Zenbridge
EDI Dictionary

1526 Policy Compliance Code

Code specifying policy compliance

Batch

Element Details

Type ID
LengthMin 1 / Max 2
Codes
  • <>1
    Procedure Followed (Compliance)
  • <>4
    Not Followed Other (Non-Compliance Other)
  • <>2
    Not Followed - Call Not Made (Non-Compliance Call Not Made)
  • <>5
    Emergency Admit to Non-Network Hospital
  • <>3
    Not Medically Necessary (Non-Compliance Non-Medically Necessary)