116 (137) ADJUSTMENT REASON (161.91)
Name
Value
CODE
116
STATUS EFFECTIVE DATE
2003-06-01 00:00:00
STATUS: ACTIVE
FEE USE: APPLICABLE
DESCRIPTION EFFECTIVE DATE
DESCRIPTION:
The advance indemnification notice signed by the patient did not comply with requirements.
DESCRIPTION:
The advance indemnification notice signed by the patient did not comply with requirements.
SUSPENSION DESCRIPTION
The advance indemnification notice signed by the patient did not comply with requirements.
CORE SCENARIO
Incorrect Documentation
ADJUSTMENT GROUP
