00542
PSRO/UR Approval Indicator (87)
2001-03-01
Components: <identifier (ST)> ^ <text (ST)> ^ <name of coding system (IS)> ^ <alternate identifier (ST)> ^ <alternate text (ST)> ^ <name of alternate coding system (IS)>
Definition: This field contains the PSRO/UR approval indicator. UB82 field 87. This field is defined by HCFA or other regulatory agencies. Refer to User-defined Table 0349 - PSRO/UR approval indicator for suggested values. The UB codes listed as examples are not an exhaustive or current list; refer to a UB specification for additional information.
Length≤250
5 values
1 | Approved by the PSRO/UR as billed |
2 | Automatic approval as billed based on focused review |
3 | Partial approval |
4 | Admission denied |
5 | Postpayment review applicable |
6 components
| 1 | O | identifier (ST) | ||
| 2 | O | - | text | |
| 3 | O | - | name of coding system | |
| 4 | O | - | alternate identifier (ST) | |
| 5 | O | - | alternate text | |
| 6 | O | - | name of alternate coding system |