CARIN Consumer Realtime Pharmacy Benefit Check
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This page is part of the Consumer Real-time Pharmacy Benefit Check (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

carin-rtpbc-error-code-value-set


Defining URL:http://hl7.org/fhir/us/carin/ValueSet/rtpbc-error-code
Version:0.1.0
Name:CarinRtbpcErrorCodeValueSet
Status:Active
Title:CARIN 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:CARIN Alliance
Source Resource:XML / JSON / Turtle

Used in...


Expansion

No Expansion for this valueset (not supported by Publication Tooling)


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.

CodeDisplay
PJM/I Request Insurance Segment
1M/I Bin Number
4M/I Processor Control Number
6M/I Group ID
7M/I Cardholder ID
8M/I Person Code
600Coverage Outside Submitted Date Of Transaction
N1No Patient Match Found
99Host Processing Error
92System Unavailable/Host Unavailable
R8Syntax Error
21M/I Product/Service ID
77Discontinued Product/Service ID Number
ETM/I Quantity Prescribed
26M/I Unit Of Measure
PZNon-Matched Unit Of Measure To Product/Service ID
19M/I Days Supply 
22M/I Dispense As Written (DAW)/Product Selection Code
PNM/I Request Prescriber Segment
DRM/I Prescriber Last Name
25M/I Prescriber ID
56Non-Matched Prescriber ID
71Prescriber ID Is Not Covered
Z5M/I Service Provider Segment
5M/I Service Provider Number
YKM/I Service Provider Name
PKM/I Request Patient Segment
CAM/I Patient First Name
CBM/I Patient Last Name 
9M/I Date Of Birth
10M/I Patient Gender Code