Adjustments/Cancels to Posted Claims

20.2.3 - Adjustments/Cancels to Posted Claims (Rev. 4009, Issued: 03-23-18, Effective: 04-23-18, Implementation: 04-23-18) Two actions can be taken on a claim that is already posted to CWF history. These actions are the same whether submitted by an A/B MAC or DME MAC; however, the codes used are different: • Void - Use a void to cancel original data on the beneficiary database and totally remove the dollar amounts. To void a posted claim, send the claim with the original document control number and a "Full Credit" code (Entry Code 3 for A/B MACs (B) and DME MACs and Action Code 4 for A/B MACs (A, HHH))). • Change - Send a full claim with a "Replacement Debit" code (Entry Code 5 for A/B MACs (B) and DME MACs and Action Code 3 for A/B MACs (A, HHH)) and the original document control number to make a change to a posted claim. This code is used to change most claims information. The old claim information will be backed out and replaced with the new claim information. The CWF will keep a record of the old claim so that any investigation of the actions taken on the claim will include the fact that there was a replacement action taken.