PA BridgeResources

UM01 — Request Category Code (X12 element 1525)

ARAdmission Review

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 AR is used

Sent in UM01 at the service level (2000F) or patient event level (2000E) of a 278 request. Typically paired with an admission date, facility information, and a certification type in UM02 indicating whether this is an initial request, renewal, or extension of an existing certification.

Example

A hospital's UM department submits a 278 with UM01 = AR to request certification for a planned inpatient surgical admission before the patient arrives.

Where it lives in the transaction

AR is a value of UM01 — Request Category Code (X12 element 1525), carried in the UM (Health Care Services Review Information), 2000E/2000F loops of the 278 Health Care Services Review (005010X217). For the payer-side view of how PA Bridge normalizes these codes across X12 and FHIR intake, see the articles section.