Products & Programs Federal Employee Program (FEP)CommercialFebruary 1, 2025

Corrected claim guidance for the Federal Employee Program®

Our digital first approach enables providers to submit EDI corrected claims through Availity Essentials or the electronic data interchange (EDI).

Corrected claim guidance

When submitting a corrected claim, include all previous information along with any corrections or additions.

To correct a claim billed to us in error, submit the entire claim as a void/cancel. A new claim may be required if we identify missing or incorrect information based on the guidelines in the Claims Submission section. Providers will receive written or electronic notification indicating the missing data.

The provider manual at https://tinyurl.com/44xzzz3a offers guidance on submitting corrected claims, helping to prevent issues with reimbursement.

In Missouri (excluding 30 counties in the Kansas City area): Anthem Blue Cross and Blue Shield is the trade name of RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. Independent licensees of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

MULTI-BCBS-CM-075755-24

PUBLICATIONS: February 2025 Provider Newsletter