WP on ball four, does run count?

[Larry1953]

Originally Posted by bob jenkins

The umpire directs the batter-runner to first, and if he refuses declares him out.

That makes sense, but what is the mechanic to direct the batter to first other than saying "Ball Four"? And what constitutes refusal? Usually pitchers go directly to first on a walk before putting a warm-up jacket on. Would leaving the dirt circle around the plate while walking to the dugout constitute refusal like on a D3K?