UR Peer Review Organization or Utilization Review
UR Peer Review Organization or Utilization Review
To specify the results of the utilization review
Position
Element
Name
Type
Requirement
Min
Max
Repeat
UR-01
Approval Code
Identifier (ID)
Mandatory
1
1
-
Code specifying the determination arrived at by the Utilization Review Committee or Peer Review Organization (PRO)
UR-02
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity
UR02 is the number of grace days.