ServiceXG Basics

Reverse a paid claim with an uncashed check

If a claim check was entered correctly and printed, but the check was never cashed, reverse and reissue the claim since you don’t need to make any changes.

Go to: Home > Administration Processes> Claims Adjustments > Claim Reversal/Void

1. Enter the Draft and the Check#. You must use Draft and Check# to void a check.

   • Void Reg—Register is automatically set to Y since the check was printed.

2. The remaining fields update and the cursor moves to the Reissue field. Enter A to automatically reissue the check.

   Note: This doesn't allow you to make changes to the claim. All the claims in the batch are reversed and automatically reissued.
3. Enter a new Received Date at the prompt (MMDDYY format) since the check wasn’t received.

4. Enter an adjustment Reason Code that will show in the Adjustment viewport (see Adjustments viewport field descriptions).

   A code that identifies the adjustment reason. These codes can be site specific.

   • AD—admission choice error
   • BA—billed amount error
   • BC—benefit code error
   • BP—billing provider choice error
   • BQ—billed quantity error
   • CB—COB/prepaid entry error
   • CD—check damaged
   • CL—claimant choice error
   • D—diagnosis error
   • DC—disputed case choice error
   • DP—duplicate claim
   • DS—dates of service error
   • IL—illness choice error
   • PA—provider address error
   • PO—payment override error
   • PP—PPO choice/pre-priced entry error
   • PR—procedure error
   • RD—received date error
   • RF—referral choice error
   • RS—referral service choice error

5. Enter C to continue. Any informational or error messages display. The original claim refno displays at the bottom of the screen.

   Hint: Take note of the refnos that display for any necessary additional processing.

6. Press Enter. The claim reverses and the reversed claim refno shows at the bottom of the screen.
7. Press Enter again and the new claim refno displays. Since the reissue is automatic, no claim entry session opens and you can’t update the claim.

SEE ALSO