B15 (258)    ADJUSTMENT REASON (161.91)

Name Value
CODE B15
STATUS EFFECTIVE DATE
  • 2003-06-01 00:00:00
    STATUS:   ACTIVE
    FEE USE:   APPLICABLE
DESCRIPTION EFFECTIVE DATE
  • DESCRIPTION:   
    This service/procedure requires that a qualifying service/procedure be 
    received and covered. The qualifying other service/procedure has not been 
    received/adjudicated.
    
  • DESCRIPTION:   
    This service/procedure requires that a qualifying service/procedure be 
    received and covered. The qualifying other service/procedure has not been 
    received/adjudicated. Note: Refer to the 835 Healthcare Policy 
    Identification Segment (loop 2110 Service Payment Information REF), if 
    present.
    
  • DESCRIPTION:   
    This service/procedure requires that a qualifying service/procedure be received and covered. The qualifying other service/procedure has not been received/adjudicated. Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present
    
SUSPENSION DESCRIPTION
This service/procedure requires that a qualifying service/procedure be received and covered. The qualifying other service/procedure has not been received/adjudicated. 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