Editing a Submitted 2728 Form / 2746 Form

Modified on Wed, Jul 12, 2023 at 6:47 PM

Updated 7/12/2023


IMPORTANT: 

  • Any edit made to a 2728 Form more than 45 days after its 'DUE' date will cause that Form to no longer be EQRS Compliant with the 'submit 2728s within 45 days' CMS Guidance.
  • Any edit made to a 2746 Form more than 14 days after its 'DUE' date will cause that Form to no longer be EQRS Compliant with the 'submit 2746s within 14 days' CMS Guidance.

 

If the Form impacts the patient's Medicare eligibility OR Transplant Waitlist Status then correcting the Form is a priority. This includes information about:

  • Treatment & Training Start / End Dates
  • Admit & Discharge Dates
  • Name, Race, Ethnicity, Gender, Date of Birth (DOB), Date of Death (DOD)
  • SSN
  • Height, Weight, Labs
  • Diagnosis / Cause of Death

!! Make these necessary updates on the Demographics page !!

If the information on the Form does NOT impact or include any of the above fields, we suggest that you leave it as-is or make the update on a printed copy.

Submit a Ticket if you would still like to proceed with the Form Edit - we will use the information you updated on the Demographics page to make the Form corrections. https://help.esrd.ipro.org/support/tickets/new

Please include in the Ticket: "We have made the necessary corrections on the Patient Demographics page and request for the Network to proceed with the Form Correction"


Was this article helpful?

That’s Great!

Thank you for your feedback

Sorry! We couldn't be helpful

Thank you for your feedback

Let us know how can we improve this article!

Select at least one of the reasons
CAPTCHA verification is required.

Feedback sent

We appreciate your effort and will try to fix the article