21 (72) ADJUSTMENT REASON (161.91)

Name	Value
CODE	21
STATUS EFFECTIVE DATE	2003-06-01 00:00:00 STATUS: ACTIVE FEE USE: APPLICABLE
DESCRIPTION EFFECTIVE DATE	DESCRIPTION: This injury/illness is the liability of the no-fault carrier. DESCRIPTION: This injury/illness is the liability of the no-fault carrier.
ASSOCIATED SUSPEND CODE	File: 161.27, IEN: 4
SUSPENSION DESCRIPTION	This injury/illness is the liability of the no-fault carrier.
REMITTANCE REMARK
CORE SCENARIO	Billed Service Not Covered
ADJUSTMENT GROUP