Electronic Submission of Corrected Claims

Fidelis Care is pleased to announce corrected claims can now be submitted electronically. The original claim number must be submitted and the claim frequency type code must be a 7 (replacement of prior claim).

2300 Loop, CLM Claim Information Segment, CLM05-3 Claim Frequency Type Code Element must be set to a 7 and 2300 Loop, REF Original Reference Number (ICN/DCN) Segment where REF01Element equals F8, REF02 Element must contain Fidelis Original Claim Number