CommercialAdministrativeMedium impact
[California] Submit corrected claims electronically for the Federal Employee Program®
Anthem BCBS·CA·Provider Bulletin
Effective date
Apr 1, 2026
We identified it
May 3, 2026
Summary
Anthem Blue Cross (California) now allows Federal Employee Program (FEP) members to submit corrected, replacement, and void/cancel claims electronically through Availity Essentials or EDI, effective April 1, 2026. Billing teams must use specific billing frequency codes (6, 7, 8 for professional claims; 0XX6, 0XX7, 0XX8 for institutional claims) when resubmitting adjudicated claims to ensure proper processing and avoid duplicate claim payment.
Action Required
By April 1, 2026: Billing team must update claim submission workflows to use electronic methods (Availity Essentials or EDI) for all corrected FEP claims. Train staff on proper frequency code selection: use code 6 (Corrected Claim), 7 (Replacement), or 8 (Void/Cancel) for professional 837P claims; use 0XX6, 0XX7, or 0XX8 for institutional 837I claims. Ensure the Payer Control Number (ICN/DCN) from the original 835 ERA or Remittance Inquiry is included on resubmissions. Verify practice management software and clearinghouse vendors support these frequency codes. Update internal procedures to discontinue paper corrected claim submissions for FEP members. Failure to use correct frequency codes may result in claims being processed as new claims rather than corrections, creating duplicate payments and claim denials.