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Using re-submission codes (HCFA 1500 claim form: Box 22)

This article will walk you through the process of editing a claim to show a specific re-submission code in Box 22 before refiling.

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ChiroFusion Support

Updated Sep 12, 2024

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The default setting for Box 22 on the HCFA 1500 form is "1-Original." There are times that a Payer will request that refiled claims show a specific re-submission code and sometimes a reference number that they provide you with. 

Common Re-Submission Codes Include:

  • 6-Corrected
  • 7-Replacement
  • 8-Void

Please note: The only time a re-submission code should be submitted on refiled claims is when the Payer has specifically requested it. If they have not requested this, a refiled claims should be left as the default of '1-Original'.

 

If a Payer does request a re-submission code and reference number, you can add this under the HCFA claim tab in Enter Charges. The video below will walk you through the process of editing and refiling a claim, and how to add a re-submission code and reference number to the claim.

 

Payers have been known to reject claims due to a re-submission code appearing in Box 22 when it was not specifically requested. If you are uncertain as to whether or not you should include a re-submission code in Box 22, we recommend contacting the Payer directly and inquiring about their specific requirements. 

 

Tags:#hcfa#billing#resubmission#replacement#claims#re-submission#corrected#void#claim#corrected claims#resubmission code#resubmission codes#editing claims#hcfa 1500

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