837 Delay Reason Code Assignment Section - Cal-PM

Assign delay reason codes to services.

This section is enabled when services in the billing file require a delay reason code:

• The number of days between the service date and claim date must be equal to or greater than the number defined in the 'Number of days from "Date of Service" to "Date of Claim" in which the service requires a "Delay Reason Code Assignment"' field.

1. In the File field, select the billing file. This list contains all compiled 837 billing files, with services requiring a delay reason code.

2. In the Display Claims By field, select how claims display in the Claim Selection screen:

• Select All to display all claims.
• Select Unassigned Delay Reason Code to display claims requiring a delay reason code that have not been assigned a delay reason code.
• Select Client to display claims associated with a client (specified in the Client ID field).

3. In the Client ID field, enter the client name, click the Search button, and select the corresponding entry.

4. In the Default All or None field:

• Click All to select all claims on the Claim Selection Screen.
• Click None to select no claims on the Claim Selection Screen.

5. Click Select Claims To Assign Delay Reason Code to display the Select Claims To Assign Delay Reason Code screen. Select the claims, click OK.

6. In the Delay Reason Code field, select the delay reason code.

7. In the Report Type Code (2300-PWK-01) field, enter the code for the type of document that is to be reported in the Claim Supplemental Segment.

8. In the Report Transmission Code (2300-PWK-02) field, enter how the Claim Supplemental information is being transmitted  (ie. By Mail (BM) or By Fax (FX))

9. In the Identification Code (2300-PWK-06) field, enter the attachment control number; required when 2300-PWK-02 is BM, EL, EM, FX or FT.

10. Click Assign To File to assign the Delay Reason Code and PWK values to selected services.

11. Click Process.