147 (58) ADJUSTMENT REASON (161.91)
Name
Value
CODE
147
STATUS EFFECTIVE DATE
2003-06-01 00:00:00
STATUS: ACTIVE
FEE USE: APPLICABLE
DESCRIPTION EFFECTIVE DATE
DESCRIPTION:
Provider contracted/negotiated rate expired or not on file.
ASSOCIATED SUSPEND CODE
File: 161.27, IEN: 4
SUSPENSION DESCRIPTION
Provider contracted/negotiated rate expired or not on file.