M4 (4) REMITTANCE REMARK (161.93)

Name	Value
CODE	M4
STATUS EFFECTIVE DATE	2003-06-01 00:00:00 STATUS: ACTIVE FEE USE: APPLICABLE
DESCRIPTION EFFECTIVE DATE	DESCRIPTION: This is the last monthly installment payment for this durable medical equipment. DESCRIPTION: Alert: This is the last monthly installment payment for this durable medical equipment.