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) |
8 | Payer Defined Exemption |