![]() To expedite claims processing, use the “Upload Documents" feature on our secure portal. ![]() For institutional claims, select "7-Replacement of Prior Claim" as the claim frequency and enter the original claim number in the Payer Claim Control Number field.Ĭorrected claims with supporting documentation, such as an Explanation of Benefits (EOB) or Certificate of Medical Necessity (CMN), can be sent electronically, even if the original submission was via paper.For professional claims, select "7-Replacement of Prior Claim" as the claim type and enter the original claim number (no dashes or spaces) in the Prior Claim Number field.Providers who submit paper claims can use XPressClaim ® to submit corrections. Only listing the line items being corrected may result in recoupment of services that were paid on the original claim. The corrected or replacement claim should list all line items included in the original claim. Resubmission/Claim Frequency Code field:ĭo not use loop 2300, segment AMT with an F5 qualifier (Patient amount paid), as 1) we do not require this information and 2) doing so will result in the claim processing as if the beneficiary paid out of pocket, causing reimbursement to go directly to the beneficiary instead of the provider.ĭo not only list the line items being corrected. ![]()
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