Consumer Real-Time Pharmacy Benefit Check FHIR IG
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Consumer Real-Time Pharmacy Benefit Check FHIR IG, published by HL7 International / Pharmacy. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/carin-rtpbc/ and changes regularly. See the Directory of published versions

ValueSet: RTPBC Error Code Value Set

Official URL: http://hl7.org/fhir/us/carin-rtpbc/ValueSet/rtpbc-error-code Version: 2.0.0
Standards status: Trial-use Active as of 2020-05-23 Maturity Level: 4 Computable Name: RtbpcErrorCodeValueSet

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.

References

Logical Definition (CLD)

 

Expansion

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

Description of the above table(s).

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 (NCPDP ECL: 511-FB)

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