RQA_I09

11.3.3 RQA/RPA - request for modification to an authorization (event I09)

8 segments

This event triggers a message sent from a healthcare provider to a payor requesting changes to a previously referenced authorization. For example, a provider may determine that a substitute testing or surgical procedure should be performed on a specified patient.

Message Structure

8 segments
R RequiredO Optional Choice
MSH
R1
RF1
O1
AUTHORIZATION
O1
AUT
R1
CTD
O1
PROVIDER
R*
PRD
R1
CTD
O*
PID
R1
NK1
O*