W5 (355) ADJUSTMENT REASON (161.91)

Name	Value
CODE	W5
STATUS EFFECTIVE DATE	2013-06-02 00:00:00 STATUS: ACTIVE FEE USE: NOT APPLICABLE 2014-07-01 00:00:00 STATUS: INACTIVE FEE USE: APPLICABLE
DESCRIPTION EFFECTIVE DATE	DESCRIPTION: Medical provider not authorized/certified to provide treatment to injured workers in this jurisdiction. (Use with Group Code CO or OA)
ASSOCIATED SUSPEND CODE	File: 161.27, IEN: 4
SUSPENSION DESCRIPTION	Medical provider not authorized/certified to provide treatment to injured workers in this jurisdiction. (Use with Group Code CO or OA)