","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534554","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0151","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534554","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0151","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534554","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0151","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534554","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0152","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534554","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0152","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534554","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0163","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534554","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0163","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534554","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0163","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534554","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q5001","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534431","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"Hospice","Type of Bill":"814","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534431","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"Hospice","Type of Bill":"814","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534431","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"Hospice","Type of Bill":"814","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534431","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"Hospice","Type of Bill":"814","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534431","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"Hospice","Type of Bill":"814","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534431","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"Hospice","Type of Bill":"814","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534431","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"Hospice","Type of Bill":"814","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534431","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0155","Provider Type":"Hospice","Type of Bill":"814","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534431","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0155","Provider Type":"Hospice","Type of Bill":"814","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534431","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0155","Provider Type":"Hospice","Type of Bill":"814","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534431","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0156","Provider Type":"Hospice","Type of Bill":"814","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534431","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0156","Provider Type":"Hospice","Type of Bill":"814","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534431","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0156","Provider Type":"Hospice","Type of Bill":"814","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534431","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0156","Provider Type":"Hospice","Type of Bill":"814","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534431","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0156","Provider Type":"Hospice","Type of Bill":"814","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534431","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0156","Provider Type":"Hospice","Type of Bill":"814","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534431","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0156","Provider Type":"Hospice","Type of Bill":"814","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534431","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0156","Provider Type":"Hospice","Type of Bill":"814","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534431","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0156","Provider Type":"Hospice","Type of Bill":"814","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534431","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0156","Provider Type":"Hospice","Type of Bill":"814","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534431","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0156","Provider Type":"Hospice","Type of Bill":"814","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534431","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q5001","Provider Type":"Hospice","Type of Bill":"814","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534431","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q5001","Provider Type":"Hospice","Type of Bill":"814","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534431","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q5001","Provider Type":"Hospice","Type of Bill":"814","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534431","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q5001","Provider Type":"Hospice","Type of Bill":"814","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534431","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q5001","Provider Type":"Hospice","Type of Bill":"814","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534431","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q5001","Provider Type":"Hospice","Type of Bill":"814","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534431","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q5001","Provider Type":"Hospice","Type of Bill":"814","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534431","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q5001","Provider Type":"Hospice","Type of Bill":"814","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534431","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q5001","Provider Type":"Hospice","Type of Bill":"814","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534431","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q5001","Provider Type":"Hospice","Type of Bill":"814","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534431","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q5001","Provider Type":"Hospice","Type of Bill":"814","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534431","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q5001","Provider Type":"Hospice","Type of Bill":"814","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534431","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q5001","Provider Type":"Hospice","Type of Bill":"814","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534431","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q5001","Provider Type":"Hospice","Type of Bill":"814","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534431","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q5001","Provider Type":"Hospice","Type of Bill":"814","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534431","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q5001","Provider Type":"Hospice","Type of Bill":"814","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534431","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q5001","Provider Type":"Hospice","Type of Bill":"814","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534431","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q5001","Provider Type":"Hospice","Type of Bill":"814","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535190","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"Hospice","Type of Bill":"824","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535190","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"Hospice","Type of Bill":"824","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535190","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"Hospice","Type of Bill":"824","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535190","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"Hospice","Type of Bill":"824","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535190","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"Hospice","Type of Bill":"824","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535190","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"Hospice","Type of Bill":"824","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535190","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"Hospice","Type of Bill":"824","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535190","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0155","Provider Type":"Hospice","Type of Bill":"824","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535190","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0156","Provider Type":"Hospice","Type of Bill":"824","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535190","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0156","Provider Type":"Hospice","Type of Bill":"824","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535190","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0156","Provider Type":"Hospice","Type of Bill":"824","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535190","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q5001","Provider Type":"Hospice","Type of Bill":"824","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535190","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q5001","Provider Type":"Hospice","Type of Bill":"824","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535190","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q5001","Provider Type":"Hospice","Type of Bill":"824","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535190","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q5001","Provider Type":"Hospice","Type of Bill":"824","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535190","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q5001","Provider Type":"Hospice","Type of Bill":"824","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535667","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535667","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535667","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535667","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535667","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535667","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535667","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535667","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535667","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"RUC10","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535667","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"RUC20","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535667","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"RUC30","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1532509","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1532509","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"3CHK4","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1532509","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0151","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1532509","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0151","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1532509","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0151","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1532509","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0163","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1532509","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0163","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1532509","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0163","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1532509","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0163","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1532509","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0163","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1532509","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0163","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535668","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535668","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535668","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535668","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535668","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535668","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535668","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"AAA00","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535668","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"RUB40","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535847","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"FQHC","Type of Bill":"771","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535847","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"99213","Provider Type":"FQHC","Type of Bill":"771","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1533538","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"211","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1533538","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"211","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1533538","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"211","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1533538","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"211","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1533538","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"211","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1533538","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"211","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1533538","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"RMA10","Provider Type":"SNF","Type of Bill":"211","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535669","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535669","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535669","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535669","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535669","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535669","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535669","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535669","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0155","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535669","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0155","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535669","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0156","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535669","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0156","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535669","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0156","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535669","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0156","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535669","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0156","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535669","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0156","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535669","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0156","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535669","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0156","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535669","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q5002","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535669","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q5002","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535669","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q5002","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535669","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q5002","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535669","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q5002","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535669","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q5002","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534499","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534499","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534499","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"3AGKT","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534499","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534499","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534499","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534499","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534499","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534499","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1533191","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1533191","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"1AGL1","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1533191","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0151","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1533191","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0151","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1533191","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1533191","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1533191","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1533191","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1533191","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1533191","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1533191","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0157","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1533191","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0157","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1533191","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0157","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1533191","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0157","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535670","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535670","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535670","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535670","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535670","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535670","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535670","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535670","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535670","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0155","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535670","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0155","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535670","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q5006","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534555","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534555","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534555","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"1CGMT","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534555","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0151","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534555","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0152","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534555","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534555","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0163","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534555","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0163","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534555","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0164","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534555","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0164","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534555","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0164","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1534555","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0164","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535671","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535671","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535671","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535671","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535671","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535671","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0155","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535671","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0155","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535671","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0156","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535671","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0156","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535671","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0156","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535671","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0156","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535671","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0156","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535671","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0156","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535671","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0156","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535671","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q5001","Provider Type":"Hospice","Type of Bill":"813","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534500","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534500","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"1BGM1","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534500","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0151","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534500","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0151","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534500","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0151","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534500","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0151","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534500","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0151","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534500","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0151","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534500","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0151","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534500","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0151","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534500","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0151","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534500","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534500","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534500","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534500","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534500","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"329","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1533476","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"1533476","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"1CFK1","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"1533476","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"1533476","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"1533476","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0154","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"1533476","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0163","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"1533476","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G0163","Provider Type":"HHA","Type of Bill":"339","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"82728","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"83540","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"83550","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"83970","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"85045","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"87340","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J1270","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J1270","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J1270","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J1270","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J1270","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J1270","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J1270","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J1270","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J1270","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J1270","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J1270","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J1270","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535583","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534806","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"131","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534806","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"99212","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"131","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535362","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535362","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"82306","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535362","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"82728","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535362","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"83540","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535362","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"83550","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535362","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"83970","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535362","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535362","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535362","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535362","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535362","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535362","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535362","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535362","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535362","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535362","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535362","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535362","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535362","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535362","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J1270","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535362","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J1270","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535362","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J1270","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535362","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J1270","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535362","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J1270","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535362","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J1270","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535362","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J1270","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535362","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J1270","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535362","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J1270","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535362","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J1270","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535362","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J1270","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535362","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J1270","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535362","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535362","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535362","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535362","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535362","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535362","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535362","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535362","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535362","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535362","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534247","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534247","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534247","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534247","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534247","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534247","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"RVC2D","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534501","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534501","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534501","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534501","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534501","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534501","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534501","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J2501","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534501","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J2501","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534501","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J2501","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534501","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J2501","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534501","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534501","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534501","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534501","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535057","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"131","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535057","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"131","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535057","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"60300","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"131","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535057","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"76942","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"131","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535057","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"88173","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"131","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535057","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J2001","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"131","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535363","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535363","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"82108","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535363","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"82728","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535363","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"83540","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535363","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"83550","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535363","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"83970","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535363","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"86706","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535363","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535363","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535363","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535363","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535363","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535363","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535363","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535363","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535363","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535363","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535363","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535363","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535363","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535363","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J1270","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535363","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J1270","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535363","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J1270","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535363","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J1270","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535363","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J1270","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535363","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J1270","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535363","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J1270","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535363","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J1270","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535363","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J1270","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535363","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J1270","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535363","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J1270","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535363","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J1270","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535672","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"210","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535672","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"210","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535672","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"AAA00","Provider Type":"SNF","Type of Bill":"210","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535673","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"210","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535673","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"210","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535673","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"AAA00","Provider Type":"SNF","Type of Bill":"210","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535364","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535364","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"82728","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535364","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"83540","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535364","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"83550","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535364","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"83970","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535364","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"87340","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535364","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535364","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535364","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535364","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535364","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535364","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535364","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535364","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535364","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535364","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535364","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535364","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535364","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535364","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535364","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535364","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535364","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535364","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J1756","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535364","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535364","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535364","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535364","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"82040","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"82310","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"82374","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"82435","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"82565","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"82728","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"83540","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"83970","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"84075","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"84100","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"84132","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"84155","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"84295","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"84466","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"84520","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"84520","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"85045","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"87340","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J2501","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J2501","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J2501","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J2501","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535365","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535674","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"223","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535674","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"97001","Provider Type":"SNF","Type of Bill":"223","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535674","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"97032","Provider Type":"SNF","Type of Bill":"223","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535674","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"97032","Provider Type":"SNF","Type of Bill":"223","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535674","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"97032","Provider Type":"SNF","Type of Bill":"223","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535674","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"97032","Provider Type":"SNF","Type of Bill":"223","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535674","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"97110","Provider Type":"SNF","Type of Bill":"223","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535674","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"97110","Provider Type":"SNF","Type of Bill":"223","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535674","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"97110","Provider Type":"SNF","Type of Bill":"223","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535674","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"97110","Provider Type":"SNF","Type of Bill":"223","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535674","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"97110","Provider Type":"SNF","Type of Bill":"223","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535674","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"97116","Provider Type":"SNF","Type of Bill":"223","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535674","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"97116","Provider Type":"SNF","Type of Bill":"223","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535674","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"97116","Provider Type":"SNF","Type of Bill":"223","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535674","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"97530","Provider Type":"SNF","Type of Bill":"223","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535674","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"97530","Provider Type":"SNF","Type of Bill":"223","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535674","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"97530","Provider Type":"SNF","Type of Bill":"223","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535674","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"97530","Provider Type":"SNF","Type of Bill":"223","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535674","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"97530","Provider Type":"SNF","Type of Bill":"223","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535674","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"97530","Provider Type":"SNF","Type of Bill":"223","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535674","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"97530","Provider Type":"SNF","Type of Bill":"223","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535674","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G8978","Provider Type":"SNF","Type of Bill":"223","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535674","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G8978","Provider Type":"SNF","Type of Bill":"223","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535674","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G8979","Provider Type":"SNF","Type of Bill":"223","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535674","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G8979","Provider Type":"SNF","Type of Bill":"223","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1533247","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"131","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1533247","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"99214","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"131","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534737","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"211","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534737","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"211","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534737","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"211","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534737","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"211","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534737","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"211","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534737","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"211","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534737","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"RVB10","Provider Type":"SNF","Type of Bill":"211","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535675","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535675","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535675","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535675","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535675","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535675","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535675","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"RUB10","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535675","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"RUB20","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535675","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"RVB0D","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1533984","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"233","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1533984","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"97002","Provider Type":"SNF","Type of Bill":"233","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1533984","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"97530","Provider Type":"SNF","Type of Bill":"233","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1533984","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G8979","Provider Type":"SNF","Type of Bill":"233","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1533984","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"G8980","Provider Type":"SNF","Type of Bill":"233","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1533944","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1533944","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1533944","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1533944","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1533944","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1533944","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1533944","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"RUC20","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534377","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"131","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534377","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"94760","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"131","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534377","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"99211","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"131","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535676","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535676","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"82570","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535676","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"82570","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535676","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"84540","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535676","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90945","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535676","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90945","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535676","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90945","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535676","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90945","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535676","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90945","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535676","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90945","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535676","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90945","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535676","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90945","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535676","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90945","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535676","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90945","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535676","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90945","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535676","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90945","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535676","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90945","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535676","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90945","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535676","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90945","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535676","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535676","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535676","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534807","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"131","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534807","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"73030","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"131","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535677","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535677","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535677","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535677","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535677","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535677","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535677","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535677","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535677","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"RUB0D","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535677","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"RUC20","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535677","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"RVC0D","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535678","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"1535678","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"1535678","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"1535678","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"1535678","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"1535678","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"1535678","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"1535678","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"1535678","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"1535678","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"1535678","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"RUA0D","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"1535678","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"RUA40","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"1535678","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"RVA30","Provider Type":"SNF","Type of Bill":"213","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"1534127","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"131","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534127","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"36415","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"131","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534127","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"85610","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"131","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534432","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"Critical Access Hospital (CAH) Outpatient Services","Type of Bill":"851","Review Decision":"Disagree","Error Code":"Incorrect Coding"},{"claim_control_number":"1534432","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"36415","Provider Type":"Critical Access Hospital (CAH) Outpatient Services","Type of Bill":"851","Review Decision":"Disagree","Error Code":"Incorrect Coding"},{"claim_control_number":"1534432","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"80053","Provider Type":"Critical Access Hospital (CAH) Outpatient Services","Type of Bill":"851","Review Decision":"Disagree","Error Code":"Incorrect Coding"},{"claim_control_number":"1534432","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"81001","Provider Type":"Critical Access Hospital (CAH) Outpatient Services","Type of Bill":"851","Review Decision":"Disagree","Error Code":"Incorrect Coding"},{"claim_control_number":"1534432","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"85027","Provider Type":"Critical Access Hospital (CAH) Outpatient Services","Type of Bill":"851","Review Decision":"Disagree","Error Code":"Incorrect Coding"},{"claim_control_number":"1534432","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"87077","Provider Type":"Critical Access Hospital (CAH) Outpatient Services","Type of Bill":"851","Review Decision":"Disagree","Error Code":"Incorrect Coding"},{"claim_control_number":"1534432","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"87086","Provider Type":"Critical Access Hospital (CAH) Outpatient Services","Type of Bill":"851","Review Decision":"Disagree","Error Code":"Incorrect Coding"},{"claim_control_number":"1534432","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"87088","Provider Type":"Critical Access Hospital (CAH) Outpatient Services","Type of Bill":"851","Review Decision":"Disagree","Error Code":"Incorrect Coding"},{"claim_control_number":"1533945","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"214","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1533945","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"214","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1533945","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"214","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1533945","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"214","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1533945","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"214","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1533945","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"214","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1533945","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"RHC0D","Provider Type":"SNF","Type of Bill":"214","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1536161","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"131","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1536161","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"99212","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"131","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1536591","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"RHCs","Type of Bill":"711","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1536591","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"RHCs","Type of Bill":"711","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"87340","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J2501","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J2501","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J2501","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J2501","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J2501","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J2501","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J2501","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J2501","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J2501","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J2501","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J2501","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"J2501","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535366","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"Q4081","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534128","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"132","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534128","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"85610","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"132","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534128","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"99211","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"132","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535679","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"212","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"1535679","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"212","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"1535679","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"212","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"1535679","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"212","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"1535679","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"212","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"1535679","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"RUB0D","Provider Type":"SNF","Type of Bill":"212","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"1535679","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"RVB20","Provider Type":"SNF","Type of Bill":"212","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"1535679","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"RVC10","Provider Type":"SNF","Type of Bill":"212","Review Decision":"Agree","Error Code":"Overturned"},{"claim_control_number":"1535848","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"Critical Access Hospital (CAH) Outpatient Services","Type of Bill":"851","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535848","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"36415","Provider Type":"Critical Access Hospital (CAH) Outpatient Services","Type of Bill":"851","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535848","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"85610","Provider Type":"Critical Access Hospital (CAH) Outpatient Services","Type of Bill":"851","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534217","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"131","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1534217","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"99214","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"131","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535680","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"212","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535680","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"212","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535680","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"212","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535680","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"212","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535680","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"212","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535680","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"212","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535680","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"212","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535680","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"212","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535680","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"212","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535680","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"212","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535680","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"212","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535680","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"212","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535680","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"RUB10","Provider Type":"SNF","Type of Bill":"212","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1533668","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"212","Review Decision":"Disagree","Error Code":"Incorrect Coding"},{"claim_control_number":"1533668","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"212","Review Decision":"Disagree","Error Code":"Incorrect Coding"},{"claim_control_number":"1533668","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"212","Review Decision":"Disagree","Error Code":"Incorrect Coding"},{"claim_control_number":"1533668","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"212","Review Decision":"Disagree","Error Code":"Incorrect Coding"},{"claim_control_number":"1533668","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"212","Review Decision":"Disagree","Error Code":"Incorrect Coding"},{"claim_control_number":"1533668","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"212","Review Decision":"Disagree","Error Code":"Incorrect Coding"},{"claim_control_number":"1533668","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"212","Review Decision":"Disagree","Error Code":"Incorrect Coding"},{"claim_control_number":"1533668","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"212","Review Decision":"Disagree","Error Code":"Incorrect Coding"},{"claim_control_number":"1533668","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"212","Review Decision":"Disagree","Error Code":"Incorrect Coding"},{"claim_control_number":"1533668","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"212","Review Decision":"Disagree","Error Code":"Incorrect Coding"},{"claim_control_number":"1533668","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"212","Review Decision":"Disagree","Error Code":"Incorrect Coding"},{"claim_control_number":"1533668","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"SNF","Type of Bill":"212","Review Decision":"Disagree","Error Code":"Incorrect Coding"},{"claim_control_number":"1533668","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"RUC11","Provider Type":"SNF","Type of Bill":"212","Review Decision":"Disagree","Error Code":"Incorrect Coding"},{"claim_control_number":"1536592","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"131","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1536592","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"36415","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"131","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1536592","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"80048","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"131","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1536592","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"85027","Provider Type":"OPPS, Laboratory (an FI), Ambulatory (Billing an FI)","Type of Bill":"131","Review Decision":"Disagree","Error Code":"Insufficient Documentation"},{"claim_control_number":"1535367","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535367","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"82108","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535367","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"82728","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535367","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"83540","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535367","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"83550","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535367","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"83735","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535367","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"83970","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535367","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"86706","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535367","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"87340","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535367","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535367","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535367","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535367","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535367","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535367","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535367","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535367","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535367","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535367","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535367","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"90999","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535367","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535367","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535367","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535367","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535367","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535367","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"},{"claim_control_number":"1535367","Part":"3. Part A(Excluding Inpatient Hospital PPS)","DRG":"","HCPCS Procedure Code":"A4657","Provider Type":"ESRD","Type of Bill":"721","Review Decision":"Agree","Error Code":"-"}]