How To Rebill A HCFA And Indicate It Is A Corrected Claim

You will need to follow the steps listed below If you have received a denial on an EOB where corrections need to be made and the particular insurance payer has stated that you resubmit your claim with the "Original Reference Number" to indicate that the claim has been appropriately corrected.

We understand that these steps may seem inconvenient, but it is an essential step in ensuring accurate processing and documentation of claims. By including the "Original Reference Number," insurance payers can effectively track and match the corrected claim to the initial submission, thus expediting the review process.

If you are unsure if the insurance payer needs this information upon submission, we recommend you reach out to the insurance payer directly for clarification.

Should you require any assistance with following the steps we have listed below, please do not hesitate to reach out to our dedicated support team.

First Step: Indicating the claim is a corrected claim

Go to Admin

Go to Payers

Select Payer and Hit Edit Button

Go to Printing Options tab

Select the Payer Level in the Dropdown

Go down to box 22 and click on the  box

*Uncheck the box " No Override"

*make sure 7 (Replacement of prior claim) is selected under Text dropdown

* Override Current Text from Where to put text dropdown

*Save and Save Printing options screen also

**NOTE: If you have chosen Payer level SECONDARY or TERTIARY, please hit the Scrubbing Tab>Adjust Payer level to SECONDARY or TERTIARY>Scroll down to Box 22 and Highlight BOTH boxes to display Yellow. This will allow the Box 22 to display "7" & Original Reference number(Second Step below) in Box 22 when generating.

Hit Save

Second Step: Adding Reference number for Corrected claim

(If you do not need to add in a reference number, proceed to step 3)

Go to Patients Rolodex

Select the patient - Open

Select Case Tab

Select Edit

Place the Original reference number into box 22 and Save

Step 3: Rebilling the Claim

 Go to Patient file and hit the Refresh Data Button

Go to Patients file, Ledger Tab

Charges Tab

Rebill button

Select payer level for Rebill, Next

Select Charges that need to be rebilled, Next

(You can select multiple dates by clicking on first charge and dragging it down to last charge and let go or hold down the CTRL button while selecting dates)

Your claim will appear, check View box and select View Claims button to see info added to claim

7 and Original Reference Number WILL appear on HCFA. Once confirmed X out of screen

Uncheck View Box and select Next to generate Claim

Step 4: Removing number 7 indicator so, HCFA generates normal again.

*Go to patients file, Case tab, Edit, Delete Reference number and Save.

*Go to Admin, Payers, Select Payer, Edit, Printing options tab, Go to box 22, Click on R box, Check box that states "No Override" Save and Save Printing Options also.

*Save HCFA

- Support Information -

 If you have any questions or need assistance with this process please contact Support by:

Live chat: Click the 'Support Portal' button in your main toolbar (on left-hand side) within the software, click the green 'Support' box in bottom right of screen. Hours of operation are M-F 8am-6pm CST.

***This has the fastest response time***

Phone: [phone]

Email: [e-mail]