Health insurance companies providing payment for medical services Health insurance companies provide the majority of the payment for medical services that clinics and physicians deliver. After the care has been delivered, the medical record is reviewed for completeness, codes are applied, and the billing office submits the claim to the insurance company or other third-party payer for payment. There are several steps to take when submitting a claim form to the insurance company for reimbursement. The result of a clean claim is proper reimbursement for the services the facility has provided.

 Reasons for the Importance of a Clean Claim Submission
It is vital to submit a clean claim for healthcare providers and insurance companies to process claims and ensure timely reimbursement effectively. One crucial reason for the importance of a clean claim submission is that it minimizes the chances of rejection (Johnson et al., 2021). Healthcare providers may lose revenue due to a rejected claim resulting from the claim not being submitted accurately and completely. Submitting a clean claim ensures that all the needed details are accurately apprehended and organized, improving the claims process’s efficiency and minimizing errors and avoiding duplicate claims. Submitting a clean claim enhances communication between insurance institutions and healthcare providers. Clear and incisive communication ensures that all parties comprehend the information of the claim and can resolve any issue first. Submitting a clean claim helps comply with regulatory needs like HIPAA, which safeguards the privacy and security of patient information. Submitting a clean claim minimizes denials and rejections, improves effectiveness, amplifies communication, and ensures regulatory compliance.

The Consequences of Not Submitting a Clean Claim
Failure to submit a clean claim may have significant consequences for healthcare providers and the patient. If a claim is not clean, insurance companies may reject or deny it, leading to detained payment and escalated administrative costs for providers (Cuevas, 2018). This may also affect the patient negatively when their claims are not processed on time, resulting in unexpected medical bills and financial hardship. In addition, providers may encounter vandalism to their fame and reliability in case of a pattern of submitting inaccurate claims leading to decreased patient trust and poor revenue. Submitting a clean claim for providers and patients is vital, ensuring accurate payment for healthcare services.

Conclusion
Financial procedures are essential in healthcare organizations, and a clean claim submission is a radical aspect of the billing process. A clean claim contains the relevant details needed for processing and payments. It is essential to ensure that the relevant patient details like demographics and insurance information are accurate before submitting a claim. Failure to obey the requirements can lead to the claim being rejected. It is essential to submit a clean claim as it can lead to quick payments, minimized administrative costs, and improved patient satisfaction, while an unclean claim can lead to delayed payments, increased costs, and patient dissatisfaction. Healthcare organizations must grade the submission of clean clam to amend the revenue cycle management.