Playbook · 12 pages · 2026 edition
The Clean Claim Playbook
How front-end discipline — eligibility, authorization, and coding checks before submission — determines first-pass resolution, and the controls that hold it there.
This document is in production. Once the PDF is published it will download directly from /downloads/clean-claims-playbook.pdf.
What's inside
Contents
- The five pre-submission checks that account for most avoidable rejections
- Where eligibility and benefit verification should sit in the visit workflow
- A worked example of first-pass resolution rate and what moves it
- A one-page audit you can run against your own last 100 claims
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