What characterizes a Dirty Claim?

A Dirty Claim is characterized by having deficiencies or errors that prevent it from being processed automatically by the insurance system. Such claims typically require further review, which may involve manual processing to identify and correct the issues. This could include missing documentation, incorrect coding, or other inaccuracies that hinder quick processing.

In contrast, claims that are accurate and complete are categorized differently. Automatic payment occurs for clean claims without any need for further investigation. Therefore, options describing automatic processing or approval without investigation do not align with the nature of a Dirty Claim.