| Code | Display | Definition | Arabic (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 |
