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 |