MA72 (270)    REMITTANCE REMARK (161.93)

Name Value
CODE MA72
STATUS EFFECTIVE DATE
  • 2003-06-01 00:00:00
    STATUS:   ACTIVE
    FEE USE:   NOT APPLICABLE
DESCRIPTION EFFECTIVE DATE
  • DESCRIPTION:   
    Alert: The patient overpaid you for these assigned services. You must 
issue the patient a refund within 30 days for the difference between 
his/her payment to you and the total of the amount shown as patient 
responsibility and as paid to the patient on this notice.