Claim Replace Amount Field For Free

Paper CMS-1500 claims o Use resubmission code 7 to notify us of a corrected or replacement claim. o Insert an 8 to let us know you are voiding a previously submitted claim. o Enter the original claim number in the Original Ref.

What is a resubmission code? A resubmission code is used on claim forms to list the original reference number, when resubmitting or correcting a claim in Box 22. The frequency code may be one of the following: 6 - Corrected Claim. 7 - Replacement of prior claim.

Adjustment claims (type of bill XX7) are submitted when it is necessary to change information on a previously processed claim. The change must impact the processing of the original bill or additional bills in order for the adjustment to be performed.

Correcting or Voiding Paper CMS-1500 Claims. Complete box 22 (Resubmission Code) to include a 7 (the "Replace" billing code) to notify us of a corrected or replacement claim, or insert an 8 (the Void billing code) to let us know you are voiding a previously submitted claim.

These are the steps you can take to void/cancel a claim: Contact the payer and advise that a claim was submitted in error. Ask if this claim should be voided/cancelled, so that you can submit a claim with the correct information. Some payers will allow you to void/cancel the claim over the phone.

Replacement of Prior Claim BCBSIL will adjust the original claim. The corrections submitted represent a complete replacement of the previously processed claim.

A corrected claim is a replacement of a previously submitted claim (e.g., changes or corrections to charges, clinical or procedure codes, dates of service, member information, etc.). A corrected claim is not an inquiry or appeal. Do not submit a Provider Inquiry Resolution Form (PIRF) with a corrected claim.