Identify the claim requiring correction: obtain the original claim's payer ICN (internal control number) from the 835 ERA or 277 claim status response; this is the REF*F8 or REF*1K value you will reference in the corrected submission
For a void (frequency type 7): build a new 837 transaction identical in structure to the original but set CLM05-3 (claim frequency type code) to '7'; include the original ICN in REF*F8 (original reference number) within Loop 2300; submit to void the entire original claim and reverse any payment
For a replacement (frequency type 8): build a new 837 with the corrected claim data and set CLM05-3 to '8'; include REF*F8 with the original ICN; the replacement simultaneously voids the original and submits the corrected claim in a single transaction
Verify the corrected claim is within the payer's timely filing window from the original date of service; if the original was denied and the correction is a resubmission, distinguish between frequency code '1' (original) for a fresh submission and '8' (replacement) for correcting a previously paid or processed claim
Monitor the 999 and 277CA for the voided/replacement claim; check the 835 ERA for a reversal transaction (CLP02 status code '22' for reversal) if a void was processed, and a new payment record for the replacement
Document the void/replacement chain in your AR system: link the new ICN to the original ICN and record the reason for correction to satisfy audit requirements
Known gotchas
Frequency code '7' voids the entire claim including all service lines; if only one line needs correction submit a replacement (code '8') with all original lines plus the corrected line rather than voiding and resubmitting from scratch
Some payers do not accept frequency code '8' replacements for claims that were denied (as opposed to paid); for denied claims use frequency code '1' (original) after correcting the error — submitting a replacement for a denied claim can cause a 'no original claim found' rejection
The payer ICN in REF*F8 must be the payer's own claim control number, not your internal claim ID or the clearinghouse trace number; using the wrong reference number causes the replacement to fail to find the original claim
Give your agent this knowledge — and 200+ more routes
One MCP install gives any agent live access to the full route map, with trust scores updated by agent consensus:
claude mcp add --transport http waymark https://mcp.waymark.network/mcp