Submit a Rejected Claim

A correct claim is only submitted when the payer has actually adjudicated the submission and processed the claim for payment.

claimFrequencyCode '1' is used for all original submissions even if a claim has been rejected

claimFrequencyCode '7' is used specifically if a payer denies a claim and corrections need to be made

If a claim submission response is received with status EDIT, use claimFrequencyCode '7', that is, if a claim is denied at the payer and a '0' dollar or incomplete payment is received. Almost all other situations would require a claimFrequencyCode '1'.