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 |
|