Dirty clinical data creates discrepancies in the information visible to payers and providers. While payers often have insights into members with chronic conditions, key details needed for reimbursement and Centers for Medicare & Medicaid Services (CMS) reporting can get lost in the problem list when high-risk patients see multiple clinicians. This can result in payers requesting overburdened providers to recapture missing information, leading to operational inefficiencies and unmet CMS requirements.