---
title: What Payers Don't Want You To Know About Clean Claim Laws
description: Clean Claim Laws can be used to speed up your collections and make payers adhere to their contracts. Do not overlook the power of clean claim laws
image: https://www.claimcare.net/hs-fs/file-13095669-jpg/images/up_arrow_on_blackboard.jpg
---

![New claimcare logo banner](https://www.claimcare.net/hs-fs/hubfs/New%20claimcare%20logo%20banner.jpg?width=977&name=New%20claimcare%20logo%20banner.jpg)

Search

> Welcome to the ClaimCare Medical Billing Blog. We strive to provide content that improves the overall quality of medical billing efforts across the US. If you have any specific topics that you would like to see addressed in this medical billing blog please post the topic in the [Medical Billing Questions & Answers Forum](https://www.claimcare.net/medical-billing-resources/medical-billing-questions-forum/). If you have an article that you would like considered for publication in the medical billing blog then please email your article to [resources@claimcare.net](mailto:resources@claimcare.net).

# MEDICAL BILLING BLOG

## [What Payers Don't Want You To Know About Clean Claim Laws](https://www.claimcare.net/medical-billing-blog/bid/7281/What-Payers-Don-t-Want-You-To-Know-About-Clean-Claim-Laws)

Posted by Link Grader on Tue, Dec 30, 2008 @ 12:57 AM

- [Tweet](https://twitter.com/share)

![medical billing clean claim law](https://www.claimcare.net/hs-fs/file-13095669-jpg/images/up_arrow_on_blackboard.jpg?width=211&height=129&name=up_arrow_on_blackboard.jpg) Each state has passed a Clean Claim Law. The level of benefit these laws provide to medical practices and facilities starts on the low end with states such as South Dakota that provide little more than a slap on the insurance company's wrist to states such as Texas which levy substantial financial penalties on tardy payers.

The basic idea of the law is that a payer has to respond to a clean claim within a set time (usually around 30 days for electronic claims). In order to utilize the clean claim law effectively you must have a tracking system built into your medical billing process that flags:

- To which insurance companies does your state's clean claim law apply (some payers are exempt);
- The date your practice initially submits each medical claim;
- Events that stop the clean claim clock (e.g., an information request from the payer),
- When your practice has taken actions in response to payer requests;
- The date when you received the payer's final adjudication decision.

The idea of systematically tracking all of this information may be daunting, but with a smart system design it is possible and most definitely a worthwhile undertaking. After submitting a few Clean Claim law violation reports you will see your claims pay faster. I have seen situations where payers have actually called just to assure the practice that claims will be quickly processed.

One way to quickly get started using the clean claim law is to run a trial on a payer that you feel consistently takes more than 30 days to ajudicates claims. Find a small number of large claims for this payer that have gone past 30 days and then conduct a trial run with those claims. This will allow you to learn the fundamentals of how to submit and monitor complaints and see the results of your complaints.

Copyright 2006 by ClaimCare Medical Billing Services

 Tags: [medical billing](https://www.claimcare.net/medical-billing-blog/topic/medical-billing), [denial management](https://www.claimcare.net/medical-billing-blog/topic/denial-management), [medical billing resources](https://www.claimcare.net/medical-billing-blog/topic/medical-billing-resources), [clean claims](https://www.claimcare.net/medical-billing-blog/topic/clean-claims)

### Subscribe by Email

### Most Popular

### Browse the Medical Billing Blog by Tag

- [medical billing (34)](https://www.claimcare.net/medical-billing-blog/topic/medical-billing)
- [medical billing services (32)](https://www.claimcare.net/medical-billing-blog/topic/medical-billing-services)
- [medical billing education (26)](https://www.claimcare.net/medical-billing-blog/topic/medical-billing-education)
- [medical billing resources (25)](https://www.claimcare.net/medical-billing-blog/topic/medical-billing-resources)
- [medical billing operations (24)](https://www.claimcare.net/medical-billing-blog/topic/medical-billing-operations)
- [improving medical billing (19)](https://www.claimcare.net/medical-billing-blog/topic/improving-medical-billing)
- [medical billing companies (15)](https://www.claimcare.net/medical-billing-blog/topic/medical-billing-companies)
- [motivation (12)](https://www.claimcare.net/medical-billing-blog/topic/motivation)
- [general medical billing questions (9)](https://www.claimcare.net/medical-billing-blog/topic/general-medical-billing-questions)
- [denial management (7)](https://www.claimcare.net/medical-billing-blog/topic/denial-management)
- [medical allowables (7)](https://www.claimcare.net/medical-billing-blog/topic/medical-allowables)
- [medical billing coding (7)](https://www.claimcare.net/medical-billing-blog/topic/medical-billing-coding)
- [cardiology billing (6)](https://www.claimcare.net/medical-billing-blog/topic/cardiology-billing)
- [credentialing (6)](https://www.claimcare.net/medical-billing-blog/topic/credentialing)
- [2010 medical billing changes (5)](https://www.claimcare.net/medical-billing-blog/topic/2010-medical-billing-changes)
- [COVID-19 Medical Reimbursement (5)](https://www.claimcare.net/medical-billing-blog/topic/covid-19-medical-reimbursement)
- [Medicaid billing (5)](https://www.claimcare.net/medical-billing-blog/topic/medicaid-billing)
- [Reasons to outsource medical billing (5)](https://www.claimcare.net/medical-billing-blog/topic/reasons-to-outsource-medical-billing)
- [medical billing school (5)](https://www.claimcare.net/medical-billing-blog/topic/medical-billing-school)
- [medical credentialing (5)](https://www.claimcare.net/medical-billing-blog/topic/medical-credentialing)
- [payer compliance (5)](https://www.claimcare.net/medical-billing-blog/topic/payer-compliance)
- [selection process (5)](https://www.claimcare.net/medical-billing-blog/topic/selection-process)
- [COVID-19 (4)](https://www.claimcare.net/medical-billing-blog/topic/covid-19)
- [HIPAA (4)](https://www.claimcare.net/medical-billing-blog/topic/hipaa)
- [best medical billing companies (4)](https://www.claimcare.net/medical-billing-blog/topic/best-medical-billing-companies)
- [medical billing process (4)](https://www.claimcare.net/medical-billing-blog/topic/medical-billing-process)
- [CMS Update (3)](https://www.claimcare.net/medical-billing-blog/topic/cms-update)
- [COVID (3)](https://www.claimcare.net/medical-billing-blog/topic/covid)
- [ClaimCare News (3)](https://www.claimcare.net/medical-billing-blog/topic/claimcare-news)
- [Medical Reimbursement (3)](https://www.claimcare.net/medical-billing-blog/topic/medical-reimbursement)
- [clean claims (3)](https://www.claimcare.net/medical-billing-blog/topic/clean-claims)
- [coding questions (3)](https://www.claimcare.net/medical-billing-blog/topic/coding-questions)
- [communication (3)](https://www.claimcare.net/medical-billing-blog/topic/communication)
- [orthopedic billing (3)](https://www.claimcare.net/medical-billing-blog/topic/orthopedic-billing)
- [patient billing (3)](https://www.claimcare.net/medical-billing-blog/topic/patient-billing)
- [patient collections (3)](https://www.claimcare.net/medical-billing-blog/topic/patient-collections)
- [telemedicine (3)](https://www.claimcare.net/medical-billing-blog/topic/telemedicine)
- [theoretical medical billing yield (3)](https://www.claimcare.net/medical-billing-blog/topic/theoretical-medical-billing-yield)
- [2009 billing changes (2)](https://www.claimcare.net/medical-billing-blog/topic/2009-billing-changes)
- [2012 medical billing changes (2)](https://www.claimcare.net/medical-billing-blog/topic/2012-medical-billing-changes)
- [2013 medical billing changes (2)](https://www.claimcare.net/medical-billing-blog/topic/2013-medical-billing-changes)
- [AR clean-up (2)](https://www.claimcare.net/medical-billing-blog/topic/ar-clean-up)
- [CARES Act (2)](https://www.claimcare.net/medical-billing-blog/topic/cares-act)
- [COVID and the law (2)](https://www.claimcare.net/medical-billing-blog/topic/covid-and-the-law)
- [Compliance (2)](https://www.claimcare.net/medical-billing-blog/topic/compliance)
- [Medicare Billing (2)](https://www.claimcare.net/medical-billing-blog/topic/medicare-billing)
- [Physician Reimbursement (2)](https://www.claimcare.net/medical-billing-blog/topic/physician-reimbursement)
- [Practice Cash Flow (2)](https://www.claimcare.net/medical-billing-blog/topic/practice-cash-flow)
- [Telehealth (2)](https://www.claimcare.net/medical-billing-blog/topic/telehealth)
- [bad debt (2)](https://www.claimcare.net/medical-billing-blog/topic/bad-debt)
- [medical billing compensation (2)](https://www.claimcare.net/medical-billing-blog/topic/medical-billing-compensation)
- [scrubbing (2)](https://www.claimcare.net/medical-billing-blog/topic/scrubbing)
- [2011 medical billing changes (1)](https://www.claimcare.net/medical-billing-blog/topic/2011-medical-billing-changes)
- [2015 medical billing changes (1)](https://www.claimcare.net/medical-billing-blog/topic/2015-medical-billing-changes)
- [2019 Medicare Changes (1)](https://www.claimcare.net/medical-billing-blog/topic/2019-medicare-changes)
- [Center for Medicare and Medicaid Services (1)](https://www.claimcare.net/medical-billing-blog/topic/center-for-medicare-and-medicaid-services)
- [HIPAA 5010 Medical Billing Issues (1)](https://www.claimcare.net/medical-billing-blog/topic/hipaa-5010-medical-billing-issues)
- [Healthcare Cash Flow (1)](https://www.claimcare.net/medical-billing-blog/topic/healthcare-cash-flow)
- [Insurance Payers (1)](https://www.claimcare.net/medical-billing-blog/topic/insurance-payers)
- [Medical Billing Benchmarks (1)](https://www.claimcare.net/medical-billing-blog/topic/medical-billing-benchmarks)
- [Medicare & Medicaid (1)](https://www.claimcare.net/medical-billing-blog/topic/medicare-medicaid)
- [Medicare Allowables (1)](https://www.claimcare.net/medical-billing-blog/topic/medicare-allowables)
- [Off Shore Billing (1)](https://www.claimcare.net/medical-billing-blog/topic/off-shore-billing)
- [Provider Relief Funds Extension (1)](https://www.claimcare.net/medical-billing-blog/topic/provider-relief-funds-extension)
- [SBA Loan (1)](https://www.claimcare.net/medical-billing-blog/topic/sba-loan)
- [medical billing jobs (1)](https://www.claimcare.net/medical-billing-blog/topic/medical-billing-jobs)
- [starting a medical practice (1)](https://www.claimcare.net/medical-billing-blog/topic/starting-a-medical-practice)

### Medical Billing Blog Requests

If you have  specific topic or question you would like to see covered in this blog then please post the question on the [Medical Billing Question & Answer Forum](https://www.claimcare.net/medical-billing-resources/medical-billing-training/).

**If you have a question about ClaimCare's Medical Billing Services please utilize the form below.**

### Contact Us

© 2003 - 2019 ClaimCare Medical Billing Services

![](https://googleads.g.doubleclick.net/pagead/viewthroughconversion/844937408/?guid=ON&script=0) 

![](https://dc.ads.linkedin.com/collect/?pid=349186&fmt=gif)