|
Code
|
Description
|
Comment
|
Version
|
| AA
|
Authorization request for inpatient admission |
|
added v2.6 |
| AI
|
Combined Authorization and Adjudication request |
|
added v2.6 |
| CA
|
Cancel Authorization request |
|
added v2.6 |
| CG
|
Cancel Invoice Product/Service Group |
Cancel a specific Product/Service Group in an Invoice |
added v2.6 |
| CL
|
Cancel Invoice Product/Service Line Item |
Cancel a specific Product/Service Line Item in an Invoice |
added v2.6 |
| CN
|
Cancel Invoice |
Can be used to reverse or cancel an invoice in progress or reverse a paid invoice. Receiver may only mark Invoice as cancelled, not purge records |
added v2.6 |
| CP
|
Copy of Invoice |
|
added v2.6 |
| CQ
|
Coverage Register Query |
|
added v2.6 |
| EA
|
Authorization request for inpatient stay extension |
|
added v2.6 |
| OA
|
Original Authorization |
|
added v2.6 |
| OR
|
Original Invoice |
|
added v2.6 |
| PA
|
Pre-Authorization |
|
added v2.6 |
| PD
|
Pre-Determination Invoice |
Can be used to submit an invoice through a Payer's edit and adjudication engine to determine if the invoice will be paid - does not result in payment by Payer |
added v2.6 |
| RA
|
Re-Assessment |
Used on EHC^E04 only |
added v2.6 |
| RC
|
Referral Pre-Authorization |
|
added v2.6 |
| RU
|
Referral authorization |
|
added v2.6 |
| SA
|
Special Authorization |
|
added v2.6 |