If you sent a claim for a TPN.health member to another payer, you may need to cancel that claim before billing TPN.health.
TPN.health cannot view or change claims in your EHR, clearinghouse, or another payer’s system.
If the claim was rejected
Confirm with the payer that the claim did not enter its processing system.
If it did not, submit a new original claim to TPN.health using the member’s ID card.
If the claim is pending or was paid
Contact the payer, your EHR, or your clearinghouse and ask how to cancel the claim.
Many payers require:
Claim Frequency Code 8 — Void/Cancel
The payer’s original claim number, sometimes called the PCCN, ICN, DCN, or Original Reference Number
If the claim was paid, the payer will explain how it will recover the payment. It may reverse the payment, request repayment, or deduct the amount from a future payment.
Once the payer confirms how it will handle the claim, submit a new original claim to TPN.health.
Important
Send the void to the payer that received the incorrect claim.
Send TPN.health a new original claim, not the void.
Payer rules vary. Contact your EHR or clearinghouse for help entering the void and the payer for its claim status and cancellation rules.