Submit Rejected Claims
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'.
Updated 9 months ago