B8 (63)    ADJUSTMENT REASON (161.91)

Name Value
CODE B8
STATUS EFFECTIVE DATE
  • 2003-06-01 00:00:00
    STATUS:   ACTIVE
    FEE USE:   APPLICABLE
DESCRIPTION EFFECTIVE DATE
  • DESCRIPTION:   
    Claim/service not covered/reduced because alternative services were 
available, and should have been utilized.
  • DESCRIPTION:   
    Alternative services were available, and should have been utilized. Note: 
Refer to the 835 Healthcare Policy Identification Segment (loop 2110 
Service Payment Information REF), if present.
  • DESCRIPTION:   
    Alternative services were available, and should have been utilized. 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 
Alternative services were available, and should have been utilized. Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.
CORE SCENARIO Billed Service Not Covered
ADJUSTMENT GROUP