Replace Data in the Claims Reporting Form and eSign it in minutes

Aug 6th, 2022
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How to Replace Data in the Claims Reporting Form

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So my name is Nathan Shippee, Im an associate professor in the division of health policy management at the University of Minnesota, and I am going to be talking in this segment about the source and processing of claims data. The reason that this is relevant, it might sound kind of dry, but the reason that we do it is because a lot of times we get questions from people where our answer kind of goes back to really what the nature of these data are, what they look like, reflects a data generating process. And as some people might have seen in news media and other places, you know, sometimes when people use data as they are, without really considering how the data were created and how the data were generated, that can lead to problems in how we use the data because we forget that these are secondary data and they come as a result of a process that researchers did not design. So of course, there will be time for questions at the end of the segment. If you do have q

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Frequency code 8: Must be used to fully void a claim. Must represent the entire claimnot just the line or item that you are retracting. Must serve as a full void of the claim (a 1:1 request). You cannot submit one resubmission claim for multiple original claims.
Correcting or Voiding Paper CMS-1500 Claims. Complete box 22 (Resubmission Code) to include a 7 (the Replace billing code) to notify us of a corrected or replacement claim, or insert an 8 (the Void billing code) to let us know you are voiding a previously submitted claim.
32 Required Service Facility Location Information - Enter the provider name. Enter the provider address, without a comma between the city and state, and a nine-digit zip code, without a hyphen. Enter the telephone number of the facility where services were rendered, if other than home or office.
7 = Replacement of prior claim. 8 = Void/cancel of prior claim.
Frequency Type Code 7 Claim Frequency Code/DefinitionUse7 Replacement of Prior ClaimUse to replace a claim line or entire claim in an already adjudicated paid or denied claim (see following instructions per claim type)1 more row Oct 26, 2021
8 = Void/cancel of prior claim.
A replacement claim is billed when a specific claim needs to be restated in its entirety, except for the identifying. information. The original claim is considered null and void. The information on the replacement claim submission replaces the previous claim.
Frequency code 7 Replacement of Prior Claim: Corrects a previously submitted claim. Frequency code 8 Void/Cancel of Prior Claim: Indicates this bill is an exact duplicate of an incorrect bill previously submitted. This code will void the original submitted claims.

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