B5 (253)    ADJUSTMENT REASON (161.91)

Name Value
CODE B5
STATUS EFFECTIVE DATE
  • 2003-06-01 00:00:00
    STATUS:   ACTIVE
    FEE USE:   APPLICABLE
  • 2016-05-01 00:00:00
    STATUS:   INACTIVE
    FEE USE:   APPLICABLE
DESCRIPTION EFFECTIVE DATE
  • DESCRIPTION:   
    Coverage/program guidelines were not met or were exceeded.
    
  • DESCRIPTION:   
    Coverage/program guidelines were not met or were exceeded.
    
SUSPENSION DESCRIPTION
Coverage/program guidelines were not met or were exceeded.