Zenbridge
EDI Dictionary

1357Prior Authorization Type Code

Batch

Code indicating the type of prior authorization or medical certification that has occurred

Element Details

Type ID
LengthMin 1 / Max 1
Codes
  • <>7
    Aid to Families with Dependent Children (AFDC)
  • <>0
    Not Specified
  • <>1
    Prior Authorization
  • <>4
    Exempt from Copay
  • <>2
    Medical Certification
  • <>5
    Exempt From Prescription Limits
  • <>8
    Payer Defined Exemption
  • <>3
    Early & Periodic Screening, Diagnosis, and Treatment (EPSDT)
  • <>6
    Family Planning