If you need to modify the information on a claim after it has been paid or denied on an EOB (or ERA) you will need to re-submit the claim as a corrected claim. To do this: 1. Enter the claim number assigned by the carrier, usually identified as the ICN number on the...
Claim Header Band – Includes all information from the top of the CMS form down to box 21 and 23 Transaction Header Band – Not Used Transaction Detail Band – Includes all fields in box 24 Claim Footer Band – Includes everything below the last...
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