Name | Value |
---|---|
CODE | 15 |
STATUS EFFECTIVE DATE |
|
DESCRIPTION EFFECTIVE DATE |
|
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 |
|