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Corrected Claim Submissions Notification

Date: 02/13/2015

In addition to submitting corrected claims on a standard red and white form, the previous claim number should be referenced in field 64 of the UB-04 and 22 of the HCFA 1500 as outlined in the NUCC guidelines. The appropriate frequency code/resubmission code should also be billed in field 4 of the UB-04 and 22 of the HCFA 1500. Omission of these data elements may cause inappropriate denials, delays in processing and payment.