| Name | Value |
|---|---|
| CODE | P3 |
| STATUS EFFECTIVE DATE |
|
| DESCRIPTION EFFECTIVE DATE |
|
| ASSOCIATED SUSPEND CODE | File: 161.27, IEN: 4 |
| SUSPENSION DESCRIPTION | Workers' Compensation case settled. Patient is responsible for amount of this claim/service through WC 'Medicare set aside arrangement' or other agreement. To be used for Workers' Compensation only. (Use only with Group Code PR) |
| CORE SCENARIO | Billed Service Not Covered |
| ADJUSTMENT GROUP |
|