If a setting is configured at both HSD and payer levels, which setting does the system use?

Study for the RHB330 Resolute Hospital Billing Claim and Remittance Test with questions, hints, and explanations. Enhance your billing skills and excel in your exam!

Multiple Choice

If a setting is configured at both HSD and payer levels, which setting does the system use?

When a setting exists at multiple scopes, the system uses the most specific one. A payer-level configuration overrides an HSD-level default, so the payer’s setting governs how the claim is processed. If no payer-level value were defined, the HSD setting would apply as the fallback. Plan-level or Service Area-level configurations aren’t involved in this scenario.

When a setting exists at multiple scopes, the system uses the most specific one. A payer-level configuration overrides an HSD-level default, so the payer’s setting governs how the claim is processed. If no payer-level value were defined, the HSD setting would apply as the fallback. Plan-level or Service Area-level configurations aren’t involved in this scenario.

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