Name	Value
CODE	N123
STATUS EFFECTIVE DATE	2003-06-01 00:00:00 STATUS: ACTIVE FEE USE: NOT APPLICABLE
DESCRIPTION EFFECTIVE DATE	DESCRIPTION: This is a split service and represents a portion of the units from the originally submitted service. DESCRIPTION: Alert: This is a split service and represents a portion of the units from the originally submitted service.

Name

Value

CODE

N123

STATUS EFFECTIVE DATE

DESCRIPTION EFFECTIVE DATE

DESCRIPTION:

This is a split service and represents a portion of the units from the originally submitted service.

DESCRIPTION:

Alert: This is a split service and represents a portion of the units from 
the originally submitted service.

N123 (320) REMITTANCE REMARK (161.93)