UM02 — Certification Type Code (X12 element 1322)
4 — Extension
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 4 is used
Most common for concurrent review of inpatient stays: the facility requests certification of additional days against the original admission certification. Also used to push out the validity window of a service certification when scheduling slips.
Example
A patient certified for a 3-day stay is not ready for discharge; the facility submits UM02 = 4 requesting additional days.
Where it lives in the transaction
4 is a value of UM02 — Certification Type Code (X12 element 1322), 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.