Filing Corrected Claims

by  Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
October 9th, 2014

A corrected claim is a claim that was originally submitted with incorrect information and is being resubmitted.

When submitting a corrected paper claim, enter the Claim Frequency Type Code 7 or 8 (see below) in BOX 22

Add a note explaining the reason in BOX 19

If you are adding or changing clinical information (attach documentation).

Sending Corrected Electronic Claims:

 

Correcting electronic HCFA 1500 claims

If you don't know where the 2300 loop or 2300 NTE ADD fields are in the form you use, contact your software vendor. If your software vendor has additional questions, direct them to call the EDI Helpline.

  1. Enter Claim Frequency Type code (billing code) 7 for a replacement/correction, or 8 to void a prior claim, in the 2300 loop in the CLM*05 03. 
  2. To ensure we process the claim accurately, add a note explaining the reason for the resubmission in loop 2300 NTE (segment) ADD (Qualifier). For example: NTE*ADD* (changed CPT)
  3. Enter the original claim number in the 2300 loop in the REF*F8*.
- See more at: http://www.priorityhealth.com/provider/manual/billing-and-payment/make-corrections#sthash.AFbfpuKF.dpuf

References:

Filing Corrected Claims. (2014, October 9). Find-A-Code Articles. Retrieved from https://www.findacode.com/articles/corrected-claims-1523.html

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