140 (53) ADJUSTMENT REASON (161.91)

Name	Value
CODE	140
STATUS EFFECTIVE DATE	2003-06-01 00:00:00 STATUS: ACTIVE FEE USE: APPLICABLE 2011-01-01 00:00:00 STATUS: ACTIVE FEE USE: APPLICABLE
DESCRIPTION EFFECTIVE DATE	DESCRIPTION: Patient/Insured health identification number and name do not match.
ASSOCIATED SUSPEND CODE	File: 161.27, IEN: 4
SUSPENSION DESCRIPTION	Patient/Insured health identification number and name do not match.
REMITTANCE REMARK
CORE SCENARIO	Incorrect Claim Data
ADJUSTMENT GROUP