Correct and refile that one line.

Yes you can, or you use a printing service.

There are spaces/sections on the claim form that identify what you receive from the other carrier.

An Explanation of Benefits from a third party payer should be kept on file in the provider’s office, especially if the payer didn’t submit payment.

If this were to happen, you would need to contact the Managed Care Organization directly.

Carrier Codes can be located in Appendix 2 of the Provider Manual.

It takes approximately 30-45 days to process an adjustment - the same as a normal claim in process.

A 10 in your CCN represents 8 lines; 20 is the next 8 lines, etc.

Yes, the replacement claim will be attached to the Form 130.

Generally, they don’t get lost using the web.