1527 Exception Code

Code specifying the exception reason for consideration of out-of-network health care services

Batch

Element Details

Type ID
LengthMin 1 / Max 2
Codes
  • <>1
    Non-Network Professional Provider in Network Hospital
  • <>4
    Out-of-Service Area
  • <>2
    Emergency Care
  • <>5
    State Mandates
  • <>3
    Services or Specialist not in Network
  • <>6
    Other