UR Peer Review Organization or Utilization Review

To specify the results of the utilization review

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Position
Element
Name
Type
Requirement
Min
Max
Repeat
UR-01
Approval Code
Identifier (ID)
Mandatory
1
1
-
Code specifying the determination arrived at by the Utilization Review Committee or Peer Review Organization (PRO)
UR-02
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity.
UR02 is number of grace days.
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