| CODE |
51 |
| STATUS EFFECTIVE DATE |
-
- 2003-06-01 00:00:00
- STATUS: ACTIVE
- FEE USE: APPLICABLE
|
| DESCRIPTION EFFECTIVE DATE |
-
- DESCRIPTION:
These are non-covered services because this is a pre-existing condition.
-
- DESCRIPTION:
These are non-covered services because this is a pre-existing condition.
Note: Refer to the 835 Healthcare Policy Identification Segment (loop
2110 Service Payment Information REF), if present.
-
- DESCRIPTION:
These are non-covered services because this is a pre-existing condition. Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present
|
| SUSPENSION DESCRIPTION |
These are non-covered services because this is a pre-existing condition. Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present
|
| REMITTANCE REMARK |
|
| CORE SCENARIO |
Billed Service Not Covered |
| ADJUSTMENT GROUP |
|
