Question

Claims that have errors or omissions that must be corrected and resubmitted to receive reimbursement are called _______ claims.

a) clean
b) dirty
c) dingy
d) incomplete

Answer 1

Dirty claims are those with errors or omissions that must be corrected before they can be processed for reimbursement. The term contrasts with clean claims, which are error-free and ready to be processed. The correct option is b) dirty.

Step-by-step explanation:

Claims that have errors or omissions that must be corrected and resubmitted to receive reimbursement are commonly referred to as dirty claims. A dirty claim is one that cannot be processed in its current state due to inaccuracies, incomplete information, or noncompliance with the requirements. These need to be corrected and resubmitted for processing and potential reimbursement. The opposite of a dirty claim is a clean claim, which is free of errors and can be processed smoothly. The correct option is b) dirty.