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 posting a payment to the secondary insurance bucket for a crossover claim, the invoice number used can be from?

When a crossover claim involves a secondary insurance, payments posted to the secondary insurance bucket must be tied to a valid invoice reference, and that reference can come from either the primary bill or the secondary bill. This flexibility exists because secondary remittances may cite the primary invoice number (if the secondary is linking to the primary adjudication) or the secondary invoice number (if the secondary claim stands on its own). Using either invoice number ensures the payment is correctly matched to the patient’s ledger and the appropriate claim record, enabling proper reconciliation and traceability. If a remittance references the primary invoice, post to the secondary bucket with that primary invoice number; if it references the secondary invoice, post with the secondary invoice number.

When a crossover claim involves a secondary insurance, payments posted to the secondary insurance bucket must be tied to a valid invoice reference, and that reference can come from either the primary bill or the secondary bill. This flexibility exists because secondary remittances may cite the primary invoice number (if the secondary is linking to the primary adjudication) or the secondary invoice number (if the secondary claim stands on its own). Using either invoice number ensures the payment is correctly matched to the patient’s ledger and the appropriate claim record, enabling proper reconciliation and traceability. If a remittance references the primary invoice, post to the secondary bucket with that primary invoice number; if it references the secondary invoice, post with the secondary invoice number.