Code | System | Display |
POI-1 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Aadhar Identity Card |
POI-2 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Passport |
POI-3 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Driving License |
POI-4 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Election Commision's Voter ID card |
POI-5 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Income Tax PAN Card |
POI-6 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Photo Credit Card/ Debit card (with Photo) |
POI-7 | http://hcxprotocol.io/codes/claim-supporting-info-codes | ECHS / CGHS Card having photo |
POI-8 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Domicile Certificate / Caste Certificate with photograph |
POI-9 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Current passbook of Post Office / Govt. /PSU Bank/private banks |
POI-10 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Student ID card of the Govt. recognized educational institutions with photograph on it. |
POI-11 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Ration Card with photograph & address. (Issued from Maharashtra state not valid ) |
POI-12 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Smart Card issued by CSD, Defence / Paramilitary Forces |
POI-13 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Arms License |
POI-14 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Senior Citizen Card having photo issued by the Govt. |
POI-15 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Pensioners Card having photo issued by the Govt. |
POI-16 | http://hcxprotocol.io/codes/claim-supporting-info-codes | ID Card issued to Tibetan (Refugees) Citizens by State Govt. / Central Govt. of India having photo |
POI-17 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Defence Personnel - Armed Forces ;Certificate from Competent Unit Authority |
POI-18 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Certificate of Address having Photo, issued by MP/ MLA / Group A Gazetted Officer on letter head with seal |
POI-19 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Certificate of address with photo from Govt. recognized educational institution (for students only) |
POI-20 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Certificate of Address having Photo, issued by Head of Village / Gram Panchayat or its equivalent Authority. (for Rural Areas) |
POI-21 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Address Card with Photo issued by Dept. of Posts |
POI-23 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Freedom fighter card with photo |
POI-24 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Kissan Passbook with photo |
POA-1 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Aadhaar Identity Card |
POA-2 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Attachment |
POA-3 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Passport |
POA-4 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Driving License (Issued from Maharashtra state not valid ) |
POA-5 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Election Commission’s Voter ID Card |
POA-6 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Vehicle Registration Certificate / Smart card |
POA-7 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Water Bill with address |
POA-8 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Electricity Bill of Govt./private company (not older than 3 months) |
POA-9 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Telephone Bill of a fixed line. (Any Service Provider) |
POA-10 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Registered Sale/Lease (Rent) Agreement |
POA-11 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Credit card statement with address |
POA-12 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Ration Card with photograph. (Issued from Maharashtra state not valid ) |
POA-13 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Certificate of address with photo from Govt. recognized educational institution (for students only) |
POA-14 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Current passbook of Post Office / Govt./PSU/private banks with complete address |
POA-15 | http://hcxprotocol.io/codes/claim-supporting-info-codes | IT Assessment Order |
POA-16 | http://hcxprotocol.io/codes/claim-supporting-info-codes | ECHS / CGHS Card having photo & address |
POA-17 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Domicile Certificate / Caste Certificate with photograph & address |
POA-18 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Arms License |
POA-19 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Senior Citizen Card having photo & address issued by the Govt. |
POA-20 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Pensioners Card having photo & address issued by the Govt. |
POA-21 | http://hcxprotocol.io/codes/claim-supporting-info-codes | ID Card issued to Tibetan (Refugees) Citizens by State Govt. / Central Govt. of India having photo & address |
POA-22 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Defence Personnel – Armed Forces ;Certificate from Competent Unit Authority |
POA-23 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Certificate of Address having Photo, issued by MP/ MLA / Group A Gazetted Officer on letter head with seal |
POA-24 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Certificate of Address having Photo, issued by Head of Village / Gram Panchayat or its equivalent Authority. (for Rural Areas) |
POA-25 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Address Card with Photo issued by Dept. of Posts |
POA-26 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Freedom fighter card with photo & address |
POA-27 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Kissan Passbook with photo & address |
POA-28 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Surrender ID Card (BLT etc.) issued by Govt. of India & signed by IGP of the state |
POR-1 | http://hcxprotocol.io/codes/claim-supporting-info-codes | PDS Card |
POR-2 | http://hcxprotocol.io/codes/claim-supporting-info-codes | MNREGA Job Card |
POR-3 | http://hcxprotocol.io/codes/claim-supporting-info-codes | CGHS/ State Government/ ECHS/ ESIC Medical card |
POR-4 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Pension Card |
POR-5 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Army Canteen Card |
POR-6 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Passport |
POR-7 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Birth Certificate issued by Registrar of Birth, Municipal Corporation and other notified local government bodies like Taluk, Tehsil etc. |
POR-8 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Any other Central/ State government issued family entitlement document |
POR-9 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Marriage Certificate issued by the government |
POR-10 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Address card having name and photo issued by Department of Posts |
POR-11 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Bhamashah Card/Jan-Aadhaar card issued by Govt. of Rajasthan |
POR-12 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Discharge card/ slip issued by Government hospitals for birth of a child |
POR-13 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Certificate of Identity having photo issued by MP or MLA or MLC or Municipal Councillor or Gazetted Officer on UIDAI standard certificate format |
POR-14 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Certificate of Identity having photo and relationship with HoF issued by Village Panchayat Head or Mukhiya or its equivalent authority (for rural areas) |
DOB-1 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Birth Certificate issued by Registrar of Birth, Municipal Corporation and other notified local government bodies like Taluk, Tehsil etc. |
DOB-2 | http://hcxprotocol.io/codes/claim-supporting-info-codes | SSLC Book/ Certificate |
DOB-3 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Passport |
DOB-4 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Certificate of Date of Birth issued by Group A Gazetted Officer on UIDAI standard certificate format |
DOB-5 | http://hcxprotocol.io/codes/claim-supporting-info-codes | A certificate (on UIDAI standard certificate format for enrolment/ update) or ID Card having photo and Date of Birth (DOB) duly signed and issued by a Government authority |
DOB-6 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Photo ID card having Date of Birth, issued by Recognized Educational Institution |
DOB-7 | http://hcxprotocol.io/codes/claim-supporting-info-codes | PAN Card |
DOB-8 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Marksheet issued by any Government Board or University |
DOB-9 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Government Photo ID Card/ Photo Identity Card issued by PSU containing DOB |
DOB-10 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Central/ State Pension Payment Order |
DOB-11 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Central Government Health Service Scheme Photo Card or Ex-Servicemen Contributory Health Scheme Photo card |
DOB-12 | http://hcxprotocol.io/codes/claim-supporting-info-codes | School Leaving Certificate (SLC)/ School Transfer Certificate (TC), containing Name and Date of Birth |
DOB-13 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Extract of School Records issued by Head of School containing Name, Date of Birth and Photograph |
DOB-14 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Certificate of Identity containing Name, DOB and Photo issued by Recognized Educational Institution signed by Head of Institute on UIDAI standard certificate format |
DOB-15 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Certificate of identity containing Name, DOB and Photograph issued by Employees’ Provident Fund Organisation (EPFO) on UIDAI standard certificate format |
PHT-1 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Photograph of self |
PHT-2 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Photograph of family |
PHT-3 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Photograph of dead person |
PHT-4 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Photograph (any other required for claims adjudication) |
BVC-1 | http://hcxprotocol.io/codes/claim-supporting-info-codes | PMJAY Beneficiary Card |
BVC-2 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Insurance Card |
BVC-3 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Employment ID card (for corporate cases) |
BVC-4 | http://hcxprotocol.io/codes/claim-supporting-info-codes | ESHS/ESI card |
BVC-5 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Bhamashah Card or any other Insurance scheme card |
DEF-1 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Self signed declaration form |
DEF-2 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Hospital stamped and signed hospital declaration form |
DEF-3 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Any other consent form or miscellaneous declaration form |
SIG-1 | http://hcxprotocol.io/codes/claim-supporting-info-codes | self signature (wet signature) scanned copy |
SIG-2 | http://hcxprotocol.io/codes/claim-supporting-info-codes | hospital signature and stamp (scanned copy) |
FCF-1 | http://hcxprotocol.io/codes/claim-supporting-info-codes | duly signed filled Preauthorization form (scan) |
FCF-2 | http://hcxprotocol.io/codes/claim-supporting-info-codes | duly signed filled Claim form (scan) |
CER | http://hcxprotocol.io/codes/claim-supporting-info-codes | Medical Certificate |
MB-1 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Final Bill |
MB-2 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Interim Bill |
MB-3 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Estimate Bill |
DIA-1 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Lab Investigation Report |
DIA-2 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Radiology Report |
DIA-3 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Imaging Report with studies |
DIA-4 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Genetic Assessment Report |
HDS-1 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Discharge Summary Report |
HDS-2 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Death Summary Report |
HDS-3 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Discharge Summary with LAMA/DAMA |
REF-1 | http://hcxprotocol.io/codes/claim-supporting-info-codes | CGHS Refferal Letter |
REF-2 | http://hcxprotocol.io/codes/claim-supporting-info-codes | ECHS/ESI Doctor Referral Letter |
REF-3 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Doctor Referral letter (to specialist) |
REF-4 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Upward Referral Letter (referral from HWC, SC, PHC,CHC to District Hospital) |
REF-5 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Downward Referral Letter (referral from higher facility to the original referee facility) |
REF-6 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Inter Hospital Referral Letter |
REF-7 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Doctor Referral letter (to hospital) |
DEL-1 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Doctor signed treatment extension letter |
DEL-2 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Doctor signed discharge extension letter |
DEL-3 | http://hcxprotocol.io/codes/claim-supporting-info-codes | post discharge readmission request letter |
CD-1 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Doctor Prescription |
CD-2 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Consultation Summary Note |
CD-3 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Daily progress note |
CD-4 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Nursing notes |
CD-5 | http://hcxprotocol.io/codes/claim-supporting-info-codes | OT Surgery Notes |
CD-6 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Flowsheet |
CD-7 | http://hcxprotocol.io/codes/claim-supporting-info-codes | ICU monitoring reports with notes |
CD-8 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Medication Diapensation Notes |
CD-9 | http://hcxprotocol.io/codes/claim-supporting-info-codes | CarePlan |
CD-10 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Emergency Treatment Notes |
CD-11 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Bedside monitoring report |
CD-12 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Point of care testing report |
EID-1 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Employment ID card |
EID-2 | http://hcxprotocol.io/codes/claim-supporting-info-codes | CGHS card or Pension document |
EID-3 | http://hcxprotocol.io/codes/claim-supporting-info-codes | ECHS service card |
FIR-1 | http://hcxprotocol.io/codes/claim-supporting-info-codes | FIR report |
CIL-1 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Preauthorization approval letter |
CIL-2 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Claim approval letter |
CIL- 3 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Treatment Authorization latter from employer(for public and private sector employees,CGHS, ECHS employees) |
DIS-1 | http://hcxprotocol.io/codes/claim-supporting-info-codes | LAMA |
DIS-2 | http://hcxprotocol.io/codes/claim-supporting-info-codes | DAMA |
DIS-3 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Normal Discharge |
DIS-4 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Death |
DIS-5 | http://hcxprotocol.io/codes/claim-supporting-info-codes | DischargeToHome (Discharge disposition status) |
DIS-6 | http://hcxprotocol.io/codes/claim-supporting-info-codes | DischargetoMortuary(death disposition) |
DIS-7 | http://hcxprotocol.io/codes/claim-supporting-info-codes | DischargeToUnknownLocation |
DIS-8 | http://hcxprotocol.io/codes/claim-supporting-info-codes | DischargeToDifferentState |
DIS-9 | http://hcxprotocol.io/codes/claim-supporting-info-codes | DischargeToDifferentCountry |
ONS-1 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Admission date -Discharge date |
ONS-2 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Discharge start-discharge end time |
ONS-3 | http://hcxprotocol.io/codes/claim-supporting-info-codes | PatientNormalRoom (start datetime- enddatetime) |
ONS-4 | http://hcxprotocol.io/codes/claim-supporting-info-codes | PatientEmergencyRoom(start datetime-enddatetime) |
ONS-5 | http://hcxprotocol.io/codes/claim-supporting-info-codes | PatientSurgeryPerformed(startdatetime-enddatetime) |
ONS-6 | http://hcxprotocol.io/codes/claim-supporting-info-codes | PatientICUStay (startdatetime-enddatetime) |
REL-1 | http://hcxprotocol.io/codes/claim-supporting-info-codes | ProcedurePerformedDetail |
REL-2 | http://hcxprotocol.io/codes/claim-supporting-info-codes | ProcedurePerformedDateTime |
REL-3 | http://hcxprotocol.io/codes/claim-supporting-info-codes | ServiceRenderedDetail |
REL-4 | http://hcxprotocol.io/codes/claim-supporting-info-codes | ServiceRenderedDateTime |
REL-5 | http://hcxprotocol.io/codes/claim-supporting-info-codes | InvestigationPerformedDetail |
REL-6 | http://hcxprotocol.io/codes/claim-supporting-info-codes | InvestigationPerformedDetailDateTime |
EXC-1 | http://hcxprotocol.io/codes/claim-supporting-info-codes | InsurancePolicyExclusions |
EXC-2 | http://hcxprotocol.io/codes/claim-supporting-info-codes | CostlyProcedureNotCoveredInPolicy |
EXC-3 | http://hcxprotocol.io/codes/claim-supporting-info-codes | ExpensiveMedicinesNotCoveredinPackage |
EXC-4 | http://hcxprotocol.io/codes/claim-supporting-info-codes | ConsummablesAndDisposiblesNotcoveredinPolicy |
EMP-1 | http://hcxprotocol.io/codes/claim-supporting-info-codes | EmploymentDetail |
COI-1 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Cause of Injury or Accident |
COI-2 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Patient Condition at time of admission after injury |
COI-3 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Vehicle Acident detail |
COI-4 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Fire Burns detail |
COI-5 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Snake Bite detail |
COI-6 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Electric Shock detail |
COI -7 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Consumption of Poisonous substance detail(FIR Registered or not) |
COI-8 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Attack on human body detail (FIR Registered or not) |
COI-9 | http://hcxprotocol.io/codes/claim-supporting-info-codes | ImmediateTreatmentProvidedToPatientAfterAccident |
COI-10 | http://hcxprotocol.io/codes/claim-supporting-info-codes | AnyPreviousClaimsDueToAccident (previous claim details) |
COI-11 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Date of Accident or Injury |
COI-12 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Date-Time of Hospitalization Due to Accident |
VRE-1 | http://hcxprotocol.io/codes/claim-supporting-info-codes | EncounterDateTime |
VRE-2 | http://hcxprotocol.io/codes/claim-supporting-info-codes | EncounterType |
VRE-3 | http://hcxprotocol.io/codes/claim-supporting-info-codes | ReasonCodes (encounter reason) |
VRE-4 | http://hcxprotocol.io/codes/claim-supporting-info-codes | EncounterOutcome |
CRD-1 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Claim received date time |
CRD-2 | http://hcxprotocol.io/codes/claim-supporting-info-codes | document details (submitted with claims) |
CRD-3 | http://hcxprotocol.io/codes/claim-supporting-info-codes | courier number of claim reciept |
IND-1 | http://hcxprotocol.io/codes/claim-supporting-info-codes | MLC Case (Boolean Y/N) |
IND-2 | http://hcxprotocol.io/codes/claim-supporting-info-codes | MultiPayorClaim (Boolean Y/N) |
IND-3 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Primary and Secondary Payor Details (in case of Multi Payor claims) |
IND-4 | http://hcxprotocol.io/codes/claim-supporting-info-codes | PrimaryorSecondaryClaim |
IND-5 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Details of claim settled by primary payor (in case of secondary claims - attachment) |
IND-6 | http://hcxprotocol.io/codes/claim-supporting-info-codes | PMJAYInsurancePortabilityCase (Y/N) (treatment received in a different state) |
IND-7 | http://hcxprotocol.io/codes/claim-supporting-info-codes | PrimarySHADetails (SHA/TPA detail of state where PMJAY benefeciary belongs to) |
IND-8 | http://hcxprotocol.io/codes/claim-supporting-info-codes | SecondarySHADetails (SHA/TPA detail of state where benefeciary received treatment) |
IND-9 | http://hcxprotocol.io/codes/claim-supporting-info-codes | EmploymentImpacted (Y/N) for long disabilities) |
IND-10 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Employment impacted period (start date - end date) |
IND-11 | http://hcxprotocol.io/codes/claim-supporting-info-codes | HospitalizedIndicator (if patient was hospitalized or not - Y/N) |
MAT-1 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Materials Forwarded |
NMI-1 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Claim query detail |
TRD-1 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Treatment detail |
INF-1 | http://hcxprotocol.io/codes/claim-supporting-info-codes | additional info related to claim ( conveying additional situation and condition information.) |
INF-2 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Family Physician Name |
INF-3 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Family Physician Contact |
INF-4 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Family Physician Number |
INF-5 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Insurance Number |
INF-6 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Insurance Company |
INF-7 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Employee ID |
INF-8 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Employer Name |
INF-9 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Hospital Name |
INF-10 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Rohini ID |
INF-11 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Email |
INF-11 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Name of Insurance Company |
INF-12 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Name of TPA |
INF-13 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Proposer Name |
INF-14 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Patient's Member ID |
INF-15 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Relation with Proposer |
INF-16 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Expected Date of Admission |
INF-17 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Policy Number |
INF-18 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Expected Date of Discharge |
INF-19 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Room category |
INF-20 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Eligible Room Category as per T&C of Policy Contract |
INF-21 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Provisional Diagnosis |
INF-22 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Proposed line of treatment |
INF-23 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Estimated Length of stay |
TRD-2 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Medical Management |
TRD-3 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Surgical Management |
TRD-4 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Intensive Care |
TRD-5 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Investigation |
TRD-6 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Non allopathic treatment |
INF-24 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Name of treating Doctor |
INF-25 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Qualitifcation |
INF-26 | http://hcxprotocol.io/codes/claim-supporting-info-codes | Registation Number |
PoPr.locationPhoto | http://hcxprotocol.io/codes/claim-supporting-info-codes | Photo of the location with subject |
PoPr.deviceLocation | http://hcxprotocol.io/codes/claim-supporting-info-codes | Real time geolocation from certified devices |