How to Adjust a Claim

To adjust a claim using the FISS/DDE Provider Online System, follow these steps:

Step	Action
1	Select the CLAIMS CORRECTION (03) submenu from the MAIN MENU
2	Key the appropriate option number from the CLAIM ADJUSTMENTS directory associated with the type of claim to be adjusted at the ENTER MENU SELECTION: prompt Valid entries are: 30 – Inpatient 31 – Outpatient 32 – Skilled nursing facility (SNF) 33 – Home health 35 – Hospice
3	Press <Enter>
4	Key in the MID number and dates of service for the claim you want to adjust Note: Keying in the date of service is optional. Note: You may have to enter the facility National Provider Identifier (NPI).
5	Press <Enter>
6	Select the claim you want to adjust by placing a "U” next to the claim record under the SEL field
7	Press <Enter>
8	Key in the appropriate claim change reason code in the COND CODE field on CLAIM PAGE 01
9	Press <F8/PF8> to advance to CLAIM PAGE 03
10	Key in the appropriate adjustment reason code in the ADJUSTMENT REASON CODE field on CLAIM PAGE 03
11	Make all appropriate corrections to the claim
12	Press the <F9/PF9> key to store the adjustment
13	Verify that the adjustment was accepted by checking the status/location of the claim on the CLAIM SUMMARY INQUIRY option (01 submenu, option 12) Successfully stored adjustments will appear in STATUS/LOCATION S B2500

Revised 9/13/2018