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BIN Billing Rejection Overrides

How to override BIN billed rejections.

Aubree Dorr avatar
Written by Aubree Dorr
Updated today

DocStation DUR/PPS Overrides Guide

This article explains the claim edit overrides supported in DocStation’s BIN billing. It covers what each override does, when to use it, and the exact DUR/PPS codes to enter.


Quick glossary

  • Claim edit: A validation that blocks or warns on submission based on payer and policy rules.

  • DUR/PPS override: Three fields entered in the claim to proceed when policy allows.

  • Intermediary authorization override: A separate set of fields for certain workflows.


Supported Overrides

Not Typically Covered by Medicare Part B

  • When it appears: Vaccine billed to Medicare payer PCN when Medicare typically does not cover it under Part B.

  • What to do: Enter DUR codes PP, 00, 1B.

  • Result: Claim proceeds per configured logic if otherwise valid.

Eligibility Check Override

  • Options:

    • Intermediary authorization override: Enter OEC in the intermediary authorization fields.

    • DUR/PPS alternative: Enter DUR codes TP, R0, 1B.

  • Result: Skips eligibility check and proceeds if otherwise valid.

Reverse Claim Override (PMS Reversal Enablement)

  • Scenario: User wants to reverse in their PMS and rebill to the PBM while retaining the medical claim on DocStation. This does not change the medical claim in DocStation.

  • What to do: Enter DUR codes PP, 00, 1B.

  • Result: Enables reversal in the PMS only. No action is taken on the DocStation medical claim.

Diagnosis Code Required

  • When it appears: Non‑vaccine mapped HCPCS submitted without a diagnosis code in Clinical Segment Field 404‑DO.

  • What to do: Add the diagnosis code. This is a hard stop with no override when enabled.

  • Result: Claim submits once a valid diagnosis code is provided.

Refill Too Soon

  • When it appears: Attempting to refill 7 or more days before the previous span end date.

  • What to do: Enter DUR codes ER, 00, 1B.

  • Result: Claim proceeds with a paid response if otherwise valid.

Prior Authorization (PA) Required

  • When it appears: Claim includes specific mapped HCPCS that require PA.

  • What to do: If PA is on file, enter DUR codes PA, M0, 1B.

  • Result: Claim proceeds with a paid response if otherwise valid.


How to enter DUR/PPS overrides in DocStation

  1. Open the claim that shows the edit message.

  2. Locate the DUR/PPS segment fields in the claim form.

  3. Enter the three code values in order. Example for “Refill too soon”: ER, 00, 1B.

  4. Resubmit the claim.

  5. Confirm the response. If the claim still rejects, review the edit message for additional requirements.

Tip: For teams already fluent with intermediary authorization overrides, OEC remains available for eligibility bypass. The DUR option is provided for ease of use.


FAQs

  • Why do I see a hard stop for diagnosis code?

    • For certain non‑vaccine HCPCS, a diagnosis is required for compliance. Add the diagnosis in Field 404‑DO and resubmit. No override is available for this edit when enabled.

  • Will the Reverse Claim override cancel my DocStation medical claim?

    • No. It only allows reversal in your PMS and does not change the DocStation medical claim status.

  • Do I need to enable these edits somewhere?

    • Claim edits can be toggled in the RelayHealth integration configuration. Check with your admin or Support via chat if you are unsure which edits are enabled for your site.


Troubleshooting

  • The override did not work

    • Confirm you are overriding the correct edit with the matching codes.

    • Verify any additional information in the rejection message.

  • I cannot find the DUR/PPS segment

    • Ensure you are editing the claim in the correct workflow step.

    • If fields are hidden by configuration, contact your PMS admin to confirm settings.

  • Still stuck?

    • Capture the rejection reason text and the codes you tried.

    • Reach out to the DocStation Support team via chat along with claim details.


Safety and compliance reminders

  • Use overrides only when appropriate under payer rules and organizational policy.

  • Overrides do not bypass documentation requirements.

  • Maintain records supporting the use of each override.

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