| 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 |
|