| Arbitration# Sexy真人16-000229 (PDF) |
| Date of Decision: 12/08/2016 |
| Provider Status: Non-participating |
| Type of Plan: Small Employer |
| Date of Service: 03/24/2016 |
| Procedure at Issue: CPT code 45120-80 |
Billed Amount: $15,000
|
| Paid Amount: $2,400 |
| Award: None – additional reimbursement not warranted |
|
| Arbitration# Sexy真人16-000173B (PDF) |
| Date of Decision: 11/30/2016 |
| Provider Status: Non-participating |
| Type of Plan: Large Employer |
| Date of Service: 10/31/2015 and 11/01/2015 |
| Procedure at Issue: CPT codes 99285, 96365 and 96375 |
Billed Amount: $16,249.67
|
| Paid Amount: $261.22 |
| Award: Additional reimbursement of $4,492.78 plus 12% interest |
|
| Arbitration# Sexy真人07-0278 (PDF) |
| Date of Decision: 01/29/2008 |
| Provider Status: Non-participating |
| Type of Plan: Small Employer |
| Date of Service: 10/31/2006 |
| Procedure at Issue: CPT codes 15770, 63030 and 69990 |
Billed Amount: $3,862, $9,758 and $3,993
|
| Paid Amount: $1,414.50, $8,000 and $0 |
| Award: None - additional reimbursement not warranted |
|
