A clean claim is one that has no defects or improprieties (including any lack of required substantiating documentation) or particular circumstances requiring special treatment that prevents timely payment from being made on the claim under the coverage. Therefore, it results in accurate and timely reimbursement.

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A Clean Claim

Question 32

Multiple Choice

A clean claim:

A) Slows the reimbursement process
B) Results in accurate and timely reimbursement
C) Releases the payer from the contractual adjudication time frame
D) Guarantees the provider will receive payment

Correct Answer: