D20 (286) ADJUSTMENT REASON (161.91)

Name	Value
CODE	D20
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/Service missing service/product information. DESCRIPTION: Claim/Service missing service/product information.
SUSPENSION DESCRIPTION	Claim/Service missing service/product information.