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Claim Frequency Code Acknowledgement/Rejected for Invalid Information

Rejection Message Rejection Details Resolution

Claim Frequency Code Acknowledgement/Rejected for Invalid Information

This rejection indicates that an incorrect submission reason was included on the claim per the payer’s requirements.

The “Invalid Claim Frequency Code” refers to the Submit Reason selected on the encounter. The appropriate submission code depends on the payer’s requirements. For example, most Medicare payers will not accept any claim submission reason other than “1 –Original.” 

Submitter Action:

The provider/biller should contact the payer to verify the appropriate submission reason code.

Follow the instructions below to enter the submit reason on the encounter:

  1. Click Encounters > Track Claim Status.
  2. Look for and double-click on the encounter that needs correcting.
  3. On the Edit Claim window, double-click on the Encounter number. 
  4. Click the drop-down arrows next to Miscellaneous (CMS-1500) to expand.
  5. Select the correct Submit Reason code.
  • If the submit reason is “7” enter the Payer Doc Ctrl #.

6.  Click Save and Rebill. 

Then, rebill and resubmit all affected claims. 

Note: The submit reason code depends on the payer's requirements.

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