Send Corrected Claims to Payers that Only Support "Original" Claims

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 a checkbox on the Insurance screen for Send Replacement Claim as Original. If this is checked, and Replacement is chosen on the Modify Charge screen:

  • The claim will output as an Original.

  • A Corrected claim note will automatically be added in Loop 2300.

    • If a Claim Note has been added manually, it will take precedence and will not be overwritten by the System.


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Send Replacement/Corrected Claim/Delayed Reason/Void

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