00521

Pre-Certification Req/Window

1999-04-14
Components: <pre-certification patient type (IS)> ^ <pre-certification required (ID)> ^ <pre-certification window (TS)>

Definition: This field indicates whether pre-certification is required for particular patient types, and the time window for obtaining the certification. The following components of this field are defined as follows:

Length≤40
4 values
EREmergency
IPEInpatient elective
OPEOutpatient elective
URUrgent
3 components
1O-pre-certification patient type
2O-pre-certification required
3O-pre-certification window