169 (176) ADJUSTMENT REASON (161.91)

Name	Value
CODE	169
STATUS EFFECTIVE DATE	2005-06-30 00:00:00 STATUS: ACTIVE FEE USE: APPLICABLE
DESCRIPTION EFFECTIVE DATE	DESCRIPTION: Alternate benefit has been provided. DESCRIPTION: Alternate benefit has been provided.
SUSPENSION DESCRIPTION	Alternate benefit has been provided.
REMITTANCE REMARK
CORE SCENARIO	Billed Service Not Covered
ADJUSTMENT GROUP