Claim Replace Initials Field For Free

Navigate to Filing > CMS-1500. Locate the Print & Mail claim you need to send a Corrected Claim for. Click the. Under Step 1, select the claims that you want to create the Corrected Claim for. Under Step 2, indicate if you would like do one of the following: Select Create.

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.

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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. Enter the Blue Cross NC 'original' claim number as the Original Ref.

The claim frequency codes are as follows: 1 Indicates the claim is an original claim 7 Indicates the new claim is a replacement or corrected claim the information present on this bill represents a complete replacement of the previously issued bill. 8 Indicates the claim is a voided/canceled claim. REPLACEMENT CLAIMS.

What is a resubmission code? A resubmission code is used on claim forms to list the original reference number, when resubmitting or correcting a claim in Box 22. The frequency code may be one of the following: 6 - Corrected Claim. 7 - Replacement of prior claim.

Paper CMS-1500 claims o Use resubmission code 7 to notify us of a corrected or replacement claim. o Insert an 8 to let us know you are voiding a previously submitted claim. o Enter the original claim number in the Original Ref.