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
