P17 (348)    ADJUSTMENT REASON (161.91)

Name Value
CODE P17
STATUS EFFECTIVE DATE
  • 2013-11-01 00:00:00
    STATUS:   ACTIVE
    FEE USE:   APPLICABLE
DESCRIPTION EFFECTIVE DATE
  • DESCRIPTION:   
    Referral not authorized by attending physician per regulatory requirement. To be used for Property and Casualty only.
ASSOCIATED SUSPEND CODE File: 161.27, IEN: 4
SUSPENSION DESCRIPTION 
Referral not authorized by attending physician per regulatory requirement. To be used for Property and Casualty only.
CORE SCENARIO Billed Service Not Covered
ADJUSTMENT GROUP