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The following process must be followed:1.
- Provider sends Claim.Submission -> claim status is Claimed
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- .
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- Payer answers with Remittance.Advice (denial) -> claim status is Remitted
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- .
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- Provider resubmits Claim.Submission (internal complaint or correction) -> claim status is Claimed
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- .
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- Payer answers with Remittance.Advice (payment or denial) -> claim status is Remitted
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- .
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- Provider sends Claim.Submission again (internal complaint or correction) -> claim status is Claimed
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- .
and so on.
Error on rule 118 appears on step 3 if step 2 wasn't taken yet (or on step 5 when step 4 wasn't taken). The claim is still in Claimed status but resubmission is possible for remitted claim only. In other words, two resubmissions in succession are not allowed.
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