instruction stringclasses 1
value | input stringlengths 155 160 | output stringclasses 2
values |
|---|---|---|
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: P0733; Item: 101867981; TotalCost: 121; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: P0739; Item: 100430050; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: Z71.310; Item: 100035286; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: Z0726; Item: 101263230; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: Z71.118; Item: 102079709; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: E71.120; Item: 100622237; TotalCost: 888; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: P0700; Item: 100620952; TotalCost: 888; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: Z71.311; Item: 100325478; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: E74.21; Item: 101929433; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: E71.ÿ0; Item: 100603343; TotalCost: 888; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: E88.89; Item: 100602350; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: P0718; Item: 101075458; TotalCost: 121; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: E74.21; Item: 101990648; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: E71.19; Item: 103016743; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: Z0715; Item: 100037311; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: E71.121; Item: 100438608; TotalCost: 121; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: P0737; Item: 100430041; TotalCost: 121; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: E71.19; Item: 101483427; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: P0736; Item: 101070244; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: P0730; Item: 102353675; TotalCost: 888; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: E71.310; Item: 100728306; TotalCost: 888; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: E71.118; Item: 101748051; TotalCost: 121; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: E72.22; Item: 100038188; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: P0736; Item: 100438625; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: E71.118; Item: 101292066; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: E03.1; Item: 101070235; TotalCost: 4; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: P0738; Item: 100037599; TotalCost: 121; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: P0726; Item: 101472461; TotalCost: 4; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: P07.1; Item: 101808754; TotalCost: 888; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: P0735; Item: 101990672; TotalCost: 121; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: K90.4; Item: 102034640; TotalCost: 121; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: E74.21; Item: 100613875; TotalCost: 888; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: P0738; Item: 100037185; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: P0716; Item: 100037741; TotalCost: 888; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: E71.120; Item: 101855825; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: E71.19; Item: 100438253; TotalCost: 121; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: E71.311; Item: 102265843; TotalCost: 888; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: Z0737; Item: 100610447; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: E72.3; Item: 101929151; TotalCost: 4; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: P0710; Item: 100035892; TotalCost: 888; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: P0735; Item: 100622238; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: P0717; Item: 100438667; TotalCost: 4; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: Z0736; Item: 100320626; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: P0734; Item: 101068784; TotalCost: 888; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: Z25.0; Item: 100035391; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: P0716; Item: 100034495; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: E71.120; Item: 102574638; TotalCost: 4; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: Z0715; Item: 100034769; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: P0734; Item: 100034161; TotalCost: 888; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: Z71.121; Item: 102101671; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: E71.310; Item: 101928836; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: E71.ÿ0; Item: 100761270; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: E71.19; Item: 100899818; TotalCost: 4; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: P0718; Item: 100613824; TotalCost: 4; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: K90.8; Item: 100615993; TotalCost: 888; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: E71.311; Item: 100603010; TotalCost: 4; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: P0700; Item: 100613808; TotalCost: 121; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: P0717; Item: 100034777; TotalCost: 888; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: Z72.22; Item: 101275521; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: P0736; Item: 101275513; TotalCost: 121; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: E71.19; Item: 101075431; TotalCost: 888; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: E88.89; Item: 103275648; TotalCost: 121; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: E71.121; Item: 101224231; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: P0735; Item: 101928887; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: E71.120; Item: 102101672; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: K90.9; Item: 100881335; TotalCost: 121; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: E73.9; Item: 101929143; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: Z0734; Item: 100839532; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: E71.121; Item: 101928896; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: Z25.0; Item: 100997098; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: P0718; Item: 101575946; TotalCost: 4; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: Z0718; Item: 100728306; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: P0726; Item: 100907689; TotalCost: 121; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: K90.9; Item: 102101662; TotalCost: 4; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: P07.1; Item: 100958179; TotalCost: 888; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: P0717; Item: 102865646; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: E74.21; Item: 101160986; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: P0736; Item: 100438296; TotalCost: 121; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: P0735; Item: 101811662; TotalCost: 121; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: E72.22; Item: 101282203; TotalCost: 4; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: E71.310; Item: 100037724; TotalCost: 4; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: P07.1; Item: 100035075; TotalCost: 121; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: Z0739; Item: 100613859; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: Z0700; Item: 102353667; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: E71.ÿ0; Item: 101292065; TotalCost: 888; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: E71.120; Item: 100732305; TotalCost: 121; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: D81.810; Item: 101855673; TotalCost: 121; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: P0736; Item: 102079717; TotalCost: 121; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: P0733; Item: 101931728; TotalCost: 121; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: P0731; Item: 100429761; TotalCost: 121; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: E72.23; Item: 101231561; TotalCost: 4; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: Z91.011; Item: 100429736; TotalCost: 888; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: K90.8; Item: 101224249; TotalCost: 888; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: P0700; Item: 103016735; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: P0735; Item: 100732305; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: E70.0; Item: 100035770; TotalCost: 4; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: P0733; Item: 101855737; TotalCost: 121; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: P0726; Item: 100959551; TotalCost: 121; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: P0717; Item: 100034515; TotalCost: 121; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: P0726; Item: 102865638; TotalCost: 121; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
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