RQA_I10
11.3.4 RQA/RPA - request for resubmission of an authorization (event I10)
8 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
8 segments
R RequiredO Optional Choice
MSH
R1RF1
O1AUTHORIZATION
O1AUT
R1CTD
O1PROVIDER
R*PRD
R1CTD
O*PID
R1NK1
O*