Code indicating a type of request

Code indicating the type of certification

Code indicating a code from a specific industry code list

UM03 is the Service Type (Code Source 958).

Code specifying the level of service rendered

Code indicating current health condition of the individual

Code indicating physician's prognosis for the patient

Code indicating whether the provider has on file a signed statement by the patient authorizing the release of medical data to other organizations

Code indicating the reason why a request was delayed