Level 2: External Edit Return—What happens to claims with errors?

• A. They are ignored
• B. They are sent to the error pool and claim edit workqueues to be fixed; users must resubmit after fixing; Epic can't check if fixed
• C. They are printed and accepted
• D. They are automatically fixed by Epic

Answer: (B)

When a submitted claim triggers an external edit error, it isn’t discarded or automatically accepted. The claim is routed to the error pool and placed into claim edit workqueues so staff can review and correct the data that caused the issue. After making the necessary fixes, the user must resubmit the claim; Epic does not automatically recheck or verify that the fix resolved the error. This workflow ensures that errors are corrected by for-pay data integrity before the claim can move forward in processing.