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