|
Code
|
Display
|
Definition
|
|
AT
|
Attachment |
Attachment |
|
VRCF
|
Vehicle Registration Certificate / Smart card |
Vehicle Registration Certificate / Smart card |
|
WB
|
Water Bill with address |
Water Bill with address |
|
EB
|
Electricity Bill of Govt./private company (not older than 3 months) |
Electricity Bill of Govt./private company (not older than 3 months) |
|
TB
|
Telephone Bill of a fixed line. (Any Service Provider) |
Telephone Bill of a fixed line. (Any Service Provider) |
|
RA
|
Registered Sale/Lease (Rent) Agreement |
Registered Sale/Lease (Rent) Agreement |
|
IAO
|
IT Assessment Order |
IT Assessment Order |
|
SRIC
|
Surrender ID Card (BLT etc.) issued by Govt. of India signed by IGP of the state |
Surrender ID Card (BLT etc.) issued by Govt. of India signed by IGP of the state |
|
PDS
|
PDS Card |
PDS Card |
|
MNREGA
|
MNREGA Job Card |
MNREGA Job Card |
|
ACC
|
Army Canteen Card |
Army Canteen Card |
|
FED
|
Any other Central/ State government issued family entitlement document |
Any other Central/ State government issued family entitlement document |
|
MCF
|
Marriage Certificate issued by the government |
Marriage Certificate issued by the government |
|
DCB
|
Discharge card/ slip issued by Government hospitals for birth of a child |
Discharge card/ slip issued by Government hospitals for birth of a child |
|
CFIG
|
Certificate of Identity having photo issued by MP or MLA or MLC or Municipal Councillor or Gazetted Officer on UIDAI standard certificate format |
Certificate of Identity having photo issued by MP or MLA or MLC or Municipal Councillor or Gazetted Officer on UIDAI standard certificate format |
|
CFIP
|
Certificate of Identity having photo and relationship with HoF issued by Village Panchayat Head or Mukhiya or its equivalent authority (for rural areas) |
Certificate of Identity having photo and relationship with HoF issued by Village Panchayat Head or Mukhiya or its equivalent authority (for rural areas) |
|
CFIE
|
Certificate of Identity containing Name, DOB and Photo issued by Recognized Educational Institution signed by Head of Institute on UIDAI standard certificate format |
Certificate of Identity containing Name, DOB and Photo issued by Recognized Educational Institution signed by Head of Institute on UIDAI standard certificate format |
|
CFIU
|
Certificate of identity containing Name, DOB and Photograph issued by Employees Provident Fund Organisation (EPFO) on UIDAI standard certificate format |
Certificate of identity containing Name, DOB and Photograph issued by Employees Provident Fund Organisation (EPFO) on UIDAI standard certificate format |
|
SSLC
|
SSLC Book/ Certificate |
SSLC Book/ Certificate |
|
MRU
|
Marksheet issued by any Government Board or University |
Marksheet issued by any Government Board or University |
|
PIC
|
Government Photo ID Card/ Photo Identity Card issued by PSU containing DOB |
Government Photo ID Card/ Photo Identity Card issued by PSU containing DOB |
|
ESR
|
Extract of School Records issued by Head of School containing Name, Date of Birth and Photograph |
Extract of School Records issued by Head of School containing Name, Date of Birth and Photograph |
|
PS
|
Photograph of self |
Photograph of self |
|
PF
|
Photograph of family |
Photograph of family |
|
PD
|
Photograph of dead person |
Photograph of dead person |
|
PCA
|
Photograph (any other required for claims adjudication) |
Photograph (any other required for claims adjudication) |
|
SDF
|
Self signed declaration form |
Self signed declaration form |
|
HDF
|
Hospital stamped and signed hospital declaration form |
Hospital stamped and signed hospital declaration form |
|
MDF
|
Any other consent form or miscellaneous declaration form |
Any other consent form or miscellaneous declaration form |
|
WS
|
Self signature (wet signature) scanned copy |
Self signature (wet signature) scanned copy |
|
HS
|
Hospital signature and stamp (scanned copy) |
Hospital signature and stamp (scanned copy) |
|
MDC
|
Medical Certificate |
Medical Certificate |
|
FB
|
Final Bill |
Final Bill |
|
IB
|
Interim Bill |
Interim Bill |
|
ESB
|
Estimate Bill |
Estimate Bill |
|
LIR
|
Lab Investigation Report |
Lab Investigation Report |
|
RDR
|
Radiology Report |
Radiology Report |
|
IR
|
Imaging Report with study |
Imaging Report with study |
|
GAR
|
Genetic Assessment Report |
Genetic Assessment Report |
|
DRRL
|
Doctor Referral letter (to specialist) |
Doctor Referral letter (to specialist) |
|
URL
|
Upward Referral Letter (referral from HWC, SC, PHC,CHC to District Hospital) |
Upward Referral Letter (referral from HWC, SC, PHC,CHC to District Hospital) |
|
DRL
|
Downward Referral Letter (referral from higher facility to the original referee facility) |
Downward Referral Letter (referral from higher facility to the original referee facility) |
|
IHRL
|
Inter Hospital Referral Letter |
Inter Hospital Referral Letter |
|
DRRLH
|
Doctor Referral letter (to hospital) |
Doctor Referral letter (to hospital) |
|
DSTEL
|
Doctor signed treatment extension letter |
Doctor signed treatment extension letter |
|
DSDEL
|
Doctor signed discharge extension letter |
Doctor signed discharge extension letter |
|
PDRRL
|
Post discharge readmission request letter |
Post discharge readmission request letter |
|
DRP
|
Doctor Prescription |
Doctor Prescription |
|
CSN
|
Consultation Summary Note |
Consultation Summary Note |
|
DPN
|
Daily progress note |
Daily progress note |
|
NN
|
Nursing note |
Nursing note |
|
OSN
|
OT Surgery Note |
OT Surgery Note |
|
FS
|
Flowsheet |
Flowsheet |
|
IMR
|
ICU monitoring reports with note |
ICU monitoring reports with note |
|
MDN
|
Medication Diapensation Note |
Medication Diapensation Note |
|
CP
|
CarePlan |
CarePlan |
|
ETN
|
Emergency Treatment Note |
Emergency Treatment Note |
|
BMR
|
Bedside monitoring report |
Bedside monitoring report |
|
PCTR
|
Point of care testing report |
Point of care testing report |
|
FIR
|
FIR report |
FIR report |
|
DTH
|
DischargeToHome (Discharge disposition status) |
DischargeToHome (Discharge disposition status) |
|
DTM
|
DischargetoMortuary(death disposition) |
DischargetoMortuary(death disposition) |
|
DTU
|
DischargeToUnknownLocation |
DischargeToUnknownLocation |
|
DTS
|
DischargeToDifferentState |
DischargeToDifferentState |
|
DTC
|
DischargeToDifferentCountry |
DischargeToDifferentCountry |
|
ADDD
|
Admission date -Discharge date |
Admission date -Discharge date |
|
DSDE
|
Discharge start-discharge end time |
Discharge start-discharge end time |
|
PNR
|
PatientNormalRoom (start datetime- enddatetime) |
PatientNormalRoom (start datetime- enddatetime) |
|
PER
|
PatientEmergencyRoom(start datetime-enddatetime) |
PatientEmergencyRoom(start datetime-enddatetime) |
|
PSP
|
PatientSurgeryPerformed(startdatetime-enddatetime) |
PatientSurgeryPerformed(startdatetime-enddatetime) |
|
PIS
|
PatientICUStay (startdatetime-enddatetime) |
PatientICUStay (startdatetime-enddatetime) |
|
PPD
|
ProcedurePerformedDetail |
ProcedurePerformedDetail |
|
PPDT
|
ProcedurePerformedDateTime |
ProcedurePerformedDateTime |
|
SRD
|
ServiceRenderedDetail |
ServiceRenderedDetail |
|
SRDT
|
ServiceRenderedDateTime |
ServiceRenderedDateTime |
|
IPD
|
InvestigationPerformedDetail |
InvestigationPerformedDetail |
|
IPDT
|
InvestigationPerformedDetailDateTime |
InvestigationPerformedDetailDateTime |
|
IPE
|
InsurancePolicyExclusion |
InsurancePolicyExclusion |
|
CPNC
|
CostlyProcedureNotCoveredInPolicy |
CostlyProcedureNotCoveredInPolicy |
|
EMNC
|
ExpensiveMedicinesNotCoveredinPackage |
ExpensiveMedicinesNotCoveredinPackage |
|
CDNC
|
ConsummablesAndDisposiblesNotcoveredinPolicy |
ConsummablesAndDisposiblesNotcoveredinPolicy |
|
ED
|
EmploymentDetail |
EmploymentDetail |
|
CIA
|
Cause of Injury or Accident |
Cause of Injury or Accident |
|
PCAI
|
Patient Condition at time of admission after injury |
Patient Condition at time of admission after injury |
|
VAD
|
Vehicle Acident detail |
Vehicle Acident detail |
|
FBD
|
Fire Burns detail |
Fire Burns detail |
|
SBD
|
Snake Bite detail |
Snake Bite detail |
|
ESD
|
Electric Shock detail |
Electric Shock detail |
|
CPSD
|
Consumption of Poisonous substance detail(FIR Registered or not) |
Consumption of Poisonous substance detail(FIR Registered or not) |
|
AHBD
|
Attack on human body detail (FIR Registered or not) |
Attack on human body detail (FIR Registered or not) |
|
ITPP
|
ImmediateTreatmentProvidedToPatientAfterAccident |
ImmediateTreatmentProvidedToPatientAfterAccident |
|
PCDT
|
AnyPreviousClaimsDueToAccident (previous claim detail) |
AnyPreviousClaimsDueToAccident (previous claim detail) |
|
DOA
|
Date of Accident or Injury |
Date of Accident or Injury |
|
DHDA
|
Date-Time of Hospitalization Due to Accident |
Date-Time of Hospitalization Due to Accident |
|
EDT
|
EncounterDateTime |
EncounterDateTime |
|
ET
|
EncounterType |
EncounterType |
|
RC
|
ReasonCode (encounter reason) |
ReasonCode (encounter reason) |
|
EO
|
EncounterOutcome |
EncounterOutcome |
|
CRD
|
Claim received date time |
Claim received date time |
|
DD
|
document detail (submitted with claims) |
document detail (submitted with claims) |
|
CNCR
|
courier number of claim reciept |
courier number of claim reciept |
|
MLC
|
MLC Case (Boolean Y/N) |
MLC Case (Boolean Y/N) |
|
MPC
|
MultiPayorClaim (Boolean Y/N) |
MultiPayorClaim (Boolean Y/N) |
|
PSPD
|
Primary and Secondary Payor Detail (in case of Multi Payor claim) |
Primary and Secondary Payor Detail (in case of Multi Payor claim) |
|
POSC
|
PrimaryorSecondaryClaim |
PrimaryorSecondaryClaim |
|
DCSPP
|
Details of claim settled by primary payor (in case of secondary claims - attachment) |
Details of claim settled by primary payor (in case of secondary claims - attachment) |
|
PIPC
|
PMJAYInsurancePortabilityCase (Y/N) (treatment received in a different state) |
PMJAYInsurancePortabilityCase (Y/N) (treatment received in a different state) |
|
PSD
|
PrimarySHADetails (SHA/TPA detail of state where PMJAY benefeciary belongs to) |
PrimarySHADetails (SHA/TPA detail of state where PMJAY benefeciary belongs to) |
|
SSD
|
SecondarySHADetails (SHA/TPA detail of state where benefeciary received treatment) |
SecondarySHADetails (SHA/TPA detail of state where benefeciary received treatment) |
|
EI
|
EmploymentImpacted (Y/N) for long disabilities) |
EmploymentImpacted (Y/N) for long disabilities) |
|
EID
|
Employment impacted period (start date - end date) |
Employment impacted period (start date - end date) |
|
HI
|
HospitalizedIndicator (if patient was hospitalized or not - Y/N) |
HospitalizedIndicator (if patient was hospitalized or not - Y/N) |
|
MF
|
Materials Forwarded |
Materials Forwarded |
|
CQD
|
Claim query detail |
Claim query detail |
|
TD
|
Treatment detail |
Treatment detail |
|
ARC
|
Additional info related to claim ( conveying additional situation and condition information.) |
Additional info related to claim ( conveying additional situation and condition information.) |
|
BCF
|
Birth Certificate issued by Registrar of Birth, Municipal Corporation and other notified local government bodies like Taluk, Tehsil etc. |
Birth Certificate issued by Registrar of Birth, Municipal Corporation and other notified local government bodies like Taluk, Tehsil etc. |
|
PBC
|
PMJAY Beneficiary Card |
PMJAY Beneficiary Card |
|
IC
|
Insurance Card |
Insurance Card |
|
EMPID
|
Employment ID card |
Employment ID card |
|
PAL
|
Preauthorization approval letter |
Preauthorization approval letter |
|
CAL
|
Claim approval letter |
Claim approval letter |
|
DCR
|
Discharge Summary Report |
Discharge Summary Report |
|
DSR
|
Death Summary Report |
Death Summary Report |
|
LAMA
|
Discharge Summary with LAMA |
Discharge Summary with LAMA |
|
DAMA
|
Discharge Summary with DAMA |
Discharge Summary with DAMA |