Insurance plan 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-1401 | <policy_code> policy not allowed for the hospital. Please reach out to technical support team. |
PAYR-1402 | Requested policy <policy_code> found not be associated with any payer for insurance plan request. Hence request will not be processed. |
PAYR-1403 | Requested renewal <renewal_code> found not be associated with requested policy <policy_code> for insurance plan request. Hence request will not be processed. |
PAYR-1404 | No treatment provided for policy <policy_code> under any speciality. Please reach out to technical support team. |
PAYR-1405 | No enrolled hospital found for HFR id <hfr_id> or sender id <sender_code>. Please reach out to technical support team. |
PAYR-1406 | Existing request with correlation id %s is in progress with the payer. Hence this request will not be accepted until the execution for previous request is complete. Please wait for 15 - 60 minutes to allow the execution of previous requests. For further assistance, please reach out to technical support team. |
PAYR-1501 | Value type received as %s for category - ONS and code - PSP for item with sequence %s in supporting info in claim resource. In supporting info list, item with category - ONS and code - PSP combination is used to get the surgery date. So the surgery date should be sent as timing (date or period) or as a string value, adhering to the NRCES standards, with the category - ONS and code - PSP. |
PAYR-1502 | Value type received as %s for category - ONS and code - ADDD for item with sequence %s in supporting info in claim resource. In supporting info list, item with category - ONS and code - ADDD combination is used to get the admission date. So the admission date should be sent as timing (date or period) or as a string value, adhering to the NRCES standards, with the category - ONS and code - ADDD. |
PAYR-1503 | Value type received as %s for category - ONS and code - DTM for item with sequence %s in supporting info in claim resource. In supporting info list, item with category - ONS and code - DTM combination is used to get the death date. So the death date should be sent as timing (date or period) or as a string value, adhering to the NRCES standards, with the category - ONS and code - DTM. |
PAYR-1504 | Value type received as %s for category - NMI and code - CQD for item with sequence %s in supporting info in claim resource. In supporting info list, item with category - NMI and code - CQD combination is used to get the overall case remarks for query response. So the case remarks for query response should be sent as a string value, adhering to the NRCES standards, with the category - NMI and code - CQD. |
PAYR-1505 | Category received as %s and code received as %s for item with sequence %s in supporting info in claim resource, where the reference value redirects to Questionnaire Response resource in the FHIR bundle. To include a policy/case level Questionnaire Response, in supporting info list there should be an entry with category - INF and code - ODN , and the value as reference. This reference value should refer to a resource of Questionnaire Response in the FHIR bundle. To include response for any STG questionnaire, in supporting info list there should be an entry with category - STG, and the value as reference |
PAYR-1506 | Invalid gender received for new born patient. Please try agian with valid gender data as it is mandatory for PMJAY in new born case. Please refer to the valid gender values at https://hl7.org/fhir/R4/valueset-administrative-gender.html |
PAYR-1507 | Invalid date of birth received for new born patient. Please try agian with valid date of birth as it is mandatory for PMJAY in new born case. |
PAYR-1508 | Invalid resource received for new born patient for url %s. Please try agian with valid Patient resource for the link reference as linked Patient resource is mandatory for PMJAY in new born case |
PAYR-1509 | Invalid attachment received for new born patient. Please try agian with valid attachment as attachment is mandatory for PMJAY in new born case |
PAYR-1510 | Invalid parameter code received. Please check and try again with a valid parameter code |
PAYR-1511 | Invalid parameter value received. Please check and try again with a valid parameter value |
PAYR-1512 | Invalid resource received for patient for url %s. Please try agian with valid Patient resource for the reference |
PAYR-1513 | Invalid diagnosis received in DiagnosisComponent. In DiagnosisComponent, diagnosis should be sent as CodeableConcept. Please try agian with valid data |
PAYR-1514 | Value type received as %s for category - DIS for item with sequence %s in supporting info in claim resource. In supporting info list, item with category - DIS is used to get the discharge related information. So the discharge information should be sent as string value, with value representing discharge stage (After Surgery / Before Surgery / During Surgery), with the category - DIS and code - DTH/LAMA/DAMA/DTM |
PAYR-1515 | Invalid name received for organization resource with url %s. Name is mandatory for organization resource. Please refer to https://www.nrces.in/ndhm/fhir/r4/StructureDefinition-Organization.html |
PAYR-1516 | No event found for api-caller-id %s and correlation id %s for sender code %s. Hence error response willnot be accepted. |
PAYR-1517 | Invalid error structure received for NHCX error. Protocol response structure is expected, but received JWEPayloadResponse. |
PAYR-1518 | No input parameters received for task resource. Input parameters are expected for task resource, but not received. Please try again with valid data. |
PAYR-1519 | No type found for task input parameters. Hence request will not be processed further. Please refer to https://www.nrces.in/ndhm/fhir/r4/StructureDefinition-Task.html |
PAYR-1520 | Invalid resource received for communication for url %s. Please try agian with valid Communication resource for the reference. |
Every code above is recorded in the specification that owns it. The aggregated list across modules is at error codes.