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Help ensure your corrected claims get paid
Include appropriate qualifier and original claim number
Magellan continually assesses better solutions in applying consistent reimbursement using industry-standard guidelines.
Remember to include the appropriate qualifier and original claim number on corrected claims (CMS 1500 and UB-4):
- 7—Replacement of prior claim
- 8—Void/cancel of prior claim
- Original claim number
Failure to include these elements on corrected claims will result in rejection or denial.
The corrected claim will be denied under code 3Y for the following reasons:
- The appropriate qualifier was not submitted.
- The original claim number was not submitted.
- The claim number is valid but is NOT the original Magellan claim number, e.g. the number of a previous resubmission or another insurance carrier.
Thank you for your focus on helping members achieve their goals and work toward better lives! We all know that administrative tasks can be a hassle; however, taking just an extra moment to ensure the accuracy of your claims submission will help reduce errors and expedite payment.
As always, Magellan remains fully committed to reimbursing you accurately and promptly.
You can find policies relating to claims in the Magellan provider handbook (PDF), Provider Reimbursement section.
Be sure to review CMS’ NCCI webpage regularly to keep up-to-date on the specific edits that may affect your practice and payment for care to Magellan members.