US · guidance
CMS Pub. 100-04, ch. 27, § 20.3.2.3
Cancel/Void Claim Accepted
This action cancels or voids a previously processed claim posted to CWF History. All
utilization and deductibles associated with the claim are backed out. The MAC receives
a disposition code informing it that the cancel/void action was accepted.
• Disposition code 03
• Basic Reply Trailers
History
(Rev. 4009, Issued: 03-23-18, Effective: 04-23-18, Implementation: 04-23-18)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
0c2ca202bee6083a6ed118d8ab7eda7a34fc2b95af76a270e4ac3a80e594ebb1
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