Claim Frequency Code Acknowledgement/Rejected for Invalid Information

Rejection Details:

This rejection indicates that the “claim type” on the charge page is selected incorrectly. The correct claim type depends on the payer’s requirements. For example, most Medicare payers will not accept any claim type other than “Original”.

If case of claim being resubmitted due to previous denial, then “Replacement” needs to be selected as claim type and ICN number needs to be entered in the Original Ref # box.

Resolution:

Use the following workflow :

• Patient > Billing > Charges
• Click on appointment date
• Select the correct claim type i.e Original or Replacement
• Save the page