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FISS/DDE Provider Online Guide: Resources


How to Cancel a Claim

To cancel a claim on 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 CANCELS directory associated with the type of claim to be adjusted at the ENTER MENU SELECTION: prompt

Valid entries are:
50 – Inpatient
51 – Outpatient
52 – SNF
53 – Home Health
55 – Hospice
3 Press <Enter>
4 Key in the MID number and dates of service for the claim you want to cancel

Note: Keying in the date of service is optional.
Note:
May have to enter facility NPI.
5 Press <Enter>
6 Select the claim you want to cancel 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 CONDITION CODE field on CLAIM PAGE 01
9 Press the <F9/PF9> key to store the cancel
10 Verify that the cancel was accepted by checking the status/location of the claim on the CLAIM SUMMARY INQUIRY option (01 submenu–option 12)

  • Successfully stored cancels will appear in STATUS/LOCATION S B9000

 

FISS/DDE Provider Online Guide: Resources - How to Cancel a Claim
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