Correction -- Status Inquiry
Question: how do I send a Corrected Claim Electronically with the Original Claim Number and Resubmission Code (Claim Frequency Code) of 6
Answer: DO NOT RESET CLAIMS. Instead, perform the following steps:Activities < Status Inquiry
Select Patient
Select a Date of Service
Process
Under Indicator select Corrected (Can't use for Michigan)
Under Document No. enter the Original Claim Number (get from Payer or EOB)
Process
You will see a Message: Status Transactions updated successfully...
Click "OK"
That Transaction has now been Reset and you can bill as usual.
NOTE: On a HCFA the Original Claim number and Resubmission Code would be in box 22
These are the Resubmission Codes / Claim Frequency Codes:
Original = 1
Corrected = 6
Replacement = 7
Void = 8
On the Outgoing 837 file, You'll see it in Loop 2300, Segment CLM05-3
Example:
CLM*191564*45***11:B:6*Y*A*Y*Y~
The "6" Indicates a Corrected Claim