Healthcare Financial Services IG Edition 1
0.3.0 - ci-build Saudi Arabia flag

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

CodeSystem: KSA Message Events

Official URL: http://nphies.sa/terminology/CodeSystem/ksa-message-events Version: 0.3.0
Active as of 2025-06-23 Computable Name: KSAMessageEvents

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

The Saudi codes for FHIR message events.

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

Generated Narrative: CodeSystem ksa-message-events

version: 7; Last updated: 2024-08-15 12:46:22+0300

This case-sensitive code system http://nphies.sa/terminology/CodeSystem/ksa-message-events defines the following codes:

CodeDisplayDefinitionArabic (ar)
claim-request Claim Request A request for adjudication of a claim for products and services. طلب تحكيم مطالبة
cancel-request Cancel Request A request to cancel the processing, where complete or not, of a prior submission such as a claim. طلب إلغاء
communication-request Communication Request A request for supporting information for a previously submitted request. طلب تواصل
batch-request Batch-Request A request for adjudication of a batch of claims for products and services. طلب تحكيم مجموعة مطالبات
payment-notice Payment Notice A notice providing the current status of a payment. اشعار باستلام الدفعة
communication Communication A provision of supporting information in response to a request or to support a prior submission. تواصل
cancel-response Cancel Response A response to request to cancel the processing, where complete or not, of a prior submission such as a claim. استجابة طلب الإلغاء
eligibility-response Eligibility Response A message responding to the Eligibility Request with errors or insurance details. استجابة طلب الأهلية
eligibility-request Eligibility Request A message requesting the identified patients insurance, determination if the insurance is in force, and potentially requesting the table of benefits or other insurance details. طلب الأهلية/الاستحقاق
nullify-request Nullify Request A request to cancel the processing, where complete or not, of a prior submission such as a claim. All copies of the original submission are to be purged, although audit logs may be retained.
status-response Status Response A response to a request to check on the processing status of a prior submission. استجابة فحص الحالة
status-check Status Check A request to check on the processing status of a prior submission. الاستعلام عن حالة الطلب
poll-request Poll Request A request for the next 'n' undelivered messages from the queue of undelivered messages for the requetor. طلب استطلاع
payment-reconciliation Payment Reconciliation A report of a payment and the allocation of the payment to the respective claims being settled. إشعار الدفع
priorauth-request Prior Authorization Request A request for prior authorization of products and services. طلب موافقة مسبقة
priorauth-response Prior Authorization Response A response to a request for prior authorization of products and services. إجابة موافقة مسبقة
acknowledgement Acknowledgement Message with just a MessageHeader, and optional referenced OperationOutcome if there are errors, to acknowledge the receipt of a request. إشعار بالاستلام
poll-response Poll Response A message responding to a poll-request containing up to 'n' requested undelivered messages. استجابة الاستطلاع
claim-response Claim Response A response to a request for adjudication of a claim for products and services. استجابة مطالبة
nullify-response Nullify Response A response to request to cancel the processing, where complete or not, of a prior submission, such as a claim, and acceptance that the origibal submission shall be purged.
error-notice Error Notice A notice providing the error detected in the received message. إشعار الخطأ
batch-response Batch Response A response for adjudication of a batch of claims for products and services. استجابة مجموعة مطالبات
advanced-authorization Advanced Authorization A response without existing request for prior authorization of products and services. موافقة مسبقة متقدمة
prescriber-response Prescriber Response A response for advisory request received from provider during medication prescription رد على المعالج
prescriber-request Prescriber Request A request for advisory response from payer during medication prescription طلب المعالج