Corrections and Voids

You can submit a corrected claim or void (cancel) a claim you have already submitted to VA for processing, either electronically or in paper. The instructions differ based on the type of submission.
NOTE: For specific information on submitting claims to Optum or TriWest, please refer to their resources.

*Corrected/Void Claim Submissions*
Correction	Void
Submit a corrected claim when you need to replace an entire claim previously submitted and processed. A corrected claim might include different procedure(s) or diagnosis codes or any other information that would change the way the claim was originally processed.	Submit a claim void when you need to cancel a claim already submitted and processed. A claim void must be identical to the original claim that it is intended to cancel.

IMPORTANT: Do not submit a corrected claim if an original claim was rejected or denied because (1) more information or documentation is needed or (2) if the original claim was rejected due to the submission of incorrect identity information. Instead, resubmit an original claim with the requested information.

Electronic submissions

To submit a corrected claim or claim void electronically using forms 837I, 837P or 837D:

Find Loop 2300 (Claim Information)
- In segment CLM05-3, enter correct frequency code value:
  - 7 – Replacement of prior claim
  - 8 – Void/cancel prior claim
- In segment REF01, enter F8
- In segment REF02, enter original 18-digit claim number
Complete all other claim fields as normal.

Paper submissions

Corrected/Void Claim Submissions for Paper Medical Claims

Using CMS Form 1500/HCFA:

Find Box 22 – Resubmission Code. Enter the correct frequency code.
- 7 – Replacement of prior claim
- 8 – Void/cancel prior claim
In the Original Reference Number space, enter the original claim ID. This is the original 18-digit claim ID found on the explanation of payment (EOP) produced upon initial processing.
Complete all other claim fields as normal.

Notes:

A claim submitted with an original reference number but without a corrected/voided frequency code will be processed as an original submission.
A claim submitted with a frequency code 7 or 8 but without the original reference number will be rejected (for missing information).

Using CMS Form 1450/UB-04:

Find Box 4 - Type of Bill (top, right-hand corner). Enter the correct resubmission code in the third digit of the bill type.
Find Box 64 – Document Control Number. Enter the original claim ID. This is the original 18-digit claim ID found on the explanation of payment (EOP) produced upon initial processing.

Notes:

A claim submitted without the third digit of the bill type reflecting a subsequent submission will be processed as an original submission.
A claim submitted with a bill type signifying a subsequent submission but without the original claim ID will be rejected (for missing information).
If you do not follow these instructions exactly, it may result in a duplicate claim denial.

Corrected/Void Claim Submissions for Paper Dental Claims

Using ADA Form J430:

In the top-right part of the form:
1. Write (legibly) the original claim ID/Transaction Control Number (TCN). This is the original 18-digit claim ID found on the explanation of payment (EOP) provided upon initial processing.
2. Write (legibly) the correct frequency code:
  - 7 – Replacement of prior claim
  - 8 – Void/cancel prior claim
Complete all other claim fields as normal.

Notes:

A dental claim submitted without a frequency code will be processed as an original claim submission.
A dental claim submitted with a frequency code indicator of 7 or 8 but without an original claim ID/TCN will be rejected (for missing information)

More information

For information on where to submit claims, visit the “Where to Send Claims” section of the File a Claim for Veteran Care page.

File a Claim for Veteran Care

Community Care