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Inquiries and denials Tips PJD-Cancellation of claim/returned claim/claim billed in error inquiry
Inquiries and denials Tips PJD-Cancellation of claim/returned claim/claim billed in error inquiry
Last Modified: 7/8/2011
Location: FL, PR, USVI
Business: Part A
Cancellation of claim/returned claim/claim billed in error inquiry
Do you have questions on claims that have been returned or RTP'd? -- Click here
Do you have questions on how to cancel a claim or void a claim billed in error?
You can only cancel a paid claim -- a claim cannot be voided (cancelled) unless it has been finalized and is reflected on the remittance advice. There are a few ways you can handle this on your own:
1. You can submit your claim electronically to First Coast Service Options Inc (FCSO) and use type of bill (TOB) xx8. The '8' tells the fiscal intermediary standard system (FISS) that you’re cancelling the originally submitted claim. When you submit the claim electronically, you need the following information:
• Type of bill -- xx8
• Original document control number (DCN)
• Condition code (use one of the following two condition codes):
• D5 -- cancel to correct HICN or provider ID
• D6 -- cancel only to repay a duplicate or OIG overpayment
• Remarks -- add remarks telling us why you’re canceling the claim
2. Direct data entry (DDE) 
-- follow the steps above when submitting a cancel TOB xx8. When in DDE, choose option 3 from the main menu, and then the appropriate selection for your type of bill on the next screen. The original paid claim will show with the DCN.
-- follow the steps above when submitting a cancel TOB xx8. When in DDE, choose option 3 from the main menu, and then the appropriate selection for your type of bill on the next screen. The original paid claim will show with the DCN.
Please use your browser's back button to return to the referring page.Source: FCSO Education Action Team
