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4.12 CRD (Coverage Requirement Discovery) Tab

CRD (Coverage Requirement Discovery) Tab

These fields are only applicable to artifacts that utilize some form of coverage requirement discovery (CRD) rules. Artifacts with elements of electronic prescribing (eRx) of medication or durable medical equipment (DME) should specify these fields.

  1. Payer – The name of the payer for the medication or DME.
  2. Code System – The name of the code system (e.g., Durable Medical Equipment Coding System; Healthcare Common Procedure Coding System) used to reference medication or DME.
  3. Electronic Prescribing Code – The eRx code representing a specific piece of medication or DME.

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