Providers > Billing Adjustments and Voids

WINASAP 2003 Professional (Medwaiver) Claim Billing Guide for Adjustments & Voids

Providers must have the original paid claim stored in their WINASAP 2003 database or they must have an exact copy of the paid claim in order to process a void or adjustment claim.

Instructions for creating Voids or Adjustments to paid claims that ARE currently in the provider's WINASAP 2003 database.

Instructions for creating Voids or Adjustments to paid claims that ARE NOT currently in the provider's WINASAP 2003 database.

Getting Started

• Double Click the WINASAP 2003 icon on desktop.
• Enter the following password: asap or ASAP
• Select the OK button.

Instructions for creating Voids or Adjustments to paid claims that ARE currently in the provider's WINASAP 2003 database

Creating a VOID claim from an EXISTING paid claim in the WINASAP 2003 database

• At the Main Menu, click Claims, then Professional.
• On the Claims List screen, highlight the original paid claim and click the Copy button.
• NOTE: When the desired claim has been located, only click once on the claim to highlight it. Double clicking on the claim will not create a copy.
• A copy of the original paid claim will be created. The Claim Status box at the top of the screen should display the word "keyed".
• On the Claim Data screen:
• Bill Date - enter today's date. (Press the F5 key for today's date)
• Claim Frequency Type Code (bottom of screen) - select #8 Void (Void/Cancel of Prior Claim)
• Click the Next Page button.
• Click the Other Claim Level Numbers button at the bottom of the screen. In the Claim Original Reference Number field enter the 17 digit Florida Medicaid Transaction Control Number (TCN) assigned to the original paid claim.
• NOTE: Enter the TCN number without any dashes or spaces.
• Click OK.
• Click the Save button and submit according to the General Medwaiver Billing Guide.

Creating an ADJUSTMENT claim from an EXISTING paid claim in the WINASAP 2003 database

• At the Main Menu, click Claims, then Professional.
• On the Claims List screen, highlight the original paid claim and click the Copy button.



• NOTE: When the desired claim has been located, only click once on the claim to highlight it. Double clicking on the claim will not create a copy.
• A copy of the original paid claim will be created. The Claim Status box at the top of the screen should display the word "keyed".
• On the Claim Data screen:
• Bill Date - enter today's date. (Press the F5 key for today's date)
• Claim Frequency Type Code (bottom of screen) - select #7 Replacement (Replace Prior Claim)
• Click the Next Page button.
• Click the Other Claim Level Numbers button at the bottom of the screen.
• In the Claim Original Reference Number field enter the 17 digit Florida Medicaid Transaction Control Number (TCN) assigned to the original paid claim.



• NOTE: Enter the TCN number without any dashes or spaces.
• Click OK.
• Click Next Page, then Next Page.
• On the Claim Line Items screen make the necessary changes on each line that needs to be adjusted.



• NOTE: At the bottom of the screen is a list of all the lines for this claim. To view all of the lines, use the up and down arrows to the right of this list. When the line appears that requires adjusting, double click on it.
• Click the Save button and submit according to the General Medwaiver Billing Guide.

Instructions for creating Voids or Adjustments to paid claims that ARE NOT currently in the provider's WINASAP 2003 database.

Creating a VOID claim to a previously paid claim that IS NOTcurrently in the WINASAP 2003 database

• At the Main Menu, click Claims, then Professional.
• Click the Add button at the bottom screen to create a new claim.
• On the Claim Data screen:
• Bill Date - enter today's date. (Press the F5 key for today's date)
• Fill in all of the remaining information on this screen exactly as it was entered on the original paid claim. Note exception below.
• Exception: In the Claim Frequency Type Code (bottom of screen) - select #8 Void (Void/Cancel of Prior Claim).
• Click the Next Page button.
• On the Claim Codes screen fill in all of the information exactly as it was entered on the original paid claim.
• Click on the Other Claim Level Numbers button at the bottom of the screen.
• In the Claim Original Reference Number field enter the 17 digit Florida Medicaid Transaction Control Number (TCN) assigned to the original paid claim.
• NOTE: Enter the TCN number without any dashes or spaces.
• Click OK.
• Click Next Page, then Next Page.
• Enter all of the information on the Claim Line Items screen exactly as it was entered on the original paid claim.
• Click the Save button and submit according to the General Medwaiver Billing Guide.

Creating an ADJUSTMENT claim to a previously paid claim that IS NOT currently in the WINASAP 2003 database

• At the Main Menu, click Claims, then Professional.
• Click the Add button at the bottom screen to create a new claim.
• On the Claims List screen click the Add button at the bottom of the screen.
• On the Claim Data screen:
• Bill Date - enter today's date. (Press the F5 key for today's date)
• Fill in all of the remaining information on this screen exactly as it was entered on the original paid claim. Note exception below.
• Exception: In the Claim Frequency Type Code (bottom of screen) - select #7 Replacement (Replace Prior Claim)
• Click the Next Page button.
• On the Claim Codes screen fill in all of the information exactly as it was entered on the original paid claim.
• Click on the Other Claim Level Numbers button at the bottom of the screen.
• In the Claim Original Reference Number field enter the 17 digit Florida Medicaid Transaction Control Number (TCN) assigned to the original paid claim.
• NOTE: Enter the TCN number without any dashes or spaces.
• Click OK.
• Click Next Page, then Next Page.
• On the Claim Line Items screen make the necessary changes on each line that needs to be adjusted.
• NOTE: At the bottom of the screen is a list of all the lines for this claim. To view all of the lines, use the up and down arrows to the right of this list. When the line appears that requires adjusting, double click on it.
• Click the Save button and submit according to the General Medwaiver Billing Guide.




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For additional information regarding voids and adjustments please visit the ACS website:
http://floridamedicaid.acs-inc.com/