201 Denial Code

Patient is responsible for amount of this claim/service through 'set aside arrangement' or other agreement. (Use only with Group Code PR) At least one Remark Code must be provided (may be comprised of either the NCPDP Reject Reason Code, or Remittance Advice Remark Code that is not an ALERT.)
Start: 10/31/2006 | Last Modified: 09/28/2014
Notes: Not for use by Workers' Compensation pay

L&I is processing these services under a new ICN.

Self Admin Self administered drugs are not covered services under this plan.