NAME              TYPE   LENGTH
--------------------------------------    ----
33. Claim Frequency Code          CHAR      1

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.

COMMON ALIAS: TOB3
DB2 ALIAS: CLM_FREQ_CD
SAS ALIAS: FREQ_CD
STANDARD ALIAS: CLM_FREQ_CD
SYSTEM ALIAS: LTFREQ
TITLE ALIAS: FREQUENCY_CD

CODES:
  REFER TO: CLM_FREQ_TB IN THE CODES APPENDIX

CLM_FREQ_TB
Claim Frequency Table
---------------------

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
6 = Adjustment of prior claim
7 = Replacement of prior claim; eff 10/93, provider debit
8 = Void/cancel prior claim. eff 10/93, provider cancel
9 = Final claim -- used in an HH PPS
    episode to indicate the claim
    should be processed like debit/
    credit adjustment to RAP (initial
    claim) (eff. 10/00)
A = Admission notice - used when hospice is submitting the
    HCFA-1450 as an admission notice - hospice NOE only
B = Hospice termination/revocation notice - hospice NOE only  (eff 9/93)
C = Hospice change of provider notice - hospice NOE only (eff 9/93)
D = Hospice election void/cancel - hospice NOE only  (eff 9/93)
E = Hospice change of ownership - hospice NOE only  (eff 1/97)
F = Beneficiary initiated adjustment (eff 10/93)
G = CWF generated adjustment (eff 10/93)
H = HCFA generated adjustment (eff 10/93)
I = Misc adjustment claim (other than PRO
    or provider) - used to identify a
    debit adjustment initiated by HCFA or
    an intermediary - eff 10/93, used to
    identify intermediary initiated
    adjustment only
J = Other adjustment request (eff 10/93)
K = OIG initiated adjustment (eff 10/93)
M = MSP adjustment (eff 10/93)
P = Adjustment required by peer review organization (PRO)
X = Special adjustment processing - used for QA editing (eff 8/92)
Z = Hospital Encounter Data alternate sub-
    mission (TOB '11Z') used for MCO enrollee
    hospital discharges 7/1/97-12/31/98; not
    stored in NCH.  Exception:  Problem in
    startup months may have resulted in this
    abbreviated UB-92 being erroneously
    stored in NCH.

SOURCE:
CWF