As of 1/1/12, Medicare only accepts claim frequency code of 1

Rejection Message

As of 1/1/12, Medicare only accepts claim frequency code of 1.

Rejection Details

This rejection indicates an incorrect submission reason was included on the claim per the payer’s requirements. Most Medicare payers will not accept any claim submission reason other than "1.” 

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. Click the Submit Reason drop-down and select 1.
6. 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.
7. Click Save & Rebill.

Then, resubmit all affected claims.