Laserfiche WebLink
UNTED HEAI.THCARE <br />WSHIN6T0N MEDICAID AND WASHINGTON BTNEFIT PTANS FORTHE UNINSUSED BEHAVIORAL HEALTH PROFCSSIONAL REIMEURSEMENTSCHEDULE <br />lBbbrLh.dFudtdDiil€nr"iil, <br />brrr 6me zozenrnur6 <br />loeeMAr/re <br />lebbrkhed Fu.norwt€il v&ii bt.l rime 2029 ni.ur6 <br />lebbhsh.dFdenrouiFilentukil, <br />rohl um. 20)enlnutd <br />lEbbBhedFd.ilodFteilvki! <br />brrl dme 2019ninut6 <br />ln.,s/oP <br />lBEblBhedFt.nouFrdenvaii <br />bt,l Ume 202sminul6 <br />leEbrBhed <br />Fudrd'Frenr6it, bt'l dne 202emrnut6 <br />leubrkhed <br />Fd.ndrd.nv6i! tot.l dnelG29mindrs <br />lkbbrkhed Frhildrren vEll bt.l rine 2029minur6 <br />lBbbrtsh.d <br />Fu.nodFredwil bt.l iime 3cl9hin'ra r*- <br />lEbblLh.d <br />tsd.nrourFrienrvii! tor,l sme roleninut6 <br />la8/o' <br />11675 <br />lkbblLh.d FU.nourdenvlii bt.l iime30reminurn <br />lBubrkhed <br />Fdsrdrbenvbit, btar tme 30reninura r"' <br />lEbblLhed <br />Fd.nodprtentvail, ror,l tme lo19 minutd <br />l0$,Mr/P <br />I <br />Ebblkhed tsilen odPd.nr vL <br />lBEbrLh.d <br />Ftdrdrtmr vkit, tot.r ilme 3Gre ninur6 <br />Itsbhh,h.d <br />Fri.nroutFbenv6i! roral rime r0l9 minuts <br />ln4s/oP <br />I <br />ebbrkh.d Fdcn o,@b"d "6'i ror.r rlme ro ]9 minur6 <br />IGD/P <br />lEbblLh.d Fu.noilp.dedv&il, ror,l ddelo]9 minutd <br />leEbrtshcd <br />Fuu'dFdMrvEii rorar ume30re minur6 <br />lE!bbli{d <br />piud odpr'dtd,iLr*l ireloletuB <br />lrrs$/or <br />lEsbbli4d <br />p'id odp:do' d!i.!oblhlG54 hrub t-* <br />lBbbli{d <br />eiued oderror *il.rohl rft {Gt{ druB 161.32 <br />| <br />&bblidd Fucd odpiud' rilit t** <br />lflbbridd <br />Fdd odprd6'*iriobl utrtG5l tuuk <br />lebhrdd <br />Fdd odFrimririLrori itr lG54 nmi6 <br />loerMAr/P <br />lBbbli{d <br />Fud odpilimrrii!rel trrG54 ture! <br />8215 <br />lElbbrddFhcdoqrumr <br />\trirroLl hlGs{ druB <br />lEsbilidd <br />F!.dodpnimrr*il roblitr lGs{ nrmr6 <br />l)r <br />esioP <br />l&bbrdd <br />tsridodrrumr riiirrobl fr 45{ tuh r-" <br />lElbblid <br />Ftd odpndriil robl urrG5{ tut6 r*'" <br />ln4srP <br />lElbblisd <br />Fdd odrium' rniLtobltu {G5{ tuk t"** <br />lh'fiJ <br />Ho,eo€ I X€ycomFmnb:oeuil/bmptehenw H/j&bi/CohpFhrnwtr.miMd 0R totud/bw <br />lo{nP <br />61,53 <br />Ihiliffa,porc <br />I X€vcompnrnB:oeDil/6mpr.heBv hr0cbil/rompPh?nsvtiln;Md D(tu&d/bw r"^'61,53 <br />l <br />h'ud Hce Gc t ky tonprenb 0rhiUGmp'.hanrv bj&t.'ycompr.hen<v e'm;Md D* sttud/bw <br />ll.illal <br />Ho,eo'. I x.vconFnenb:0etr'Kompr.henw hjebil/6mp€h€nsvtx.n,Md DFsutud/bw r'' <br />lhilial <br />H6eore I xrvcompneiB oehi/6mPr.hPniv h:hbil/bmpEhcnsvtr.n,Md DRsttudbw <br />l,Lss/P <br />lIDiln <br />H6pels J X(y.@or4L:&bitconP&dHr&bivcwEk6 EuilH hsdhvd Lor t"-* <br />lhhr <br />HseGF t kybmpnenB:comp'ehpneto. ki GmpEh.nsreG.m: Med kiion Mdconple^ <br />lh,bi <br />Ho,eoE I X€y.@pmnb:conp'€he^ste h: comD'.hensive b,mj M.d D*6ion Md conph <br />lhdal <br />Ho,eo,. I x€y..hprna:emp'chensr. Hri codptehen <br />lhGr <br />H6eGF r kyconFrenb:compr.h.nrto. k: cbpEh.nsile 6.nj Med D66ion Mdcmdd <br />lh{ial <br />H6eo,. I x€v..-F*.B:conp.€henstue hj 6Epreh.n\ive b,mj M.d kkion Md compl.r <br />t"'ge'IP <br />lliilbl <br />Hoepor. I xcvconFn€nB:conprchenese hj.onDFhPn <br />lhdJ <br />Hsecc I ky(onpn€nb:Conp'cheBs k:6mp,ehe.eive&.mi M.d kilon H dGmpl.. <br />lhxial <br />H6ecr. ] x.vcomFmnB:conpr€h.nene hj.omp,ch.nn*krmj Med kiion Hidcmpl.r <br />lc13/oP <br />lrniuar <br />Ho,eoc r k.yconpnenB:6np'ehen5toe hj 6mpr.h.n\iveardj Med k.ion riskdpr.r <br />lh'uJ <br />HdpoE I kycompi.nb:conp'.hensie u:Gf,F€h..eive&.m: M.d D*hlon ffld6mpl.1 <br />lh'bJ <br />HospoE I xeycompn€nb:bnp'€he^sne Hr:6mpr€h..3ik k:il: Mrd D*ilon H'd6mpl.r <br />Itr 's/P <br />lrniu.l <br />Ho,ecF r kcyconpn..E:conp'ch.nrtoc h;6mD,.h.n\toe kaf,: med DR.ion Hisbmder <br />lsub'qu.nr <br />H6e o,c lr xqcompn.na:P'ob to.u' <br />I <br />sub'qucn Hose orc l, x€y conpn.nts:Pbb ro(u' <br />lcil/oe <br />lsub\qucd <br />HGpGF )r krcompn.nb:Pmbfo.u! rnr b.P'obFd!etrrm:Md o*stM/b*6mpEr r*" <br />I <br />sukqucnt Hoee o,c ,+ ky comFn.nts:P'ob to(ui <br />I <br />sub'qucd Hose o'e ,r r.y compnenE:P'ob tocui <br />lsu&quor <br />HoT crd 2' krco4od Eob I 0uril rthb r.r'*- <br />lsubqu4t <br />lkp c:re 2' x(y co4offi F\tsd Eob Fmc Id E(EVd Pob Ess\H k IH cb4ld r-" <br />lsDeqMt <br />lhpc:E 2, Xq coqotu E{Fd frob Fru ld lr\:Epil hb rsn\d h \ldGqld r"^'$.31 <br />lsubqu{r <br />Irop.:c 2' Kq coqofil ErFd Fob r-{i! Id hEvs Pob E$GIH h NH,try'cY r-" <br />*zt2 <br />lsuequhr <br />lheciE 2a xrycoqffi E\Fd kob FM ld ltsEvd Pob Estu\U h IH Co@le\r-"