PERMISSIONS REQUIRED: You must have Billing Permissions.
To resubmit a corrected claim, you will need mark the claim as Rejected and Resubmit with Resubmission Details. This sends the Corrected Claim to the payer and populates box 22 with a reference number and resubmission code.
NOTE: In order to resubmit a corrected Claim you will need to ensure that "Ask for resubmission details prior to Re-Submit failed claim" in the EDI File Settings is selected for this payer.
Resubmit a Corrected Claim
- Click Billing tab in primary navigation bar.
- Click Claims in side navigation bar and locate your claim.
- Click Update Status and select Rejected/Denied.
NOTE: If your claim is in the ERA Received Tab you will click Actions > Mark Claim as Rejected
- Navigate to the Rejected/Denied Tab and locate your claim
- Click Update Status > Resubmit New Claim
- Select Resubmission Code in Resubmission Details window.
- 7 - Replacement of Prior Claim (Corrected Claim)
- 8 - Void/Cancel of Prior Claim
- Enter the Original Reference Number - This is the Payers Claim Number, also known as ICN or a Control Number.
Resubmission details appear in Loop 2300 of the EDI file and Box 22 of form CMS1500:
NOTE: If your claim is in the Paid Processed tab and you need to Resubmit a Paid Claim that is in the Paid/Processed Tab.