69 (99)    ADJUSTMENT REASON (161.91)

Name Value
CODE 69
STATUS EFFECTIVE DATE
  • 2003-06-01 00:00:00
    STATUS:   ACTIVE
    FEE USE:   APPLICABLE
DESCRIPTION EFFECTIVE DATE
  • DESCRIPTION:   
    Day outlier amount.
SUSPENSION DESCRIPTION 
Day outlier amount.
CORE SCENARIO Incorrect Claim Data
ADJUSTMENT GROUP