Delay Reason Code
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Revision as of 18:24, 15 May 2018 by Cecswiki (Created page with "Some insurances require a '''Delay Reason Code''' to for claims that are being billed outside of normal coverage. These codes are sent in field '''NV-357'''. To send the cod...")
Some insurances require a Delay Reason Code to for claims that are being billed outside of normal coverage. These codes are sent in field NV-357.
To send the code, type /DRCxx (where xx is a two-digit code) in the SIG lines in RXFILL or EDIT.
|01||Proof of Eligibility Unknown or Unavailable|
|04||Delay in Certifying Provider|
|05||Delay in Supplying Billing Forms|
|06||Delay in Delivery of Custom-made Appliances|
|07||Third Party Processing Delay|
|08||Delay in Eligibility Determination|
|09||Original Claim Rejected or Denied Due to a Reason Unrelated to the Billing Limitations Rules|
|10||Administration Delay in the Prior Approval Process|