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