Name	Value
CODE	N506
STATUS EFFECTIVE DATE	2008-11-01 00:00:00 STATUS: ACTIVE FEE USE: NOT APPLICABLE
DESCRIPTION EFFECTIVE DATE	DESCRIPTION: Alert: This is an estimate of the member's liability based on the information available at the time the estimate was processed. Actual coverage and member liability amounts will be determined when the claim is processed. This is not a pre-authorization or a guarantee of payment.

Name

Value

CODE

N506

STATUS EFFECTIVE DATE

2008-11-01 00:00:00

STATUS: ACTIVE

FEE USE: NOT APPLICABLE

DESCRIPTION EFFECTIVE DATE

DESCRIPTION:

Alert: This is an estimate of the member's liability based on the 
information available at the time the estimate was processed. Actual 
coverage and member liability amounts will be determined when the claim 
is processed. This is not a pre-authorization or a guarantee of payment.

N506 (733) REMITTANCE REMARK (161.93)