15 (70) ADJUSTMENT REASON (161.91)

Name	Value
CODE	15
STATUS EFFECTIVE DATE	2003-06-01 00:00:00 STATUS: ACTIVE FEE USE: APPLICABLE
DESCRIPTION EFFECTIVE DATE	DESCRIPTION: The authorization number is missing, invalid, or does not apply to the billed services or provider. DESCRIPTION: The authorization number is missing, invalid, or does not apply to the billed services or provider.
ASSOCIATED SUSPEND CODE	File: 161.27, IEN: 4
SUSPENSION DESCRIPTION	The authorization number is missing, invalid, or does not apply to the billed services or provider.
REMITTANCE REMARK
CORE SCENARIO	Incorrect Claim Data
ADJUSTMENT GROUP