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Should transactions on claims under USL&H or self-insured coverage be included in the Medical Data Call submissions?

April 26, 2017coverage Data included medical self-insured submissions transactions usl&h

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Should transactions on claims under USL&H or self-insured coverage be included in the Medical Data Call submissions?

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No. USL&H and self-insured experience should be excluded from the Medical Data Call records. Only claims resulting from standard California insurance coverage (reported with jurisdiction state code 04 for California) should be included in the Medical Data Call records.