HCR Health Care Services Review

To specify the outcome of a health care services review

Position: HCR-01 · Element: 306 · Name: Action Code · Type: Identifier (ID) · Requirement: Mandatory · Min: 1 · Max: 2 · Repeat: 1

Code indicating type of action

Position: HCR-02 · Element: 127 · Name: Reference Identification · Type: String (AN) · Requirement: Optional · Min: 1 · Max: 50 · Repeat: 1

Reference information as defined for a particular Transaction Set or as specified by the Reference Identification Qualifier

HCR02 is the number assigned by the information source to this review outcome.

Position: HCR-03 · Element: 901 · Name: Reject Reason Code · Type: Identifier (ID) · Requirement: Optional · Min: 2 · Max: 2 · Repeat: 1

Code assigned by issuer to identify reason for rejection

Position: HCR-04 · Element: 1073 · Name: Yes/No Condition or Response Code · Type: Identifier (ID) · Requirement: Optional · Min: 1 · Max: 1 · Repeat: 1

Code indicating a Yes or No condition or response

HCR04 is the second surgical opinion indicator. A "Y" value indicates a second surgical opinion is required; an "N" value indicates a second surgical opinion is not required for this request.

Sign up for free

Sign up for Stedi to instantly unlock documentation for X12, EDIFACT, and more.

Sign upSign in

Trusted by EDI professionals from leading companies

“Best EDI reference site online. I came across while researching a segment. I have been doing EDI since 1994.”

James Rossiter

EDI Professional