200 (207)    ADJUSTMENT REASON (161.91)

Name Value
CODE 200
STATUS EFFECTIVE DATE
  • 2006-10-31 00:00:00
    STATUS:   ACTIVE
    FEE USE:   APPLICABLE
DESCRIPTION EFFECTIVE DATE
  • DESCRIPTION:   
    Expenses incurred during lapse in coverage
SUSPENSION DESCRIPTION 
Expenses incurred during lapse in coverage
REMITTANCE REMARK
CORE SCENARIO Billed Service Not Covered
ADJUSTMENT GROUP