Author Topic: UB-04  (Read 1652 times)

parkermed

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UB-04
« on: June 13, 2016, 04:34:18 PM »
I just started billing for a Rural Health Clinic and we sent our claims to Medicare for processing and they were rejected because we filled the ub-04 form out incorrectly.  We fixed the form and resent the claim and Medicare is saying that it is a duplicate claim and we need to void the claim.  I am not quite sure how to go about doing that.  Does anyone have any suggestions for me

Michele

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Re: UB-04
« Reply #1 on: June 14, 2016, 07:20:20 AM »
I have never had to void a claim so I'm not sure but a Medicare representative should be able to point you to documentation explaining how this is done.  I would contact the MAC.  Don't ask "How do I void a claims?"  Ask "Can you point me to any documentation explaining how to void a claim.  I've never had to do this before."  They are more likely to help you find the info you need, but not so likely to simply tell you how.  But they are usually more helpful if you ask in that manner.  Just my personal experience.  :)
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kristin

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Re: UB-04
« Reply #2 on: June 14, 2016, 08:29:11 PM »
My MAC used to have a form for voiding a claim, but I just checked their website, and it isn't there anymore. Best bet is to call your MAC, like Michele said. They may be able to do it over the phone, using the ICN for the claim(s).

UNLIMITED-BILLING

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Re: UB-04
« Reply #3 on: July 01, 2016, 01:32:52 PM »
I do the billing for a substance abuse facility that is out of network with all insurances and lately the insurance has been having issues with the Type of Bill for out IOP level of care.
We currently use 893.
Does anyone know what other one we can possibly use in this case?

PMRNC

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Re: UB-04
« Reply #4 on: July 02, 2016, 09:32:54 AM »
Quote
I just started billing for a Rural Health Clinic and we sent our claims to Medicare for processing and they were rejected because we filled the ub-04 form out incorrectly.  We fixed the form and resent the claim and Medicare is saying that it is a duplicate claim and we need to void the claim.  I am not quite sure how to go about doing that.  Does anyone have any suggestions for me

As far as I remember ( I have not done Medicare in a while) you want to follow your Medicare carrier's rules for filing a "corrected claim". I think they just confused you when they told you to void the claim. You want to send a "corrected" claim in your instance.
Linda Walker
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Michele

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Re: UB-04
« Reply #5 on: July 05, 2016, 11:58:34 AM »
Since IOP is outpatient you could try 833.  The middle 3 is to indicate "Outpatient".

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PMRNC

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Re: UB-04
« Reply #6 on: July 08, 2016, 09:15:03 AM »
Quote
Since IOP is outpatient you could try 833.  The middle 3 is to indicate "Outpatient".

At this point though the poster says they are getting denial as a duplicate so they need to file a "corrected" claim using their MAC's corrected claim procedure.
Linda Walker
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www.billerswebsite.com

Michele

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Re: UB-04
« Reply #7 on: July 08, 2016, 09:29:20 AM »
I didn't think they were billing Medicare.  Medicare doesn't cover IOP. 
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kristin

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Re: UB-04
« Reply #8 on: July 08, 2016, 06:11:38 PM »
I think the confusion is that there are two different questions by two different posters in the same thread, one about voiding a claim, and one about IOP billing.

Michele

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Re: UB-04
« Reply #9 on: July 12, 2016, 08:44:40 AM »
 ;D  I see UNLIMITED-BILLING came into the thread with a new topic.
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