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THIRD-PARTY PAYORS / REIMBURSEMENT

Timely Payments of “Clean Claims”

RESOLVED, That the North Carolina Medical Society supports a definition of “clean claims” and measures requiring all third-party payors to adhere strictly to a prompt payment process. Penalties to third-party payors for delaying payment should include full payment plus interest, followed by fines on a per case basis.

(Resolution 12-1999, adopted as amended 11/14/99)
(revised, Report C-2005, Item 48, adopted 10/16/2005)
(reaffirmed, Report J-2010, Item 2-21, adopted 10/24/2010) (reaffirmed, NCMS Policy Review 2015 Report, Item 102, adopted 10/24/2015)