Office Administrative Assistant Practice Exam

Which term describes a claim submitted with errors?

1. Incorrect claim

2. Reimbursement denial

3. Dirty claim

4. Rejected claim

The correct answer is: Dirty claim

The term that accurately describes a claim submitted with errors is "dirty claim." This term is specifically used in the context of healthcare billing and insurance claims to indicate that there are inaccuracies or missing information within the claim that can lead to delays in processing or payment. A dirty claim may include erroneous patient information, incorrect codes, or incomplete documentation, which affects its validity and the ability of the payer to process it correctly. In contrast, an incorrect claim refers generally to any claim that contains errors, while a reimbursement denial specifically relates to a claim that has been formally denied for payment. A rejected claim is usually one that has not been accepted for processing, which could also stem from submission errors, but this term is more about the outcome rather than the condition of the claim at the point of submission. "Dirty claim" encapsulates the idea of a claim that requires correction before it can be processed successfully.