Segment: CRC (EPSDT)

Loop: 2300 Segment: CRC

Element: CRC01 (EPSDT Referral Code Category)

Hard Coded to 'ZZ'

Element: CRC02 (EPSDT Referral Condition Indicator)

Hard Coded to 'N' if CRC03 is 'NU'.  'Y' otherwise

Element: CRC03 (EPSDT Referral Condition Code)

Element: CRC03 (EPSDT Referral Condition Code)

Billing->Patient Account->Claims tab->Select Visit->More Info->Misc Details tab->EPSDT-> Code (drop down)

Element: CRC04 (EPSDT Referral Code 2) Not Implemented

Element: CRC04 (EPSDT Referral Code 2) Not Implemented

Billing->Patient Account->Claims tab->Select Visit->More Info->Misc Details tab->EPSDT-> Code (2) (drop down)

Element: CRC05 (EPSDT Referral Code 3) Not Implemented

Element: CRC05 (EPSDT Referral Code 3) Not Implemented

Billing->Patient Account->Claims tab->Select Visit->More Info->Misc Details tab->EPSDT-> Code (3) (drop down)