Generated Narrative: MessageHeader 10e5197b-4ed1-4379-a54e-a7a5cfd45bf4

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

Endpoint

haau3 Pharmacy Benefits

https://api.haau3.com/v1/fhir/r4

Responses

Identifier

Code

phi-request

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


  
    
    
      
        
        
          
        
        
           Generated Narrative: ClaimResponse ad0656b7-df53-4cdb-9934-0c48f5ea9994
  
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
patient: Mei Lin  Female, DoB: 1958-03-14 ( https://app.example.test/patients#example-0001)
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
        
        
          
        
        
        
          
            
            
            
          
        
        
        
          
        
        
        
          
            
            
          
        
        
          
            
          
        
        
        
        
          
            
              
              
              
            
          
        
      
    
  
  
    
    
      
        
        
          
        
        
           Generated Narrative: Patient phi-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)