EDI 文档
X12 004020 Release
Transaction Set
Segments
Elements
Reference
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X12 Release 004020
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Elements
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1527 Exception Code
1527 Exception Code
Code specifying the exception reason for consideration of out-of-network health care services
Type
ID
Length
Max 2 / Min 1
Codes
<> 1
Non-Network Professional Provider in Network Hospital
<> 2
Emergency Care
<> 3
Services or Specialist not in Network
<> 4
Out-of-Service Area
<> 5
State Mandates
<> 6
Other