What happens when a secondary payer sends reimbursement before the primary?

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

What happens when a secondary payer sends reimbursement before the primary?

When a secondary payment arrives before the primary, the system protects the funds by placing the secondary remittance into an undistributed (suspense) bucket. This prevents premature or incorrect posting while the primary is still outstanding. Once the primary remittance posts, an NRP action is triggered to address the unresolved secondary payment and re-align it with the primary’s information, ensuring proper application. At the same time, the system will automatically match the secondary remittance to the secondary insurance bucket, linking it to the correct secondary payer and claim. In combination, these steps cover the full handling of an early secondary payment, so all described behaviors can occur.

When a secondary payment arrives before the primary, the system protects the funds by placing the secondary remittance into an undistributed (suspense) bucket. This prevents premature or incorrect posting while the primary is still outstanding. Once the primary remittance posts, an NRP action is triggered to address the unresolved secondary payment and re-align it with the primary’s information, ensuring proper application. At the same time, the system will automatically match the secondary remittance to the secondary insurance bucket, linking it to the correct secondary payer and claim. In combination, these steps cover the full handling of an early secondary payment, so all described behaviors can occur.

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