Replacement Claims
If you want to make a correction to a previously submitted 1500 or
UB-04 claim, submit a replacement claim (no supporting documentation needed).
Submit a replacement claim for all corrections except the following. You cannot use replacement claims to:
- Change or correct the:
- Billing NPI
- Date of service (when it falls outside the original date span)
- Level of care (inpatient to outpatient, or vice versa)
- Subscriber ID
- Submit for timely filing review
- Correct a bridged admission claim
- Submit claims related to accidental injuries (auto or workers’ compensation)
- Correct a claim that was part of a previous recovery. Examples:
- Credit balance
- Provider audit
- Claims recovery project
For more information, refer to our Frequently Asked Questions.
Can't submit your replacement claim electronically?
Mail your:
| 1500 replacement claim to: | UB-04 replacement claim to: |
|---|---|
| Blue Cross Blue Shield of MA Data Capture P.O. Box 986020 Boston, MA 02298 |
Blue Cross Blue Shield of MA Data Capture P.O. Box 986015 Boston, MA 02298 |
How to appeal
If you need to appeal rather than correct a denied claim, refer to the Claim Appeal Reference Guide and Form from Mass Collaborative. We do not accept appeals by phone.Resources
Claim Resubmission Guide (Frequency Codes 7 & 8)
Late Charge Claim Request (Frequency Code 5) Guide
Replacement Claim Requirement: Frequently Asked Questions
