haau3 FHIR Implementation Guide (HFIG)
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: Pharmacy Benefits Processing Code - XML Representation

Active as of 2026-10-20

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="pharmacy-benefits-processing-code"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CodeSystem pharmacy-benefits-processing-code</b></p><a name="pharmacy-benefits-processing-code"> </a><a name="hcpharmacy-benefits-processing-code"> </a><p>This case-sensitive code system <code>https://haau3.com/fhir/CodeSystem/pharmacy-benefits-processing-code</code> defines the following codes:</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style="white-space:nowrap">no-responder-for-coverage<a name="pharmacy-benefits-processing-code-no-responder-for-coverage"> </a></td><td>No responder for this coverage</td><td>The request carried the member's coverage, and no insurer or pharmacy benefit manager this service connects to answers for that coverage's payer. Nothing is said about whether the medication is covered. Carried in ClaimResponse.error.code.</td></tr><tr><td style="white-space:nowrap">no-price-source<a name="pharmacy-benefits-processing-code-no-price-source"> </a></td><td>No price source returned a price</td><td>The request carried no patient details, and no price source this service connects to returned a price for the product, quantity and place asked about. No price is estimated in its place. Carried in ClaimResponse.error.code.</td></tr><tr><td style="white-space:nowrap">source-not-available-to-caller<a name="pharmacy-benefits-processing-code-source-not-available-to-caller"> </a></td><td>Source not available to this caller</td><td>A source that could answer the request is connected, but its terms do not make it available to the organization that sent the request, so nothing from it is returned. Carried in ClaimResponse.error.code.</td></tr><tr><td style="white-space:nowrap">source-unavailable<a name="pharmacy-benefits-processing-code-source-unavailable"> </a></td><td>Source did not answer</td><td>The sources asked did not answer in time, or answered with an error, so no answer could be given. Carried in OperationOutcome.issue.details on a 503; the request may be sent again later.</td></tr></table></div>
  </text>
  <url
       value="https://haau3.com/fhir/CodeSystem/pharmacy-benefits-processing-code"/>
  <version value="1.0.0"/>
  <name value="PharmacyBenefitsProcessingCodeCS"/>
  <title value="Pharmacy Benefits Processing Code"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-10-20T13:40:33+00:00"/>
  <publisher value="haau3"/>
  <contact>
    <name value="haau3"/>
    <telecom>
      <system value="url"/>
      <value value="https://haau3.com"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="hello@haau3.com"/>
    </telecom>
  </contact>
  <description
               value="Why a pharmacy benefit check could not be answered. Carried in ClaimResponse.error.code when a request was read and no connected source could answer it, and in OperationOutcome.issue.details when the sources asked did not answer."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
      <display value="United States of America"/>
    </coding>
  </jurisdiction>
  <caseSensitive value="true"/>
  <content value="complete"/>
  <count value="4"/>
  <concept>
    <code value="no-responder-for-coverage"/>
    <display value="No responder for this coverage"/>
    <definition
                value="The request carried the member's coverage, and no insurer or pharmacy benefit manager this service connects to answers for that coverage's payer. Nothing is said about whether the medication is covered. Carried in ClaimResponse.error.code."/>
  </concept>
  <concept>
    <code value="no-price-source"/>
    <display value="No price source returned a price"/>
    <definition
                value="The request carried no patient details, and no price source this service connects to returned a price for the product, quantity and place asked about. No price is estimated in its place. Carried in ClaimResponse.error.code."/>
  </concept>
  <concept>
    <code value="source-not-available-to-caller"/>
    <display value="Source not available to this caller"/>
    <definition
                value="A source that could answer the request is connected, but its terms do not make it available to the organization that sent the request, so nothing from it is returned. Carried in ClaimResponse.error.code."/>
  </concept>
  <concept>
    <code value="source-unavailable"/>
    <display value="Source did not answer"/>
    <definition
                value="The sources asked did not answer in time, or answered with an error, so no answer could be given. Carried in OperationOutcome.issue.details on a 503; the request may be sent again later."/>
  </concept>
</CodeSystem>