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Medicaid Claim Adjustment Reason Code:133

Medicaid Remittance Advice Remark Code:N31

MMIS EOB Code:911

Claim suspended for thirty days pending license information. Please send a copy of your current license to ACS, P.O. Box 8000, Helena, MT 59601 or fax to 1-406-442-4402. Claims will be denied if license is not received within thirty days.

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