242 (298) ADJUSTMENT REASON (161.91)
Name
Value
CODE
242
STATUS EFFECTIVE DATE
2012-06-03 00:00:00
STATUS: ACTIVE
FEE USE: APPLICABLE
DESCRIPTION EFFECTIVE DATE
DESCRIPTION:
Services not provided by network/primary care providers
SUSPENSION DESCRIPTION
Services not provided by network/primary care providers
REMITTANCE REMARK
CORE SCENARIO
Billed Service Not Covered
ADJUSTMENT GROUP
