Workflow Status Codes

Use this table to set the protected header values for an NHCX workflow. Set x-hcx-workflow_id from the Workflow ID column. Set x-hcx-status from the Status column.

Header fields

Field	Value source	Use
x-hcx-workflow_id	Workflow ID	Identifies the workflow stage.
x-hcx-status	Status	Identifies the protocol status.
Outcome note	NRCeS outcome	Adds source notes for the stage.

Workflow codes

Stage	Workflow ID	Status	Outcome note
Patient registered	10	request.initiate
Patient admitted	11	request.initiate
Discharge submitted	14	request.initiate
Preauthorization request resubmitted	16	request.initiate
Claim request in process	28	response.partial
Claim forwarded	29	response.partial
Payment processed	31	request.initiate
Payment settled	33	request.initiate
Discharge query response submitted	141	response.complete
Claim query response submitted	151	response.complete
Reprocess request approved	252	response.complete
Reprocess request rejected	253	response.complete
Reprocess request queried	254	request.initiate
Discharge request approved	261	response.partial
Discharge request rejected	262	response.complete
Discharge request queried	263	request.initiate
Preauthorization intimation	12	request.initiate	NR
Preauthorization reprocess intimation	121	request.initiate	NR
Claim document reprocess intimation	122	request.initiate	NR
Claim document reprocess acknowledgment	122	response.complete	Treat this as a protocol error.
Enhancement intimation	13	request.initiate	NR
Enhancement acknowledgment success	13	response.partial	queued; treat this as a protocol error.
Enhancement acknowledgment failure	13	response.error	error; treat this as a protocol error.
Enhancement query acknowledgment success	131	response.partial	Treat this as a protocol error.
Enhancement query acknowledgment failure	131	response.error	Treat this as a protocol error.
Enhancement query response	131	response.complete
Final bill intimation	45	request.initiate	NR
Final bill acknowledgment success	45	response.partial	queued; treat this as a protocol error.
Final bill acknowledgment failure	45	response.error	error; treat this as a protocol error.
Claim document intimation	15	request.initiate	NR
Final bill query response	181	response.complete
Claim document query response	161	response.complete
Payment notice received	17	response.complete
Preauthorization query acknowledgment success	18	response.partial
Preauthorization query acknowledgment failure	18	response.error	Treat this as a protocol error.
Preauthorization query response	19	response.complete
Preauthorization acknowledgment success	20	response.partial	queued
Preauthorization acknowledgment failure	20	response.error	error
Preauthorization approve	21	response.complete	partial
Enhancement approve	22	response.complete	partial
Preauthorization deny	23	response.complete	complete
Enhancement deny	231	response.complete	complete
Preauthorization query raised	24	request.initiate	NR
Enhancement query raised	241	request.initiate	NR
Claim document acknowledgment success	25	response.partial	queued
Claim document acknowledgment failure	25	response.error	error
Preauthorization reprocess acknowledgment	251	response.complete
Final bill approve	46	response.complete	partial
Claim document approve	26	response.complete	complete
Final bill query raised	47	request.initiate	NR
Final bill query acknowledgment success	47	response.partial	Treat this as a protocol error.
Final bill query acknowledgment failure	47	response.error	Treat this as a protocol error.
Claim document query raised	27	request.initiate	NR
Claim document query acknowledgment success	27	response.partial	Treat this as a protocol error.
Claim document query acknowledgment failure	27	response.error	Treat this as a protocol error.
Final bill deny	491	response.complete	complete
Claim document deny	291	response.complete	complete
Payment notice intimation	30	request.initiate
Payment notice acknowledgment success	30	response.partial	Treat this as a protocol error.
Payment notice acknowledgment failure	30	response.error	Treat this as a protocol error.
Enhancement reprocess intimation	NA	NA	NA
Enhancement reprocess acknowledgment	NA	NA	NA
Final bill reprocess intimation	NA	NA	NA
Final bill reprocess acknowledgment	NA	NA	NA
Reimbursement claim reprocess requested	R122	request.initiate
Reimbursement claim submitted	R15	request.initiate
Reimbursement claim query response submitted	R151	response.complete
Reimbursement claim reprocess request approved	R252	response.complete
Reimbursement claim reprocess request rejected	R253	response.complete
Reimbursement claim reprocess request queried	R254	request.initiate
Reimbursement claim approved	R26	response.complete
Reimbursement claim queried	R27	request.initiate
Reimbursement claim evaluation in process	R28	response.partial
Reimbursement claim rejected	R291	response.complete
Wallet upgrade intimation	34	request.initiate
Claim arbitration intimation	36	request.initiate
Fraud alert	38	request.initiate
Wallet upgrade acknowledgment	35	response.complete
Claim arbitration acknowledgment	37	response.complete
Fraud alert acknowledgment	39	response.complete
Grievance intimation	G11	request.initiate
Grievance acknowledgment	G12	response.complete
Grievance intimation failure	G13	response.error
Preauthorization arbitration intimation	41	request.initiate
Preauthorization arbitration acknowledgment	42	response.complete
Return payment intimation	RP1	request.initiate
Return payment acknowledgment	RP2	response.complete
Return payment failure	RP3	response.error
Notification for a payer	N01	request.initiate
Notification for a provider	N02	request.initiate
Notification for a beneficiary	N03	request.initiate
Notification acknowledgment	N04	response.complete
Discharge correction intimation	DC01	request.initiate
Discharge correction acknowledgment	DC02	response.complete
Preauthorization cancellation	PC01	request.initiate
Preauthorization cancellation accomplished	PC02	response.complete
Residual claim adjudication initiation, erroneous	E01	request.initiate
Residual claim adjudication with approval	E02	response.complete
Residual claim adjudication with rejection	E03	response.complete
Residual claim adjudication with query	E04	response.complete