Code indicating the reason why a request was delayed
Type
ID
Length
Max 2 / Min 1
Codes
<> 1
Proof of Eligibility Unknown or Unavailable
<> 2
Litigation
<> 3
Authorization Delays
<> 4
Delay in Certifying Provider
<> 5
Delay in Supplying Billing Forms
<> 6
Delay in Delivery of Custom-made Appliances
<> 7
Third Party Processing Delay
<> 8
Delay in Eligibility Determination
<> 9
Original Claim Rejected or Denied Due to a Reason Unrelated to the Billing Limitation Rules
<> 10
Administration Delay in the Prior Approval Process
<> 11
Other
<> 15
Natural Disaster
<> 16
Lack of Information
<> 17
No response to initial request
