First-Pass Resolution Rate
The share of claims paid on the first submission, with no rework.
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First-pass resolution rate (also called first-pass yield) is the percentage of claims that are paid on the first submission without any rework. It reflects how many claims sail through cleanly versus how many need correction, appeal, or resubmission.
It is closely tied to clean-claim rate but focuses on the end result — getting paid the first time — rather than just passing edits at submission.
Why it matters for billing
Every claim that is not resolved on the first pass costs staff time and delays cash. A high first-pass rate means a lean, efficient operation; a low one means money is tied up in rework. It is one of the best single measures of billing efficiency.
Related terms
Terms that come up alongside First-Pass Resolution Rate in the revenue cycle.
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Request a free billing reviewFirst-Pass Resolution Rate — frequently asked questions
Clean-claim rate measures passing edits at submission; first-pass resolution measures actually getting paid on the first try without rework.
Each claim needing rework adds staff time and delays payment, so a higher first-pass rate lowers the cost to collect.