{"aaData": [["R0", "
Requests for additional Information/General Requests-Requests that don't fall into other R-type categories.
\n"], ["R10", "
Requests for additional information - Support a filed grievance or appeal
\n"], ["R11", "
Requests for additional information - Pre-payment review of claims
\n"], ["R12", "
Requests for additional information - Clarification or justification of use for specified procedure code
\n"], ["R13", "
Requests for additional information - Original documents submitted are not readable. Used only for subsequent request(s).
\n"], ["R14", "
Requests for additional information - Original documents received are not what was requested. Used only for subsequent request(s).
\n"], ["R15", "
Requests for additional information - Workers Compensation coverage determination.
\n"], ["R16", "
Requests for additional information - Eligibility determination
\n"], ["R17", "
Replacement of a Prior Request. Used to indicate that the current attachment request replaces a prior attachment request.
\n"], ["R1", "
Requests for additional Information/Entity Requests-Requests for information about specific entities (subscribers, patients, various providers).
\n"], ["R3", "
Requests for additional Information/Claim/Line-Requests for information that could normally be submitted on a claim.
\n"], ["R4", "
Requests for additional Information/Documentation-Requests for additional supporting documentation. Examples: certification, x-ray, notes.
\n"], ["R5", "
Request for additional information/more specific detail-Additional information as a follow up to a previous request is needed. The original information was received but is inadequate. More specific/detailed information is requested.
\n"], ["R6", "
Requests for additional information - Regulatory requirements
\n"], ["R7", "
Requests for additional information - Confirm care is consistent with Health Plan policy coverage
\n"], ["R8", "
Requests for additional information - Confirm care is consistent with health plan coverage
\n"], ["R9", "
Requests for additional information - Determination of medical necessity
\n"]]}