corrected claim

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kidspeds
Posts: 25
Joined: Sat Oct 03, 2015 10:37 am

corrected claim

Post by kidspeds » Fri Jul 27, 2018 9:18 am

how do I submit a corrected claim?Do I have to enterthe long claim number
TIA

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Gavin Walker
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Location: Springfield, MO
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Re: corrected claim

Post by Gavin Walker » Wed Aug 01, 2018 8:52 am

In claims management edit the claim and enter a 7 (replacement) in the Frequency Type field. There is the option 6 (corrected) which means you are creating a new claim in Medisoft with just the additional items that were not billed on the original claim.
Gavin Walker
Walker Tek Solutions, LLC
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Rachelb
Posts: 7
Joined: Wed May 02, 2018 8:35 am

Re: corrected claim

Post by Rachelb » Wed Aug 15, 2018 12:17 pm

If you send with Frequency 7, for most insurances/clearinghouses, you must also enter the ICN on the claim as well. They will reject on Trizetto without the ICN and Freq 7.
To enter the ICN-You will find this in the Case>Medicaid and Tricare Tab>Original Reference number. I have recently noticed that Medicare rejects claims with Freq 7 at the clearinghouse, or they do on Trizetto, so I only send those with the ICN.
Rachel Bears
Billing Manager, Certified Plus Trainer

kidspeds
Posts: 25
Joined: Sat Oct 03, 2015 10:37 am

Re: corrected claim

Post by kidspeds » Fri Sep 07, 2018 9:53 am

Whats ICN
Thanks

Rachelb
Posts: 7
Joined: Wed May 02, 2018 8:35 am

Re: corrected claim

Post by Rachelb » Wed Sep 19, 2018 9:31 am

The ICN is the internal claim number the insurance assigns to each claim. If you have an EOB with a rejection, it will have the ICN on there somewhere.
Rachel Bears
Billing Manager, Certified Plus Trainer

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