
| Name | Value |
|---|---|
| CODE | 238 |
| STATUS EFFECTIVE DATE |
|
| DESCRIPTION EFFECTIVE DATE |
|
| SUSPENSION DESCRIPTION | Claim spans eligible and ineligible periods of coverage, this is the reduction for the ineligible period. (Use only with Group Code PR) |
| CORE SCENARIO | Billed Service Not Covered |
| ADJUSTMENT GROUP |
|