11/01/2026
A clean claim is submitted without errors, allowing the insurance company to process and pay it the first time—without delays or rejections.
To achieve this, focus on three key steps:
• Eligibility verification – Confirm the patient’s coverage before providing the service.
• Accurate coding – Use correct and updated ICD-10 and CPT codes that support medical necessity.
• Data consistency – Ensure patient information matches across medical records and insurance files.
After submission, monitoring the claim status helps identify and resolve issues early.
Accuracy at every step leads to faster reimbursement and fewer denials.
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