Claim Frequency Type Code Professional

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Claim Frequency Type Code Professional. 6 1000a nm109 submitter id contractor will reject an interchange (transmission) that is submitted with a submitter identification Claim frequency type code claim frequency values are seen as noted below:

from venturebeat.com

However, if you file a corrected claim, you would set this to either 6 or 7. 6 bht06 claim/encounter identifier ch claim or encounter indicator (bht06) must equal 'ch' (chargeable). Identifies the frequency for the claim (encounter).

To Submit A Corrected Facility Or Professional Claim Electronically:


Bcbsnm only accepts claim frequency code 7 to replace a prior claim or 8 to void a prior claim. However, if you file a corrected claim, you would set this to either 6 or 7. Claim frequency type code (cftc):

Other Values Or Missing Values May Result In


Submit a “replacement” (claim frequency code of ‘7’) encounter data record against the original encounter data record to correct the inaccurate or missing data elements original encounter data record is in “accepted” status with accepted and rejected service Use the below frequency codes for claims that were previously. Usually, this code is set to 1 (for original claim).

6 1000A Nm109 Submitter Id Contractor Will Reject An Interchange (Transmission) That Is Submitted With A Submitter Identification


Claim frequency codes code description filing guidelines action 5 Bht02 transaction set purpose code 00 transaction set purpose code (bht02) must equal '00' (original). Code specifying the frequency of the claim (this is the third position of the uniform billing claim form bill type now allowed on professional claims).

16 Rows Many Different Types Of Services Can Be Billed On A Part A Or Part B Institutional Claim,.


6 bht06 claim/encounter identifier ch claim or encounter indicator (bht06) must equal 'ch' (chargeable). • frequency type 8 is a void or cancellation of a. 7 = correct/replace edr or crr.

Using The Appropriate Code Will Indicate That The Claim Is An Adjustment Of A Previously Adjudicated (Approved Or Denied) Claim.


• frequency type 1 is the original claim. It corrects data that was incorrect on the original claim. Submitting electronic replacement claims (professional) the blue cross and blue shield of oklahoma (bcbsok) claim system recognizes claim frequency codes on professional electronic claims (ansi 837p transactions).

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