Consumer Real-Time Pharmacy Benefit Check FHIR IG
2.0.0-ballot - STU 2 Ballot

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-ballot 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

## Example Claim: rtpbc-claim-non-phi-1

Page standards status: Informative

### Example non-PHI RTPBC Claim

No personally-identifiable information is contained in this example. This profile is used when requesting information from RTPBC responders that do not require patient information to return the desired information--such as cash price data sources. Note the following data population

- the Claim contains a 'masked' Data Absent Reason for the patient element and insurance.coverage element
- and careTeam is not populated

### Example data content

to be added

Language: en

Profile: RTPBC Request Using Claim - Non-PHI

identifier: rtpbc-non-phi-1

status: Active

type: Pharmacy

use: Predetermination

patient: ?rref?

created: 2025-11-01 11:20:54-0500

provider: Pharmacies in ZIP Code 55401 (Preferred pharmacy postal code: 55401)

priority: Normal

### Insurances

- | Sequence | Focal | Coverage
* | 1 | false | ?rref?

### Items

- | Sequence | ProductOrService | Quantity
* | 1 | Prozac 10mg Capsule | 60 {Each}