HICAPS: Store and Forward / Invoice not Paid by Insurance

The Store and Forward (SAF) transactions are claims that are stored in the HICAPS host when the Health Fund host is unavailable due to various reasons. When the Health Fund host becomes available, the stored transaction will be sent to the Health Fund for processing.

When D4W/PSS receives a Transaction Return Code of 10 for Store and Forward claim from the HICAPS terminal, D4W/PSS will treat this as a successful claim, though the HICAPS receipt will differ slightly:

1. GAP column is removed from the claim form.

2. SAF Declaration should be printed on the Provider copy

Any Store and Forward claims transaction that need to be reversed have to be done from the Claims tab. The reason for this is because there is no benefit paid for this type of claim.