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A claim that has gone into a file is never changed. To fix one, you make a new claim. Which kind depends on what Medi-Cal did with the original:
  • Medi-Cal turned it away before processing it (it shows Rejected, with no claim number): fix and re-file it. The copy is free if you keep the same patient, dates and provider.
  • Medi-Cal processed it (it has a claim number): make a corrected claim that tells Medi-Cal to replace it (code 7 in box 22), or a void that cancels it (code 8).
The new claim goes through confirm, approve and file like any other.

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Where to find the number

The 13-digit claim control number is on the remittance advice (RAD) or the claim status in the Medi-Cal portal. Enter digits only.

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Make a corrected claim

1

Open the original claim

A claim that is in a file shows a note: “It is in a file that was made. A filed claim is never changed.” with Make a corrected claim and Void this claim.
2

Select Make a corrected claim

The sheet says “This asks Medi-Cal to replace the original claim with this one.”
3

Enter the original claim control number (box 22)

Enter all 13 digits. If a number is shorter or has other characters you see “Enter all 13 digits of the original claim control number, digits only.”
4

Choose the service line, if asked

When the original has several service lines you are asked Which service line. Medi-Cal takes one service line on a corrected claim or a void, so the new claim carries only the line you choose, and its total (box 28) is that line’s charge.
5

Select Make the corrected claim

You see “Corrected claim made” and the new claim opens as a draft. Correct what was wrong, confirm every field, mark it ready, approve it, and put it in a new file.

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A claim Medi-Cal turned away

Medi-Cal can turn a claim away at the door, before it processes it. Medi-Cal gives such a claim no claim number, so there is nothing for a corrected claim to replace. You see it when you add the file’s Error report, Volser Summary or 999 file acknowledgement under Reports: the claim shows Rejected. Open it and you see “Medi-Cal turned this claim away before processing it. Fix it and send it again — the first copy is free if you keep the same patient, dates and provider.” with Fix and re-file.
1

Select Fix and re-file

The claim is copied as a new draft, linked to the rejected one. The copy keeps the dates and claim number and has nothing in box 22, because it is a new claim, not a replacement. You see “Claim copied to re-file”.
2

Fix what Medi-Cal objected to

The reason is on the claim and in Reports. Correct it, confirm every field, mark the claim ready and approve it.
3

Put it in a new file and upload it

Make a production file as usual.
The copy is free, once for each rejected claim, if you keep the same patient, dates and provider. Medi-Cal never processed the rejected claim, so it is not charged a second time: when the copy goes into a production file it uses no credits. This applies when the rejection comes from an Error report, Volser Summary or 999 acknowledgement you added for one of your own production files, and only to the first copy of a claim you were charged for. If you change the patient, member ID, a date of service or the billing provider on the copy, it is charged like a new claim. A copy of a free copy is charged too. A claim re-filed this way does not count towards the 25 production claims a month on the Free plan. The file itself still counts towards the Free limit on production files. If a copy will not be free, the toast tells you why (for example “The free re-file of this claim was already used, so this copy is charged like a new claim.”) and the copy is charged like any claim. A rejected claim that has a claim number was processed. It does not show Fix and re-file; make a corrected claim instead.

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Void a claim

1

Select Void this claim

Offered on claims that are in a file, accepted or paid.
2

Enter the number and choose the line

The same two questions as a corrected claim.
3

Select Make the void claim

A last question asks “Make the void claim?” It says the void is filed in a new file, and once Medi-Cal takes it the original is cancelled. Select Void this claim.
4

Take it through the normal steps

The void is a new claim: confirm it, approve it and put it in a file, then upload the file to Medi-Cal.
A void asks Medi-Cal to cancel the original claim, and it cannot be undone once it is filed. A void also uses credits in a production file, like any other claim.

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Check it worked

  • The new claim appears under Your claims as a draft, showing Replaces or voids another claim.
  • It does not show Possible duplicate; that badge is for an original claim that looks like another.

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Common issues

“Some of these claims have the same member, date and service as a claim already filed. File a replacement instead: a corrected claim with code 7 in box 22 and the 13-digit original claim number. Nothing was charged.”
Check the original claim number, and that you chose a service line if asked, then try again. The message under it says what was wrong.
Fix and re-file is only for a claim Medi-Cal turned away before processing it. Make a corrected claim instead.
A void is offered only after the claim is in a file, accepted or paid. A claim still in draft or ready can simply be edited.

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FAQ

Not once it is in a file. The claim is locked so what you filed stays a true record. Make a corrected claim.
Yes. It is a new claim, so it uses credits in a production file like any other. The one exception is a claim Medi-Cal turned away before processing it: its first re-filed copy is free.
Medi-Cal turned the claim away before processing it, so it has no claim number to replace. Use Fix and re-file instead.