Authorization event codes
There are several event codes used in the process authorization module:
- SPA-0001 - Authorization not found - Institutional claim
- SPA-0002 - Authorization not yet approved - Institutional claim
- SPA-0003 - Authorization exhausted - Institutional claim
- SPA-0004 - Multiple authorizations matched - Institutional claim
- SPA-0005 - Authorization denied - Institutional claim
- SPA-0006 - Wrong header authorization submitted – Institutional claim
- SPA-0007 - Wrong line authorization submitted – Institutional claim
- SPA-0008 - Non exact authorization matched – Institutional claim
- SPA-0009 - Authorization not found - Professional claim
- SPA-0010 - Authorization not yet approved - Professional claim
- SPA-0011 - Authorization exhausted - Professional claim
- SPA-0012 - Multiple authorizations matched - Professional claim
- SPA-0013 - Authorization denied - Professional claim
- SPA-0014 - Wrong header authorization submitted – Professional claim
- SPA-0015 - Wrong line authorization submitted – Professional claim
- SPA-0016 - Non exact authorization matched – Professional claim
- SPA-0017 - Wrong header authorization submitted - Dental claim
- SPA-0018 - Wrong line authorization submitted – Dental claim
- SPA-0019 - Authorization not found - Outpatient claim
- SPA-0020 - Authorization not yet approved - Outpatient claim
- SPA-0021 - Authorization exhausted - Outpatient claim
- SPA-0022 - Multiple authorizations matched - Outpatient claim
- SPA-0023 - Authorization denied - Outpatient claim
- SPA-0024- Wrong header authorization submitted – Outpatient claim
- SPA-0025 - Wrong line authorization submitted – Outpatient claim
- SPA-0026 - Non exact authorization matched – Outpatient claim
- SPA-0027 - Authorization not found – Dental claim
- SPA-0028 – Authorization not yet approved – Dental claim
- SPA-0029 - Authorization exhausted – Dental claim
- SPA-0030 - Multiple authorizations matched – Dental claim
- SPA-0031 - Authorization denied – Dental claim
- SPA-0032 - Authorization not found – Referral
- SPA-0033 - Authorization not yet approved - Referral
- SPA-0034 - Authorization exhausted– Referral
- SPA-0035 - Multiple authorizations matched – Referral
- SPA-0036 - Authorization denied – Referral
- SPA-0037 - Wrong header authorization submitted – Referral
- SPA-0038 - Wrong line authorization submitted - Referral
- SPA-0039 - Non exact authorization matched – Referral
- SPA-0040 - Non exact authorization match – Dental claim
- SPA-0041 - Exceeded auth time period – Outpatient claim
- SPA-0042 - Exceeded authorization referral time period – Professional claim
- SPA-0043 - Exceeded authorization units – Outpatient claim
- SPA-0044 - Exceeded authorization units – Professional claim
- SPA-0045 - Exceeded authorization units – Inpatient claim
- SPA-0046 - Exceeded authorization units – Dental claim
- SPA-0047 - Exception on Authorization Pricing - 1
- SPA-0048 – Exception on Authorization Pricing - 2
Previous topic Pega-provided penalty variations & calculations in SCE Next topic Third-party Liability (TPL) edits