Wiki Box 22 on HCFA, difference between 8 and 7 (submit reason)

[melanied]

What is the difference in using and 8 or a 7 for the submission reason in box 22 on a electronic claim?
Our Office was told to use an 8 instead of a 7 when we were correcting a claim. Thank you for the clarification

 

[sls314]

What is the difference in using and 8 or a 7 for the submission reason in box 22 on a electronic claim?
Our Office was told to use an 8 instead of a 7 when we were correcting a claim. Thank you for the clarification

7 is a corrected/replacement claim. 8 is a void claim.

You would send the 8 to completely void the previously submitted claim. Some insurers prefer that you void the original claim, and then submit all of the updated information as a brand new claim. If an insurer is telling you to do this, I'm guessing they may be one of them.

When you send a 7, the corrections get reprocessed under the existing claim.

 

[suki_26]

We also use 7 but I agree with sls314 it really depends on the Payer. We are in NY and we haven't had any of the payers say to use 8 (as of yet). Be very careful about WHAT you send back. For example when we send a corrected claim electronically back to Medicare we uncheck everything accept the code or line we are changing. Buuut GHI (Emblem) if you do this they will void the entire claim and then only pay that 1 line. Certain insurance companies we find it is still better to send a paper Corrected claim and their specific form along with it.