Medicare Claims Processing Manual (Pub. 100-04), Ch. 27 § 20.3.2.3
Cancel/Void Claim Accepted
20.3.2.3 - Cancel/Void Claim Accepted
(Rev. 4009, Issued: 03-23-18, Effective: 04-23-18, Implementation: 04-23-18)
This action cancels or voids a previously processed claim posted to CWF History. All
utilization and deductibles associated with the claim are backed out. The MAC receives
a disposition code informing it that the cancel/void action was accepted.
• Disposition code 03
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