IN3.1_Set_ID_-_IN3Sequential Number: 1
Description: Set ID - IN3
Data Type: SI
Item ID: 502
Sequential Number: 2
Description: Certification Number
Data Type: CX
Item ID: 503
IN3.3_Certified_BySequential Number: 3
Description: Certified By
Data Type: XCN
Item ID: 504
Sequential Number: 4
Description: Certification Required
Data Type: ID
Item ID: 505
Table: 0136
Sequential Number: 5
Description: Penalty
Data Type: MOP
Item ID: 506
Sequential Number: 6
Description: Certification Date/Time
Data Type: DTM
Item ID: 507
Sequential Number: 7
Description: Certification Modify Date/Time
Data Type: DTM
Item ID: 508
IN3.8_OperatorSequential Number: 8
Description: Operator
Data Type: XCN
Item ID: 509
Sequential Number: 9
Description: Certification Begin Date
Data Type: DT
Item ID: 510
Sequential Number: 10
Description: Certification End Date
Data Type: DT
Item ID: 511
Sequential Number: 11
Description: Days
Data Type: DTN
Item ID: 512
Sequential Number: 12
Description: Non-Concur Code/Description
Data Type: CWE
Item ID: 513
Table: 0233
Sequential Number: 13
Description: Non-Concur Effective Date/Time
Data Type: DTM
Item ID: 514
IN3.14_Physician_ReviewerSequential Number: 14
Description: Physician Reviewer
Data Type: XCN
Item ID: 515
Table: 0010
Sequential Number: 15
Description: Certification Contact
Data Type: ST
Item ID: 516
IN3.16_Certification_Contact_Phone_NumberSequential Number: 16
Description: Certification Contact Phone Number
Data Type: XTN
Item ID: 517
Sequential Number: 17
Description: Appeal Reason
Data Type: CWE
Item ID: 518
Table: 0345
Sequential Number: 18
Description: Certification Agency
Data Type: CWE
Item ID: 519
Table: 0346
IN3.19_Certification_Agency_Phone_NumberSequential Number: 19
Description: Certification Agency Phone Number
Data Type: XTN
Item ID: 520
IN3.20_Pre-Certification_RequirementSequential Number: 20
Description: Pre-Certification Requirement
Data Type: ICD
Item ID: 521
Table: 0136
Sequential Number: 21
Description: Case Manager
Data Type: ST
Item ID: 522
Sequential Number: 22
Description: Second Opinion Date
Data Type: DT
Item ID: 523
Sequential Number: 23
Description: Second Opinion Status
Data Type: CWE
Item ID: 524
Table: 0151
IN3.24_Second_Opinion_Documentation_ReceivedSequential Number: 24
Description: Second Opinion Documentation Received
Data Type: CWE
Item ID: 525
Table: 0152
IN3.25_Second_Opinion_PhysicianSequential Number: 25
Description: Second Opinion Physician
Data Type: XCN
Item ID: 526
Table: 0010
Sequential Number: 26
Description: Certification Type
Data Type: CWE
Item ID: 3336
Table: 0921
Sequential Number: 27
Description: Certification Category
Data Type: CWE
Item ID: 3337
Table: 0922
any