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NCPDP Second Review Reasons

Last update
February 21, 2024

Second Review Reasons make submitting Second Reviews a snap. Save your Second Review Reasons to use on future Second Reviews. For more information on Second Reviews, see the Help Topic: Second Review.

Step 1. On the navigation bar, click ‘Settings’, then click the name of the Billing Provider you want to view or edit

This will navigate directly to Billing Settings - Required for that Billing Provider.

Step 2. Click the ‘Custom Settings’ tab

Step 3. Click the ‘Second Review Reasons’ card

Step 4. To add a new ‘Second Review Reason,’ click the ‘Add Second Review Reason’ button

Step 5. Enter the ‘Description’ and ‘Text’ for the ‘Second Review Reason,’ then click the ‘Add’ button

Create an easily identifiable Description of the Second Review Reason.  A good Description might identify the Procedure Code or Denial Reason the Second Review Reason applies to.  

In the Text field, enter the language you want to appear on your Second Review.  

Step 6. To edit a ‘Second Review Reason,’ click the ‘Edit’ icon

To set a Second Review / Appeal Reason to inactive, use the ‘Active?’ toggle

Step 7. To delete a ‘Second Review / Appeal Reason,’ click the ‘Trash can’ icon

A Second Review / Appeal Reason can only be deleted if it has never been used on a bill before.

There - consistent language across your second reviews. Done!

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