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: E25.0; Item: 102721635; 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: 103052663; 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: 103020611; 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: 103016727; 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: 100320626; 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: 100034663; 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: 100036641; 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: P0717; Item: 100602181; TotalCost: 4; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: Z0718; Item: 103016611; 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: 100882266; 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: 100035957; 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: 101161006; 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: P0733; Item: 100958217; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: P0716; Item: 100882320; 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: 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: P0735; Item: 103016769; TotalCost: 888; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: E71.118; Item: 101679817; 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: 100811362; 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: 102697099; 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: P0715; Item: 100997101; 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: 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: 103261844; 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: E88.89; Item: 101890719; 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: 103128496; 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: Z0732; Item: 102574611; 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: 102745530; 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: Z0734; Item: 100882338; 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: 101111640; 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: 100438405; 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: 100034380; 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: 100882320; 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: P0716; Item: 100034283; 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: P0718; Item: 100646205; 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: 100953976; 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: 101808674; 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: Z0738; Item: 100892000; 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: P0733; Item: 102678664; 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: 101161962; 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: P0736; Item: 100429534; 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: 100034162; 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: 100038241; 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: 101990621; 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: 100959542; 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: 100037337; 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: P0734; 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: E74.21; Item: 100889302; TotalCost: 4; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: Z91.011; Item: 100907718; 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: Z90.4; Item: 100823784; 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: 100034494; 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: 100655928; 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: 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: Z91.011; Item: 100613971; 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: E72.23; Item: 100430148; 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: 100839542; 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: 100036334; 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: E03.1; Item: 101765627; 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: 102920828; 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: 102353675; TotalCost: 121; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: P0726; Item: 100036641; TotalCost: 888; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: E88.89; Item: 100882267; 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: 100610922; 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: E71.110; Item: 103015660; 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: 101231570; 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: E72.22; Item: 101060096; 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: E71.110; Item: 101194060; 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: 100643118; 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: K90.4; Item: 102542611; 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: 100429189; 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: Z71.120; 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: Z90.8; Item: 102032610; 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: 100732330; 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: 100615994; 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: 102853152; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: Z71.118; Item: 100320722; 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: 100034620; 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: 100037572; TotalCost: 888; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: E88.89; Item: 100037871; 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: 100428937; 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: Z0716; Item: 100800291; 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: 101879641; 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: 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: Z0736; Item: 102780925; 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: 101609860; 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: 100320600; 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: 100627371; 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: Z72.23; Item: 100651142; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: P0716; Item: 100035480; 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: 100990128; 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: 101929484; 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: Z90.9; Item: 101161938; 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: 101086245; 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: Z0733; Item: 100918530; 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: 100628663; 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: P0718; Item: 100610869; 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: P0731; Item: 101300213; TotalCost: 888; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ✅ APPROVED |
You are an authorization engine.
Rule: Baby Milk Diagnosis #108, ICD-10 must be in ['E03.1', 'E25.0', 'E70.0', 'E71.ÿ0', 'E71.121', 'E71.120', 'E71.19', 'D81.810', 'E72.3', 'E71.110', 'E71.118', 'E71.19', 'E72.22', 'E72.23', 'E71.311', 'E71.310', 'E74.21', 'E88.89', 'E73.9', 'Z91.011', 'K90.9', 'K90.4', 'K90.8', 'P07.1... | ICD-10: K90.8; Item: 102160620; 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: 101160951; 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: P0735; Item: 100034611; 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: Z07.1; Item: 101796845; 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: 100034823; TotalCost: 1001; Patient Age: 0; Gender: Male; Prescription Date Difference: 0; Payer: any; Policy ID: any; Policy Name: other | ❌ Disapproved |
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