May 4, 2016 Corrected Claim Requests Must Be Submitted Electronically Beginning July 11, 2016, corrected claim requests must be submitted electronically as a replacement/corrected claim, rather than by calling Provider Customer Service. Submitting Electronic Replacement Claims Replacement claims can be submitted electronically by using the appropriate claim frequency code. Professional providers will use claim frequency code 7. Institutional providers will use bill types ending with 7 (e.g., 117). The electronic replacement claim will replace the entire previously processed claim. Therefore, when submitting a correction, send the claim with all changes exactly how the claim should be processed. Submitting electronic replacement claims will help reduce the potential for claims to deny as duplicates. Additional Information for Professional Providers For examples and other details, refer to the Electronic Replacement Claims (Professional). |