by MIrria
(Oak Harbor WA)

I am new to the health/prescription insurance world. My question is:
When an insurance company rejects a claim with:

Denied code 22 missing/invalid DAW/product selection code

What is it exactly saying??

In the billing box, the DAW is blank. Are they wanting me to pick a code even though I don't know what the prescriber wants/indicated?

How do I resubmit with the hope of receiving a payment?

Thank you.

Comments for Mirria

Average Rating starstarstarstarstar

Click here to add your own comments

Denial Code 22/Invalid DAW/Product Selection Code
by: David

22 M/I Dispense As Written (DAW)/Product Selection Code

What this denial means is that the BRAND MEDICALLY NECESSARY INDICATOR/DAW CODE is INVALID. It sounds to me like you may be processing the wrong DAW code for either a Brand or generic drug.

According to a PDF document from https://www.ce-prn.com/wp-content/uploads/2019/07/072019_DemystifyingPharmacyInsuranceClaim.pdf

"Improper DAW Code Submitted: As stated previously, pre and post edits can assist in catching this error, but many pharmacies get chargebacks because of improper documentation of a DAW 2 (patient requests brand). If the patient does ask for brand and DAW 2 is submitted, a statement to that effect must be on the face of the hardcopy."

Click here to add your own comments

Join in and write your own page! It's easy to do. How? Simply click here to return to Questions about DAW Codes....

Back to Home

[?]Subscribe To This Site
  • follow us in feedly
  • Add to My Yahoo!