RQA_I08

Request Patient Authorization

26 segments · 4 events

Message Structure

26 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*
GUARANTOR_INSURANCE
O1
GT1
O*
INSURANCE
R*
IN1
R1
IN2
O1
IN3
O1
ACC
O1
DG1
O*
DRG
O*
AL1
O*
PROCEDURE
O*
PR1
R1
AUTHORIZATION
O1
AUT
R1
CTD
O1
OBSERVATION
O*
OBR
R1
NTE
O*
RESULTS
O*
OBX
R1
NTE
O*
VISIT
O1
PV1
R1
PV2
O1
NTE
O*
4 events