| 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 |
|