174 (181)    ADJUSTMENT REASON (161.91)

Name Value
CODE 174
STATUS EFFECTIVE DATE
  • 2005-06-30 00:00:00
    STATUS:   ACTIVE
    FEE USE:   APPLICABLE
DESCRIPTION EFFECTIVE DATE
  • DESCRIPTION:   
    Service was not prescribed prior to delivery.
  • DESCRIPTION:   
    Service was not prescribed prior to delivery
SUSPENSION DESCRIPTION 
Service was not prescribed prior to delivery
REMITTANCE REMARK
CORE SCENARIO Billed Service Not Covered
ADJUSTMENT GROUP