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.