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Claim Adjustment Reason Code - Dictionary Value

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Claim Adjustment Reason Code is set up in the Dictionary Update form (Other Tabled Files - data element 1214).

This dictionary has extended data elements:

  • 365 - Effective Date
  • 366 - Expiration Date
  • 1214 - Claim Adjustment Reason Code
    Define a replacement code to be used instead of main Claim Adjustment Reason code in case it is invalid due to the Effective Date/Expiration Date values.