MA11 (23)    REMITTANCE REMARK (161.93)

Name Value
CODE MA11
STATUS EFFECTIVE DATE
  • 2003-06-01 00:00:00
    STATUS:   ACTIVE
    FEE USE:   APPLICABLE
  • 2004-01-31 00:00:00
    STATUS:   INACTIVE
    FEE USE:   NOT APPLICABLE
DESCRIPTION EFFECTIVE DATE
  • DESCRIPTION:   
    Payment is being issued on a conditional basis. If no-fault insurance, 
liability insurance, Workers' Compensation, Department of Veterans 
Affairs, or a group health plan for employees and dependents also covers 
this claim, a refund may be due us. Please contact us if the patient is 
covered by any of these sources.