Corrected Claim Filing Guidelines
There are general guidelines by the National Uniform Claim Committee (NUCC) and Medicare, however, it is important to remember that different carriers can have different guidelines for filing a corrected claim.
DO NOT use a corrected claim for payment disputes. IF you are disputing a payment, you must follow that insurance carrier's official appeals process.
CMS 1500 (Professional) Paper Claims
On the CMS-1500 Form, use Box 22 (Medicaid Resubmission Code). Enter the frequency code “7” in the “Code” field and the original claim number in the “Original Ref No.” field.
UB04 (Facility) Paper Claims
On the UB-04 (CMS 1450) Form, use Box 4 (Type of Bill). Enter either “7” (corrected claim), “5” (late charges), or “8” (void or cancel a prior claim) as the third digit in Box 4 (Type of Bill). Then in box 64 (Document Control Number), enter the original claim number.