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Event codes

Updated on November 6, 2020

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 CodeSmart Claims Engine Event CodeSmart Claims Engine Event Code Name
6SANP-0001SANP- Successfully Repriced, but Duplicate Claim
22SANP-0002SANP-Missing/Invalid ICD-9 Diagnosis Code
23SANP-0003SANP-Missing/Invalid ICD-9 Procedure Code
24SANP-0004SANP-Missing/Invalid CPT-4 Procedure Code
402SANP-0005SANP-Invalid ICD-9 Diagnosis Code
403SANP-0006SANP-Invalid ICD-9 Procedure Code
404SANP-0007SANP-Invalid CPT-4 Procedure Code
405SANP-0008SANP-Invalid HCPCS Code
413SANP-0009SANP-Claim Needs Allowed Amt in the Allowed Field
145SANP-0011SANP-No Contract found for Provider Arrangement
152SANP-0012SANP-No Provider Found
154SANP-0013SANP-Invalid Provider Code
161SANP-0014SANP-Multiple Match on Rate Sheet
162SANP-0015SANP-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 CodeEvent Name
SANP-0016SANP- NetworXErrors-Data Format Errors
SANP-0017SANP- NetworXErrors-Missing Data Error Type
SANP-0018SANP- NetworXErrors-Authorization Errors
SANP-0019SANP- 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 CodeDescription
SANP-0010SANP-Missing properties on response

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