In New Hampshire: Anthem Health Plans of New Hampshire, Inc. HMO products underwritten by HMO Colorado, Inc. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE® Managed Care, Inc. In Maine: Anthem Health Plans of Maine, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Indiana: Anthem Insurance Companies, Inc. In Georgia: Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. In Connecticut: Anthem Health Plans, Inc. June 2021 Anthem Provider News - KentuckyĪnthem Blue Cross and Blue Shield is the trade name of: In Colorado Rocky Mountain Hospital and Medical Service, Inc. We encourage you and your staff to use the digital methods available to submit corrected claims to save costs in mailing, paper, and your valuable time. Please check with your practice management software vendor, billing service or clearinghouse for full details for submitting corrected claims. For corrected institutional (837I) claims, use bill type frequency codes to indicate a correction was made to a previously submitted and adjudicated claim:.7 – Replacement of Prior Claim\Corrected Claim.For corrected professional (837P) claims, use one the following frequency codes to indicate a correction was made to a previously submitted and adjudicated claim:.Providers should use one of the following: You can obtain this number from the 835 ERA or Remittance Inquiry on Payer Spaces.Ĭorrected claims submitted electronically must also have the applicable frequency code.įrequency code: Indicates the claim is a correction of a previously submitted and adjudicated claim. Set the Payer Control Number (ICN / DCN) (or Payer Claim Control Number) field to the claim number assigned to the claim by Anthem.Billing Frequency (or Frequency Type) field, in the Claim Information section (for professional and facility claims) or Ancillary Claim/Treatment Information section (for dental claims).Replacement of Prior Claim or Void/Cancel of Prior Claim.Enter the claim information, and set the billing frequency and payer control number as follows:.In the Availity portal menu, select Claims & Payments, and then select Professional Claim or Facility Claim, depending on which type of claim you want to correct.You can recreate a claim and submit it as a replacement or cancellation (void) of the original claim, if we have already accepted the original claim for processing. As a reminder, the corrected claim must be received within the claim timely filing period.Īvaility Portal Corrected Claim Submission Multiple types of errors that occur can typically be corrected quickly with the options below. The corrected claims process begins when a claim has already been adjudicated. Our digital-first initiative allows you to submit EDI corrected claims using the Availity Portal or through Electronic Data Interchange (EDI).
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