Name | Value |
---|---|
CODE | B13 |
STATUS EFFECTIVE DATE |
|
DESCRIPTION EFFECTIVE DATE |
|
ASSOCIATED SUSPEND CODE | File: 161.27, IEN: 5 |
SUSPENSION DESCRIPTION | Previously paid. Payment for this claim/service may have been provided in a previous payment. |
REMITTANCE REMARK |
|
CORE SCENARIO | Billed Service Not Covered |
ADJUSTMENT GROUP |
|