95 Denial Code
95 Description :
Plan procedures not followed.
Start: 01/01/1995 | Last Modified: 09/30/2007
Start: 01/01/1995 | Last Modified: 09/30/2007
Payment made to utilization review (UR) vendor for review of service for which claim was not received/initiated by L&I.
Not a member Denied: No coverage effective at time of service.
95 ADJUSTMENT REASON CODE
Denial code 95.
95 REMARK CODE
95