175 (182) ADJUSTMENT REASON (161.91)

Name	Value
CODE	175
STATUS EFFECTIVE DATE	2005-06-30 00:00:00 STATUS: ACTIVE FEE USE: APPLICABLE
DESCRIPTION EFFECTIVE DATE	DESCRIPTION: Prescription is incomplete. DESCRIPTION: Prescription is incomplete
SUSPENSION DESCRIPTION	Prescription is incomplete
REMITTANCE REMARK
CORE SCENARIO	Incorrect Claim Data
ADJUSTMENT GROUP