HL7.FHIR.US.CARIN-RTPBC\RtpbcErrorCodeValueSet

This page is part of the Consumer Real-time Pharmacy Benefit Check (v1.0.0: STU 1) based on FHIR R4. This is the current published version in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

ValueSet: RtpbcErrorCodeValueSet

Summary

Defining URL:

http://hl7.org/fhir/us/carin-rtpbc/ValueSet/rtpbc-error-code

Version:

1.0.0

Name:

RtbpcErrorCodeValueSet

Status:

Active

Title:

RTPBC Error Code Value Set

Definition:

This value set contains the error codes to be used by real-time pharmacy benefit check servers when encountering a data or business condition that prevents processing from completing. Values are defined in the NCPDP-maintained Reject Code (511-FB) code set.

Publisher:

HL7 International - Pharmacy

Source Resource:

XML / JSON / Turtle

References

RTPBC Response Using ClaimResponse

Logical Definition (CLD)

Include all codes defined in http://ncpdp.org/reject-code

Expansion

No Expansion for this valueset (Unknown Code System)

Explanation of the columns that may appear on this page:

Level

A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies

Source

The source of the definition of the code (when the value set draws in codes defined elsewhere)

Code

The code (used as the code in the resource instance)

Display

The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application

Definition

An explanation of the meaning of the concept

Comments

Additional notes about how to use the code

Notes:

All codes are from the licensed NCPDP Reject Code (511-FB) code set, maintained by the National Council for Prescription Drug Programs. See NCPDP Reject Code (511-FB) (NamingSystem)

Concept examples

The full, up-to-date content of the NCPDP Reject Code (511-FB) code set is only available to NCPDP members.

However, a past version of the code set is publicly available in the AHRQ United States Health Information Knowledgebase (USHIK). Below is a subset of concepts from that public source, for illustration purposes.

Code	Display
PJ	M/I Request Insurance Segment
1	M/I Bin Number
4	M/I Processor Control Number
6	M/I Group ID
7	M/I Cardholder ID
8	M/I Person Code
600	Coverage Outside Submitted Date Of Transaction
N1	No Patient Match Found
99	Host Processing Error
92	System Unavailable/Host Unavailable
R8	Syntax Error
21	M/I Product/Service ID
77	Discontinued Product/Service ID Number
ET	M/I Quantity Prescribed
26	M/I Unit Of Measure
PZ	Non-Matched Unit Of Measure To Product/Service ID
19	M/I Days Supply
22	M/I Dispense As Written (DAW)/Product Selection Code
PN	M/I Request Prescriber Segment
DR	M/I Prescriber Last Name
25	M/I Prescriber ID
56	Non-Matched Prescriber ID
71	Prescriber ID Is Not Covered
Z5	M/I Service Provider Segment
5	M/I Service Provider Number
YK	M/I Service Provider Name
PK	M/I Request Patient Segment
CA	M/I Patient First Name
CB	M/I Patient Last Name
9	M/I Date Of Birth
10	M/I Patient Gender Code