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: Z71.118; Item: 100889302; 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: Z0737; Item: 101289691; 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: P0700; Item: 102160611; 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: P0732; Item: 100034786; 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: P07.1; Item: 101125953; 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: 102082633; 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: P0739; Item: 102865611; 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: E71.311; Item: 101990664; 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: 100649157; 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: Z0738; Item: 100620952; 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: P0737; 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: E72.22; Item: 100643118; 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: P0734; Item: 100038453; 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: E25.0; Item: 101720883; 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: 101929193; 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: E71.110; Item: 101732631; 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: E71.118; Item: 100990144; 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: P0700; Item: 100823784; 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: P0714; Item: 100624443; 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: P0726; Item: 100034583; 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: 101242332; 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: Z0714; Item: 101808674; 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: 101194051; 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: P0737; Item: 101990664; 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: Z0730; Item: 102017612; 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: 100828542; 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: E71.121; Item: 101068805; 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: E71.121; Item: 100037433; 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: P07.1; Item: 100037590; 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: E73.9; Item: 100982902; 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: E03.1; Item: 100623213; 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: E72.3; Item: 100320669; 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: Z81.810; Item: 103136824; 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: 101551039; 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: Z0700; Item: 102585636; 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: Z90.4; Item: 100839559; 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: Z0739; Item: 100855276; 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: Z03.1; Item: 100034793; 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: 100915945; 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: 100034822; 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: 101890702; 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: P0710; Item: 102574620; 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: 101300213; 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: 100034170; 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: 100855268; 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: E03.1; Item: 101483427; 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: E03.1; Item: 101141275; 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: E03.1; Item: 100772366; 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: E73.9; Item: 100915961; 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: Z71.310; Item: 101167109; 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: E71.311; Item: 100037899; 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: 102019634; 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: E71.118; Item: 101049049; 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.ÿ0; Item: 100643119; 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: E72.23; Item: 102242625; 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: Z91.011; Item: 102079662; 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: 100320642; 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: P0732; Item: 101055123; 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: Z0738; Item: 100607213; 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: 102082617; 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: 101483443; 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: E71.120; Item: 101855796; 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: 101167142; 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: P0714; Item: 101043828; 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: Z81.810; Item: 101068784; 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: 100731265; 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: P0737; Item: 101928782; 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: P0737; Item: 100619071; 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: E70.0; Item: 100881351; 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: 100882282; 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: 103261836; 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: 100907700; 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: P0739; Item: 103016742; 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: P0716; Item: 100811329; 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: 100612282; 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: E71.311; Item: 101972634; 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: P0732; Item: 101161014; 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: Z90.4; Item: 100626781; 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: Z0730; Item: 100622229; 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: E71.311; Item: 100731281; 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: E74.21; Item: 100611132; 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: Z90.8; Item: 100429883; 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: P0700; Item: 100732321; 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: P0738; Item: 100615601; 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: P0732; Item: 100649157; 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: 100037901; 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: P0732; 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: P0730; Item: 101300176; 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: K90.8; Item: 100915937; 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: E72.22; Item: 100953968; 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: Z91.011; Item: 102780992; 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: E71.310; Item: 100036326; 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: E72.23; Item: 103261844; 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: P0734; 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: Z0726; Item: 101284399; 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: 101498549; 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: Z73.9; Item: 101282203; 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: 100892000; 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.ÿ0; Item: 100836501; 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: E72.23; Item: 100891913; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
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