This document is a 2011 medical insurance manual
The manual provides the authoritative preamble and general considerations for the MSI Fee Schedule, describing how physicians are compensated for insured services and the conditions under which fees are payable. It explains the roles of participating and non‑participating physicians, record‑keeping requirements, and the timelines for claim submission.
Key sections include definitions of medical terms, the Schedule of Benefits, unit values, tariffs, modifiers, and special billing rules such as age‑based rates, add‑on procedures, and technical components. The document also details home‑care programs, statutory holidays, and the responsibilities of physicians regarding documentation and claim verification.
Service encounters must be submitted within 90 days of the date of service; otherwise they are payable zero.