39 (83)    ADJUSTMENT REASON (161.91)

Name Value
CODE 39
STATUS EFFECTIVE DATE
  • 2003-06-01 00:00:00
    STATUS:   ACTIVE
    FEE USE:   APPLICABLE
DESCRIPTION EFFECTIVE DATE
  • DESCRIPTION:   
    Services denied at the time authorization/pre-certification was requested.
SUSPENSION DESCRIPTION 
Services denied at the time authorization/pre-certification was requested.
CORE SCENARIO Billed Service Not Covered
ADJUSTMENT GROUP