1357 Prior Authorization Type Code
Code indicating the type of prior authorization or medical certification that has occurred
- Type
- Identifier (ID)
- Length
- Min 1 / Max 1
- Codes
| Code | Description |
|---|
| 0 | Not Specified |
| 1 | Prior Authorization |
| 2 | Medical Certification |
| 3 | Early & Periodic Screening, Diagnosis, and Treatment (EPSDT) |
| 4 | Exempt from Copay |
| 5 | Exempt From Prescription Limits |
| 6 | Family Planning |
| 7 | Aid to Families with Dependent Children (AFDC) |