Corrected, Void & Replacement Claims
Corrected Claim Workflow (CMS-1500)
Identify the claim that needs to be resubmitted
Make necessary edits to the claim
Find the ICN in the History tab. If not there, check the ERA.
Change Box 22 resubmission code to "7" (corrected claim) and add the ICN
Resubmit
Ritten does NOT auto-pull the ICN into Box 22. Must be found and entered manually. Not all payers send the ICN in 277 status messages — for those, the ERA is the only place to find it.
Corrected Claim Workflow (UB-04)
Make necessary edits to the claim
In Box 4: change the last digit to 7 (resubmission) or 8 (cancellation)
In Box 64: add the most recent payer's ICN (find in History tab or ERA)
Resubmit
Payer Claim Control Number (Void/Replacement Claims)
Required when submitting a replacement or void claim (Frequency codes 7, 8, G, I, X, Y).
UB-04: goes in Box 64.
Tells the clearinghouse which original claim the void/replacement refers to.
Find it in the claim's History tab or the original ERA.