Question

A claim for reimbursement submitted to a third-party payer that contains all the necessary information and documentation required for the payer to make a decision is known as:

a) A clean claim
b) An adjusted claim
c) A denied claim
d) An incomplete claim

Answer 1

A clean claim is a claim for reimbursement submitted to a third-party payer that contains all the necessary information and documentation required for the payer to make a decision.

Step-by-step explanation:

A claim for reimbursement submitted to a third-party payer that contains all the necessary information and documentation required for the payer to make a decision is known as a clean claim. A clean claim is free from errors or omissions and is ready for processing. It ensures a smooth reimbursement process and increases the likelihood of getting paid by the payer.