| CODE |
228 |
| STATUS EFFECTIVE DATE |
-
- 2008-09-21 00:00:00
- STATUS: ACTIVE
- FEE USE: APPLICABLE
|
| DESCRIPTION EFFECTIVE DATE |
-
- DESCRIPTION:
Denied for failure of this provider, another provider or the subscriber to supply requested information to a previous payer for their adjudication
|
| SUSPENSION DESCRIPTION |
Denied for failure of this provider, another provider or the subscriber to supply requested information to a previous payer for their adjudication
|
| REMITTANCE REMARK |
|
| CORE SCENARIO |
Billed Service Not Covered |
| ADJUSTMENT GROUP |
|
