Claim Frequency Code is invalid

Rejection Message

Claim Frequency Code Acknowledgement/Rejected for Invalid Information

Rejection Details

This rejection indicates that an incorrect submission reason was included on the claim per the payer’s requirements.

The “Invalid Claim Frequency Code” refers to the Submit Reason selected on the encounter. The appropriate submission code depends on the payer’s requirements. For example, most Medicare payers will not accept any claim submission reason other than “1 –Original.”

Resolution

Follow the instructions below to enter the submit reason on the encounter:

1. Click Encounters > Track Claim Status. The Find Claim window opens.
2. Look for and double-click on the encounter that needs correcting. The Edit Case window opens.
3. Double-click on the Encounter number.  The Edit Encounter window opens.
4. Click the arrows next to Miscellaneous to expand.
5. Select the correct Submit Reason code. The Submit Reason code depends on the payer’s requirements. Contact the payer directly with any questions about correct claim submissions.
6. Enter the Payer Doc Ctrl # (if the field is not grayed out).
7. The payer may require the Submit Reason to appear in other areas of the claim.
   • On Paper: Enter information in the appropriate field – either box 10D or 19.
   • Electronically: Write the Submit Reason as an e-claim by selecting "Additional Information" in the e-Claim Note Type.
8. Click Save & Rebill.

Then, resubmit all affected claims.