RPA_I10
11.3.4 RQA/RPA - request for resubmission of an authorization (event I10)
27 segments
If a previously submitted request for treatment authorization is rejected or canceled, this event could trigger a resubmission message for a referenced authorization. For example, the payor may have rejected a request until additional clinical information is sent to support the authorization request.
Message Structure
27 segments
R RequiredO Optional Choice
MSH
R1MSA
R1RF1
O1AUTHORIZATION
O1AUT
R1CTD
O1PROVIDER
R*PRD
R1CTD
O*PID
R1NK1
O*GT1
O*INSURANCE
O*IN1
R1IN2
O1IN3
O1ACC
O1DG1
O*DRG
O*AL1
O*PROCEDURE
R*PR1
R1AUTHORIZATION
O1AUT
R1CTD
O1RESULTS
O*OBR
R1NTE
O*OBSERVATION
O*OBX
R1NTE
O*VISIT
O1PV1
R1PV2
O1NTE
O*