Code | Description | Comment | Version |
AA | Authorization request for inpatient admission | | added v2.6 |
AI | Combined Authorization and Adjudication request | | added v2.6 |
CA | Cancel Authorization request | | added v2.6 |
CG | Cancel Invoice Product/Service Group | Cancel a specific Product/Service Group in an Invoice | added v2.6 |
CL | Cancel Invoice Product/Service Line Item | Cancel a specific Product/Service Line Item in an Invoice | added v2.6 |
CN | Cancel Invoice | Can be used to reverse or cancel an invoice in progress or reverse a paid invoice. Receiver may only mark Invoice as cancelled, not purge records | added v2.6 |
CP | Copy of Invoice | | added v2.6 |
CQ | Coverage Register Query | | added v2.6 |
EA | Authorization request for inpatient stay extension | | added v2.6 |
OA | Original Authorization | | added v2.6 |
OR | Original Invoice | | added v2.6 |
PA | Pre-Authorization | | added v2.6 |
PD | Pre-Determination Invoice | Can be used to submit an invoice through a Payer's edit and adjudication engine to determine if the invoice will be paid - does not result in payment by Payer | added v2.6 |
RA | Re-Assessment | Used on EHC^E04 only | added v2.6 |
RC | Referral Pre-Authorization | | added v2.6 |
RU | Referral authorization | | added v2.6 |
SA | Special Authorization | | added v2.6 |