Send Replacement/Corrected Claim/Delayed Reason/Void
Corrected/Replacement Claims
From the Encounter Dashboard, select Modify Charge.
On the bottom portion of the screen, use the Claim dropdown to choose Original or Replacement. See Send Corrected Claims to Payers that Only Support "Original" Claims
The ICN number pulls from the most recent ERA payment or can be manually added.
A Delayed Reason Code can also be added.
Most Payers accept 7 (Third Party Processing Delay) or 8 (Delay in Eligibility Determination) (Populates ANSI Loop 2300).
Some payers do NOT accept ANSI-designated Replacement Claims and/or Delayed Reason Codes, others require them, contact individual payers for their requirements. For instance, Medicare never accepts Replacement.
Designate "Corrected Claim" in ANSI Loop 2300 NTE Segment
Auto-populate the note, Corrected Claim
Manually adding the Corrected Claim Note
On the Encounter Dashboard, select Modify Charge.
In the Claim panel, select the Lookup icon beside ANSI Field. Choose CLMNOTE from the dropdown.
On the ANSI Field Group popup screen, type Corrected Claim in the Note field and any additional details, such as, added 25 modifier.
Select Save (F2) on the pop-up screen.
When finished on the Modify Charge screen, select Save (F2) on the Modify Encounter screen.
Display "Corrected Claim" at the Procedure Line level
On the Encounter Dashboard, select Modify Charge.
Select the Procedure Line in the Procedures panel to edit.
In the Note field, type: Corrected Claim and any additional details.
Save(F2) to save the Procedure Line.
When finished on the Modify Charge screen, select Save (F2).
Send a Voided Claim
If the Payer accepts Voided Claims, select Void from the Claim dropdown on the Modify Charge screen. This will send a 3 in ANSI 2300 CLM05-3.
Display "Corrected Claim" in HCFA Box 19
On the Encounter Dashboard, select HCFA Fields.
In Box 19, Additional Claim Information, type Corrected Claim and details.
Save (F2).
Note: This ONLY affects HCFAs, there is no Box 19 for electronic claims. Data entered on the Extra HCFA Information screen will override what would otherwise print on the HCFA.Related Articles
Resubmit a Claim
Resubmit a Claim From the Encounter Dashboard, select the Change Status button. Choose Ready For Submission/Resubmission on the Payer that you are resubmitting the Claim. Add a Note if applicable. Save [F2]. Resubmit Multiple Claims in One Step Go to ...Send Corrected Claims to Payers that Only Support "Original" Claims
Since some Payers do not accept Replacement Claims (Frequency Code 7), the ability to automatically send the correct Frequency code on Replacement claims to specific Payers has been added to the Insurance screen in the Insurance Library. There is now ...Corrected Claims (Table of Contents)
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