N189 (387)    REMITTANCE REMARK (161.93)

Name Value
CODE N189
STATUS EFFECTIVE DATE
  • 2003-06-01 00:00:00
    STATUS:   ACTIVE
    FEE USE:   APPLICABLE
DESCRIPTION EFFECTIVE DATE
  • DESCRIPTION:   
    Alert: This service has been paid as a one-time exception to the plan's benefit restrictions.