Canceling a Claim

Claims can be canceled if:

  • It has not yet been submitted
  • It has not yet been canceled
  • There are no credits associated with the claim

A canceled claim has a status of "Canceled" with a status reason of your choice.

You cannot edit a canceled claim but you can reactivate the claim and then edit as needed.

Claims are canceled on the Claim page.

  1. On the right-side of the Claim page, click Cancel claim.

  2. Click the Status reason field and select the reason from the list.

  3. Click Save. The Claim page will display the canceled status and the status reason you selected.

Uncancel a claim

If the claim was canceled by mistake, you can reactive it by clicking Reactive claim. When you reactivate a claim, all charges on the claim will be restored. When a claim reactivates it has a "Suspended – Review new claim" status and status reason.

If the claim was submitted

You cannot cancel a submitted claim. Instead, write the claim off or adjust the balance:

  1. Enter the claim number in Search.

  2. On the Search Results page, click the claim number.

  3. On the Claims page, click the Running claim balance tab and then click Adjust balance.

  4. When the Adjust balance window opens, select the adjustment type and then click the Description field:
    • Select a description from the list
    • Enter the Description field
    • Select a description from the list
    • Enter the adjustment amount for each HCPCS
  5. The new balance will display at the bottom of the window. Click Post now.

You can view the write-off in the Credits, Running Claim Balance, and Running Charge Balance tabs on the Claim page.