14 (69) ADJUSTMENT REASON (161.91)
Name
Value
CODE
14
STATUS EFFECTIVE DATE
2003-06-01 00:00:00
STATUS: ACTIVE
FEE USE: APPLICABLE
DESCRIPTION EFFECTIVE DATE
DESCRIPTION:
The date of birth follows the date of service.
ASSOCIATED SUSPEND CODE
File: 161.27, IEN: 4
SUSPENSION DESCRIPTION
The date of birth follows the date of service.
CORE SCENARIO
Incorrect Claim Data
ADJUSTMENT GROUP
