
| Name | Value |
|---|---|
| CODE | 18 |
| STATUS EFFECTIVE DATE |
|
| DESCRIPTION EFFECTIVE DATE |
|
| ASSOCIATED SUSPEND CODE | File: 161.27, IEN: 4 |
| SUSPENSION DESCRIPTION | Exact duplicate claim/service (Use only with Group Code OA except where state workers' compensation regulations requires CO) |
| REMITTANCE REMARK |
|
| CORE SCENARIO | Incorrect Claim Data |
| ADJUSTMENT GROUP |
|