1774 Claim Authorization Exception Code

Code identifying the reason for requesting an exception to standard processing of the claim

Identifier (ID)
Min 1 / Max 2
1Immediate/Urgent Care
2Services Rendered in a Retroactive Period
3Emergency Care
4Subscriber has Temporary Medicaid
5Request from County for Second Opinion to Determine if Recipient Can Work
6Request for Override Pending
7Special Handling
ZMutually Defined

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