April 30, 2024
Effective July 1, 2024, all added and late charges must be submitted as a corrected claim after the original claim has been processed.
What are Late Charges?
Late charges, or additional charges, represent changes for items and services that were submitted after the claim was created and not included in the original claim.
How To Submit a Corrected Claim
When submitting a corrected claim for charges to a previously processed inpatient or outpatient claim for commercial members, remember these important tips:
- The corrected claim should include all line items previously processed correctly. Reimbursement for line items no longer included on the corrected claim may be subject to recoupment by BCBSMT.
- The entire claim should be resubmitted with frequency code 7 (replacement of prior claim). Do not submit a corrected claim using frequency code 5 (late charges). If the corrected claim is submitted using frequency code 5 this could result in a denial of the claim.
Refer to our Corrected Claim Submissions Policy in the Coding and Compensation Policy area in Availity® Essentials under Montana Payers Spaces for more information.