Explanation of different types of health claims - clean claim, delinquent claim, and pending claim.
Clean claim is a claim that is possible to adjudicate and includes all required data elements, making it clear and ready for processing. It signifies that the claim is complete, accurate, and can be swiftly processed by the insurance company or payer.
On the other hand, delinquent claim refers to a claim that has not been paid within the specified time frame or is overdue, often due to missing information or errors.
When a claim is categorized as pending, it means that the claim is awaiting further review or processing before a decision is made regarding coverage or payment.
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