medicare corrected claims

Posts related Medisoft software.
Post Reply
ehc2010
Posts: 27
Joined: Tue Aug 26, 2014 8:26 am

medicare corrected claims

Post by ehc2010 » Tue Oct 03, 2017 7:40 am

Hi,

This is Jason M, we use Medisoft V19, we are trying to void a Medicare paid claim as it was billed in error. We have used frequency type 8 and ICN############# against original reference under Medicare and Tricare tab. We have Medicare and AARP as primary and secondary insurances respectively.
We received a rejection with the following error message "claim frequency type code is invalid expected value is "1" (orginal claim)

Please suggest.


Thanks in advance,

Jason M

User avatar
Gavin Walker
Posts: 4204
Joined: Wed Apr 04, 2007 10:11 pm
Location: Springfield, MO
Contact:

Re: medicare corrected claims

Post by Gavin Walker » Tue Oct 03, 2017 7:56 am

Hi Jason, is there something different about the claim? It should match the prior claim you sent. Or possibly, the payer denied the previously sent claim and there is nothing to void. If you are trying to send a replacement claim, try frequency type = 7.
Gavin Walker
Walker Tek Solutions, LLC
866-890-6777
417-890-6777

ehc2010
Posts: 27
Joined: Tue Aug 26, 2014 8:26 am

Re: medicare corrected claims

Post by ehc2010 » Tue Oct 03, 2017 12:15 pm

Hi Gavin,

I am looking at the EOP from Medicare and I do not see any changes on the earlier claim (charges, CPT codes, modifiers etc). We have sent the previous claim just once and got paid by Medicare. Also the payments are posted to system electronically. There's no denial as such. We want to void this claim as it was billed in error.

Please suggest.

Thanks in advance,

Jason M

User avatar
Gavin Walker
Posts: 4204
Joined: Wed Apr 04, 2007 10:11 pm
Location: Springfield, MO
Contact:

Re: medicare corrected claims

Post by Gavin Walker » Tue Oct 03, 2017 3:34 pm

Then maybe the ICN doesn't match. Are you just typing the number? Try leaving "ICN" off.

mbpros
Posts: 253
Joined: Fri Mar 11, 2011 6:59 pm

Re: medicare corrected claims

Post by mbpros » Tue Oct 03, 2017 5:45 pm

Here is the simple answer. Medicare does not allow for corrected claims with frequency code 7 or 8. Simply resubmit the claim and do not enter 8 as the frequency code (it will default to a 1 as the frequency code, which is the only value Medicare accepts).

Steve
Steven Zats
Medical Billing Professionals

drk
Posts: 155
Joined: Sat Oct 11, 2014 11:40 am
Location: Boston, MA

Re: medicare corrected claims

Post by drk » Wed Oct 04, 2017 10:49 am

"Medicare does not allow for corrected claims with frequency code 7 or 8."

I did not know that. Thanks for the information! You just saved the little remaining hair on my head.

Post Reply