ATB_AUTH_PEND_RSNS

Description:

This table contains the reasons for pending when the authorization decision is pending.

Primary Key

Column Name	Ordinal Position
AUTH_BUNDLE_ID	1
LINE	2

Column Information

	Name	Type	Discontinued?
1	AUTH_BUNDLE_ID	NUMERIC	No
	The unique identifier (.1 item) for the auth bundle record.
2	LINE	INTEGER	No
	The line number for the information associated with this record. Multiple pieces of information can be associated with this record.
3	AUTH_RFL_PEND_REASON_C_NAME	VARCHAR	No
	The list of Auth Payer Pending Reason category IDs for the Auth Bundle's payer decision information. Only relevant when the payer decision is pending. May contain organization-specific values: No Category Entries: Clinicals Requested Coverage Verification Needed System Automatically Pend Potential Duplicate Referral Referral Network Review Does Not Pass Benefit Check Needs Medical Review Payer Response Needs Review Created from DMS Needs Peer to Peer Clinicals Sent Authorization Initiated Clinicals Received Additional Visits Needed Medical Director Denied Concurrent Review Not Enough Information Covered by Pharmacy Benefit Request Needs Review Waiting on Payer