32 (78)    ADJUSTMENT REASON (161.91)

Name Value
CODE 32
STATUS EFFECTIVE DATE
  • 2003-06-01 00:00:00
    STATUS:   ACTIVE
    FEE USE:   APPLICABLE
DESCRIPTION EFFECTIVE DATE
  • DESCRIPTION:   
    Our records indicate that this dependent is not an eligible dependent as defined.
SUSPENSION DESCRIPTION 
Our records indicate that this dependent is not an eligible dependent as defined.
REMITTANCE REMARK
CORE SCENARIO Billed Service Not Covered
ADJUSTMENT GROUP