You can resubmit or replace an insurance claim in Blueprint if it is denied, paid, or partially paid.
When an ERA contains a denied service, Blueprint will automatically mark the claim as denied in the client's billing profile and in the Insurance Claims tab.
Click the denied claim to open it and view the details.
Here are the reasons the claim was denied. When you're ready to resubmit the claim, select "Start Resubmission." This will open a new draft of the claim.
In the example image below, you see the original denied claim (#0X8A33EUOR) and the new draft claim (#LFOF94EW4l)
Select the draft claim to open it, make any necessary changes to the draft claim, and submit. Once you've resubmitted the claim, the client's billing profile will appear as shown in the image below.
The original claim's ID number will be included, and the resubmitted claim will be sent as a replacement.
Once you receive the corrected ERA, you will post it to the resubmitted claim.
Update Claim Status to Denied Manually
If you receive a denial outside of Blueprint, such as in the mail or through a payer portal, you can change the claim status to denied so you can resubmit the claim.
From the Dashboard, go to Billing > Claims > Select the claim. Inside the claim details, click on More > Denied.
Enter a brief reason for denial > then select Mark as Denied
From here, proceed with the direction on resubmitting a claim above.
Closing a Denied Claim Without Resubmission
If a denied claim does not require resubmission or appeal, you can close it to clear it from Needs Action.
1. Open the denied claim
2. Click More > Mark as closed
3. Confirm in the dialog
The claim moves to Completed with a green Closed badge and no longer appears under Needs Action. You can find closed claims using the Closed status filter on the Claims tab.
Replacing a paid or partially paid claim
If a claim has already been paid or partially paid but needs a correction — for example, a wrong billed amount, a missing modifier, or an incorrect CPT code — you can create a replacement claim directly.
1. Open the claim from the client's billing view
2. Select the resubmission action from the claim's action menu
3. Review the warning — submitting a correction can cause the payer to adjust or recover the original payment
4. Select "Create replacement" to proceed
This creates a draft replacement pre-filled with the original details. Review, correct, and submit. The replacement is sent to the payer as a corrected claim.