110 (132)    ADJUSTMENT REASON (161.91)

Name Value
CODE 110
STATUS EFFECTIVE DATE
  • 2003-06-01 00:00:00
    STATUS:   ACTIVE
    FEE USE:   APPLICABLE
DESCRIPTION EFFECTIVE DATE
  • DESCRIPTION:   
    Billing date predates service date.
SUSPENSION DESCRIPTION 
Billing date predates service date.
REMITTANCE REMARK
CORE SCENARIO Incorrect Claim Data
ADJUSTMENT GROUP