Name | Value |
---|---|
CODE | 20 |
STATUS EFFECTIVE DATE |
|
DESCRIPTION EFFECTIVE DATE |
|
ASSOCIATED SUSPEND CODE | File: 161.27, IEN: 4 |
SUSPENSION DESCRIPTION | This injury/illness is covered by the liability carrier. |
REMITTANCE REMARK |
|
CORE SCENARIO | Billed Service Not Covered |
ADJUSTMENT GROUP |
|