97 (43)    ADJUSTMENT REASON (161.91)

Name Value
CODE 97
STATUS EFFECTIVE DATE
  • 2003-06-01 00:00:00
    STATUS:   ACTIVE
    FEE USE:   APPLICABLE
DESCRIPTION EFFECTIVE DATE
  • DESCRIPTION:   
    Payment is included in the allowance for another service/procedure.
    
  • DESCRIPTION:   
    The benefit for this service is included in the payment/allowance for 
    another service/procedure that has already been adjudicated. Note: Refer 
    to the 835 Healthcare Policy Identification Segment (loop 2110 Service 
    Payment Information REF), if present.
    
  • DESCRIPTION:   
    The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated. 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
The benefit for this service is included in the payment/allowance for another service/procedure that has already been adjudicated. Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.
REMITTANCE REMARK
CORE SCENARIO Benefit for Service Not Payable
ADJUSTMENT GROUP