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Elizabeth M. Whitehorn, Director

Provider Notice issued 10/04/2023

 

Date: October 4, 2023
​To: Enrolled Hospitals: Chief Executive Officers; Chief Financial Officers; and Patient Accounts Managers; Hospices, and Ambulatory Surgical Treatment Centers 
​Re: Institutional Provider Void/Rebill Process Available

This bulletin informs institutional providers that the Department of Healthcare and Family Services will accept electronic claim transactions submitted through MEDI or via 837I files to void or replace an institutional pending-payable or paid claim (includes claims paid at $0). The transaction must be submitted within 12 months from an original paid voucher date.

The functionality of allowing replacement claims and claims to be re-billed following a void is for the purpose of correcting errors on previously submitted and paid claims (e.g., incorrect provider number, incorrect date of service, incorrect procedure code, etc.) and not for the purpose of billing additional services.

Chapter 100, Handbook for Providers of Medical Services, General Policy and Procedures, Topic 112.4.1 has been updated to include the institutional void/rebill process.  

Instructions for updating Chapter 100, Handbook for Providers of Medical Services

Topic 112.4.1, Exceptions to 180-Day Time Limit - Replace pages HFS 112 (3) and HFS 112  (4).