UB04 Billing Instructions Guide - Maine

Jun 08, 2020 · If this is an adjustment claim (reversal or replacement), enter the Claim ID of the claim being reversed or replaced. The Claim ID must be on line (A, B, or C) relevant to MaineCare. 7 – For Replacement of a previous claim – this function negates the original claim and processes the information in FL 42 – 47 as a new claim. ................
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