EDI Dictionary
Schedule demo
X12 Release 4010
X12 Release
4010
4020
4030
4040
4050
4060
5010
5020
5030
5040
5050
6010
6020
6030
6040
6050
7010
7020
7030
7040
7050
7060
8010
Transaction Sets
Segments
Elements
EDI-Dictionary
4010
CR3
CR3
Durable Medical Equipment Certification
Batch
To supply information regarding a physician's certification for durable medical equipment
Elements
Position
Element
Name
Type
Min/Max
Repeat
1
1322
Certification Type Code
Opt
ID
1/1
1
2
355
Unit or Basis for Measurement Code
Rel
ID
2/2
1
3
380
Quantity
Rel
Decimal
1/15
1
4
1335
Insulin Dependent Code
Opt
ID
1/1
1
5
352
Description
Opt
Alphanumeric
1/80
1
Element Details
ID
1322
Name
Certification Type Code
Length
Min 1 / Max 1
Position
1
Requirement
Opt
Codes
<>
A
Certification of Current Cost and Pricing Data
<>
1
Appeal - Immediate
<>
D
Final
<>
4
Extension
<>
B
Certification of Overhead
<>
2
Appeal - Standard
<>
R
Renewal
<>
E
Recertification
<>
5
Notification
<>
C
Certification Not Required
<>
3
Cancel
<>
S
Revised
<>
6
Verification
<>
I
Initial
