| CODE |
109 |
| STATUS EFFECTIVE DATE |
-
- 2003-06-01 00:00:00
- STATUS: ACTIVE
- FEE USE: APPLICABLE
|
| DESCRIPTION EFFECTIVE DATE |
-
- DESCRIPTION:
Claim not covered by this payer/contractor. You must send the claim to
the correct payer/contractor.
-
- DESCRIPTION:
Claim/service not covered by this payer/contractor. You must send the claim/service to the correct payer/contractor.
|
| ASSOCIATED SUSPEND CODE |
File: 161.27, IEN: 4 |
| SUSPENSION DESCRIPTION |
Claim/service not covered by this payer/contractor. You must send the claim/service to the correct payer/contractor.
|
| REMITTANCE REMARK |
|
| CORE SCENARIO |
Billed Service Not Covered |
| ADJUSTMENT GROUP |
|
