If you want to create two separate claims for the same payer on an account (with some charges on one claim and other charges on the other), then use a ______.

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!

Splitting the claim is the process you use when you want to divide charges into two separate submissions for the same payer on one account. This lets you place some charges on one claim and the remaining charges on another, which may be necessary due to payer-specific rules, different service types, or workflows that require separate submissions for certain line items or dates of service. Using a claim split keeps the charges organized and enables each claim to be processed or adjudicated according to its own criteria, while still linking back to the same patient account.

Submitting a duplicate claim would mean sending the exact same claim more than once, which can create duplicates and denials rather than achieve the separation of charges. The terms payer split and combined claim aren’t standard ways to describe the action of dividing charges across claims, so they don’t convey the intended operation.