| CODE |
168 |
| STATUS EFFECTIVE DATE |
-
- 2005-06-30 00:00:00
- STATUS: ACTIVE
- FEE USE: APPLICABLE
|
| DESCRIPTION EFFECTIVE DATE |
-
- DESCRIPTION:
Service(s) have been considered under the patient's medical plan.
Benefits are not available under this dental plan.
-
- DESCRIPTION:
Service(s) have been considered under the patient's medical plan. Benefits are not available under this dental plan
|
| SUSPENSION DESCRIPTION |
Service(s) have been considered under the patient's medical plan. Benefits are not available under this dental plan
|
| REMITTANCE REMARK |
|
| CORE SCENARIO |
Billed Service Not Covered |
| ADJUSTMENT GROUP |
|
