Clean Claims and Other Information for Health Providers

Description

This training provides an in-depth understanding of the requirements and processes related to clean claims in Michigan's health care system. Participants will learn about the definition of a clean claim, the timelines for submission and payment, the responsibilities of health care providers and health plans, and the penalties associated with late payments.

Target Audience

Health care providers, billing specialists, and administrative staff involved in the submission and management of health insurance claims in Michigan.

Learning Outcomes

After completing this training, you will be able to:

1. Define what constitutes a clean claim in Michigan's health care system.
2. Identify the required information and documentation for submitting a clean claim.
3. Understand the timelines for claim submission and payment, including the 45-day payment requirement.
4. Recognize the penalties imposed on health plans for failing to pay clean claims within the stipulated time frame.