RPA_I08

RQA/RPA - Request Patient Authorization Message (Event I08)

30 segments · 4 events

All trigger events in this group use the following message definition.
Note: The abstract message definitions for both the RPA and RQA include the patient visit segments (PV1 and PV2). The PV1 and PV2 segments appear in the RPA and RQA as an optional grouping to specify the visit or encounter that generated the referral authorization request. The PV1 and PV2 should not be used to provide suggested information for a future encounter or visit generated by the referral authorization request.

Message Structure

30 segments
R RequiredO Optional Choice
MSH
R1
SFT
O*
UAC
O1
MSA
R1
RF1
O1
AUTHORIZATION
O1
AUT
R1
CTD
O1
PROVIDER
R*
PRD
R1
CTD
O*
PID
R1
NK1
O*
GT1
O*
INSURANCE
O*
IN1
R1
IN2
O1
IN3
O1
ACC
O1
DG1
O*
DRG
O*
AL1
O*
PROCEDURE
R*
PR1
R1
AUTHORIZATION
O1
AUT
R1
CTD
O1
OBSERVATION
O*
OBR
R1
NTE
O*
RESULTS
O*
OBX
R1
PRT
O*
NTE
O*
VISIT
O1
PV1
R1
PV2
O1
NTE
O*
4 events