| CODE |
150 |
| STATUS EFFECTIVE DATE |
-
- 2003-06-01 00:00:00
- STATUS: ACTIVE
- FEE USE: APPLICABLE
|
| DESCRIPTION EFFECTIVE DATE |
-
- DESCRIPTION:
Payer deems the information submitted does not support this level of
service.
-
- DESCRIPTION:
Payer deems the information submitted does not support this level of service.
|
| ASSOCIATED SUSPEND CODE |
File: 161.27, IEN: 4 |
| SUSPENSION DESCRIPTION |
Payer deems the information submitted does not support this level of service.
|
| REMITTANCE REMARK |
|
| CORE SCENARIO |
Billed Service Not Covered |
| ADJUSTMENT GROUP |
|
