EDI Blog

(ASC X12) 1514 Delay Reason Code

TYPE=ID MIN=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

CLMHealth Claim
UMHealth Care Services Review Information
Review post

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