IMPORTANT: Medicare does NOT accept corrected claims. Instead of following the instructions below, make the necessary changes and resubmit the claim without any Corrected Claim Indicator.
- Medicare won't reject the claim for being a duplicate, but they will reject the claim if it includes the Corrected Claim Indicator.
When a claim is rejected or denied for incorrect information, often times the payer will require you to resubmit the claim with both the necessary changes and a Corrected Claim Indicator. There are multiple indicators with different meanings:
- 1 = Original Claim Submission
- 7 = Corrected/Replacement Claim
- 8 = Void Claim
Apex is able to send these claims, however you will need to follow a few steps in order for our system to make the necessary changes.
ICN or Payer Control Number
The first step is to find the ICN, if the claim was denied, or the Payer Control Number if the claim was rejected. The ICN is found on your EOB, located under the Deduct column.
If you did not receive an EOB for the claim, meaning it was rejected, then you can search for the Payer Control Number in the Claim Status Tab. For help understanding how to find that tab, click here.
Once you've found the claim, click anywhere on the claim line, and it will drop down with information. To the far right of the line, located underneath the Action button, there is a column called Payer Control Number.
- Once you've found the claim, click anywhere on the claim line, and it will drop down with information. To the far right of the line, located underneath the Action button, there is a column called Payer Control Number.
- This number is what you will want to use if you don't have an ICN. However, if you have neither an ICN nor a Payer Control Number, you are able to correct the claim and resubmit it without any worries!
Edit the Claim
Once you have either the ICN or Payer Control Number, you will then want to make 2 edits on the claim.
- Add information to box 19
- Place ICN/Payer Control Number in box 22
In this box you will need to put the information CORRECTEDCLAIM.
This will allow our system to change the original claim indicator from '1' to '7', allowing the claim to be marked as a corrected/replacement claim. You will need to make sure that it is written EXACTLY as above, else the claim will go out incorrectly.
Enter the ICN or Payer Control Number in box 22.
- This will notify the payer which claim is being replaced in their system so that they don't mark the claim as a duplicate!
Please note that you CANNOT submit a corrected claim without an ICN or Payer Control Number. Insurance companies will reject claims if they are sent with a corrected/replacement indicator, but no claim to associate with the replacement. The same goes for sending a claim with an ICN/Payer Control Number, but not including the corrected claim indicator.
Once you have made the changes, click the Resubmit Claim button, and it will be sent to the payer!