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

When a payer requires that you send some subset of charges or accounts to another payer for reimbursement, this requires ___________________ Payer configuration.

When a payer asks you to route only part of the charges or accounts to a different payer, you use an Alternate payer configuration. This setup designates which items should go to that other payer, while the remaining charges can continue to flow to the primary payer as usual. It’s different from billing everything to a primary and then a secondary for the rest (secondary), and it’s not about automatically moving a claim from one payer to another after adjudication (crossover). The alternate option specifically handles directing a subset of claims to a different payer as required.

When a payer asks you to route only part of the charges or accounts to a different payer, you use an Alternate payer configuration. This setup designates which items should go to that other payer, while the remaining charges can continue to flow to the primary payer as usual. It’s different from billing everything to a primary and then a secondary for the rest (secondary), and it’s not about automatically moving a claim from one payer to another after adjudication (crossover). The alternate option specifically handles directing a subset of claims to a different payer as required.