{"aaData": [["1", "
PROOF OF ELIGIBILITY UNKNOWN
\n", "
\nTransaction delayed because identification card or verification \ntransaction not available, or patient enrollment in benefit plan not \ncomplete at the time of service.\n
\n
\n", ""], ["10", "
ADMIN DELAY IN PRIOR APPROVAL
\n", "
\nTransaction delayed because the authorizing entity was unable to complete \nand/or provide the authorization prior to the time of service.\n
\n
\n", ""], ["11", "
OTHER
\n", "
\nDoes not fit within any of the other delay reason codes\n
\n
\n", ""], ["12", "
RECEIVED LATE W/ NO EXCEPTIONS
\n", "
\nReceived late with no exceptions\n
\n
\n", ""], ["13", "
DAMAGE TO PROVIDER RECORDS
\n", "
\nTransaction delayed because damaged records of services had to be \nreconstructed in order to complete the transaction\n
\n
\n", ""], ["14", "
THEFT/OTHER ACTS BY EMPLOYEE
\n", "
\nTransaction delayed because of employee misconduct\n
\n
\n", ""], ["2", "
LITIGATION
\n", "
\nTransaction delayed because litigation to determine liability for medical \nexpenditures was unresolved at the time of service.\n
\n
\n", ""], ["3", "
AUTHORIZATION DELAYS
\n", "
\nTransaction delayed because the review process for authorization of the \nservice was not completed/finalized at the time of service.\n
\n
\n", ""], ["4", "
DELAY IN CERTIFYING PROVIDER
\n", "
\nTransaction delayed because the provider certification for participation \nwith the plan was not completed/finalized at the time of service.\n
\n
\n", ""], ["5", "
DELAY - BILLING FORMS
\n", "
\nTransaction delayed because specified billing form was not available at \nthe time of service.\n
\n
\n", ""], ["6", "
DELAY - CUSTOM-MADE APPLIANCES
\n", "
\nTransaction delayed because custom-fabricated appliance was not ready for \ndelivery at the time related services/supplies were provided.\n
\n
\n", ""], ["7", "
THIRD PARTY PROCESSING DELAY
\n", "
\nTransaction delayed because payment decision of third party payer(s) was \nnot complete/received at the time of service.\n
\n
\n", ""], ["8", "
ELIGIBILITY DETERMINATION
\n", "
\nTransaction delayed because patient enrollment in benefit plan not \ncomplete at the time of service or subsequent determination made \nenrollment retroactive to or prior to the date of service.\n
\n
\n", ""], ["9", "
ORIGINAL CLAIMS REJECTED
\n", "
\nTransaction delayed for correction of inadequacies or errors on previous, \ntimely submitted claims.\n
\n
\n", ""]]}