Claims Correction & Submission

The corrected claim is the replacement of the already submitted claim. There can be many changes in charges, member information, dates of services, and clinical or procedure codes. A corrected claim is not a form of inquiry; you do not need to submit a Provider Inquiry Resolution Form (PIRF) along with the claim correction services USA.

Claim Correction Services USA

Claim Correction Services USA

It is beneficial to submit the corrected claims electronically. Doing so will help in saving time and money and expedite claims processing.

  • Professional providers must submit claims in the HIPAA transaction 837P
  • Institutional providers must submit claims in the HIPAA transaction 837I

Professional and Institutional Provider’s claims must include the following:

  • A value of ‘7’ in Loop 2300, Segment CLM05-3
  • The original DCN in Loop 2300, Ref*F8

We recommend that you submit all claims electronically. On the other hand, if you do not have electronic claims submission facilities, you can indulge in the written form with the heading “corrected claim.”

Furthermore, timelines must be adhered to submit the corrected claims. All the information must be added accurately and double-checked to avoid later trouble.