| CODE |
108 |
| STATUS EFFECTIVE DATE |
-
- 2003-06-01 00:00:00
- STATUS: ACTIVE
- FEE USE: APPLICABLE
|
| DESCRIPTION EFFECTIVE DATE |
-
- DESCRIPTION:
Rent/purchase guidelines were not met.
-
- DESCRIPTION:
Rent/purchase guidelines were not met. Note: Refer to the 835 Healthcare
Policy Identification Segment (loop 2110 Service Payment Information
REF), if present.
-
- DESCRIPTION:
Rent/purchase guidelines were not met. Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.
|
| SUSPENSION DESCRIPTION |
Rent/purchase guidelines were not met. Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.
|
| REMITTANCE REMARK |
|
| CORE SCENARIO |
Billed Service Not Covered |
| ADJUSTMENT GROUP |
|
