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ADJUSTMENT REASON CODES REASON CODE DESCRIPTION

ADJUSTMENT REASON CODES REASON CODE DESCRIPTION

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Duplicate claim/service. This change effective 1/1/2013: Exact duplicate claim/service (Use only with Group Code OA) 19 This is a work-related injury/illness and thus the liability of the Worker's Compensation Carrier. 20 This injury/illness is covered by the liability carrier. 21 This injury/illness is the liability of the no-fault carrier.

  Effective, Carrier

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