The majority of states provide for late payment interest where a "clean claim" submitted by a medical provider is not paid within 30-45 days
A UB04 or HCFA 1500 contains all the information to meet the definition of "Clean Claim" under relevant statutes
The insurer has an affirmative duty to notify the provider that the claim is defective AND provide details as to how to cure this defect.
Most insurers DO NOT provide the required information or documentation required to make the claim a "Clean Claim"
Issues and obstacles arise when the provider has submitted all documentation under its control but payment has been delayed-pending receipt of additional information from the patient or other third party.
The insurer's potential subrogation interest should not be permitted to delay payment to a contracted provider