How to Cancel a Claim

To cancel a claim on the FISS/DDE Provider Online System, follow these steps:

Step	Action
1	Select the CLAIMS CORRECTION (03) submenu from the MAIN MENU
2	Key the appropriate option number from the CLAIM CANCELS directory associated with the type of claim to be adjusted at the ENTER MENU SELECTION: prompt Valid entries are: 50 – Inpatient 51 – Outpatient 52 – SNF 53 – Home Health 55 – Hospice
3	Press <Enter>
4	Key in the MID number and dates of service for the claim you want to cancel Note: Keying in the date of service is optional. Note: May have to enter facility NPI.
5	Press <Enter>
6	Select the claim you want to cancel by placing a “U” next to the claim record under the SEL field
7	Press <Enter>
8	Key in the appropriate claim change reason code in the CONDITION CODE field on CLAIM PAGE 01
9	Press the <F9/PF9> key to store the cancel
10	Verify that the cancel was accepted by checking the status/location of the claim on the CLAIM SUMMARY INQUIRY option (01 submenu–option 12) Successfully stored cancels will appear in STATUS/LOCATION S B9000

Revised 9/13/2018