Returned Claims

Policy Number: GP-X-040

Last Updated: April 19, 2022 

If a claim submission is rejected or returned due to incorrect or invalid information, it is the provider’s responsibility to make the necessary corrections and resubmit the claim within the timely filing period. When submitting a new claim, do NOT place a 7 or 8 in the 2300 CLM 05-3 element in the 837P file or in box 22 of the paper form. The new claim is not considered a correct or replacement claim since the original was never processed. It is a NEW claim and will be processed as such.