202 (209) ADJUSTMENT REASON (161.91)
Name
Value
CODE
202
STATUS EFFECTIVE DATE
2007-02-28 00:00:00
STATUS: ACTIVE
FEE USE: APPLICABLE
DESCRIPTION EFFECTIVE DATE
DESCRIPTION:
Non-covered personal comfort or convenience services.
SUSPENSION DESCRIPTION
Non-covered personal comfort or convenience services.
REMITTANCE REMARK
CORE SCENARIO
Billed Service Not Covered
ADJUSTMENT GROUP