259 (321) ADJUSTMENT REASON (161.91)
Name
Value
CODE
259
STATUS EFFECTIVE DATE
2014-01-26 00:00:00
STATUS: ACTIVE
FEE USE: APPLICABLE
DESCRIPTION EFFECTIVE DATE
DESCRIPTION:
Additional payment for Dental/Vision service utilization.
ASSOCIATED SUSPEND CODE
File: 161.27, IEN: 4
SUSPENSION DESCRIPTION
Additional payment for Dental/Vision service utilization.
