243 (299)    ADJUSTMENT REASON (161.91)

Name Value
CODE 243
STATUS EFFECTIVE DATE
  • 2012-06-03 00:00:00
    STATUS:   ACTIVE
    FEE USE:   APPLICABLE
DESCRIPTION EFFECTIVE DATE
  • DESCRIPTION:   
    Services not authorized by network/primary care providers.
SUSPENSION DESCRIPTION 
Services not authorized by network/primary care providers.
REMITTANCE REMARK
CORE SCENARIO Billed Service Not Covered
ADJUSTMENT GROUP