N696 (975)    REMITTANCE REMARK (161.93)

Name Value
CODE N696
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 Coordination of Benefits or Third Party Liability Recovery retroactive adjustment.
  • DESCRIPTION:   
    Alert: This reversal is due to a Coordination of Benefits or Third Party Liability Recovery retroactive adjustment.