1357 Prior Authorization Type Code

Code indicating the type of prior authorization or medical certification that has occurred

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Type
Identifier (ID)
Length
Min 1 / Max 1
Codes
CodeDescription
0Not Specified
1Prior Authorization
2Medical Certification
3Early & Periodic Screening, Diagnosis, and Treatment (EPSDT)
4Exempt from Copay
5Exempt From Prescription Limits
6Family Planning
7Aid to Families with Dependent Children (AFDC)

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