Glossary
The clean claim rate, also called the first-pass acceptance rate, is the share of claims that an insurer accepts the first time without needing correction or rework.
A high rate means registration, coding and submission are working well. A falling rate is an early warning that something upstream, such as eligibility checks or coding, needs attention.
Practices track it by payer and by the top reasons claims are rejected, then fix the cause rather than only reworking each claim.
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