Clean claim definition

Clean claim means a claim that:

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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

• If ▇▇▇▇▇ receives a duplicate claim prior to such date, such claim shall not be subject to the requirements set forth above relating to the effect of filing a Clean Claim and failure to meet the Statutory Claims Payment Period.

• Cigna will complete the audit within 180 calendar days from receipt of the Clean Claim.

• If necessary to determine whether a claim is payable, Cigna may, within 30 days of receipt of a Clean Claim, request additional information from the treating provider.

• The failure to notify Provider that a claim is deficient within the timelines specified in this section shall not render a deficient claim a Clean Claim.

• The terms Clean Claim, Statutory Claims Payment Period, Billed Charge and Contracted Rate shall have the same meaning as defined under applicable Texas law.

More Definitions of Clean 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 clean claim as defined in 2001 Iowa Acts, chapter 69, section 8(2b).

Clean claim will mean a claim that has no defect, impropriety, lack of any required substantiating documentation, or particular circumstance requiring special treatment that prevents timely payment; and a claim that otherwise conforms to the clean claim requirements for equivalent claims under original Medicare.

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 has no defect or impropriety (including any lack of required substantiating documentation) or particular circumstance requiring special treatment that prevents timely payment of the claim. “Clean claim” does not include a claim from a provider that is under investigation for fraud or abuse or a claim under review for medical necessity.