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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

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