109 of 109 Passing (100.0 %)

100.0%

Outpatient Surgery Physician/Surgical Services
b60b3dc7
Inpatient Hospital Services (e.g., Hospital Stay)
0750936e
Inpatient Hospital Services (e.g., Hospital Stay)
b84bb5d7
Mental/Behavioral Health Outpatient Services
9925964f
Eye Glasses for Children
80ef1a19
Skilled Nursing Facility
b9120078
Inpatient Hospital Services (e.g., Hospital Stay)
58f39ae0
Primary Care Visit to Treat an Injury or Illness
6581fe73
Routine Eye Exam for Children
cbea40c9
Generic Drugs
016d57f4
Mental/Behavioral Health Inpatient Services
bea9e6e7
Skilled Nursing Facility
520e4282
Generic Drugs
b1d24c3b
X-rays and Diagnostic Imaging
94931bf3
Eye Glasses for Children
9b0ddcb1
X-rays and Diagnostic Imaging
7a334340
Routine Eye Exam for Children
12db1712
Inpatient Hospital Services (e.g., Hospital Stay)
d4450e30
Skilled Nursing Facility
ea20b39f
Acupuncture
53af9761
Primary Care Visit to Treat an Injury or Illness
b96692fa
Eye Glasses for Children
42991ca0
Eye Glasses for Children
8fa6f5d1
Routine Eye Exam (Adult)
3658fbc0
Emergency Transportation/Ambulance
2e7e0eee
Inpatient Hospital Services (e.g., Hospital Stay)
cb1bb12e
Inpatient Hospital Services (e.g., Hospital Stay)
5087cc0e
Skilled Nursing Facility
b9bf3391
Inpatient Hospital Services (e.g., Hospital Stay)
04ca0996
Specialist Visit
2946e9e6
Primary Care Visit to Treat an Injury or Illness
8f7cb666
Skilled Nursing Facility
04e45696
Mental/Behavioral Health Inpatient Services
28adc29d
Emergency Room Services
6a86ff34
Primary Care Visit to Treat an Injury or Illness
95c171a7
Primary Care Visit to Treat an Injury or Illness
4739e43b
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)
7737d49a
Private-Duty Nursing
24903f5e
Emergency Room Services
a02eece4
Chiropractic Care
15b725ae
Mental/Behavioral Health Inpatient Services
1e2741d5
Inpatient Hospital Services (e.g., Hospital Stay)
f0bc8e9b
Mental/Behavioral Health Inpatient Services
233a8b4c
Hearing Aids
1dee5e69
Specialty Drugs
d9c9cbd0
Skilled Nursing Facility
14eb2831
Inpatient Hospital Services (e.g., Hospital Stay)
4c4cf10a
Skilled Nursing Facility
5893cdf9
Mental/Behavioral Health Inpatient Services
1c57770d
Basic Dental Care - Child
e97c6890
Basic Dental Care - Child
a04cf3d5
Routine Eye Exam (Adult)
51ef3646
Eye Glasses for Children
7b8b83cb
Outpatient Rehabilitation Services
ed3743fe
X-rays and Diagnostic Imaging
2cbe803e
Mental/Behavioral Health Outpatient Services
059a9112
Major Dental Care - Child
57b2c9c3
Skilled Nursing Facility
01a549e1
Skilled Nursing Facility
394290da
Mental/Behavioral Health Inpatient Services
c1895475
Skilled Nursing Facility
8c4155a7
Mental/Behavioral Health Inpatient Services
9347ed6f
Inpatient Hospital Services (e.g., Hospital Stay)
f837a4eb
Mental/Behavioral Health Inpatient Services
7c5b1f1a
Skilled Nursing Facility
e0cbe4f8
Inpatient Hospital Services (e.g., Hospital Stay)
32439ff2
Generic Drugs
73094596
Specialist Visit
866222fe
Primary Care Visit to Treat an Injury or Illness
fd8406ed
Inpatient Hospital Services (e.g., Hospital Stay)
a7e05bbf
Mental/Behavioral Health Inpatient Services
0aef6bfb
Skilled Nursing Facility
6b47ceaf
Inpatient Hospital Services (e.g., Hospital Stay)
60fdecac
Skilled Nursing Facility
49871d32
Skilled Nursing Facility
b5e3741d
Mental/Behavioral Health Inpatient Services
014165ab
Skilled Nursing Facility
583abb53
Inpatient Hospital Services (e.g., Hospital Stay)
5f184122
Bariatric Surgery
12810159
Emergency Room Services
f5f054fb
Preferred Brand Drugs
9eb6e7e1
Non-Preferred Brand Drugs
40bcff9b
Emergency Room Services
1855e951
Emergency Room Services
7ac7ae67
Specialist Visit
0a32bd14
Primary Care Visit to Treat an Injury or Illness
4dd48313
Infertility Treatment
3ad65c3e
Specialist Visit
dc6b8bfc
Generic Drugs
be3eab55
Mental/Behavioral Health Inpatient Services
e9898362
Inpatient Hospital Services (e.g., Hospital Stay)
a51af5e2
Mental/Behavioral Health Inpatient Services
ff8d68c9
Skilled Nursing Facility
9e08631c
Mental/Behavioral Health Inpatient Services
e68470d8
Emergency Room Services
d2e82669
Non-Preferred Brand Drugs
f2c269c8
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)
782a31d8
Emergency Room Services
5bb8c2eb
Primary Care Visit to Treat an Injury or Illness
d9f72d2b
Emergency Room Services
43a1832e
Emergency Room Services
6a6f81c4
Emergency Room Services
9590e714
Emergency Transportation/Ambulance
3ad004e3
Routine Eye Exam (Adult)
52dac438
Inpatient Hospital Services (e.g., Hospital Stay)
16ba5f53
Skilled Nursing Facility
af7f75fd
Specialty Drugs
834a06cb
Emergency Room Services
405ceb38
Routine Eye Exam for Children
b4a7d098