If the clearinghouse marks a claim as clean, what status will it have when the reconciliation file is loaded?

• A. rejected
• B. accepted
• C. pending
• D. in review

Answer: (B)

When a clearinghouse marks a claim as clean, it means the claim has passed all pre-processing edits and contains no errors that would block processing. That clean status carries into the reconciliation file, so the claim is labeled as accepted when the file is loaded. This reflects that the claim is ready to move forward in the processing chain and will proceed to adjudication, not that it has been paid. It wouldn’t be pending, in review, or rejected because those statuses indicate issues or holds that need resolution, which isn’t the case for a clean claim.