| CODE |
D16 |
| STATUS EFFECTIVE DATE |
-
- 2003-06-01 00:00:00
- STATUS: ACTIVE
- FEE USE: NOT APPLICABLE
-
- 2007-06-30 00:00:00
- STATUS: INACTIVE
- FEE USE: APPLICABLE
|
| DESCRIPTION EFFECTIVE DATE |
-
- DESCRIPTION:
Claim lacks prior payer payment information.
-
- DESCRIPTION:
Claim lacks prior payer payment information.
|
| SUSPENSION DESCRIPTION |
Claim lacks prior payer payment information.
|
