D22 (288)    ADJUSTMENT REASON (161.91)

Name Value
CODE D22
STATUS EFFECTIVE DATE
  • 2008-01-27 00:00:00
    STATUS:   ACTIVE
  • 2009-01-01 00:00:00
    STATUS:   INACTIVE
    FEE USE:   APPLICABLE
DESCRIPTION EFFECTIVE DATE
  • DESCRIPTION:   
    Reimbursement was adjusted for the reasons to be provided in separate 
correspondence. (Note: To be used for Workers' Compensation only)
SUSPENSION DESCRIPTION 
correspondence. (Note: To be used for Workers' Compensation only)