Instructions for mailing, faxing or emailing of ‘Corrected Claims’
A Corrected Claim is one that has processed through to a remittance advice but requires
a specific correction such as, but not limited to, change in units, change in date of
service, billed amount or CPT/HCPCS code. Corrected claims can be submitted for any
claim type (CMS 1500 or UB 04).
To submit a Corrected Claim:
1.
2.
3.
4.
5.
Print out the claim, including all original charges;
Make changes to the area(s) of the form that requires correction;
Circle the area of the claim that has been changed;
Clearly mark at the top of the form “CORRECTED CLAIM”
If you have the original claim number, please indicate it on the corrected claim
next to the “corrected claim” marking. This will help expedite the processing.
There are three methods for submission of a corrected claim: fax, email or mail.
Fax:
Include a cover sheet/letter that clearly identifies:



The name and contact information for the person submitting the request
Name and contact information of who to follow up with if not the
submitter
Only one claim per fax and cover sheet/letter
If there are questions, instead of returning through US postal services, we will
reach out directly through phone or fax.
Fax the corrected claim with the cover sheet/letter to (802) 371-3365
Email:
Technical Details:





Only one claim per email
Information contained within the email itself will not be retained. Make
sure all information is either on the cover letter or the claim.
Individual files are to be less than 10MB
Image formats accepted are PDF, TIF, JPG, BMP, PNG
Submit via secure email
Email in a secure format as an attachment with cover letter (if applicable) to
CorrectedClaims@bcbsvt.com
Over
July 15, 2014
Page 2
Instructions for mailing, fax or email of ‘Corrected Claims’
Mailing through US Postal Services:
BCBSVT mailing address:
BCBSVT
P O Box 186
Montpelier, VT 05601
REMINDERS:
Submit only corrected claim or Inpatient DRG late charges (Type of Bill 115)
Do not submit : clean claims, late charges (other than DRG late charges as indicated
above) or any inquiry that requires a response
Claims that require a complete recovery can still be done by calling our customer service
team, submitting a provider overpayment form, or submitting a 837 HIPAA compliant
transaction.
Be sure to maintain your fax or email confirmation
Please allow 30 days for the corrected claim to process
The status of the corrections will reflect under ‘Claim Status Inquiry’ in the secure area
of the provider website at www.bcbsvt.com
Notice of final processing of the corrected claim will appear on the remittance advice.
There are some corrected claims that can be submitted via an 837 HIPAA compliant
transaction. For full details on this, please refer to our on line companion guide.
Corrected claim information is not accepted over the phone. It does require submission
using one of the above methods.
Claims that processed and denied through ClaimCheck may only be submitted as a
Corrected Claim when a modifier is being added or a procedure code changed.
Over
July 15, 2014
Page 3
Instructions for mailing, fax or email of ‘Corrected Claims’
Diagnosis Changes:
BCBSVT claims process using the first diagnosis code submitted. If you receive a denial
related to a diagnosis code on a BCBSVT claim, and there is another diagnosis on the
claim that would be eligible, you do not need to submit a corrected claim, just contact our
customer service team either by phone, email, fax or mail and they will initiate a review
and/or adjustment. Or, if the diagnosis is truly in the wrong position, you may submit a
corrected claim updating the placement of the diagnosis.
For BlueCard claims, we send all reported diagnosis code(s) to the member’s Plan. If
you wish to change the order of the diagnosis codes, you must submit a corrected claim.
This corrected claim adjustment may or may not affect the benefit determination.
July 15, 2014