How to Enter a Void or Replacement Claim

You use the Void or Replace Claims page to enter void or replacement claims into ND MMIS. You cannot replace a claim that has an financial control number (FCN) indicating that a refund has been applied.

Optionally, you can:

• Delete the adjustment request. To mark the adjustment request for deletion, on the main action bar, click Delete. You rarely delete a request; but if you do, it is typically because of keying errors.

• View audit details. To retrieve audit information, close any open panels and, on the action bar, click Audit Log. To view the details for a particular record, click Audit.

• Reset your entries. To display the information on the page or panel as it appeared when you last clicked Save, click Reset.
• Cancel your entries. To close the page or panel without saving your changes, click Cancel.

To enter a void or replace claim

1. On the Claims menu, click Entry.
2. Search for the batch record associated with the void or replacement claim you are entering.
3. Enter the information from the void/replace request form into the Void or Replace Claims page.
4. In the Claim Exceptions panel, click Validate.
5. Do one of the following:
   • If errors are found, resolve the exceptions
   • To save the request to complete later, on the Void or Replace Claims action bar, click Save.
   • If no errors are found, continue to the next step.
6. Do one of the following:
   • For void claims, a blank Void or Replace claims page is displayed for entry.
   • For replacement claims, on the Claim Correction page that is displayed with all information populated from the replaced claim, the new TCN, the replaced TCN, and the replacement reason, do the following:
     1. Complete any corrections needed to the replacement claim.
     2. On the Claim Correction main action bar, click Save.

See Also

Void or Replace Claims Entry Page

How to Search Claim Correction

How to Correct Claim Exceptions

What Is Claim Correction?

About Claims

Version as of 5/16/14.