Name	Value
CODE	N114
STATUS EFFECTIVE DATE	2003-06-01 00:00:00 STATUS: ACTIVE FEE USE: NOT APPLICABLE
DESCRIPTION EFFECTIVE DATE	DESCRIPTION: During the transition to the Ambulance Fee Schedule, payment is based on the lesser of a blended amount calculated using a percentage of the reasonable charge/cost and fee schedule amounts, or the submitted charge for the service. You will be notified yearly what the percentages for the blended payment calculation will be.

Name

Value

CODE

N114

STATUS EFFECTIVE DATE

2003-06-01 00:00:00

STATUS: ACTIVE

FEE USE: NOT APPLICABLE

DESCRIPTION EFFECTIVE DATE

DESCRIPTION:

During the transition to the Ambulance Fee Schedule, payment is based on 
the lesser of a blended amount calculated using a percentage of the 
reasonable charge/cost and fee schedule amounts, or the submitted charge 
for the service. You will be notified yearly what the percentages for the 
blended payment calculation will be.

N114 (310) REMITTANCE REMARK (161.93)