177 (184) ADJUSTMENT REASON (161.91)

Name	Value
CODE	177
STATUS EFFECTIVE DATE	2005-06-30 00:00:00 STATUS: ACTIVE FEE USE: APPLICABLE
DESCRIPTION EFFECTIVE DATE	DESCRIPTION: Patient has not met the required eligibility requirements. DESCRIPTION: Patient has not met the required eligibility requirements
SUSPENSION DESCRIPTION	Patient has not met the required eligibility requirements
REMITTANCE REMARK
CORE SCENARIO	Billed Service Not Covered
ADJUSTMENT GROUP