| CODE |
254 |
| STATUS EFFECTIVE DATE |
-
- 2013-06-02 00:00:00
- STATUS: ACTIVE
- FEE USE: APPLICABLE
|
| DESCRIPTION EFFECTIVE DATE |
-
- DESCRIPTION:
Claim received by the dental plan, but benefits not available under this plan. Submit these services to the patient's medical plan for further consideration.
|
| SUSPENSION DESCRIPTION |
Claim received by the dental plan, but benefits not available under this plan. Submit these services to the patient's medical plan for further consideration.
|
| REMITTANCE REMARK |
|
| CORE SCENARIO |
Billed Service Not Covered |
| ADJUSTMENT GROUP |
|
