What is Box 22 on a HCFA?

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.

What goes in box 33B on a CMS-1500?

non-NPI identity of the Billing provider
Box 33b contains the non-NPI identity of the Billing provider. The source for the actual non-NPI value is the text entered into the field labeled ‘Box 33B:’ under the ‘HCFA-1500/UB-92’ tab of the Payers screen (of the payer to whom this claim is being sent).

What is the difference between a corrected claim and a replacement claim?

A corrected or replacement claim is a replacement of a previously submitted claim (e.g., changes or corrections to charges, clinical or procedure codes, dates of service, member information, etc.). The new claim will be considered as a replacement of a previously processed claim.

What goes in box 23 on a CMS-1500?

Box 23 is used to show the payer assigned number authorizing the service(s).

What are the claim resubmission codes?

What is a resubmission code?

  • 6 – Corrected Claim.
  • 7 – Replacement of prior claim.
  • 8 – Void/cancel of prior claim.

What is a correction claim?

A corrected claim is a replacement of a previously billed claim that requires a revision to coding, service dates, billed amounts or member information. CORRECTED CLAIM BILLING REQUIREMENTS.

What is box 33a on a HCFA?

Box 33a is used to indicate the National Provider Identifier number of the Billing Provider.

What is box 17a on CMS-1500?

Box 17a is the non-NPI ID of the referring provider and is a unique identifier or a taxonomy code. The qualifier indicating what the number represents is reported in the qualifier field to the immediate right of 17a.

What are the resubmission codes?

Under what circumstances should a corrected claim be submitted?

A corrected claim should only be submitted for a claim that has already paid, was applied to the patient’s deductible/copayment or was denied by the Plan, or for which you need to correct information on the original submission.

What is Box 32 on a HCFA?

Box 32 is used to indicate the name and address of the facility where services were rendered. Enter the name, address, city, state, and ZIP code of the location. Note: If Box 32 has the exact same information as Box 33, the clearinghouse will remove that from the EDI file.

What goes in box 33 on a HCFA?

Box 33 is used to indicate the name and address of the Billing Provider that is requesting to be paid for the services rendered. Enter the name, address, city, state, and ZIP code. P.O. Boxes are not allowed for electronic claims.