Clean Claim Requirement. Claims for payment submitted to the TPA must constitute “clean claims” which are those claims that are completely and accurately filled out. The TPA shall reject, and shall have no responsibility to pay, any claim that does not include the elements of a clean claim. The TPA shall notify the Provider of the reason for denial; Provider may correct the claim and submit it again for payment. The claim for payment of services must include the following in order to constitute a clean claim:
Appears in 4 contracts
Samples: Provider Purchase of Services Contract, Provider Purchase of Services Contract, Provider Purchase of Services Contract
