Discovery Rejection Codes and the Reaons
Should claims not be paid by Discovery medical aid, Discovery will send a rejection code to inform the Practice with the code and reason.
See below the list of rejection codes and their respective reasons:
| Response Code | Description | Scenario | Action Required |
|---|---|---|---|
| B2B0001 | Request XSD validation failed | The submitted claim does not conform to the agreed XSD | Claim to be corrected and resubmitted |
| B2B0002 | This claim is not intended for this fund | The claim is submitted with a CMS code that is not allowed for claim submission | Claim to be corrected and resubmitted |
| B2B0003 | Only batches of one is accepted | More than one claim is submitted | Only one claim to be submitted per web service call |
| B2B0005 | Claim lines as specified in the batch doesn't add you | Content of claim is incorrect, as per error description | Content to be corrected and resubmitted |
| B2B0006 | Submitted claim amount in the batch envelope doesn't add up to submitted claim amount in the claim | Content of claim is incorrect, as per error description | Content to be corrected and resubmitted |
| B2B0008 | Unable to complete transaction. Please resend | Claim could not be successfully delivered to internal system for claims processing | Resubmit claim |
| B2B0016 | This message should be submitted through Medikredit | Claim is submitted for specific schemes that are only allowed to be submitted via Medikredit. | Submit claim via correct trading partner |
| B2B0022 | Received your claim, await your DA | This message indicates that the claim has been received. Once the claim has been processed, a delayed response will return to the trading partner. | None. Claim should not be resubmitted. |
| B2B0024 | Please resubmit with a new claim transaction number. | The submitted claim has been updated manually. | The claim must be resubmitted, but only after 15 minutes. |
| B2B0025 | Unable to complete transaction. Please resend after 15 minutes. |
This response will be returned the internal system has not accepted the claim and could not persist the claim. | The claim must be resubmitted, but only after 15 minutes. |
| B2B0026 | Received your credit note, await your DA | This message indicated that the credit note has been received. Once the credit note has been processed, a delayed response will return to the trading partner. | None. Credit note should be resubmitted. |
- Examples on how the message will display on the GoodX System.
Last modified: Monday, 19 June 2023, 11:40 AM