Item Level Hicaps Response Codes - VeriFone HICAPS VX820 User Manual

7.2

item level hicaps response codes

code Receipt print Out
00 Approved (8)
0 Item No Benefit (5)
0 Restricted Item (5)
0 Restricted Item (5)
04 Previously Paid (5)
05 Limit Reached
06 Limit Reached
07 Waiting Period
08 PreReq Ser Reqd
09 Pre Existing
0 Item Nbr Invalid
 Item Nbr Ceased
 Item Not Valid
 Item Not Apprvd
4 Max Nbr Ser Exc
5 Cost Missing
6 DOS Not Valid
7 DOS too Old
8 Clinicl Code Rqd
9 Pat Not Covered
0 Depd Status End
 Invald Pat Code
 Mship Not Cover
 Mship Ended DOS
4 Mship Unfin DOS
5 No Ancill Cover
6 Item Not Coverd
7 Duplicate Serv
54
Description
Transaction Approved
Nil benefit payable on this item
Nil benefit – restricted item
Reduced benefit – restricted item
Nil benefit – benefit previously paid
Nil benefit – limit reached
Reduced benefit – limit reached
Nil benefit – qualifying period applies
Nil benefit – pre-requisite service required
Nil benefit – pre existing ailment
Item number invalid
Item number ceased
Item not valid for provider
Item not approved – not payable by HICAPS
Service exceeds number of times permitted
Cost must be entered
Date of service must be before today
Date of service too old
Clinical Code required
Patient not covered
Dependent status ceased
Invalid patient code
Membership not covered
Membership ceased/suspended
at date of service
Membership unfinancial at date of service
No ancillary cover
Not covered for this service
Duplicate service already processed