N124 (321)    REMITTANCE REMARK (161.93)

Name Value
CODE N124
STATUS EFFECTIVE DATE
  • 2003-06-01 00:00:00
    STATUS:   ACTIVE
    FEE USE:   NOT APPLICABLE
DESCRIPTION EFFECTIVE DATE
  • DESCRIPTION:   
    Payment has been denied for the/made only for a less extensive 
service/item because the information furnished does not substantiate the 
need for the (more extensive) service/item. The patient is liable for the 
charges for this service/item as you informed the patient in writing 
before the service/item was furnished that we would not pay for it, and 
the patient agreed to pay.