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