| Name | Value |
|---|---|
| CODE | P17 |
| STATUS EFFECTIVE DATE |
|
| DESCRIPTION EFFECTIVE DATE |
|
| 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 |
|