Electronic Void/Replace Block-Billed Claims

November 2, 2020

The Department of Health Care Services (DHCS) announced in August 2020 that outpatient providers can void or replace electronic claims by using claim frequency code “7” (replacement of prior claim) or claim frequency code “8” (void) on previously paid claims. Currently providers are receiving a Computer Media Claims (CMC) reject error message “001” (CMC replacement/void claim cannot be billed with multiple claims) when submitting a block-billed or from-through claim. DHCS is aware of the issue and is working on a resolution. Provider will be notified once a fix is in place. In the meantime, claims that were previously denied and are submitted within six months of the date of service can be resubmitted electronically without using a claim frequency code “7” or “8”. If the claim has been previously paid, then it can be resubmitted via a Claims Inquiry Form (CIF) or an Appeal.