Healthcare Financial Services IG Edition 1
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CodeSystem: Adjudication Outcome

Official URL: http://nphies.sa/terminology/CodeSystem/adjudication-outcome Version: 0.3.0
Active as of 2025-06-23 Computable Name: AdjudicationOutcome

Copyright/Legal: nphies 2020+ (https://nphies.sa)

A code indicating the outcome of the adjudication such as rejected, partially approved/paid or approved/paid as submitted.

This Code system is referenced in the content logical definition of the following value sets:

Generated Narrative: CodeSystem adjudication-outcome

version: 4; Last updated: 2024-08-15 10:35:13+0300

This case-sensitive code system http://nphies.sa/terminology/CodeSystem/adjudication-outcome defines the following codes:

CodeDisplayDefinitionArabic (ar)
not-required Not Required No Authorization is required for this request لا يتطلب موافقة مسبقة
pended Pended The processing of the requested has been pended awaiting further information or processing معلّق
approved Approved All items approved موافق عليه-مقبول
rejected Rejected All items rejected مرفوض
partial Partially Approved At least one item rejected مقبول جزئيًا