179 (186)    ADJUSTMENT REASON (161.91)

Name Value
CODE 179
STATUS EFFECTIVE DATE
  • 2005-06-30 00:00:00
    STATUS:   ACTIVE
    FEE USE:   APPLICABLE
DESCRIPTION EFFECTIVE DATE
  • DESCRIPTION:   
    Patient has not met the required spend down requirements.
    
  • DESCRIPTION:   
    Patient has not met the required waiting requirements. Note: Refer to the 
    835 Healthcare Policy Identification Segment (loop 2110 Service Payment 
    Information REF), if present.
    
  • DESCRIPTION:   
    Patient has not met the required waiting requirements. Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.
    
SUSPENSION DESCRIPTION
Patient has not met the required waiting requirements. Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.
CORE SCENARIO Billed Service Not Covered
ADJUSTMENT GROUP