| FICR_HD660100UV01 Invoice Re-Adjudication Request |
Description: Entry Point for Invoice Re-Adjudication message (Link to Excel View) Derived from RMIM: FICR_RM660000UV01 |
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| InvoiceElementGroup |
Design Comments: MoodCode: PRP - auth, pre-det, cov ext RQO - invoice |
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| classCode [1..1] (M) Act (CS) {CNE:V:ActClassInvoiceElement, root= "INVE"} |
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| moodCode [1..1] (M) Act (CS) {CNE:V:ActMoodRequest, root= "RQO"} |
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| id [1..*] (M) Act (DSET<II>) |
Design Comments: may include data centre and sequence numbers |
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| code [1..1] (M) Act (CS) {CNE:V:ActInvoiceGroupCode} |
Design Comments: Invoice Type e.g. Healthcare Services, Rx Dispense, Rx Compound, Healthcare Goods, Preferred Accomodation |
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| netAmt [1..1] (M) InvoiceElement (MO) |
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| triggerFor [1..*] (Trigger) | |||||||||
| Trigger | |||||||||
| typeCode [1..1] (M) ActRelationship (CS) {CNE:V:ActRelationshipHasTrigger, root= "TRIG"} |
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| invoiceElementOverride [1..1] (InvoiceElementOverride) | |||||||||
| InvoiceElementOverride | |||||||||
| classCode [1..1] (M) Act (CS) {CNE:V:ActClassRoot, root= "ACT"} |
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| moodCode [1..1] (M) Act (CS) {CNE:V:ActMoodEventOccurrence, root= "EVN"} |
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| code [1..1] (M) Act (CS) {CNE:V:ActInvoiceOverrideCode} |
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| text [0..1] Act (ST) |
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