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(ASC X12) 1526 Policy Compliance Code

TYPE=ID MIN=MAX=2

Code specifying policy compliance

Codes

1 Procedure Followed (Compliance)
2 Not Followed – Call Not Made (Non-Compliance Call Not Made)
3 Not Medically Necessary (Non-Compliance Non-Medically Necessary)
4 Not Followed Other (Non-Compliance Other)
5 Emergency Admit to Non-Network Hospital

Appears in

HCPHealth Care Pricing
Review post

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