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HICAPS terminal codes and error codes

 

If your HICAPS terminal is showing a response code or error message, see what it means and what to do about it here:

 

  • Code Receipt Print Out Description Next Step
    00 Approved (8) Approved or completed successfully No further action required
    01

    Prov Not Approv (15)

    Provider not approved by fund

    Practitioner to call help desk
    02

    Mship Under Invest (19)

    Membership under investigation

    Seek alternate method of payment – card holder to follow up with fund

    03

    Invalid Prov Nbr (16) Invalid Provider Number Practitioner to call help desk
    04 Retain Card (11) Retain CardSeek alternate method of payment – card holder to follow up with fund
    Seek alternate method of payment – card holder to follow up with fund
    09 Submitted Transactiom Submitted fro Processing Seek alternate method of payment – card holder to follow up with fund
    10 Rebate to MBR Pendg Rebate to Member Pending Patient to follow up with fund
    12 Declined (8) Declined Patient to follow up with fund

    14

    Invalid Card Nbr

    Invalid card number (no such number)

    Seek alternate method of payment – card holder to follow up with fund

    19

    No Items Entered

    No items entered

    Retry claim

    21

    Call Help Desk – note 1

    No action taken


    Practitioner to call help desk

    40

    Mship Not Covered

    Membership not covered

    Seek alternate method of payment – card holder to follow up with fund

    42

    Mship Ended at DOS

    Membership ceased/suspended at date of service

    Seek alternate method of payment – card holder to follow up with fund

    54

    Expired card

    Expired card

    Seek alternate method of payment – card holder to follow up with fund

    56

    Invalid Mship Nbf

    Invalid Membership numbers

    Seek alternate method of payment – card holder to follow up with fund

    58

    Txn Not Permited

    Transaction no permitted to terminal

    Practitioner to call help desk

    60

    Provider Not Recogd

    Provider not recognised with fund

    Practitioner to call help desk

    61

    Benefit Limit Excee

    Benefit limit exceeded

    Seek alternate method of payment – card holder to follow up with fund

    69

    No Benefit Payable

    No Benefit payable

    Seek alternate method of payment – card holder to follow up with fund

    76

    Approved

    Approved (terminal will request new key)

    No further action required

    80

    Refer Employer

    Payment should be made by Claimant’s Employer

    Card holder to follow up directly with employer

    81

    Unmatched Cancel

    Unable to Match Cancel to previous Claim

    Practitioner to call help desk

    82

    Unsupported Cancel

    Claim being Cancelled has already been settled

    Follow up with fund next business day

    83

    Too Many patients

    Too many patients for this transaction

    Retry claim reducing the number of patients

    91

    System Inoperative

    Health Fund system currently unavailable

    Retry claim, if still failing seek alternate method of payment

    94

    Duplicate Tax

    Duplicate transmission

    Practitioner to call help desk

    96

    System Malfunction

    System Malfunction or Invalid Message

    Practitioner to call help desk

    97

    Reconc Totals Reset

    Reconciliation totals have been reset

    No further action required

    98

    MAC ERROR

    Mac Error

    Practitioner to call help desk

    P0 – PZ

    Refer Health Fund

    note 2

    Refer to Health Fund

    Card holder to follow up directly with fund

    H1

     

    Time Out waiting for ACK from terminal

    Practitioner to call help desk

    H2

     

    Maximum number of ACK Time Outs reached

    Practitioner to call help desk

    H3

     

    Timed Out waiting form response message from terminal.

    Practitioner to call help desk

    H4

     

    LRC Error in response message

    Practitioner to call help desk

    H5

     

    Unable to send, terminal not connected

    Practitioner to call help desk

    H6

     

    Terminal busy

    Retry claim, if still failing, call Help Desk

    HX

     

    ActiveX Internal Error

    Practitioner to call help desk

    BZ

     

    Communication Error

    Check terminal connectivity and retry transaction, if still failing, call Help Desk

    CE

     

    Communication Error

    Check terminal connectivity and retry transaction, if still failing, call Help Desk

    ED

     

    Destination Error

    Practitioner to call help desk

    EN

     

    Network Request Error

    Practitioner to call help desk

    HM

     

    Hardware Error

    Practitioner to call help desk

    HW

     

    Hardware Error

    Practitioner to call help desk

    LC

     

    Unexpected loss of carrier

    Retry claim, if still failing, call Help Desk

    NA

     

    Transaction Type not available

    Retry claim, if still failing, call Help Desk

    ND

     

    Reversal Time Out

    Retry claim, if still failing, call Help Desk

    NM

     

    No sync with Modem network Failure Contact Help Desk

    Practitioner to call help desk

    NS

     

    Declined – Settlement required

    Practitioner to call help desk

    Pf

    Power fail

    Power lost before completion of transaction

    Practitioner to call help desk

    QL

    Quote Limit Reached

    Quote Limit Reached

    Card holder to follow up directly with fund

    QN

    Quote Not Available

    Quote Not Available

    Practitioner to call help desk

    TO

     

    Time Out Error

    Retry claim, if still failing, call Help Desk

    TC

     

    Cancelled by user or input time out

    Retry claim, if still failing, call Help Desk

    VN

     

    Void not allowed

    Practitioner to call help desk

    LR

     

    Terminal Logon Required

    Signon to terminal (Func 5 enter, NAB, enter)

    JF

     

    Journal Full

    Practitioner to call help desk

    IM

     

    Invalid MAC

    Practitioner to call help desk

    DI

     

    Duplicate Invoice

    Practitioner to call help desk

    TA

     

    Transaction Not Allowed

    Practitioner to call help desk

    NP

     

    Provider number not found

    Practitioner to call help desk

    LP

     

    Locked Provider

    Practitioner to call help desk

    IL

     

    Number of items exceeded limit

    Retry claim reducing the number of items

    TP

     

    The transaction password is protected

    Practitioner to call help desk

    II

     

    Invalid max item setup

    Practitioner to call help desk

    FL

     

    An (empty) Claim initiated from Practice Management System.(i.e. only provider in the EA field)

    Retry claim ensuring all required fields are entered

    FC

     

    Field content error – (a) Non numeric field such as patient ID, Body part number, service date and amount contain non-numeric data (i.e. anything other than accept ‘0’ to ‘9’) (b) Alpha numeric field such as item number contains symbols. (i.e. anything other that ‘A’ to ‘Z’, ‘a’ to ‘z’, ‘0’ to ‘9’ and space)

    Practitioner to call help desk


    Note 1:
    Response code for the unmatched reversal, voice, cancellation transactions

    Note 2: Response code in the range P0 – P9 and PA – PZ indicate that a transaction has been declined by the Health Fund for a specific reason. These transactions must be followed up directly with the fund.

  • Code Receipt Print Out Description Next Step
    00 Approved (8) Approved or completed successfully Patient to follow up with fund
    01

    Prov Not Approv (15)

    Provider not approved by fund

    Patient to follow up with fund
    02

    Mship Under Invest (19)

    Membership under investigation

    Patient to follow up with fund

    03

    Invalid Prov Nbr (16) Invalid Provider Number Patient to follow up with fund

    04

    Previously paid

    Nil benefit – benefit previously paid

    Patient to follow up with fund

    05

    Limit reached

    Nil benefit – limit reached

    Patient to follow up with fund

    06

    Limit reached

    Reduced benefit – limit reached

    Patient to follow up with fund

    07

    Waiting Period

    Nil benefit - qualifying period applies

    Patient to follow up with fund

    08

    PreReq Ser Reqd

    Nil benefit – pre-requisite service required

    Provider to follow up with fund

    09

    Pre Existing

    Nil benefit – pre-existing ailment

    Patient to follow up with fund

    10

    Item Nbr Invalid

    Item number invalid

    Provider to check item guide

    11

    Item Nbr Ceased

    Item number ceased

    Provider to check item guide

    12

    Item Not Valid

    Item not valid for provider

    Provider to check item guide

    13

    Item Not Apprvd

    Item not approved – not payable by HICAPS

    Patient to follow up with fund

    14

    Max Nbr Ser Exc

    Service exceeds number of times permitted

    Patient to follow up with fund

    15

    Cost Missing

    Cost must be entered

    Value needs to be entered in 0.05c increments

    16

    DOS Not Valid

    Date of service must be before today

    Provider to follow up with Help Desk

    17

    DOS too Old

    Date of service too old

    Patient to claim directly with fund

    18

    Clincl Code Rqd

    Clinical Code required

    Provider to check item guide

    19

    Pat Not Covered

    Patient not covered

    Patient to follow up with fund

    20

    Depd Status End

    Dependent status ceased

    Patient to follow up with fund

    21

    Invalid PAT Code

    Invalid patient code

    Provider to check patient details on card

    22

    Mship Not Covere

    Membership not covered

    Patient to follow up with fund

    23

    Mship Ended DOS

    Membership cased/suspended at date of service

    Patient to follow up with fund

    24

    Mship Unfin DOS

    Membership unfinancial at date of service

    Patient to follow up with fund

    25

    No Ancill Cover

    No ancillary cover

    Patient to follow up with fund

    26

    Item Not Coverd

    Not covered for this service

    Patient to follow up with fund

    27

    Duplicate Serv

    Duplicate service already processed

    Patient to follow up with fund

    28

    Excess on Serv

    Nil benefit – excess on service applied

    Patient to follow up with fund

    29

    Excess on Serv

    Reduced benefit – excess on service applied

    Patient to follow up with fund

    30

    Quote Required

    Nil benefit – excess on service applied

    Patient to follow up with fund

    31

    Quote Required

    Reduced benefit – quote required prior to service

    Patient to follow up with fund

    32

    Exceeds Quote

    Nil benefit – claim exceeds quote

    Patient to follow up with fund

    33

    Exceeds Quote

    Reduced benefit – claim exceeds quote

    Patient to follow up with fund

    34

    Age Restriction

    Nil benefit – Age restriction applies

    Patient to follow up with fund

    35

    Age Restriction

    Reduced benefit – age restriction applies

    Patient to follow up with fund

    36

    Gender Restrict

    Nil benefit – gender restriction applies

    Patient to follow up with fund

    37

    Gender Restrict

    Reduced benefit – Gender restriction applies

    Patient to follow up with fund

    38

    Invalid Charge

    Nil benefit – Amount charged is invalid

    Provider to follow up with fund

    39

    Notional Charge

    Notional Charge

     

    40

    Converted Item

    Converted item

     

    41

    Refer to Health Fund

    Refer to fund

    Patient to follow up with fund

    42

    System Problem

    System Problem

    Provider to follow up with Help Desk

    43

    Tran Declined

    Transaction Declined – Refer Tran to Resp Code

    Refer to transaction response code

    50

    Prov Not Appro

    Provider not approved by Fund (at date of service)

    Provider to follow up with Help Desk

    51

    Prov Not Appro

    Provider not approved by Fund for this service at DOS

    Provider to follow up with Help Desk

    52

    Tooth id Reqd

    Tooth ID Number Required

    Provider to check item guide

    53

    DOS before Injury

    Service Date before Injury Date

    Patient to follow up with fund

    54

    Submitted

    Transaction Submitted for Processing

    No Further action required

    Po-PZ

    Refer to Fund

    Refer Health Fund – Not 1

    Patient to follow up with fund


    Note: 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.

  • Code Receipt Print Out Description Next Step

    00

    Approved

    Transaction approved or completed successfully

    No further action

    04

    Pick Up, Card Decline

    The Card Issuer has requested the card be retained by the merchant

    and returned to the acquirer with the merchant vouchers

    Merchant to call Help Desk

    05

    Declined

    The transaction has been declined

    Merchant to call Help Desk

    07

    Pick Up Card

    Pick up card  - The Card Issuer has requested the card be retained by the merchant and returned to the acquirer with the merchant vouchers – special condition 

    Merchant to call Help Desk

    13

    Invalid Amount

    The amount of the transaction is invalid for

    the type of transaction or merchant

    Retry transaction once more or seek alternate method of payment

    14

    Invalid Card

    Either the Card Issuer does not recognise the

    card or the card number is not allowed to be

    processed by the terminal

    Card holder to follow up with issuing bank

    15

    No Such Issuer

    The card issuer is not known by the terminal

    or switch

    Merchant to call Help Desk

    21

    No Action Taken

    The card issuer did not process the requested transaction

    Retry transaction

    31

    Issuer Not Supported

    The acquirer does not have an acquiring arrangement with the issuer of this card

    Seek an alternate method of payment

    32

    Partially Completed

    The transaction was not fully completed and has been reversed

    Retry transaction

    33

    Expired Card

    The terminal has advised that the card used for the transaction is expired or has been replaced

    Card holder to follow up with issuing bank

    38

    PIN Retried Exceeded

    The allowable number of pin retries has been exceeded for the card

    Card holder to follow up with issuing bank

    Seek an alternate method of payment

    39

    No Credit Account

    The Credit account was selected for the transaction, but one is not attached to the card

    Seek an alternate method of payment/retry transaction with different account selection

    43

    Pick Up Card

    Pick up card – The Card Issuer has requested

    the card be retained by the merchant and

    returned to the acquirer with the merchant

    vouchers – stolen card

    Merchant to call Help Desk

    52

    No Cheque Account

    The Cheque account was selected for the transaction, but one is not attached to the card

    Seek an alternate method of payment/retry transaction with different account selection

    53

    No Savings Account

    The Savings account was selected for the transaction, but one is not attached to the card

    Seek an alternate method of payment/retry transaction with different account selection

    54

    Expired Card

    The Card Issuer has advised that the card

    used for the transaction is expired or has been replaced

    Seek an alternate method of payment

    55

    Incorrect PIN

    The PIN entered by the cardholder is not valid for the card used

    Retry transaction once more or seek alternate method of payment

    58

    Not Permitted

    This type of transaction is not permitted to be performed at this terminal

    Merchant to call Help Desk

    61

    Exceeds Limit

    The transaction amount exceeds the daily or weekly withdrawal limit

    Card holder to follow up with issuing bank

    Seek an alternate method of payment

    65

    Exceeds Frequency

    The number of transactions exceeds the

    number allowed by the Card Issuer

    Card holder to follow up with issuing bank

    Seek an alternate method of payment

    75

    PIN Retried Exceeded

    The allowable number of pin retries has been exceeded for the card

    Card holder to follow up with issuing bank

    Seek an alternate method of payment

    76

    Approved

    The transaction was approved but the terminal will perform an automatic sign on for security reasons

    No further action

    91

    System Inoperative

    The Switch or Card Issuer is currently not available

    Retry transaction, if still failing, call Help Desk

    96

    System Malfunction

    The Switch has experienced a serious

    malfunction or the message is unable

    to be processed due to invalid details in one or more fields

    Retry transaction, if still failing, call Help Desk

    97

    Totals Reset

    Settlement has been processed and the

    terminal totals have been reset

    No further action

    98

    MAC Error

    The Switch has identified a possible security error or the message is unable

    to be processed due to invalid details in one or more fields

    Merchant to call Help Desk

    N1

    Upgrade Available

    Transaction approved – a new version of terminal is available

    Merchant to call Help Desk

    N2

    PIN PAD Error

    Transaction declined – the PINPAD connected to the terminal is invalid and cannot be used on the terminal

    Merchant to call Help Desk

    N3

    Upgrade Required

    Transaction declined – the current version of terminal

    Merchant to call Help Desk

    Pf

    Power Fail

    Power lost before completion of transaction

    Merchant to call Help Desk


    Note: If the screen display is blank, power reset the terminal, and check connections. If problem persists, call the Help Desk. If any other error messages are displayed, please call the Help Desk.