19 (17)    ADJUSTMENT REASON (161.91)

Name Value
CODE 19
STATUS EFFECTIVE DATE
  • 2003-06-01 00:00:00
    STATUS:   ACTIVE
    FEE USE:   APPLICABLE
DESCRIPTION EFFECTIVE DATE
  • DESCRIPTION:   
    Claim denied because this is a work-related injury/illness and thus the 
    liability of the Worker's Compensation Carrier.
    
  • DESCRIPTION:   
    This is a work-related injury/illness and thus the liability of the Worker's Compensation Carrier.
    
ASSOCIATED SUSPEND CODE File: 161.27, IEN: 4
SUSPENSION DESCRIPTION
This is a work-related injury/illness and thus the liability of the Worker's Compensation Carrier.
REMITTANCE REMARK
CORE SCENARIO Billed Service Not Covered
ADJUSTMENT GROUP