CommercialAdministrativeMedium impact
[Virginia] Submit corrected claims electronically for the Federal Employee Program®
Anthem BCBS·VA·Provider Bulletin
Effective date
Mar 30, 2026
We identified it
May 3, 2026
Summary
Anthem FEP in Virginia now allows providers to submit corrected claims electronically through Availity Essentials or EDI, replacing the previous paper-based process. Providers must use specific billing frequency codes (6, 7, or 8 for professional claims; 0XX6, 0XX7, 0XX8 for institutional claims) and include the original payer control number (ICN/DCN) when resubmitting adjudicated claims.
Action Required
By March 30, 2026: Billing team must implement electronic corrected claim submission process for all FEP claims in Virginia. (1) Update billing software or practice management system to support corrected claim frequency codes (6, 7, 8 for professional; 0XX6, 0XX7, 0XX8 for institutional claims). (2) Train billing staff on Availity Essentials corrected claim workflow: setting Billing Frequency field to indicate replacement/void/correction type, and populating Payer Control Number field with claim ICN/DCN from 835 ERA or Remittance Inquiry. (3) Verify practice management software, billing service, or clearinghouse can submit corrected claims with proper frequency codes via EDI. (4) Discontinue mailing paper corrected claims; route all corrected claims through electronic channels. (5) Communicate process to providers and billing staff. Failure to use correct frequency codes or payer control numbers may result in claim processing delays or rejections.