Clean Claim means a claim that:
Clean Claim means a claim (i) that has no material defect or impropriety (including any lack of any
Clean Claim means a claim received by an insurer for
Examples of Clean Claim in a sentence
Clean Claim – A claim that can be processed without obtaining additional information from the provider of a service or from a third party.
More Definitions of Clean Claim
Clean Claim means clean claim as defined in 2001 Iowa Acts, chapter 69, section 8(2b).
Clean Claim. A claim that has no defect or impropriety including, but not limited to, any lack of any required substantiating documentation or particular circumstance requiring special treatment that prevents timely payment from being made on the claim.
Clean Claim means a claim that has no defect or impropriety, including any lack of required substantiating documentation, such as satisfactory evidence of expenses incurred, or particular circumstance requiring special treatment that prevents timely payment from being made on the claim.
Clean Claim means a claim submitted for payment that has no defect, impropriety, or particular circumstance requiring special treatment preventing payment.
Clean Claim generally means a claim that has no defect, impropriety or special circumstance, including incomplete documentation that delays timely payment.
Clean Claim means a claim that has no defect or
Clean Claim means a claim that (i) identifies the PRACTITIONER that provided the service sufficiently to verify the affiliation status and includes any identifying numbers; (ii) sufficiently identifies that patient is a BCBS member; (iii) lists the date and place of service; (iv) is a claim for Covered Services for an eligible individual; (v) if necessary, substantiates the medical necessity and appropriateness of the service provided; (vi) if prior authorization is required for certain patient services, contains information sufficient to establish that prior authorization was obtained; (vii) identifies the service rendered using an accepted system of procedure or service coding adopted and published by BCBSM; (viii) includes additional documentation based upon services rendered as reasonably required by BCBSM.