Event codes
The NXP pricer includes in the XML response file greater than 130 routing codes. Several of the NXP routing codes have been mapped to discrete Smart Claims Engine event codes. The remaining NXP routing codes may be mapped to existing or newly created event and/or action codes, which may then be configured to meet the customer’s specific event management needs.
The following NXP routing codes have been mapped to Smart Claims Engine event codes for use in the NXP pricing module:
| NXP Routing Code | Smart Claims Engine Event Code | Smart Claims Engine Event Code Name |
| 6 | SANP-0001 | SANP- Successfully Repriced, but Duplicate Claim |
| 22 | SANP-0002 | SANP-Missing/Invalid ICD-9 Diagnosis Code |
| 23 | SANP-0003 | SANP-Missing/Invalid ICD-9 Procedure Code |
| 24 | SANP-0004 | SANP-Missing/Invalid CPT-4 Procedure Code |
| 402 | SANP-0005 | SANP-Invalid ICD-9 Diagnosis Code |
| 403 | SANP-0006 | SANP-Invalid ICD-9 Procedure Code |
| 404 | SANP-0007 | SANP-Invalid CPT-4 Procedure Code |
| 405 | SANP-0008 | SANP-Invalid HCPCS Code |
| 413 | SANP-0009 | SANP-Claim Needs Allowed Amt in the Allowed Field |
| 145 | SANP-0011 | SANP-No Contract found for Provider Arrangement |
| 152 | SANP-0012 | SANP-No Provider Found |
| 154 | SANP-0013 | SANP-Invalid Provider Code |
| 161 | SANP-0014 | SANP-Multiple Match on Rate Sheet |
| 162 | SANP-0015 | SANP-No Match on Rate Sheet |
The NXP pricer application also includes NetworXErrors level error codes
to indicate when the XML request file contains formatting errors. These
errors are categorized into (a) data format errors, (b) missing data errors,
and (c) authorization errors. These NetworXError level errors have been
mapped to the following event codes:
| Event Code | Event Name |
| SANP-0016 | SANP- NetworXErrors-Data Format Errors |
| SANP-0017 | SANP- NetworXErrors-Missing Data Error Type |
| SANP-0018 | SANP- NetworXErrors-Authorization Errors |
| SANP-0019 | SANP- NetworXErrors-Not Found Errors |
The application validates the presence of several properties in the NXP XML response file and uses the following single event code when one or several of those properties are missing from the response.
| Event Code | Description |
| SANP-0010 | SANP-Missing properties on response |
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