VeriFone HICAPS VX820 User Manual page 55

8 Excess on Serv
9 Excess on Serv
0 Quote Required
 Quote Required
 Exceeds Quote
 Exceeds Quote
4 Age Restriction
5 Age Restriction
6 Gender Restrict
7 Gender Restrict
8 Invalid Charge
9 Notional Charge
40 Converted Item
4 Refer to Health Fund
4 System Problem
4 Tran Declined
50 Prov Not Appro
5 Prov Not Appro
5 Tooth id Reqd
5 DOS before Injury
54 Submitted
P0-PZ Refer to Fund
Note 1: Item codes in the range P0 – P9 and PA – PZ indicate that an item has been
declined by the Health Fund for a specific reason. These items must be followed up
directly with the Fund.
Nil benefit – excess on service applied
Reduced benefit – excess on service applied
Nil benefit – quote required prior to service
Reduced benefit – quote required prior
to service
Nil benefit – claim exceeds quote
Reduced benefit – claim exceeds quote
Nil benefit – Age restriction applies
Reduced benefit – Age restriction applies
Nil benefit – Gender restriction applies
Reduced benefit – Gender restriction applies
Nil benefit – Amount charged is invalid
Notional Charge
Converted item
Refer to fund
System Problem
Transaction Declined – Refer Tran
to Resp Code
Provider not approved by Fund
(at date of service)
Provider not approved by Fund for this
service at DOS
Tooth ID Number Required
Service Date Before Injury Date
Transaction Submitted for Processing
Refer Health Fund – note 
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