Distributed Data Collection (DDC) for RA Including HCRP/EDGE Server FAQ
Guidance for FAQ regarding Edge Server Operations and Data Submission - Medical File
Program Area: Distributed Data Collection (DDC) for RA Including HCRP/EDGE Server
Question: Since voided/replaced claims are only at the header level for Medical claims, should issuers only submit a void/replace for the entire claim or is there a way to void/replace at the service line level of a Medical claim?
Answer: Claims that need to be voided or replaced should be submitted in their entirety. Medical claim files include both a claim header and the claim lines associated with the claim header. Since every medical claim submitted requires both a header level and claim line detail level, any void or replacement of a claim must also include both the header and line level components. All claim lines associated with the claim header should be resubmitted even if only one claim line associated with the claim header is adjusted. For more information on voiding and replacing claims, please see the user group presentation materials from November 6, 2013 posted in the REGTAP library at https://www.regtap.info.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: December 05, 2013
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