Healthcare Financial Services IG Edition 1
0.3.0 - ci-build
Healthcare Financial Services IG Edition 1 - Local Development build (v0.3.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
: Adjudication Error - XML Representation
| Active as of 2025-06-23 |
<CodeSystem xmlns="http://hl7.org/fhir">
<id value="adjudication-error"/>
<meta>
<versionId value="1"/>
<lastUpdated value="2020-11-11T17:23:48.374+03:00"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CodeSystem adjudication-error</b></p><a name="adjudication-error"> </a><a name="hcadjudication-error"> </a><a name="adjudication-error-en-US"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">version: 1; Last updated: 2020-11-11 17:23:48+0300</p></div><p>This case-sensitive code system <code>http://nphies.sa/terminology/CodeSystem/adjudication-error</code> provides <b>a fragment</b> that includes following codes:</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td></tr><tr><td style="white-space:nowrap">1191<a name="adjudication-error-1191"> </a></td><td>Missing element: [Patient] within the message</td></tr><tr><td style="white-space:nowrap">1190<a name="adjudication-error-1190"> </a></td><td>Missing element: [Communication.note.text] within the message</td></tr><tr><td style="white-space:nowrap">1199<a name="adjudication-error-1199"> </a></td><td>Missing element: [patient.birthDate] within the message</td></tr><tr><td style="white-space:nowrap">1198<a name="adjudication-error-1198"> </a></td><td>Missing element: [gender.extensionKsaGender] within the message</td></tr><tr><td style="white-space:nowrap">1197<a name="adjudication-error-1197"> </a></td><td>Missing element: [patient.gender ] within the message</td></tr><tr><td style="white-space:nowrap">1196<a name="adjudication-error-1196"> </a></td><td>Missing element: [patient.name] within the message</td></tr><tr><td style="white-space:nowrap">1195<a name="adjudication-error-1195"> </a></td><td>Missing element: [patient.active] within the message</td></tr><tr><td style="white-space:nowrap">1194<a name="adjudication-error-1194"> </a></td><td>Missing element: [patient.identifier] within the message</td></tr><tr><td style="white-space:nowrap">1193<a name="adjudication-error-1193"> </a></td><td>Missing element: [patient.id] within the message</td></tr><tr><td style="white-space:nowrap">260<a name="adjudication-error-260"> </a></td><td>Missing element: [Claim.careTeam.role] within the message</td></tr><tr><td style="white-space:nowrap">1192<a name="adjudication-error-1192"> </a></td><td>Missing element: [patient.resourceType] within the message</td></tr><tr><td style="white-space:nowrap">760<a name="adjudication-error-760"> </a></td><td>Missing element: [Claim.insurance.coverage] within the message</td></tr><tr><td style="white-space:nowrap">761<a name="adjudication-error-761"> </a></td><td>Missing element: [Claim.insurance.preAuthRef] within the message</td></tr><tr><td style="white-space:nowrap">762<a name="adjudication-error-762"> </a></td><td>Missing element: [Claim.insurance.claimResponse] within the message</td></tr><tr><td style="white-space:nowrap">261<a name="adjudication-error-261"> </a></td><td>Missing element: [Claim.supportingInfo] within the message</td></tr><tr><td style="white-space:nowrap">763<a name="adjudication-error-763"> </a></td><td>Missing element: [Claim.accident] within the message</td></tr><tr><td style="white-space:nowrap">764<a name="adjudication-error-764"> </a></td><td>Missing element: [Claim.accident.Date] within the message</td></tr><tr><td style="white-space:nowrap">262<a name="adjudication-error-262"> </a></td><td>Missing element: [Claim.supportingInfo.sequence] within the message</td></tr><tr><td style="white-space:nowrap">765<a name="adjudication-error-765"> </a></td><td>Missing element: [Claim.accident.type] within the message</td></tr><tr><td style="white-space:nowrap">1133<a name="adjudication-error-1133"> </a></td><td>Missing element: [ClaimResponse.processNote] within the message</td></tr><tr><td style="white-space:nowrap">263<a name="adjudication-error-263"> </a></td><td>Missing element: [Claim.supportingInfo.category] within the message</td></tr><tr><td style="white-space:nowrap">766<a name="adjudication-error-766"> </a></td><td>Missing element: [Claim.accident.locationAdress] within the message</td></tr><tr><td style="white-space:nowrap">264<a name="adjudication-error-264"> </a></td><td>Missing element: [Claim.supportingInfo.code] within the message</td></tr><tr><td style="white-space:nowrap">1625<a name="adjudication-error-1625"> </a></td><td>ClaimResponse.item.detail.Sequence detailSequence in the claim response SHALL match item.detail.sequence within the claim.item</td></tr><tr><td style="white-space:nowrap">1132<a name="adjudication-error-1132"> </a></td><td>Missing element: [ClaimResponse.fundsReserve] within the message</td></tr><tr><td style="white-space:nowrap">767<a name="adjudication-error-767"> </a></td><td>Missing element: [Claim.item] within the message</td></tr><tr><td style="white-space:nowrap">34<a name="adjudication-error-34"> </a></td><td>Missing element: [CoverageEligibilityResponse.patient] within the message</td></tr><tr><td style="white-space:nowrap">265<a name="adjudication-error-265"> </a></td><td>Missing element: [Claim.supportingInfo.timingDate] within the message</td></tr><tr><td style="white-space:nowrap">1189<a name="adjudication-error-1189"> </a></td><td>Missing element: [Communication.note.time] within the message</td></tr><tr><td style="white-space:nowrap">1131<a name="adjudication-error-1131"> </a></td><td>Missing element: [ClaimResponse.total.amount.currency] within the message</td></tr><tr><td style="white-space:nowrap">768<a name="adjudication-error-768"> </a></td><td>Missing element: [Claim.item.extension.tax] within the message</td></tr><tr><td style="white-space:nowrap">1130<a name="adjudication-error-1130"> </a></td><td>Missing element: [ClaimResponse.total.amount.value] within the message</td></tr><tr><td style="white-space:nowrap">266<a name="adjudication-error-266"> </a></td><td>Missing element: [Claim.supportingInfo.timingPeriod] within the message</td></tr><tr><td style="white-space:nowrap">1624<a name="adjudication-error-1624"> </a></td><td>ClaimResponse.item.detail.Sequence detailSequence in the claim response SHALL match item.detail.sequence within the claim.item</td></tr><tr><td style="white-space:nowrap">769<a name="adjudication-error-769"> </a></td><td>Missing element: [Claim.item.sequence] within the message</td></tr><tr><td style="white-space:nowrap">35<a name="adjudication-error-35"> </a></td><td>Missing element: [CoverageEligibilityResponse.servicedDate] within the message</td></tr><tr><td style="white-space:nowrap">770<a name="adjudication-error-770"> </a></td><td>Missing element: [Claim.item.careTeamSequence] within the message</td></tr><tr><td style="white-space:nowrap">267<a name="adjudication-error-267"> </a></td><td>Missing element: [Claim.supportingInfo.valueBoolean] within the message</td></tr><tr><td style="white-space:nowrap">1672<a name="adjudication-error-1672"> </a></td><td>Services performed outside the coverage effective period</td></tr><tr><td style="white-space:nowrap">36<a name="adjudication-error-36"> </a></td><td>Missing element: [CoverageEligibilityResponse.created] within the message</td></tr><tr><td style="white-space:nowrap">268<a name="adjudication-error-268"> </a></td><td>Missing element: [Claim.supportingInfo.valueString] within the message</td></tr><tr><td style="white-space:nowrap">1177<a name="adjudication-error-1177"> </a></td><td>Missing element: [Communication.subject] within the message</td></tr><tr><td style="white-space:nowrap">37<a name="adjudication-error-37"> </a></td><td>Missing element: [CoverageEligibilityResponse.request] within the message</td></tr><tr><td style="white-space:nowrap">269<a name="adjudication-error-269"> </a></td><td>Missing element: [Claim.supportingInfo.valueQuantity] within the message</td></tr><tr><td style="white-space:nowrap">1176<a name="adjudication-error-1176"> </a></td><td>Missing element: [Communication.medium] within the message</td></tr><tr><td style="white-space:nowrap">12<a name="adjudication-error-12"> </a></td><td>Missing element: [entry.CoverageEligibilityRequest] within the message</td></tr><tr><td style="white-space:nowrap">1671<a name="adjudication-error-1671"> </a></td><td>The requested medicine(s) is not registered</td></tr><tr><td style="white-space:nowrap">38<a name="adjudication-error-38"> </a></td><td>Missing element: [CoverageEligibilityResponse.outcome] within the message</td></tr><tr><td style="white-space:nowrap">1175<a name="adjudication-error-1175"> </a></td><td>Missing element: [Communication.priority] within the message</td></tr><tr><td style="white-space:nowrap">270<a name="adjudication-error-270"> </a></td><td>Missing element: [Claim.supportingInfo.valueAttachment] within the message</td></tr><tr><td style="white-space:nowrap">340<a name="adjudication-error-340"> </a></td><td>Missing element: [Claim.fundsReserve] within the message</td></tr><tr><td style="white-space:nowrap">39<a name="adjudication-error-39"> </a></td><td>Missing element: [CoverageEligibilityResponse.disposition] within the message</td></tr><tr><td style="white-space:nowrap">1174<a name="adjudication-error-1174"> </a></td><td>Missing element: [Communication.category] within the message</td></tr><tr><td style="white-space:nowrap">1670<a name="adjudication-error-1670"> </a></td><td>Service code is inconsistent with the patient's gender</td></tr><tr><td style="white-space:nowrap">13<a name="adjudication-error-13"> </a></td><td>Missing element: [CoverageEligibilityRequest.resourceType] within the message</td></tr><tr><td style="white-space:nowrap">380<a name="adjudication-error-380"> </a></td><td>Missing element: [Claim.item.extension.tax] within the message</td></tr><tr><td style="white-space:nowrap">271<a name="adjudication-error-271"> </a></td><td>Missing element: [Claim.supportingInfo.valueReference] within the message</td></tr><tr><td style="white-space:nowrap">1669<a name="adjudication-error-1669"> </a></td><td>Diagnosis is inconsistent with the patient's gender</td></tr><tr><td style="white-space:nowrap">14<a name="adjudication-error-14"> </a></td><td>Missing element: [CoverageEligibilityRequest.id] within the message</td></tr><tr><td style="white-space:nowrap">381<a name="adjudication-error-381"> </a></td><td>Missing element: [Claim.item.sequence] within the message</td></tr><tr><td style="white-space:nowrap">1668<a name="adjudication-error-1668"> </a></td><td>Supporting information not related to the patient</td></tr><tr><td style="white-space:nowrap">272<a name="adjudication-error-272"> </a></td><td>Missing element: [Claim.supportingInfo.reason] within the message</td></tr><tr><td style="white-space:nowrap">382<a name="adjudication-error-382"> </a></td><td>Missing element: [Claim.item.careTeamSequence] within the message</td></tr><tr><td style="white-space:nowrap">1667<a name="adjudication-error-1667"> </a></td><td>The service code is invalid given the patient history</td></tr><tr><td style="white-space:nowrap">1666<a name="adjudication-error-1666"> </a></td><td>Provider not licensed during the date of service</td></tr><tr><td style="white-space:nowrap">273<a name="adjudication-error-273"> </a></td><td>Missing element: [Claim.diagnosis] within the message</td></tr><tr><td style="white-space:nowrap">1665<a name="adjudication-error-1665"> </a></td><td>New born exceeds 30 days of age</td></tr><tr><td style="white-space:nowrap">274<a name="adjudication-error-274"> </a></td><td>Missing element: [Claim.diagnosis.sequence] within the message</td></tr><tr><td style="white-space:nowrap">1129<a name="adjudication-error-1129"> </a></td><td>Missing element: [ClaimResponse.total.amount] within the message</td></tr><tr><td style="white-space:nowrap">1664<a name="adjudication-error-1664"> </a></td><td>Policy is cancelled/expired</td></tr><tr><td style="white-space:nowrap">275<a name="adjudication-error-275"> </a></td><td>Missing element: [Claim.diagnosis.diagnosisCodeableConcept] within the message</td></tr><tr><td style="white-space:nowrap">1663<a name="adjudication-error-1663"> </a></td><td>MEMBER DELETED</td></tr><tr><td style="white-space:nowrap">1662<a name="adjudication-error-1662"> </a></td><td>Tooth number is missing</td></tr><tr><td style="white-space:nowrap">276<a name="adjudication-error-276"> </a></td><td>Missing element: [Claim.diagnosis.type] within the message</td></tr><tr><td style="white-space:nowrap">1682<a name="adjudication-error-1682"> </a></td><td>The patient information does not match the insurance member details.</td></tr><tr><td style="white-space:nowrap">1128<a name="adjudication-error-1128"> </a></td><td>Missing element: [ClaimResponse.total.category] within the message</td></tr><tr><td style="white-space:nowrap">320<a name="adjudication-error-320"> </a></td><td>Missing element: [Claim.item.detail.subDetail.unitPrice] within the message</td></tr><tr><td style="white-space:nowrap">277<a name="adjudication-error-277"> </a></td><td>Missing element: [Claim.insurance] within the message</td></tr><tr><td style="white-space:nowrap">1111<a name="adjudication-error-1111"> </a></td><td>Missing element: [ClaimResponse.item.detail.noteNumber] within the message</td></tr><tr><td style="white-space:nowrap">1127<a name="adjudication-error-1127"> </a></td><td>Missing element: [ClaimResponse.total] within the message</td></tr><tr><td style="white-space:nowrap">278<a name="adjudication-error-278"> </a></td><td>Missing element: [Claim.insurance.sequence] within the message</td></tr><tr><td style="white-space:nowrap">1126<a name="adjudication-error-1126"> </a></td><td>Missing element: [ClaimResponse.item.detail.subDetail.adjudication.amount.currency] within the message</td></tr><tr><td style="white-space:nowrap">279<a name="adjudication-error-279"> </a></td><td>Missing element: [Claim.insurance.focal] within the message</td></tr><tr><td style="white-space:nowrap">1125<a name="adjudication-error-1125"> </a></td><td>Missing element: [ClaimResponse.item.detail.subDetail.adjudication.amount.value] within the message</td></tr><tr><td style="white-space:nowrap">1595<a name="adjudication-error-1595"> </a></td><td>Claim serviced SHALL be on OR after the creation date if the claim use=Authorization</td></tr><tr><td style="white-space:nowrap">56<a name="adjudication-error-56"> </a></td><td>Missing element: [Claim.status] within the message</td></tr><tr><td style="white-space:nowrap">700<a name="adjudication-error-700"> </a></td><td>Missing element: [Claim.item.detail.subDetail.sequence] within the message</td></tr><tr><td style="white-space:nowrap">57<a name="adjudication-error-57"> </a></td><td>Missing element: [Claim.type] within the message</td></tr><tr><td style="white-space:nowrap">1124<a name="adjudication-error-1124"> </a></td><td>Missing element: [ClaimResponse.item.detail.subDetail.adjudication.amount] within the message</td></tr><tr><td style="white-space:nowrap">321<a name="adjudication-error-321"> </a></td><td>Missing element: [Claim.item.detail.subDetail.net] within the message</td></tr><tr><td style="white-space:nowrap">1110<a name="adjudication-error-1110"> </a></td><td>Missing element: [ClaimResponse.item.detail.detailSequence] within the message</td></tr><tr><td style="white-space:nowrap">58<a name="adjudication-error-58"> </a></td><td>Missing element: [Claim.subType] within the message</td></tr><tr><td style="white-space:nowrap">701<a name="adjudication-error-701"> </a></td><td>Missing element: [Claim.item.detail.subDetail.productOrService] within the message</td></tr><tr><td style="white-space:nowrap">771<a name="adjudication-error-771"> </a></td><td>Missing element: [Claim.item.diagnosisSequence] within the message</td></tr><tr><td style="white-space:nowrap">59<a name="adjudication-error-59"> </a></td><td>Missing element: [Claim.use] within the message</td></tr><tr><td style="white-space:nowrap">1123<a name="adjudication-error-1123"> </a></td><td>Missing element: [ClaimResponse.item.detail.subDetail.adjudication.reason] within the message</td></tr><tr><td style="white-space:nowrap">1594<a name="adjudication-error-1594"> </a></td><td>Claim.billablePeriod SHALL be within the encounter start and end date if encounter is provided</td></tr><tr><td style="white-space:nowrap">322<a name="adjudication-error-322"> </a></td><td>Missing element: [Claim.item.detail.subDetail.udi] within the message</td></tr><tr><td style="white-space:nowrap">60<a name="adjudication-error-60"> </a></td><td>Missing element: [Claim.patient] within the message</td></tr><tr><td style="white-space:nowrap">1593<a name="adjudication-error-1593"> </a></td><td>Claim.subType If Claim type is profesional ,then the Claim sub-type SHALL not be IP</td></tr></table></div>
</text>
<url value="http://nphies.sa/terminology/CodeSystem/adjudication-error"/>
<version value="0.3.0"/>
<name value="AdjudicationError"/>
<title value="Adjudication Error"/>
<status value="active"/>
<experimental value="false"/>
<date value="2025-06-23T22:09:21+03:00"/>
<publisher value="HL7 Saudi Arabia"/>
<contact>
<name value="HL7 Saudi Arabia"/>
<telecom>
<system value="url"/>
<value value="http://test-project.org/test-publisher"/>
</telecom>
</contact>
<description
value="This code set includes a set of adjudication error codes which may be issued during the validation of a message."/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="SA"/>
<display value="Saudi Arabia"/>
</coding>
</jurisdiction>
<copyright value="nphies 2020+ (https://nphies.sa)"/>
<caseSensitive value="true"/>
<compositional value="false"/>
<versionNeeded value="false"/>
<content value="fragment"/>
<concept>
<code value="1191"/>
<display value="Missing element: [Patient] within the message"/>
</concept>
<concept>
<code value="1190"/>
<display
value="Missing element: [Communication.note.text] within the message"/>
</concept>
<concept>
<code value="1199"/>
<display value="Missing element: [patient.birthDate] within the message"/>
</concept>
<concept>
<code value="1198"/>
<display
value="Missing element: [gender.extensionKsaGender] within the message"/>
</concept>
<concept>
<code value="1197"/>
<display value="Missing element: [patient.gender ] within the message"/>
</concept>
<concept>
<code value="1196"/>
<display value="Missing element: [patient.name] within the message"/>
</concept>
<concept>
<code value="1195"/>
<display value="Missing element: [patient.active] within the message"/>
</concept>
<concept>
<code value="1194"/>
<display
value="Missing element: [patient.identifier] within the message"/>
</concept>
<concept>
<code value="1193"/>
<display value="Missing element: [patient.id] within the message"/>
</concept>
<concept>
<code value="260"/>
<display
value="Missing element: [Claim.careTeam.role] within the message"/>
</concept>
<concept>
<code value="1192"/>
<display
value="Missing element: [patient.resourceType] within the message"/>
</concept>
<concept>
<code value="760"/>
<display
value="Missing element: [Claim.insurance.coverage] within the message"/>
</concept>
<concept>
<code value="761"/>
<display
value="Missing element: [Claim.insurance.preAuthRef] within the message"/>
</concept>
<concept>
<code value="762"/>
<display
value="Missing element: [Claim.insurance.claimResponse] within the message"/>
</concept>
<concept>
<code value="261"/>
<display
value="Missing element: [Claim.supportingInfo] within the message"/>
</concept>
<concept>
<code value="763"/>
<display value="Missing element: [Claim.accident] within the message"/>
</concept>
<concept>
<code value="764"/>
<display
value="Missing element: [Claim.accident.Date] within the message"/>
</concept>
<concept>
<code value="262"/>
<display
value="Missing element: [Claim.supportingInfo.sequence] within the message"/>
</concept>
<concept>
<code value="765"/>
<display
value="Missing element: [Claim.accident.type] within the message"/>
</concept>
<concept>
<code value="1133"/>
<display
value="Missing element: [ClaimResponse.processNote] within the message"/>
</concept>
<concept>
<code value="263"/>
<display
value="Missing element: [Claim.supportingInfo.category] within the message"/>
</concept>
<concept>
<code value="766"/>
<display
value="Missing element: [Claim.accident.locationAdress] within the message"/>
</concept>
<concept>
<code value="264"/>
<display
value="Missing element: [Claim.supportingInfo.code] within the message"/>
</concept>
<concept>
<code value="1625"/>
<display
value="ClaimResponse.item.detail.Sequence detailSequence in the claim response SHALL match item.detail.sequence within the claim.item"/>
</concept>
<concept>
<code value="1132"/>
<display
value="Missing element: [ClaimResponse.fundsReserve] within the message"/>
</concept>
<concept>
<code value="767"/>
<display value="Missing element: [Claim.item] within the message"/>
</concept>
<concept>
<code value="34"/>
<display
value="Missing element: [CoverageEligibilityResponse.patient] within the message"/>
</concept>
<concept>
<code value="265"/>
<display
value="Missing element: [Claim.supportingInfo.timingDate] within the message"/>
</concept>
<concept>
<code value="1189"/>
<display
value="Missing element: [Communication.note.time] within the message"/>
</concept>
<concept>
<code value="1131"/>
<display
value="Missing element: [ClaimResponse.total.amount.currency] within the message"/>
</concept>
<concept>
<code value="768"/>
<display
value="Missing element: [Claim.item.extension.tax] within the message"/>
</concept>
<concept>
<code value="1130"/>
<display
value="Missing element: [ClaimResponse.total.amount.value] within the message"/>
</concept>
<concept>
<code value="266"/>
<display
value="Missing element: [Claim.supportingInfo.timingPeriod] within the message"/>
</concept>
<concept>
<code value="1624"/>
<display
value="ClaimResponse.item.detail.Sequence detailSequence in the claim response SHALL match item.detail.sequence within the claim.item"/>
</concept>
<concept>
<code value="769"/>
<display
value="Missing element: [Claim.item.sequence] within the message"/>
</concept>
<concept>
<code value="35"/>
<display
value="Missing element: [CoverageEligibilityResponse.servicedDate] within the message"/>
</concept>
<concept>
<code value="770"/>
<display
value="Missing element: [Claim.item.careTeamSequence] within the message"/>
</concept>
<concept>
<code value="267"/>
<display
value="Missing element: [Claim.supportingInfo.valueBoolean] within the message"/>
</concept>
<concept>
<code value="1672"/>
<display
value="Services performed outside the coverage effective period"/>
</concept>
<concept>
<code value="36"/>
<display
value="Missing element: [CoverageEligibilityResponse.created] within the message"/>
</concept>
<concept>
<code value="268"/>
<display
value="Missing element: [Claim.supportingInfo.valueString] within the message"/>
</concept>
<concept>
<code value="1177"/>
<display
value="Missing element: [Communication.subject] within the message"/>
</concept>
<concept>
<code value="37"/>
<display
value="Missing element: [CoverageEligibilityResponse.request] within the message"/>
</concept>
<concept>
<code value="269"/>
<display
value="Missing element: [Claim.supportingInfo.valueQuantity] within the message"/>
</concept>
<concept>
<code value="1176"/>
<display
value="Missing element: [Communication.medium] within the message"/>
</concept>
<concept>
<code value="12"/>
<display
value="Missing element: [entry.CoverageEligibilityRequest] within the message"/>
</concept>
<concept>
<code value="1671"/>
<display value="The requested medicine(s) is not registered"/>
</concept>
<concept>
<code value="38"/>
<display
value="Missing element: [CoverageEligibilityResponse.outcome] within the message"/>
</concept>
<concept>
<code value="1175"/>
<display
value="Missing element: [Communication.priority] within the message"/>
</concept>
<concept>
<code value="270"/>
<display
value="Missing element: [Claim.supportingInfo.valueAttachment] within the message"/>
</concept>
<concept>
<code value="340"/>
<display
value="Missing element: [Claim.fundsReserve] within the message"/>
</concept>
<concept>
<code value="39"/>
<display
value="Missing element: [CoverageEligibilityResponse.disposition] within the message"/>
</concept>
<concept>
<code value="1174"/>
<display
value="Missing element: [Communication.category] within the message"/>
</concept>
<concept>
<code value="1670"/>
<display value="Service code is inconsistent with the patient's gender"/>
</concept>
<concept>
<code value="13"/>
<display
value="Missing element: [CoverageEligibilityRequest.resourceType] within the message"/>
</concept>
<concept>
<code value="380"/>
<display
value="Missing element: [Claim.item.extension.tax] within the message"/>
</concept>
<concept>
<code value="271"/>
<display
value="Missing element: [Claim.supportingInfo.valueReference] within the message"/>
</concept>
<concept>
<code value="1669"/>
<display value="Diagnosis is inconsistent with the patient's gender"/>
</concept>
<concept>
<code value="14"/>
<display
value="Missing element: [CoverageEligibilityRequest.id] within the message"/>
</concept>
<concept>
<code value="381"/>
<display
value="Missing element: [Claim.item.sequence] within the message"/>
</concept>
<concept>
<code value="1668"/>
<display value="Supporting information not related to the patient"/>
</concept>
<concept>
<code value="272"/>
<display
value="Missing element: [Claim.supportingInfo.reason] within the message"/>
</concept>
<concept>
<code value="382"/>
<display
value="Missing element: [Claim.item.careTeamSequence] within the message"/>
</concept>
<concept>
<code value="1667"/>
<display value="The service code is invalid given the patient history"/>
</concept>
<concept>
<code value="1666"/>
<display value="Provider not licensed during the date of service"/>
</concept>
<concept>
<code value="273"/>
<display value="Missing element: [Claim.diagnosis] within the message"/>
</concept>
<concept>
<code value="1665"/>
<display value="New born exceeds 30 days of age"/>
</concept>
<concept>
<code value="274"/>
<display
value="Missing element: [Claim.diagnosis.sequence] within the message"/>
</concept>
<concept>
<code value="1129"/>
<display
value="Missing element: [ClaimResponse.total.amount] within the message"/>
</concept>
<concept>
<code value="1664"/>
<display value="Policy is cancelled/expired"/>
</concept>
<concept>
<code value="275"/>
<display
value="Missing element: [Claim.diagnosis.diagnosisCodeableConcept] within the message"/>
</concept>
<concept>
<code value="1663"/>
<display value="MEMBER DELETED"/>
</concept>
<concept>
<code value="1662"/>
<display value="Tooth number is missing"/>
</concept>
<concept>
<code value="276"/>
<display
value="Missing element: [Claim.diagnosis.type] within the message"/>
</concept>
<concept>
<code value="1682"/>
<display
value="The patient information does not match the insurance member details."/>
</concept>
<concept>
<code value="1128"/>
<display
value="Missing element: [ClaimResponse.total.category] within the message"/>
</concept>
<concept>
<code value="320"/>
<display
value="Missing element: [Claim.item.detail.subDetail.unitPrice] within the message"/>
</concept>
<concept>
<code value="277"/>
<display value="Missing element: [Claim.insurance] within the message"/>
</concept>
<concept>
<code value="1111"/>
<display
value="Missing element: [ClaimResponse.item.detail.noteNumber] within the message"/>
</concept>
<concept>
<code value="1127"/>
<display
value="Missing element: [ClaimResponse.total] within the message"/>
</concept>
<concept>
<code value="278"/>
<display
value="Missing element: [Claim.insurance.sequence] within the message"/>
</concept>
<concept>
<code value="1126"/>
<display
value="Missing element: [ClaimResponse.item.detail.subDetail.adjudication.amount.currency] within the message"/>
</concept>
<concept>
<code value="279"/>
<display
value="Missing element: [Claim.insurance.focal] within the message"/>
</concept>
<concept>
<code value="1125"/>
<display
value="Missing element: [ClaimResponse.item.detail.subDetail.adjudication.amount.value] within the message"/>
</concept>
<concept>
<code value="1595"/>
<display
value="Claim serviced SHALL be on OR after the creation date if the claim use=Authorization"/>
</concept>
<concept>
<code value="56"/>
<display value="Missing element: [Claim.status] within the message"/>
</concept>
<concept>
<code value="700"/>
<display
value="Missing element: [Claim.item.detail.subDetail.sequence] within the message"/>
</concept>
<concept>
<code value="57"/>
<display value="Missing element: [Claim.type] within the message"/>
</concept>
<concept>
<code value="1124"/>
<display
value="Missing element: [ClaimResponse.item.detail.subDetail.adjudication.amount] within the message"/>
</concept>
<concept>
<code value="321"/>
<display
value="Missing element: [Claim.item.detail.subDetail.net] within the message"/>
</concept>
<concept>
<code value="1110"/>
<display
value="Missing element: [ClaimResponse.item.detail.detailSequence] within the message"/>
</concept>
<concept>
<code value="58"/>
<display value="Missing element: [Claim.subType] within the message"/>
</concept>
<concept>
<code value="701"/>
<display
value="Missing element: [Claim.item.detail.subDetail.productOrService] within the message"/>
</concept>
<concept>
<code value="771"/>
<display
value="Missing element: [Claim.item.diagnosisSequence] within the message"/>
</concept>
<concept>
<code value="59"/>
<display value="Missing element: [Claim.use] within the message"/>
</concept>
<concept>
<code value="1123"/>
<display
value="Missing element: [ClaimResponse.item.detail.subDetail.adjudication.reason] within the message"/>
</concept>
<concept>
<code value="1594"/>
<display
value="Claim.billablePeriod SHALL be within the encounter start and end date if encounter is provided"/>
</concept>
<concept>
<code value="322"/>
<display
value="Missing element: [Claim.item.detail.subDetail.udi] within the message"/>
</concept>
<concept>
<code value="60"/>
<display value="Missing element: [Claim.patient] within the message"/>
</concept>
<concept>
<code value="1593"/>
<display
value="Claim.subType If Claim type is profesional ,then the Claim sub-type SHALL not be IP"/>
</concept>
</CodeSystem>