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Claim errors

A Claim code arrives sealed inside the callback, not in the response to your call. These are the codes the Catalogue records on this module's paths.

Codes​

CodeWhat it means
ERR-PYR-CLM-007No preauthorisation or claim exists for the claim's case number
PAYR-1001The recipient could not decrypt your request
PAYR-1002The payer could not encrypt its answer to you
PAYR-1003The payer's system could not reach the exchange and will resend, or the workflow requested is not valid
PAYR-1004Your facility is not registered with the payer for the policy, or the FHIR bundle is malformed
PAYR-1005The beneficiary is not a covered member of the policy, or the request is more than 24 hours old
PAYR-1006The policy does not exist, or a name in the request is not valid
PAYR-1007The policy has expired, or the gender in the request is not valid
PAYR-1008The beneficiary's remaining cover is not enough for the request, or the FHIR bundle is not valid or cannot be parsed
PAYR-1009The requested items are not valid or not covered, or the Patient resource has no identifier
PAYR-1010A preauthorisation was required but not obtained, or the Patient identifier has no type
PAYR-1012The claim amount is more than the approved preauthorisation amount, or the Claim identifier has no type
PAYR-1013The procedures or packages have no prior approval, or the provider Organization resource has no identifier
PAYR-1014The date of birth is after the date of service, or the provider Organization identifier has no type
PAYR-1015The date of service is after the date of death, or the payer Organization resource has no identifier
PAYR-1016The claim duplicates one already submitted for the same services and dates, or the payer Organization identifier has no type
PAYR-1017The amount calculations are not correct, or the Task resource has no task code
PAYR-1018The time limit for submission has expired, or the Task resource has no reason code
PAYR-1019The additional information the payer asked for did not arrive in time, or a supporting info sequence is not valid
PAYR-1020The payer holds no valid bank details for your facility, or a supporting info category is not valid
PAYR-1021A supporting info entry has an invalid code
PAYR-1023A procedure has an invalid category
PAYR-1024A procedure has an invalid status
PAYR-1025A procedure has an invalid sequence
PAYR-1026The claim references a procedure that is not in the bundle
PAYR-1027A claim item has an invalid id
PAYR-1028A claim item has an invalid sequence
PAYR-1029The bundle id is invalid
PAYR-1030A questionnaire id in the bundle is invalid
PAYR-1031A bundle entry has an invalid URL
PAYR-1034A procedure code is invalid
PAYR-1035The policy code is invalid
PAYR-1036A supporting info entry lacks a valid attachment
PAYR-1040A reference points at a resource that is not in the bundle
PAYR-1041A procedure has no identifier
PAYR-1042A procedure identifier has no type
PAYR-1043A date is in the wrong format
PAYR-1044A date and time is in the wrong format
PAYR-1045A claim item has an invalid quantity
PAYR-1046A supporting info entry has no value or date
PAYR-1047A supporting info entry has an invalid reference
PAYR-1048A supporting info entry references a resource that is not in the bundle
PAYR-1049The payer cannot accept the bundle
PAYR-1050A practitioner identifier has no type
PAYR-1051A clinical record has no section
PAYR-1052A clinical record section has no references
PAYR-1053A nested clinical record section has an invalid reference
PAYR-1054A clinical record section is empty
PAYR-1055A clinical record has no subject or its subject is not a patient
PAYR-1056The patient's contact organization is not an Organization
PAYR-1057The patient's general practitioner has the wrong type
PAYR-1058The patient's managing organization is not an Organization
PAYR-1059A clinical record points at something other than an encounter
PAYR-1060A clinical record has no encounter or its encounter has no subject
PAYR-1061An encounter's subject has the wrong resource type
PAYR-1062An encounter has no episode of care the payer can find
PAYR-1063An encounter's episode of care has the wrong resource type
PAYR-1064An encounter has no based-on reference the payer can find
PAYR-1065An encounter's based-on reference has the wrong resource type
PAYR-1066An encounter has no appointment the payer can find
PAYR-1067An encounter's appointment has the wrong resource type
PAYR-1068An encounter has no reason reference the payer can find
PAYR-1069An encounter's reason reference has the wrong resource type
PAYR-1070A composition has no author
PAYR-1071A composition's author has the wrong resource type
PAYR-1072A claim procedure has no procedure reference
PAYR-1073An observation has no based-on reference
PAYR-1074An observation's based-on reference has the wrong resource type
PAYR-1075An observation has no part-of reference
PAYR-1076An observation's part-of reference has the wrong resource type
PAYR-1077An observation has no subject
PAYR-1078An observation's subject is not a Patient
PAYR-1079The claim has no care team
PAYR-1080A practitioner's HPR id is not valid
PAYR-1081An item's service date is not valid
PAYR-1082A composition linked from supporting info has an invalid title
PAYR-1083A practitioner has no HPR id
PAYR-1084A reference points at a questionnaire response that is not in the bundle
PAYR-1085A questionnaire response reference points at the wrong resource type
PAYR-1086A reference points at a procedure that is not in the bundle
PAYR-1087A procedure reference points at the wrong resource type
PAYR-1088A composition failed the payer's checks
PAYR-1089The claim has no billing items
PAYR-1090The coverage has no identifier
PAYR-1091The coverage identifier has no type
PAYR-1092The payer failed while processing your request
PAYR-1093An encounter linked from a composition has no subject
PAYR-1094An encounter's subject has the wrong resource type
PAYR-1095The claim carries no valid discharge information
PAYR-1096A death discharge carries no valid death date
PAYR-1097The request arrived with no encrypted payload
PAYR-1098The registration date has the wrong value type
PAYR-1099The discharge date has the wrong value type
PAYR-1102The id you searched with is not valid
PAYR-1301A claim already exists for this case
PAYR-1302No approved preauthorisation for this case
PAYR-1303No active claim to update for this case
PAYR-1304The claim for this case is not under query
PAYR-1305The use case is not valid for this case
PAYR-1306The procedure is not in the preauthorisation request
PAYR-1307The procedure quantity is not valid
PAYR-1308The procedure is not in the active claim
PAYR-1309The implant is not in the preauthorisation request
PAYR-1310The implant quantity is not valid
PAYR-1311The implant is not in the active claim
PAYR-1312The investigation is not in the preauthorisation request
PAYR-1313The investigation quantity is not valid
PAYR-1314The investigation is not in the active claim
PAYR-1315The procedure was rejected at preauthorisation
PAYR-1316The investigation was rejected at preauthorisation
PAYR-1317The implant was rejected at preauthorisation
PAYR-1318The claim has no requested treatment plan
PAYR-1319The claim has no requested investigation plan
PAYR-1320The payer has no details for the requested investigations
PAYR-1321The workflow id is not valid for this step
PAYR-1322The case is not in a state that accepts this request
PAYR-1323The beneficiary's wallet balance is too low
PAYR-1324The discharge stage is not valid
PAYR-1325The admission date is not valid
PAYR-1326The discharge date is not valid
PAYR-1327The admission date is in the wrong format
PAYR-1328The discharge date is in the wrong format
PAYR-1329The registration date is not valid
PAYR-1330The registration date is in the wrong format
PAYR-1331The receiver is not registered in NHCX
PAYR-1332The Claim Review Committee request is not valid
PAYR-1333The claim type is not valid
PAYR-1334The payer has no configuration for your hospital
PAYR-1335The implant quantity is not valid
PAYR-1336The implant unit price is not valid
PAYR-1337The implant net amount is not valid
PAYR-1338The implant attachment is not valid
PAYR-1339The implant status is not valid
PAYR-1340The investigation status is not valid
PAYR-1341The investigation attachment is not valid
PAYR-1342A case in progress blocks a new reimbursement request
PAYR-1343A reimbursement was already approved for this case
PAYR-1344The payer has no details for the requested procedures
PAYR-1345The procedure status is not valid
PAYR-1346The procedure description is not valid
PAYR-1347The procedure type is not valid
PAYR-1348The procedure factor is not valid
PAYR-1349The procedure quantity is not valid
PAYR-1350The procedure net amount is not valid
PAYR-1351The procedure speciality code is not valid
PAYR-1352The beneficiary and care plan do not fit this hospital
PAYR-1353The care plan id is not valid
PAYR-1354The claim failed a payer rule
PAYR-1355The payer has no details for the requested implants
PAYR-1356The wallet is short and the patient cannot pay the difference
PAYR-1357The admission date is after the discharge date
PAYR-1358The patient was registered too long after admission
PAYR-1359The claim has no billable treatment plan
PAYR-1360An item code is not valid
PAYR-1361An item sequence is not valid
PAYR-1362A discharge against medical advice needs the LM100 procedure
PAYR-1363No biometric authentication and no consent questionnaire at discharge
PAYR-1364A consent questionnaire answer is empty
PAYR-1365The standard treatment guideline response is missing
PAYR-1366The biometric user token is not valid
PAYR-1367No biometric record for a cycle date
PAYR-1368Cycle information is missing for some cycles
PAYR-1369Two biometric authentications on one date for a cyclic procedure
PAYR-1370A supporting detail has an invalid start date
PAYR-1501The surgery date entry carries the wrong kind of value
PAYR-1502The admission date entry carries the wrong kind of value
PAYR-1503The death date entry carries the wrong kind of value
PAYR-1504The case remarks in your query response are not text
PAYR-1505A questionnaire response is attached under the wrong category or code
PAYR-1506The newborn's gender is not valid
PAYR-1507The newborn's date of birth is not valid
PAYR-1508The newborn link does not lead to a Patient resource
PAYR-1509The newborn's proof of birth attachment is not valid
PAYR-1512A patient reference does not lead to a Patient resource
PAYR-1513A diagnosis is not sent as a coded concept
PAYR-1514The discharge information entry does not name a discharge stage
PAYR-1515An organisation in your bundle has no name

Every code above is recorded in the Catalogue. The aggregated list across modules is at error codes.

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