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