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 |