What is Health Care Services Decision Reason Codes?
Health Care Services Decision Reason Codes are used to indicate the primary reason for the certification action code assigned as part of a health care services review.
Code Examples:
01: Price Authorization Expired
0B: Request Forwarded To and Decision Response Forthcoming From an External Review Organization
Please visit http://www.wpc-edi.com/reference/codelists/healthcare/health-care-services-decision-reason-codes/ for complete list of Health Care Services Decision Reason Codes