Corrected and Voided Claims

Refer to your provider manual for additional information regarding the definition of a corrected/replacement or void claim.

The following information must be included for corrected and void claims to adjudicate correctly:

• 2300 CLM05-3 – Claim Frequency Type Code
  • 7 = corrected claim
  • 8 = void claim
• 2300 REF01 = F8
• 2300 REF02 = Payer claim control number
  • Will reject if not submitted.
  • Default values not permitted.