P7 (338)    ADJUSTMENT REASON (161.91)

Name Value
CODE P7
STATUS EFFECTIVE DATE
  • 2013-11-01 00:00:00
    STATUS:   ACTIVE
    FEE USE:   APPLICABLE
DESCRIPTION EFFECTIVE DATE
  • DESCRIPTION:   
    The applicable fee schedule/fee database does not contain the billed code. Please resubmit a bill with the appropriate fee schedule/fee database code(s) that best describe the service(s) provided and supporting documentation if required.
To be used for Property and Casualty only.
ASSOCIATED SUSPEND CODE File: 161.27, IEN: 4
SUSPENSION DESCRIPTION 
To be used for Property and Casualty only.
REMITTANCE REMARK
CORE SCENARIO Incorrect Claim Data
ADJUSTMENT GROUP