| CODE |
222 |
| STATUS EFFECTIVE DATE |
-
- 2008-06-01 00:00:00
- STATUS: ACTIVE
- FEE USE: APPLICABLE
|
| DESCRIPTION EFFECTIVE DATE |
-
- DESCRIPTION:
Exceeds the contracted maximum number of hours/days/units by this
provider for this period. This is not patient specific.
-
- DESCRIPTION:
Exceeds the contracted maximum number of hours/days/units by this
provider for this period. This is not patient specific. Note: Refer to
the 835 Healthcare Policy Identification Segment (loop 2110 Service
Payment Information REF), if present.
-
- DESCRIPTION:
Exceeds the contracted maximum number of hours/days/units by this provider for this period. This is not patient specific. Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.
|
| SUSPENSION DESCRIPTION |
Exceeds the contracted maximum number of hours/days/units by this provider for this period. This is not patient specific. Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.
|
| REMITTANCE REMARK |
|
| CORE SCENARIO |
Billed Service Not Covered |
| ADJUSTMENT GROUP |
|
