Clean Claim. A claim that: (1) has no defect, impropriety, lack of any BCBSM required substantiating documentation or particular circumstance requiring special treatment that prevents timely payment; and (2) otherwise conforms to the clean claim requirements for equivalent claims under original Medicare.
Appears in 5 contracts
Sources: Medicare Advantage Ppo Provider Agreement, Provider Agreement, Ppo Provider Agreement
Clean Claim. A claim that: (1) has no defect, impropriety, lack of any BCBSM VHP required substantiating documentation or particular circumstance requiring special treatment that prevents timely payment; and (2) otherwise conforms to the clean claim requirements for equivalent claims under original Medicare.
Appears in 3 contracts
Sources: Physician Participation Agreement, Physician Participation Agreement, Physician Participation Agreement