| CODE |
D14 |
| STATUS EFFECTIVE DATE |
-
- 2003-06-01 00:00:00
- STATUS: ACTIVE
- FEE USE: NOT APPLICABLE
-
- 2003-10-16 00:00:00
- STATUS: INACTIVE
- FEE USE: APPLICABLE
|
| DESCRIPTION EFFECTIVE DATE |
-
- DESCRIPTION:
Claim lacks indication that plan of treatment is on file.
-
- DESCRIPTION:
Claim lacks indication that plan of treatment is on file.
|
| SUSPENSION DESCRIPTION |
Claim lacks indication that plan of treatment is on file.
|
