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CorreCted Claims referenCe Guide - Cigna

UB04Corrected&Claim&Process! Corrected claims can be resubmitted via paper, by entering a “7” for the Replacement of Prior Claim in box 4 Type of Bill Code. The original claim number as your Original Reference number in box 80 of the remarks of a UB04 claim form. The original claim number can be found on the original EOP. !

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  Form, Claim form, Claim, Corrected, Cigna

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