| CODE |
96 |
| STATUS EFFECTIVE DATE |
-
- 2003-06-01 00:00:00
- STATUS: ACTIVE
- FEE USE: APPLICABLE
|
| DESCRIPTION EFFECTIVE DATE |
-
- DESCRIPTION:
Non-covered charge(s).
-
- DESCRIPTION:
Non-covered charge(s). At least one Remark Code must be provided (may be
comprised of either the NCPDP Reject Reason Code, or Remittance Advice
Remark Code that is not an ALERT.) Note: Refer to the 835 Healthcare
Policy Identification Segment (loop 2110 Service Payment Information
REF), if present.
-
- DESCRIPTION:
Non-covered charge(s). At least one Remark Code must be provided (may be comprised of either the NCPDP Reject Reason Code, or Remittance Advice Remark Code that is not an ALERT.) Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.
|
| ASSOCIATED SUSPEND CODE |
File: 161.27, IEN: 4 |
| SUSPENSION DESCRIPTION |
Non-covered charge(s). At least one Remark Code must be provided (may be comprised of either the NCPDP Reject Reason Code, or Remittance Advice Remark Code that is not an ALERT.) Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.
|
| REMITTANCE REMARK |
|
| CORE SCENARIO |
Billed Service Not Covered |
| ADJUSTMENT GROUP |
|
