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TX: CodeSystem medical-management-type

Generated Narrative: CodeSystem medical-management-type

Last updated: 2025-05-26 00:00:00+0000; Language: en

Profile: Shareable CodeSystem

This case-sensitive code system http://terminology.hl7.org/CodeSystem/medical-management-type defines the following codes:

CodeDisplayDefinition
concurrent-review Concurrent ReviewReview of medical necessity while the patient is actively receiving treatment.
prior-auth Prior AuthorizationReview of medical necessity prior to receiving treatment.
step-therapy Step Therapy (Fail First)Requirement that lower cost or preferred treatments be tried, or perhaps contra-indicated, before alternatives are utilized. This policy is sometimes referred to as 'fail first'.