haau3 FHIR Implementation Guide (HFIG)
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haau3 FHIR Implementation Guide (HFIG) - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Example Bundle: Pharmacy Benefits answer for a member: no responder for the coverage

Profile: http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-response-bundle|2.0.0-ballot

Bundle pharmacy-benefits-response-phi of type message

Entry 1 - fullUrl = urn:uuid:10e5197b-4ed1-4379-a54e-a7a5cfd45bf4

Resource MessageHeader:

Profile: http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-response-messageheader|2.0.0-ballot

event: rtpbc-event-type: rtpbc-response (RTPBC Response)

Sources

-Name
*haau3 Pharmacy Benefits

Responses

-IdentifierCode
*phi-requestOK

focus: ClaimResponse: identifier = ad0656b7-df53-4cdb-9934-0c48f5ea9994; status = active; type = Pharmacy; use = predetermination; created = 2026-10-20 14:00:01+0000; outcome = error; disposition = No insurer this service connects to answers for this coverage's payer.

definition: http://hl7.org/fhir/us/carin-rtpbc/MessageDefinition/rtpbc-response

Entry 2 - fullUrl = urn:uuid:ad0656b7-df53-4cdb-9934-0c48f5ea9994

Resource ClaimResponse:

Profile: http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-response-claimresponse|2.0.0-ballot

identifier: ad0656b7-df53-4cdb-9934-0c48f5ea9994

status: Active

type: Pharmacy

use: Predetermination

created: 2026-10-20 14:00:01+0000

insurer: Identifier: https://payers.example.test/EXAMPLE-PAYER

request: Identifier: benefit-check-0001

outcome: Error

disposition: No insurer this service connects to answers for this coverage's payer.

Errors

-Code
*No responder for this coverage

Entry 3 - fullUrl = https://app.example.test/fhir/Patient/phi-patient

Resource Patient:

Profile: http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-patient|2.0.0-ballot

Mei Lin Female, DoB: 1958-03-14 ( https://app.example.test/patients#example-0001)