ADJUSTMENT REASON (161.91)    FILE (1)

Name Value
NAME ADJUSTMENT REASON
DESCRIPTION
This file contains a list of claim adjustment reason codes.  These codes
This file is exported with data and the contents should not be locally
modified.
are used to indicate why the amount paid is different from the amount
billed on a health care claim.  The source of the codes is the National
Health Care Claim Payment/Committee Bulletins.  It is available from
Washington Publishing Company.  The associated suspend code, suspension
description, and applicability for use by VA on fee claims is provided by
the Fee Replacement Project Management Office in Denver which represents
the VA Chief Business Office.