Update to corrected claims goes into effect June 2

Effective June 2, 2025, all submitted claims requiring a correction – both facility and professional, regardless of any allowed / paid amount on the original claim – will require submission of a corrected claim with frequency code 7.

Amount allowed on original claim	Current process	Process effective June 2
$0 allowed	Submit a new claim	Submit a corrected claim with frequency code 7
Partially or fully paid	Submit a corrected claim with frequency code 7

After June 2, new claims submitted to correct an original claim with $0 allowed will be rejected with the direction to submit a corrected claim instead.

This change supports our alignment with the Centers for Medicare and Medicaid Services (CMS) regulations that state all rebills for $0 allowed claims are corrected claims and must be billed with frequency code 7.

Reminder: Corrected claims must include the original claim ID

We require that corrected claims – submitted to either replace, correct or void an original claim that was partially or fully paid – include the original claim ID. As we shared in January, we’ll soon begin front-end rejecting corrected claims (both facility and professional) that have an invalid / incorrect original claim ID.