CommercialMarch 12, 2024
Important reminder: The correct original claim number must be included if submitting a corrected claim
When we receive a corrected claim and it doesn’t have the original claim number, or the original claim number is not correctly entered, we are not able to process it because we’re not able to connect it to the original claim.
- For providers and their vendors (clearinghouses or billing services) submitting a corrected claim through EDI, we will send you a 277CA EDI Response Report acknowledging that we’ve received the submission, but are not able to process it:
- In this instance, you can either submit a new corrected claim with the original claim ID number or submit the corrected claim as an original claim if you do not have the original claim ID number.
- It is important that you submit proof of timely filing of the original claim when submitting a corrected claim so we can ensure the claim is processed according to the timely filing guidelines.
- For providers using Claims Status application on Availity.com, you will not be able to access the corrected claim if it was rejected on the 277CA EDI Response Report:
- In this instance, you can either submit a new corrected claim with the original claim ID number or submit the corrected claim as an original claim if you do not have the original claim ID number.
- It is important that you submit proof of timely filing of the original claim when submitting a corrected claim so we can ensure the claim is processed according to the timely filing guidelines.
We’ve also developed a training video that can help further in reducing duplicate claims along with a training guide called Making the Claims Process Work for You that can help you in properly submitting a corrected claim. Access the video and download the guide here. Provider information is required to view, but it will only occur the first time viewing this training.
If you have questions about submitting a corrected claim, reach out to your provider representative or work with your EDI vendor to ensure you are receiving the 277CA Response Report.
Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.
CABC-CM-049144-23-CPN48099, CABC-CM-061596-24-CPN61590
PUBLICATIONS: April 2024 Provider Newsletter, July 2024 Provider Newsletter
To view this article online:
Or scan this QR code with your phone