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Submitting Requests to Reopen Claims

When an institutional provider needs to correct or supplement a claim, and the claim remains within timely filing limits, providers may submit an adjustment claim to remedy the error. When the need for a correction is discovered beyond the claims timely filing limit, an adjustment bill is not allowed and an institutional provider must utilize the reopening process to remedy the error.

Refer to MLN Matters® Special Edition Article SE1426 [PDF, 1MB]  for more information.