31 (21) ADJUSTMENT REASON (161.91)

Name	Value
CODE	31
STATUS EFFECTIVE DATE	2003-06-01 00:00:00 STATUS: ACTIVE FEE USE: APPLICABLE
DESCRIPTION EFFECTIVE DATE	DESCRIPTION: Claim denied as patient cannot be identified as our insured. DESCRIPTION: Patient cannot be identified as our insured.
ASSOCIATED SUSPEND CODE	File: 161.27, IEN: 4
SUSPENSION DESCRIPTION	Patient cannot be identified as our insured.
REMITTANCE REMARK
CORE SCENARIO	Billed Service Not Covered
ADJUSTMENT GROUP