Type : AUT.CONTENT |
Definition |
Segment Description: |
Elements | |||
AUT.1_Authorizing_Payor_Plan_ID | Parent Segment: AUT Sequential Number: 1 Description: Authorizing Payor, Plan ID Data Type: CWE Item ID: 1146 Table: 0072 |
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![]() | Parent Segment: AUT Sequential Number: 2 Description: Authorizing Payor, Company ID Data Type: CWE Item ID: 1147 Table: 0285 |
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AUT.3_Authorizing_Payor_Company_Name | Parent Segment: AUT Sequential Number: 3 Description: Authorizing Payor, Company Name Data Type: ST Item ID: 1148 |
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AUT.4_Authorization_Effective_Date | Parent Segment: AUT Sequential Number: 4 Description: Authorization Effective Date Data Type: DTM Item ID: 1149 |
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AUT.5_Authorization_Expiration_Date | Parent Segment: AUT Sequential Number: 5 Description: Authorization Expiration Date Data Type: DTM Item ID: 1150 |
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AUT.6_Authorization_Identifier | Parent Segment: AUT Sequential Number: 6 Description: Authorization Identifier Data Type: EI Item ID: 1151 |
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AUT.7_Reimbursement_Limit | Parent Segment: AUT Sequential Number: 7 Description: Reimbursement Limit Data Type: CP Item ID: 1152 |
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AUT.8_Requested_Number_of_Treatments | Parent Segment: AUT Sequential Number: 8 Description: Requested Number of Treatments Data Type: CQ Item ID: 1153 |
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AUT.9_Authorized_Number_of_Treatments | Parent Segment: AUT Sequential Number: 9 Description: Authorized Number of Treatments Data Type: CQ Item ID: 1154 |
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AUT.10_Process_Date | Parent Segment: AUT Sequential Number: 10 Description: Process Date Data Type: DTM Item ID: 1145 |
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![]() | Parent Segment: AUT Sequential Number: 11 Description: Requested Discipline(s) Data Type: CWE Item ID: 2375 |
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![]() | Parent Segment: AUT Sequential Number: 12 Description: Authorized Discipline(s) Data Type: CWE Item ID: 2376 |
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![]() ![]() | Parent Segment: AUT Sequential Number: 13 Description: Authorization Referral Type Data Type: CWE Item ID: 3413 |
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![]() | Parent Segment: AUT Sequential Number: 14 Description: Approval Status Data Type: CWE Item ID: 3414 |
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![]() | Parent Segment: AUT Sequential Number: 15 Description: Planned Treatment Stop Date Data Type: DTM Item ID: 3415 |
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![]() | Parent Segment: AUT Sequential Number: 16 Description: Clinical Service Data Type: CWE Item ID: 3416 |
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![]() | Parent Segment: AUT Sequential Number: 17 Description: Reason Text Data Type: ST Item ID: 3417 |
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![]() | Parent Segment: AUT Sequential Number: 18 Description: Number of Authorized Treatments/Units Data Type: CQ Item ID: 3418 |
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![]() | Parent Segment: AUT Sequential Number: 19 Description: Number of Used Treatments/Units Data Type: CQ Item ID: 3419 |
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![]() | Parent Segment: AUT Sequential Number: 20 Description: Number of Schedule Treatments/Units Data Type: CQ Item ID: 3420 |
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![]() | Parent Segment: AUT Sequential Number: 21 Description: Encounter Type Data Type: CWE Item ID: 3421 |
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![]() | Parent Segment: AUT Sequential Number: 22 Description: Remaining Benefit Amount Data Type: MO Item ID: 3422 |
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![]() | Parent Segment: AUT Sequential Number: 23 Description: Authorized Provider Data Type: XON Item ID: 3423 |
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![]() | Parent Segment: AUT Sequential Number: 24 Description: Authorized Health Professional Data Type: XCN Item ID: 3424 |
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![]() | Parent Segment: AUT Sequential Number: 25 Description: Source Text Data Type: ST Item ID: 3425 |
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![]() | Parent Segment: AUT Sequential Number: 26 Description: Source Date Data Type: DTM Item ID: 3426 |
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![]() | Parent Segment: AUT Sequential Number: 27 Description: Source Phone Data Type: XTN Item ID: 3427 |
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![]() | Parent Segment: AUT Sequential Number: 28 Description: Comment Data Type: ST Item ID: 3428 |
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![]() | Parent Segment: AUT Sequential Number: 29 Description: Action Code Data Type: ID Item ID: 3429 Table: 0206 |
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