Handle Multiple Authorization Numbers per Claim
If the Institutional Claims required multiple authorization numbers, multiple claims need to be submitted. Submission through the Professional API allows for prior authorization information to be submitted at both the claim and line level Institutional Claims APIs allows for prior authorization information to be submitted at the claim level only. Here is an Open API Specs sample.
ServiceLineReferenceInformation:
type: object
properties:
repricedLineItemReferenceNumber:
type: string
description: 'Loop: 2400, Segment: REF, Element: REF02 Notes: When REF01=9B'
adjustedRepricedLineItemReferenceNumber:
type: string
description: 'Loop: 2400, Segment: REF, Element: REF02 Note: When REF01=9D'
priorAuthorization:
maxItems: 5
minItems: 0
type: array
description: Loop 2400 REF
items:
Updated about 5 hours ago
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