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
