Claim Void Information and Reports

Claim Voids

What are claim voids?

TPL sends monthly reports directly to Medicaid providers via mail and CHAMPS. These reports indicate Medicaid paid claims where TPL has identified other Insurance (OI) as liable for the claim.

If the provider agrees with the voided claims identified in the report, the provider is to bill the OI entity for these services prior to rebilling Medicaid.

The provider has 30 days to review the identified claims and contact TPL for any discrepancies. If TPL is not contacted within 30 days, we will automatically void the services on the report. (Please refer to the report for contact information).

TPL will complete a claim void after 30 days from the date of the report. The claim void will return money to the State of Michigan for the paid claim. After the OI makes a payment on the claim, the provider should re-bill the claim to Medicaid with the correct OI information reported.

How do I void a claim?

A provider can choose to void their claim directly in CHAMPS if they do not wish to wait the 30 days for the claim to be automatically voided. Please refer to the Billing & Reimbursement Chapter of the Medicaid Provider Manual or view Submit Adjustment (Replacement) Claims Online.

As a reminder, a void will completely void the original claim in CHAMPS and take back the initial payment.
 

How do I access my claim void reports?

Follow this link for instructions on accessing claim void reports in CHAMPS

Credit Balance

What is a credit balance?

Credit Balance refers to funds that should be returned to MDHHS because a claim has been paid by another party. They are also referred to as Overpayments.

How do I return a credit balance?

A provider will need to void their claim directly in CHAMPS if they need to return the entire amount MDHHS paid. Please refer to the Billing & Reimbursement Chapter of the Medicaid Provider Manual. As a reminder, a void will completely void the original claim in CHAMPS and take back the initial payment.

If the amount a provider needs to return is less than the full amount, a partial adjustment should be performed. Please refer to the Billing & Reimbursement Chapter of the Medicaid Provider Manual.

What happens if I get an error when returning the credit balance?

On rare occasions, a provider may be unable to adjust/void the claim in CHAMPS. If this occurs, please contact Provider Support for assistance at 1-800-292-2550.

Will MDHHS contact me about credit balances?

Do not wait to be contacted. Please void/adjust all claims with credit balances via CHAMPS immediately upon identification. The Affordable Care Act requires providers to report and repay credit balances within 60 days from the date the overpayment was identified or by the date any corresponding cost report was due, whichever is later.