UR Peer Review Organization or Utilization Review

Opt
AtMax 1

To specify the results of the utilization review

Elements

PositionElementNameTypeMin/MaxRepeat
1
1318
Approval CodeMandatoryID1/1AtMax 1
2
380
QuantityOptDecimal1/15AtMax 1

Element Details

ID1318
NameApproval Code
LengthMin 1 / Max 1
Position1
RequirementMandatory