Question: Must I always file modifier 22 claims manually? Is there an easier and faster way to submit these claims? Arkansas Subscriber Answer: Every modifier 22 (Increased procedural services) claim will require that you submit substantial documentation, but many payers would prefer that you submit the claim electronically and send the docu-mentation separately. You may wish to include a note with the backup documentation that states, "This is backup documentation to support an electronic claim. This is not a duplicate claim." This alerts the payer that you are not trying to submit the same claim twice in an effort to double your payment.