| Name | Value |
|---|---|
| CODE | 268 |
| STATUS EFFECTIVE DATE |
|
| DESCRIPTION EFFECTIVE DATE |
|
| ASSOCIATED SUSPEND CODE | File: 161.27, IEN: 4 |
| SUSPENSION DESCRIPTION | The Claim spans two calendar years. Please resubmit one claim per calendar year. |
| CORE SCENARIO | Incorrect Claim Data |
| ADJUSTMENT GROUP |
|