Skip to main content

How to Correct CPT Code on a Paid Claim

Answered

Comments

9 comments

  • Gillian

    To submit a corrected claim, simply create a claim and edit box 22 so that the "resubmission" option is selected. Also in box 22, make sure that the "original ref. no." box includes the reference number for the original claim you submitted. You can find that as the Payer Control Number or Reference Number in the EOB or Payment Report the payer sent you for that claim.

    Let me know if you have any additional questions about this, or anything else SimplePractice. I'm here to help.

    Comment actions Permalink
  • marguerite martino

    Hi!

    I need to remove a session from claim.

    How do I do this?

    Comment actions Permalink
  • Gillian

    Hi Marguerite, to remove a session from a claim that has not been submitted yet, first delete the claim. Then, from the client's Billing tab, use the date range picker to isolate the dates of service you'd like on the claim. Finally, click +Create > CMS-1500 to create a new claim with the correct dates of service on it.

    Comment actions Permalink
  • Alyssa Cedillo

    if I can see the claim has not been paid, can i just "Edit to Resubmit"? I just put the wrong code in. I billed for 45 min instead of 60 min 

    Comment actions Permalink
  • Gillian

    Hi Alyssa, yes you can. You do not need to wait for the first claim to be paid prior to resubmission.

    Comment actions Permalink
  • Tina Presbery

    How do I resubmit paid claims for a payment adjustment?  The insurance company was billed minus the client co-pay and the insurance company additional subtracted the client co-pay and sent me payment for the remaining balance.  It is a Pa. Keystone health plan East claim done via simple practice.

    Thank you

    Tina P.

    Comment actions Permalink
  • Ruth Wyatt

    How can I change CPT code on Superbill that has not yet been sent to patient?  I changed CPT code under "billing and insurance" section for patient, but somehow my sessions are still being listed with old CPT code and I can't not find a way to edit them.  Thanks! 

    Comment actions Permalink
  • Gillian

    Hi Tina, you can resubmit claims by opening the existing paid claim and clicking "Edit to Resubmit." Then, check the Resubmission box on the claim before resubmitting it. 

    Ruth, to change the CPT code on a Superbill, simply delete the old Superbill and create a new one through the +Create button. This will update the Superbill with the new CPT codes.

    Comment actions Permalink
  • Kristin Effinger

    How do you remove a session from a paid claim? I already know you need to complete box 22, but when I remove the session it won't let me resubmit without that line.  If I delete the original claim then I'll loose the original claim details for the other DOS. 

    Comment actions Permalink

Please sign in to leave a comment.