Tiered Co-pay
Service Item |
Min. Auth. Units |
Max. Auth. Units |
Co-Pay Amount |
Co-Pay percent |
Notes |
Effective Date |
Expiration Date |
Expiration Reason |
---|---|---|---|---|---|---|---|---|
Initial Assessment | 2 | 2 | 200 | 2 | Test | 22/12/2016 | 22/12/2016 | 04/30/2017 |
Individual Counselling | 2 | 2 | 200 | 2 | Test | 22/12/2016 | 22/12/2016 | 04/30/2017 |
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