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A corrected or replacement 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.). The new claim will be considered as a replacement of a previously processed claim.

Even though it may sound easy to just resubmit the claim for a second review, a denied claim can't just be resubmitted. It must be determined why the claim was initially denied. Most of the time, denied claims can be corrected, appealed and sent back to the payer for processing.

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.

It is acceptable to send void or replacement when any one split claim has reached final adjudication. previously sent or needs to be corrected. Examples include incorrect dates of service or units. To qualify for a replacement, certain identifying information must remain the same.

A corrected claim should only be submitted for a claim that has already paid, was applied to the patient's deductible/copayment or was denied by the Plan, or for which you need to correct information on the original submission.

FOCUS ON: Azure. Azure AD B2C stands for Azure Active Directory Business-to-Consumer. This component is responsible for handling user account sign-up, sign-in, profile edit and password reset functionalities outside the applications developed to meet any specific functionality.

The Identity Experience Framework is a powerful identity engine with a very comprehensive feature set, that is used internally for Microsoft services like Azure AD B2C. Only a subset of features will be tested, monitored, documented, and supported over time. The supported list will increase quickly.