Delay Reason Code
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.
Value | Description |
01 | Proof of Eligibility Unknown or Unavailable |
02 | Litigation |
03 | Authorization Delays |
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 |
11 | Other |