163 (170)    ADJUSTMENT REASON (161.91)

Name Value
CODE 163
STATUS EFFECTIVE DATE
  • 2004-06-30 00:00:00
    STATUS:   ACTIVE
    FEE USE:   APPLICABLE
DESCRIPTION EFFECTIVE DATE
  • DESCRIPTION:   
    Attachment referenced on the claim was not received.
  • DESCRIPTION:   
    Attachment/other documentation referenced on the claim was not received.
ASSOCIATED SUSPEND CODE File: 161.27, IEN: 4
SUSPENSION DESCRIPTION 
Attachment/other documentation referenced on the claim was not received.
REMITTANCE REMARK
CORE SCENARIO Incorrect Documentation
ADJUSTMENT GROUP