How do I correct a professional claim?
  • 02 Apr 2024
  • 1 Minute to read
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How do I correct a professional claim?

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Article Summary

In medical billing, a corrected claim is a resubmission of a healthcare claim with revised information to rectify errors in the original submission, ensuring accurate details for processing by the insurance payer. 

The following are the steps in the Claim.MD software for correcting a claim:

  1. Navigate to the View/Edit Claim page by searching for the claim in the Search page.
  2. Indicate that it is a corrected claim by choosing '7' in the first small pull-down field in Box 22.
  3. Enter the ICN number from the ERA or EOB in the second, longer field in Box 22.  
    If you've received an ERA from a prior submission, a dropdown for ICN will now be present in Box 22. From there, you can choose the desired ICN number for the ERA you wish to correct.
    More Information
    Selecting Automatic in the dropdown, the claim will select the last control number of ERA received if there is more than one ICN number for the claim.  
  4. **It is sometimes recommended to briefly state the reason for the correction in box 19***. (optional step)
  5. Save the claim, which will resubmit it as a corrected claim.
  6. If your system is set up to approve all claims before transmitting, go to Manage Claims, review the claim if needed, and click the Approve Transmit button.
IMPORTANT
Medicare does not accept electronic corrected claims. If Medicare has adjudicated a claim, the appeals process would need to be used to request a correction.  






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