NAME: Claim Frequency Code DESCRIPTION: The third digit of the type of bill (TOB3) submitted on an institutional claim record to indicate the sequence of a claim in the beneficiary's current episode of care. SHORT NAME: FREQ_CD LONG NAME: CLM_FREQ_CD TYPE: CHAR LENGTH: 1 SOURCE: CWF CODE VALUES: 0 = Non-payment/zero claims 1 = Admit thru discharge claim 2 = Interim – first claim 3 = Interim – continuing claim 4 = Interim – last claim 5 = Late charge(s) only claim 7 = Replacement of prior claim 8 = Void/cancel prior claim 9 = Final claim (for HH PPS = process as a debit/credit to RAP claim) G = Common Working File (CWF) generated adjustument claim H = CMS generated adjustment claim I = Misc. adjustment claim (e.g., initiatied by intermediary or QIO) J = Other adjustment request M = Medicare secondary payer (MSP) adjustment P = Adjustment required by QIO COMMENT: This field can be used in determining the "type of bill" for an institutional claim. Often type of bill consists of a combination of two variables: the facility type code (variable called CLM_FAC_TYPE_CD) and the service classification type code (CLM_SRVC_CLSFCTN_TYPE_CD). This variable serves as the optional third component of bill type, and it is helpful for distinguishing between final, interim, or RAP (request for anticipated payment) claims - which is particularly helpful if you receive claims that are not "final action". Many different types of services can be billed on a Part A or Part B institutional claim, and knowing the type of bill helps to distinguish them. The type of bill is the concatenation of three variables : the facility type (CLM_FAC_TYPE_CD), the service classification type code (CLM_SRVC_CLSFCTN_TYPE_CD), and the claim frequency code (CLM_FREQ_CD).