56 (91)    ADJUSTMENT REASON (161.91)

Name Value
CODE 56
STATUS EFFECTIVE DATE
  • 2003-06-01 00:00:00
    STATUS:   ACTIVE
    FEE USE:   APPLICABLE
DESCRIPTION EFFECTIVE DATE
  • DESCRIPTION:   
    Procedure/treatment has not been deemed 'proven to be effective' by the 
    payer.
    
  • DESCRIPTION:   
    Procedure/treatment has not been deemed 'proven to be effective' by the 
    payer. Note: Refer to the 835 Healthcare Policy Identification Segment 
    (loop 2110 Service Payment Information REF), if present.
    
  • DESCRIPTION:   
    Procedure/treatment has not been deemed 'proven to be effective' by the payer. Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.
    
SUSPENSION DESCRIPTION
Procedure/treatment has not been deemed 'proven to be effective' by the payer. 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