272 (363)    ADJUSTMENT REASON (161.91)

Name Value
CODE 272
STATUS EFFECTIVE DATE
  • 2015-11-01 00:00:00
    STATUS:   ACTIVE
    FEE USE:   APPLICABLE
DESCRIPTION EFFECTIVE DATE
  • DESCRIPTION:   
    Coverage/program guidelines were not met.
SUSPENSION DESCRIPTION 
Coverage/program guidelines were not met.
REMITTANCE REMARK
CORE SCENARIO Billed Service Not Covered
ADJUSTMENT GROUP