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Data Element
CIP288
CIP.003.288
Definition | A number, code or other value that indicates the services provided on this claim have been authorized by the payee or other service organization, or that a referral for services has been approved. (Also referred to as a Prior Authorization or Referral Number). |
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Size | X(18) |
FLF Start Position | 386 |
FLF Stop Position | 403 |
Segment Key Field Identifier | Not Applicable |
Coding Requirements | 1. Value must be 18 characters or less 2. Value must not contain a pipe or asterisk symbols 3. Conditional |
Valid Value Code Set | Valid Value Code | Valid Value Name | Valid Value Description | Effective Start Date | Effective End Date |
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DE Number | System DE Number | DE Name | File Segment Number | File Segment Name |
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CLT235 | CLT.003.235 | PRE-AUTHORIZATION-NUM | CLT00003 | CLAIM-LINE-RECORD-LT |
COT223 | COT.003.223 | PRE-AUTHORIZATION-NUM | COT00003 | CLAIM-LINE-RECORD-OT |
CRX159 | CRX.003.159 | PRE-AUTHORIZATION-NUM | CRX00003 | CLAIM-LINE-RECORD-RX |