208 (215) ADJUSTMENT REASON (161.91)
Name
Value
CODE
208
STATUS EFFECTIVE DATE
2007-07-09 00:00:00
STATUS: ACTIVE
FEE USE: APPLICABLE
DESCRIPTION EFFECTIVE DATE
DESCRIPTION:
National Provider Identifier - Not matched.
DESCRIPTION:
National Provider Identifier - Not matched
SUSPENSION DESCRIPTION
National Provider Identifier - Not matched
REMITTANCE REMARK
CORE SCENARIO
Incorrect Claim Data
ADJUSTMENT GROUP