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If you are submitting a corrected claim, you must do the following:?

1) Use Code 7 in box 22 with an ICN.
2) Write "CORRECTED CLAIM" in box 19.
3) Put the original claim number in box 23 and write "Corrected claim" in box 19.
4) Only use a paper claim so you can write "CORRECTED CLAIM" in big letters on the top.

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Final answer:

When submitting a corrected claim, follow these steps: Use Code 7 with an ICN in box 22, write "CORRECTED CLAIM" in box 19, and include the original claim number in box 23.

Step-by-step explanation:

If you are submitting a corrected claim, there are several steps you need to follow:

  1. Use Code 7 in box 22 with an ICN.
  2. Write "CORRECTED CLAIM" in box 19.
  3. Put the original claim number in box 23 and write "Corrected claim" in box 19.
  4. It is not necessary to only use a paper claim; electronic submissions are also accepted. However, if you choose to use a paper claim, you can write "CORRECTED CLAIM" in big letters on the top.
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