What is Box 22 on a HCFA?

What is Box 22 on a HCFA?

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.

What is the difference between a corrected claim and a replacement claim?

A corrected or replacement claim is a replacement of a previously submitted claim (e.g., changes or corrections to charges, clinical or procedure codes, dates of service, member information, etc.). The new claim will be considered as a replacement of a previously processed claim.

What goes in box 23 on the CMS 1500 form?

Box 23 is used to show the payer assigned number authorizing the service(s).

What is a correction claim?

A corrected claim is a replacement of a previously billed claim that requires a revision to coding, service dates, billed amounts or member information. CORRECTED CLAIM BILLING REQUIREMENTS.

How do I bill a corrected Medicare claim?

To submit a corrected claim to Medicare, make the correction and resubmit it as a regular claim (Claim Type is Default) and Medicare will process it.

Where do you put a corrected claim on HCFA?

Correcting electronic HCFA 1500 claims: EDI 837P data should be sent in the 2300 Loop, segment CLM05 (with value of 7) along with an additional loop in the 2300 loop, segment REFF8 with the original claim number for which the corrected claim is being submitted.

What is corrected claim?

A corrected claim is a replacement of a previously submitted claim. Previously submitted claims that were completely rejected or denied should be sent as a new claim.

What is Box 32 on a HCFA?

Box 32 is used to indicate the name and address of the facility where services were rendered. Enter the name, address, city, state, and ZIP code of the location. Note: If Box 32 has the exact same information as Box 33, the clearinghouse will remove that from the EDI file.