PA BridgeResources

HCR01 — Action Code (X12 element 1371)

CTContact Payer

Draft — pending verification

This reference entry has not yet been verified against its authoritative source (X12 005010X217 TR3 — verify against licensed copy). Do not rely on it for production configuration until this notice is removed.

How CT is used

Returned in HCR01 when the electronic channel cannot complete the review; high CT rates by request type are a signal to fix upstream data or routing.

Example

A complex transplant request returns HCR01 = CT directing the facility to the plan's transplant case management unit.

Where it lives in the transaction

CT is a value of HCR01 — Action Code (X12 element 1371), carried in the HCR (Health Care Services Review), 278 response of the 278 Health Care Services Review — Response (005010X217). For the payer-side view of how PA Bridge normalizes these codes across X12 and FHIR intake, see the articles section.