Item Ranking

R Element Note

10-100

transaction source (10)

field (20)

access restriction (20)

claim form type (20)

flex code system (30)

flex code field usage (40)

flex code set detail (40)

dynamic field usage (60)

Set-up required for linked data

prefix (20)

title (20)

dynamic logic (80)

Rank 10 to 100 - serial processing (to prevent optimistic locking)

Includes all configuration with circular dependencies and all base configuration required to load linked data (rank 110)

101

flex code

102

insurable entity type

flex code group

103

line of business

country

flex code group detail

104

country region

105

bank

bank account validation

service address

specialty

110

diagnosis

procedure

provider

115

reference sheet

116

reference sheet line

Includes all reference sheet lines without a tabl_id and record_id; the reference sheet lines that have a tabl_id and record_id are included inline with the applicable provider pricing clauses

120

access role

address type

adjustment execution phase

authorization form

benefit priority

boilerplate text

claim form

claim transaction event rule

classification

classification priority

contract reference

country region group

coverage label

currency

data access group

diagnosis group

diagnosis type

dynamic logic reference sheet

episode category

funding arrangement

floorplan

gender identity

geographic region

grouping label

identifiers type

message

message creation scenario

modifier

payer

pend reason

pricing priority

procedure group

process field derivation priority

product line

product family

product priority

provider assignment type

provider group

reimbursement method type

service type

settlement reason

transaction scenario

unfinalize reason

125

diagnosis group detail

procedure group detail

provider group affiliation

130

authorization regime

basket

brand

case definition

charged amount

claim access restriction

combination check

cover withhold category

derivation rule

diminishing rate

episode definition

fee schedule

limit

location type

message group

payment function

pricing option

provider category

provider limit category

reservation regime

skip tag

tag type

unfinalize reason group

waiting period regime

135

fee schedule line

sub limit

140

bundled amount

claim event rule

coverage regime

external intervention rule

location type group

post benefits regime

pricing template

150

benefit specification

pricing rule

process field derivation rule

160

product

165

product benefit specification

170

dynamic check

product category

180

callout rule

classification scheme

validation rule

190

activity type

advice response definition

callout definition

eligibility response definition

exchange rate

financial hold type

HTTP link

provider pricing clause