12/15/2021
(ASC X12) 1514 Delay Reason Code
TYPE=ID MIN=1 MAX=2
Code indicating the reason why a request was delayed
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 |
Appears in
| CLM | Health Claim |
| UM | Health Care Services Review Information |
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