MaineCare 278 EDI 5010 Service Request Companion Guide
Aug 20, 2020 · Component Element Separator : 1 125 UM05-5 Country Code 2/3 NOTE: Required if automobile accident occurred out of the U.S. Element Separator * 1 126 UM06 Level of Service Code 03, E, U 1/3 03 = Emergency. E = Elective. U = Urgent. NOTE: Required when UM02 =1 or if the patient event requires a level of service … ................
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