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Claim Adjustment/Correction Process - Reminder

Blue Cross Blue Shield of North Dakota (BCBSND) has received several paper claim adjustment forms. These paper claim adjustment requests will NOT be processed, and providers will need to follow the process outlined in our provider manual for a claim correction.

Claim corrections will only be allowed for 180 days from the original claim processing date for both professional and institutional claims unless it is one of the exceptions listed below:

  • Medicare
  • Coordination of Benefits
  • Workers Compensation
  • No-fault
  • Subrogation
  • Third-party Payers

Professional Claims
Claim/Billing Frequency Type codes are used when billing to indicate a claim correction of a previously adjudicated (approved or denied) claim.

Valid frequency types

Claim Correction Billing Frequency Types:

  • Frequency Type 7 is a replacement of a prior claim. Frequency Type 7 is used to correct data reported incorrectly on the original claim. The original claim number assigned by BCBSND is required on this type of submission.
  • Frequency Type 8 is a void/cancellation of a prior claim. Frequency Type 8 is used to completely void a claim that was reported in error. The original claim number assigned by BCBSND is required on this type of submission.

Electronic 837P correction

The 837P allows you to submit a claim correction electronically using a valid Frequency Type code. Corrected claims can be submitted through the Professional or Facility Claim direct claim entry function in Availity Provider Portal by selecting the Billing Frequency Type 7 and providing the original claim number.


Professional Claims
Claim/Billing Frequency Type codes are used when billing to indicate a claim correction of a previously adjudicated (approved or denied) claim.

Correction bill types

Claim Correction Bill Types XX8 and XX7:

  • XX7 Replacement of prior claim: This code is to be used when a specific bill or line has been issued and needs to be restated in its entirety. When this code is used, BCBSND will operate on the principle that the original bill is null and void, and that the information present on this bill represents a complete replacement of the previously issued bill.
  • XX8 Void/Cancel Prior Claim: This code reflects the elimination in its entirety of a previously submitted bill. Use of XX8 will cause the bill to be completely canceled from the BCBSND system.
  • The original claim number is required when submitting correction bill types XX7 and XX8 on claims and 837I batch and real-time submissions. The original claim number should be reported in the Adjustment Claim Link (ACL) field.

For additional information, please contact the Provider Contact Center at 1-800-368-2312.