Code | Display | Definition | V2 Concept Comment | V2 Concept Comment As Published |
OR | Original Invoice | Original Invoice | | |
CN | Cancel Invoice | 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 | 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 |
CG | Cancel Invoice Product/Service Group | Cancel Invoice Product/Service Group | Cancel a specific Product/Service Group in an Invoice | Cancel a specific Product/Service Group in an Invoice |
CL | Cancel Invoice Product/Service Line Item | Cancel Invoice Product/Service Line Item | Cancel a specific Product/Service Line Item in an Invoice | Cancel a specific Product/Service Line Item in an Invoice |
PD | Pre-Determination Invoice | 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 | 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 |
RA | Re-Assessment | Re-Assessment | Used on EHC^E04 only | Used on EHC^E04 only |
OA | Original Authorization | Original Authorization | | |
SA | Special Authorization | Special Authorization | | |
AI | Combined Authorization and Adjudication request | Combined Authorization and Adjudication request | | |
PA | Pre-Authorization | Pre-Authorization | | |
AA | Authorization request for inpatient admission | Authorization request for inpatient admission | | |
EA | Authorization request for inpatient stay extension | Authorization request for inpatient stay extension | | |
RC | Referral Pre-Authorization | Referral Pre-Authorization | | |
CA | Cancel Authorization request | Cancel Authorization request | | |
CP | Copy of Invoice | Copy of Invoice | | |
CQ | Coverage Register Query | Coverage Register Query | | |
RU | Referral authorization | Referral authorization | | |