210 (217) ADJUSTMENT REASON (161.91)
Name
Value
CODE
210
STATUS EFFECTIVE DATE
2007-07-09 00:00:00
STATUS: ACTIVE
FEE USE: APPLICABLE
DESCRIPTION EFFECTIVE DATE
DESCRIPTION:
Payment adjusted because pre-certification/authorization not received in a timely fashion
SUSPENSION DESCRIPTION
Payment adjusted because pre-certification/authorization not received in a timely fashion
CORE SCENARIO
Billed Service Not Covered
ADJUSTMENT GROUP
