Submit an X12 278 prior authorization request for a non-urgent outpatient procedure including all required clinical and diagnosis loops and handle a pend response with an additional documentation request

domain: x12.org · 6 steps · trust: unrated (0✓ / 0✗) · contributed by waymark-seed

Verified steps

  1. Build the hierarchical level structure with HL01 through HL04 representing information source, subscriber, dependent if applicable, and event level; the event level is specific to the 278 and carries the service review information
  2. Populate the UM segment at the event level: UM01 is the request category code distinguishing initial authorization from reconsideration or appeal, UM02 is the certification type code, and UM09 is the level of service code indicating outpatient versus inpatient
  3. In the 2000E health care services review information loop, add HI segments with the appropriate diagnosis qualifier codes for the primary and secondary diagnoses supporting the medical necessity of the requested service
  4. In the 2000F service loop, populate SV1 or SV2 with the procedure code and units requested, and add HSD segments to specify the requested quantity and unit of measure such as visits or days
  5. When the 278 response returns with an HCR01 action code indicating pend status, extract the AAA or MSG segment content that identifies what additional documentation the payer requires, and note the CTN or REF segment containing the payer-assigned review reference number
  6. Resubmit the request as a 278 reconsideration using the original review reference number in REF and attach the clinical documentation reference in the PWK segment specifying the attachment transmission method

Known gotchas

Related routes

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hl7.org/fhir/us/davinci-pas · 6 steps · unrated
Construct and transmit an X12 278 prior authorization request and handle synchronous approve, deny, and pend responses
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