495 - Requests for re-adjudication must reference the newly assigned payer claim control number for this previously adjusted claim. Correct the payer claim control number and re-submit.

March 02, 2022 20:56
Updated

This rejection occurs when you submit a corrected (or voided) claim electronically and you did not enter the correct payer claim control number when creating the corrected claim. You may also want to verify that you entered the frequency code that the payer is expecting for this transaction.

For information on how to create a corrected claim, please see: Corrected or Voided Claim

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