Frequency code
A claim indicator communicating whether the transaction is an original, replacement, void, or another defined submission frequency under the applicable instructions.
Updated
A frequency code identifies the submission frequency or action represented by a claim, such as an original, replacement, or void under the applicable transaction and payer instructions. The value works with prior-claim references and does not by itself explain why the claim changed.
The correct value depends on the claim type, prior payer state, program, and correction path. It should never be changed merely to bypass a duplicate edit.
In practice
Validate the prior claim, payer control reference, supported correction, authorized reviewer, and exact submitted version before release.
Commonly confused with
- Claim status: Status describes where a claim is in processing; frequency code describes the submission action or version relationship.
- Resubmission: Resubmission is a general action; the frequency code states the formal transaction relationship where applicable.