What is “clean claim” in medical billing?

Clean Claim in Medical Billing

A clean claim is a correctly completed claim that has no errors or missing information and is processed without delays by the payer.

Clean Claim in Medical Billing Explained

A clean claim includes all the necessary patient, provider, and service information, as well as accurate coding and billing details. These claims are processed quickly by insurance companies, as they do not require additional documentation, corrections, or follow-ups. Clean claims are essential for fast reimbursement and efficient cash flow.

For example, a clinic submits a clean claim for a patient’s consultation, and the insurance company processes it quickly because it contains no errors or missing information.

See common acronyms and abbreviations in Medical billing glossary.

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