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