Submit corrected claims electronically for the Federal Employee Program^®

Our digital-first initiative allows you to submit EDI-corrected claims using the Availity Essentials website or through electronic data interchange (EDI). The corrected claims process begins when a claim has already been adjudicated. Multiple types of errors that occur can typically be corrected quickly with the options below.

Availity Essentials corrected claim submission

If we have already accepted the original claim for processing, you can recreate it and submit it as a corrected replacement or cancellation (void) of the original claim.

Follow these steps:

1. In the Availity Essentials menu, select Claims & Payments and then select Professional Claim or Facility Claim, depending on which type of claim you want to correct:
   • Enter the claim information, and set the billing frequency and payer control number as follows:
     • Replacement of Prior Claim or Void/Cancel of Prior Claim
     • Billing Frequency (or Frequency Type) field in the Claim Information section (for professional and facility claims) or Ancillary Claim/Treatment Information section (for dental claims)
     • Ensure all lines are submitted on the claim
   • Note: The original claim processed will be voided, and the new corrected and/or replacement claim will be processed. 
2. Set the Payer Control Number (ICN / DCN) (or Payer Claim Control Number) field to the claim number we assigned to the claim. You can obtain this number from the 835 ERA or Remittance Inquiry on Payer Spaces. 
3. Submit the claim.

EDI corrected claim submission

Corrected claims submitted electronically must also have the applicable frequency code. The frequency code indicates the claim is a correction of a previously submitted and adjudicated claim. Providers should use one of the following:

• For corrected professional (837P) claims, use one of the following frequency codes to indicate a correction was made to a previously submitted and adjudicated claim:
  • 6 — Corrected Claim of Prior Claim
  • 7 — Replacement of Prior Claim
  • 8 — Void/Cancel Prior Claim

Note: When a replacement or corrected claim (0XX7 or 0XX6) is submitted, the original claim will be voided, and the new or corrected claim will be processed:

• For corrected institutional (837I) claims, use bill type frequency codes to indicate a correction was made to a previously submitted and adjudicated claim:
  • 0XX6 — Corrected Claim of Prior Claim
  • 0XX7 — Replacement of Prior Claim
  • 0XX8 — Void/Cancel Prior Claim

Please check with your practice management software vendor, billing service, or clearinghouse for the full details of submitting corrected claims.

We encourage you and your staff to use the digital methods available to submit corrected claims to save costs in mailing, paper, and your valuable time.