Skip to main content
Procentive Knowledge Hub

When to Send a Replacement or Void Claim

Overview

Submitting replacement and void claims to a payer can require specific needs depending on how the claim was received and processed by the payer.  Below are the two scenarios in which a replacement or void claim would be necessary.

When to Send a Void Claim

  • When either the claim submitted to the payer was in error or the payer processed the claim more than once, resulting in overpayment
  • When all services associated with the claim number need to be voided.   

When all services associated with the claim number do not need to be voided follow these instructions:

Scenario #1:

A claim number is associated with multiple service lines and you want to void out only one of them.

Resolution: Complete the Extra Info tab as "replacement" for the service line(s) you want to keep / be paid and resend only those. This will tell the payer that you are replacing a claim that was previously paid for 3 service lines (example) with one that now only has 2 service lines, so they will void all three and repay only the 2 listed on the replacement claim submitted.

Scenario #2:

A claim number is associated with multiple service lines and you are needing to update information on one (or more) of the services.

Resolution: Make needed edit(s) and then complete the Extra Info tab as "replacement" for all service lines on the claim and resend to the payer.

Additional Resources

Send Replacement or Void Claim

  • Was this article helpful?