N687 (966) REMITTANCE REMARK (161.93)
Name
Value
CODE
N687
STATUS EFFECTIVE DATE
2013-11-01 00:00:00
STATUS: ACTIVE
FEE USE: APPLICABLE
DESCRIPTION EFFECTIVE DATE
DESCRIPTION:
Alert: This reversal is due to a retroactive disenrollment.
DESCRIPTION:
Alert: This reversal is due to a retroactive disenrollment.