Coverage eligibility errors
Codes any exchange call can meet are recorded once, in the Other specification: the gateway's NHCX- codes, the standard payer codes, and the reference payer's structure and transport codes. The reference payer's other codes sit with the exchange they reject: coverage eligibility, preauthorisation, claim and insurance plan. Reading error codes explains the code spaces.
Reference Payer codes
Reference payer codes, PAYR-1001 to PAYR-1520. Sent by the PMJAY reference implementation; they arrive inside the sealed response.
Unclassified
The rule that reads the message could not classify these. Read the message and decide.
| Code | Message |
|---|---|
PAYR-1101 | Invalid purpose received as (%s) for beneficiary id (%s) from hospital id (%s). Hence no result will be returned. Please try again with a valid purpose. |
PAYR-1102 | Invalid search parameter requested. Please try again with a valid id. |
PAYR-1103 | Invalid careplan id received. Please try again with valid careplan id. |
PAYR-1104 | Multiple records found for the beneficiary. Hence request will not be processed further. |
PAYR-1105 | Hospital configuration not found. Please contact support team. |
PAYR-1106 | No details found for the requested procedures in the system. |
PAYR-1107 | No billable item received. Please try again with valid item data. |
PAYR-1108 | No details found for the requested stratification in the system. |
PAYR-1109 | No details found for the requested investigations in the system. |
PAYR-1110 | No details found for the requested implants in the system. |
PAYR-1111 | Rule failure. |
PAYR-1112 | Invalid payer id received. Please try again ith valid payer details |
PAYR-1113 | Invalid item code received as %s. Please try again with valid data |
PAYR-1114 | Invalid speciality code received as %s for item %s. Please try again with valid data. Speciality code is available as the code of the category for specific cost of plan in isurance plan |
PAYR-1115 | Invalid procedure quantity received as %s for item %s. Please try again with valid data. Item quantity should be greater than 1 |
PAYR-1116 | Hospital is not authorized to raise any case under policy %s. Hence request will not be processed further. Please connect with the support team to get the required authorization |
PAYR-1117 | No policy details found for %s. Hence request will not be processed further |
PAYR-1118 | No details found for requested items. Hence request will not be processed further |
PAYR-1119 | No payer details received for payer id %s from HCX. Please try again with valid payer details. |
PAYR-1120 | Duplicate reference id found as %s. Please try again with valid reference details. |
PAYR-1121 | No policy details found for %s for beneficiary %s. Hence request will not be processed further. |
PAYR-1122 | No policy details found for beneficiary %s. Hence request will not be processed further. |
PAYR-1123 | Beneficiary is not a covered member for requested payer. Please enroll beneficiary for applicable policy of requested payer and try again. |
Every code above is recorded in the specification that owns it. The aggregated list across modules is at error codes.