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.
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On the right-side of the Claim page, click Cancel claim.
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Click the Status reason field and select the reason from the list.
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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:
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Enter the claim number in Search.
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On the Search Results page, click the claim number.
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On the Claims page, click the Running claim balance tab and then click Adjust balance.
- 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
- 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.