How to Submit a Corrected Claim
Allwell from Health Net and Ambetter from Health Net have noticed a significant increase in provider claims denying for duplicate claim submissions. All exact duplicate claims or claim lines are autodenied (absent appropriate modifiers or corrected claim indicators). Suspect duplicate claims and claim lines are suspended and reviewed by the Medicare contractors to make a determination to pay or deny the claim or claim line.
Providers receiving the following claim denial EX83- Duplicate claim submission should thoroughly review this communication as a means to prevent further denials.