7.
HICAPS response codes
7.1
transaction level HICAPS response codes
code
Receipt print Out
00
Approved (8)
0
Prov Not Approv (5)
0
Mship Under Invest (9)
0
Invalid Prov Nbr (6)
04
Retain Card ()
09
Submitted
0
Rebate To MBR Pendg
Declined (8)
4
Invalid Card Nbr
9
No Items Entered
Call Help Desk – note
40
Mship Not Covered
4
Mship Ended at DOS
5
Mship Unfinancial (7)
54
Expired card ()
56
Invalid Mship Nbr (8)
57
No Ancillary Cover (9)
58
Txn Not Permitted (7)
60
Provider Not Recogd (6)
6
Benefit Limit Excee (9)
69
No Benefit Payable
76
Approved (8)
80
Refer Employer
8
Unmatched Cancel
8
Unsupported Cancel
Description
Approved or completed successfully
Provider not approved by fund
Membership under investigation
Invalid Provider number
Retain card
Transaction Submitted for Processing
Rebate to Member pending
Declined
Invalid card number (no such number)
No items entered
No action taken
Membership not covered
Membership ceased/suspended at date
of service
HICAPS Membership unfinancial
Expired card
Invalid Membership numbers
No Ancillary cover
Transaction not permitted to terminal
Provider not recognised with fund
Benefit limit exceeded
No Benefit payable
Approved (terminal will request new key)
Payment should be made by the
Claimant's Employer
Unable to Match Cancel to previous Claim
Claim being Cancelled has already
been settled
5