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: P0732; Item: 103136832; 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: 102639622; 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: 100891956; 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: 101068776; 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: E88.89; Item: 101300230; 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: Z90.9; Item: 102032636; 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: P0731; Item: 100626001; 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: 101879675; 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: 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: P0737; Item: 102353659; 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: 100036297; 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: K90.9; Item: 103305667; 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: P0739; Item: 100620160; 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: 100038196; 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: 100664015; 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: E71.120; Item: 102353667; 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: 100613832; 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: K90.8; Item: 100034865; 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: Z71.19; Item: 101300205; 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: 102079688; 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: 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: K90.9; Item: 100036714; 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: K90.4; Item: 100438852; 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: Z91.011; Item: 102353659; 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: 101483435; 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: Z0731; Item: 101928844; 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: Z91.011; Item: 101289691; 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: P07.1; Item: 100035454; 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: 100907700; 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: 100620160; 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: 102865672; 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: 100035913; 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: 100036731; 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: 100613795; 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: E71.118; Item: 100891955; 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: 100037345; 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: P0731; Item: 101167133; 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: Z71.19; Item: 100037214; 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: 101867949; 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: 100953984; 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: 100607205; 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: 100429913; 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: 100438616; 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: 100908294; 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: 102745531; 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: 101796781; 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: K90.9; Item: 102019627; 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: D81.810; Item: 100035366; 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: 100610455; 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: 100990144; 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: 102353667; 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: Z0715; Item: 101846742; 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: 100035147; 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: 100962557; 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: P0716; Item: 102853098; 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: D81.810; Item: 101483435; 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: 103135004; 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: E71.120; Item: 100034638; 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: E70.0; Item: 100958179; 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: K90.9; Item: 101846742; 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: Z71.118; Item: 100646204; 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: 101433164; 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: 100429091; 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: 101808738; 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: 100665060; 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: E88.89; Item: 103016646; 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: E88.89; Item: 100035534; 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: 100320722; 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: 101929151; 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: 100732356; 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: E71.19; Item: 102082685; 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: 101060096; 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: 101497010; 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: Z03.1; Item: 101890719; 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: 100438529; 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: 100429761; 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: P0732; Item: 103275648; 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: 100957176; 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: P0737; Item: 100855269; 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: 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: E03.1; Item: 101070235; 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: 102920799; 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: Z0735; Item: 100037581; 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: 101068785; 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: 100034822; 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: Z71.ÿ0; 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: E71.310; Item: 101125954; 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: 100620160; 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: 100438405; 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: 101086254; 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: E88.89; Item: 101070243; 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: 100438617; 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: 101796791; 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: 102745531; 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: 100037193; 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: 100320829; 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: 101609895; 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: 102282628; 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: 101855711; 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: P0734; Item: 100037206; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
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