N1 (29)    REMITTANCE REMARK (161.93)

Name Value
CODE N1
STATUS EFFECTIVE DATE
  • 2003-06-01 00:00:00
    STATUS:   ACTIVE
    FEE USE:   APPLICABLE
DESCRIPTION EFFECTIVE DATE
  • DESCRIPTION:   
    You may appeal this decision in writing within the required time 
limits following receipt of this notice by following the instructions 
included in your contract or plan benefit documents.
  • DESCRIPTION:   
    Alert: You may appeal this decision in writing within the required time limits following receipt of this notice by following the instructions included in your contract or plan benefit documents.