Healthcare Financial Services IG Edition 1
0.3.0 - STU-Ballot
Healthcare Financial Services IG Edition 1
0.3.0 - STU-Ballot
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
| Official URL: http://nphies.sa/terminology/ValueSet/ksa-message-events | Version: 0.3.0 | |||
| Active as of 2024-08-15 | Computable Name: KSAMessageEvents | |||
Copyright/Legal: nphies 2020+ (https://nphies.sa) |
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List of message event codes used in Saudi Arabia healthcare message exchanges.
References
version: 21; Last updated: 2024-08-15 12:46:29+0300
http://nphies.sa/terminology/CodeSystem/ksa-message-events
Expansion performed internally based on codesystem KSA Message Events v0.3.0 (CodeSystem)
This value set contains 25 concepts
| Code | System | Display (en-US) | Definition |
| claim-request | http://nphies.sa/terminology/CodeSystem/ksa-message-events | Claim Request | A request for adjudication of a claim for products and services. |
| cancel-request | http://nphies.sa/terminology/CodeSystem/ksa-message-events | Cancel Request | A request to cancel the processing, where complete or not, of a prior submission such as a claim. |
| communication-request | http://nphies.sa/terminology/CodeSystem/ksa-message-events | Communication Request | A request for supporting information for a previously submitted request. |
| batch-request | http://nphies.sa/terminology/CodeSystem/ksa-message-events | Batch-Request | A request for adjudication of a batch of claims for products and services. |
| payment-notice | http://nphies.sa/terminology/CodeSystem/ksa-message-events | Payment Notice | A notice providing the current status of a payment. |
| communication | http://nphies.sa/terminology/CodeSystem/ksa-message-events | Communication | A provision of supporting information in response to a request or to support a prior submission. |
| cancel-response | http://nphies.sa/terminology/CodeSystem/ksa-message-events | Cancel Response | A response to request to cancel the processing, where complete or not, of a prior submission such as a claim. |
| eligibility-response | http://nphies.sa/terminology/CodeSystem/ksa-message-events | Eligibility Response | A message responding to the Eligibility Request with errors or insurance details. |
| eligibility-request | http://nphies.sa/terminology/CodeSystem/ksa-message-events | 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. |
| nullify-request | http://nphies.sa/terminology/CodeSystem/ksa-message-events | 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 | http://nphies.sa/terminology/CodeSystem/ksa-message-events | Status Response | A response to a request to check on the processing status of a prior submission. |
| status-check | http://nphies.sa/terminology/CodeSystem/ksa-message-events | Status Check | A request to check on the processing status of a prior submission. |
| poll-request | http://nphies.sa/terminology/CodeSystem/ksa-message-events | Poll Request | A request for the next 'n' undelivered messages from the queue of undelivered messages for the requetor. |
| payment-reconciliation | http://nphies.sa/terminology/CodeSystem/ksa-message-events | Payment Reconciliation | A report of a payment and the allocation of the payment to the respective claims being settled. |
| priorauth-request | http://nphies.sa/terminology/CodeSystem/ksa-message-events | Prior Authorization Request | A request for prior authorization of products and services. |
| priorauth-response | http://nphies.sa/terminology/CodeSystem/ksa-message-events | Prior Authorization Response | A response to a request for prior authorization of products and services. |
| acknowledgement | http://nphies.sa/terminology/CodeSystem/ksa-message-events | Acknowledgement | Message with just a MessageHeader, and optional referenced OperationOutcome if there are errors, to acknowledge the receipt of a request. |
| poll-response | http://nphies.sa/terminology/CodeSystem/ksa-message-events | Poll Response | A message responding to a poll-request containing up to 'n' requested undelivered messages. |
| claim-response | http://nphies.sa/terminology/CodeSystem/ksa-message-events | Claim Response | A response to a request for adjudication of a claim for products and services. |
| nullify-response | http://nphies.sa/terminology/CodeSystem/ksa-message-events | 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 | http://nphies.sa/terminology/CodeSystem/ksa-message-events | Error Notice | A notice providing the error detected in the received message. |
| batch-response | http://nphies.sa/terminology/CodeSystem/ksa-message-events | Batch Response | A response for adjudication of a batch of claims for products and services. |
| advanced-authorization | http://nphies.sa/terminology/CodeSystem/ksa-message-events | Advanced Authorization | A response without existing request for prior authorization of products and services. |
| prescriber-response | http://nphies.sa/terminology/CodeSystem/ksa-message-events | Prescriber Response | A response for advisory request received from provider during medication prescription |
| prescriber-request | http://nphies.sa/terminology/CodeSystem/ksa-message-events | Prescriber Request | A request for advisory response from payer during medication prescription |
Explanation of the columns that may appear on this page:
| Level | A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies |
| System | The source of the definition of the code (when the value set draws in codes defined elsewhere) |
| Code | The code (used as the code in the resource instance) |
| Display | The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application |
| Definition | An explanation of the meaning of the concept |
| Comments | Additional notes about how to use the code |