B990

PDF page 89 / First person

Note:
          1.The maximum number of services per physician per day for B960 is 2, for any combination of
            non-elective and elective visits.
          2.The maximum number of services per physician per day for B990 is 10, for any combination
            of non-elective and elective visits.
          3.Special visit to patient’s home premiums are only eligible for payment for first patient seen,
            regardless of number of patients seen during one visit to a home or to one or more living
            units in a multiple resident dwelling. A multiple resident dwelling is a single location that
            shares a common external building entrance or lobby e.g. apartment block, rest or retirement
            home, commercial hotel, motel or boarding house, university or boarding school residence,
            hostel, correctional facility or group home.
          [Commentary:
          1.Special visit premiums listed in Table VI above are not eligible for payment with A007 or
            A001 when rendered in a patient’s home. See page A4.
          2.For A007 or A001 rendered in a patient’s home, travelling to and from the home is included
            as a common element of the insured service. See page GP13 of this Schedule.]

Master, record 387. Record Layout PDF, page 1.

B99020260401999999990000028250000000000000000000000000000000000000000000000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.