What is a clean claim?

A clean claim is defined as a claim that is submitted without any errors, meaning it contains accurate information, is properly completed, and meets all the necessary requirements set forth by the insurer or payer. This type of claim is important because it is more likely to be processed and paid promptly, which helps healthcare providers maintain efficient revenue cycles. In contrast, claims with incorrect information lead to delays or denials, pending claims represent a request for additional information or approvals that must be resolved, and late claims typically result in denial or reduced reimbursement, making it critical for providers to submit clean claims to ensure timely payment.