A reopening is a reprocessing of a claim to fix minor mistakes.

You will have as long as you want to submit a Redetermination.

A redetermination is an examination of a claim that includes analysis of documentation.

Modifiers 24, 25, 57, 58, 59, and 78 are some examples of Reopenings.

Modifiers 22, 52, 53 require claim documentation to avoid having to submit a redetermination.

When Medicare records are updated to show as primary payer, providers cannot reopen via Connex.

Are changing diagnosis codes redeterminations?

Would you reopen a claim to void line billed in error and resubmit a corrected claim?

Are Modifiers GV and GW reopenings or redetermination

When submitting a redetermination for repeat procedures, will you need to supply documentation on how many services were performed?