1. How to send Delay reason codes in Institutional Claims

Enter the Delay reason code in UB04 screen Box No.: 80 ‘Remarks’ as follows:
DELAYCODE-<CODE>(Note: There is a dash(-) after the text.)


Valid codes are 1, 2, 3, 4, 5, 6, 7,8, 9, 10, 11, 15

Description for each delay code is available in the URL http://www.reliablehealth.com/P3162.htm


2. How to send Delay reason codes in Professional Claims

Under Claim Notes/Special Instruction Field enter the Delay Code in the below format to add delay codes to professional claims.


The system will map accordingly in the EDI.