UM Health Care Services Review Information

Batch

To specify health care services review information

Elements

PositionElementNameTypeMin/MaxRepeat
11525Request Category CodeMandatoryID1/21
21322Certification Type CodeOptID1/11
31365Service Type CodeOptID1/21
C023Health Care Service Location InformationOpt
1
C024Related Causes InformationOpt
1
61338Level of Service CodeOptID1/31
71213Current Health Condition CodeOptID1/11
8923Prognosis CodeOptID1/11
91363Release of Information CodeOptID1/11
101514Delay Reason CodeOptID1/21

Element Details

ID1525
NameRequest Category Code
LengthMin 1 / Max 2
Position1
RequirementMandatory
Codes
  • <>RERecurring
  • <>ARAdmission Review
  • <>HSHealth Services Review
  • <>INIndividual
  • <>PRProgram Referral
  • <>SCSpecialty Care Review
  • <>BABatch