B2 (250) ADJUSTMENT REASON (161.91)

Name	Value
CODE	B2
STATUS EFFECTIVE DATE	2003-06-01 00:00:00 STATUS: ACTIVE FEE USE: NOT APPLICABLE 2003-10-01 00:00:00 STATUS: INACTIVE FEE USE: NOT APPLICABLE 2003-10-16 00:00:00 STATUS: INACTIVE FEE USE: APPLICABLE
DESCRIPTION EFFECTIVE DATE	DESCRIPTION: Covered visits.
SUSPENSION DESCRIPTION	Covered visits.