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 the secondary payer pays first, the payment will appear on the ____________________________ until the primary payer has responded.

When a secondary payer pays before the primary, the receipt can’t be fully posted to the patient’s account yet because the primary responsibility hasn’t been settled. The system places this payment in an undistributed bucket (a suspense or holding area) until the primary payer’s remittance advice arrives. This keeps COB processing accurate, preventing misallocation or improper posting. Once the primary response is received, the payment can then be matched and distributed appropriately, and any remaining or secondary adjustments handled. Why the other options don’t fit: a primary remittance list tracks payments from the primary payer; a secondary payout file is used for secondary disbursements after adjudication; a posted payments list contains payments that have already been posted to accounts.

When a secondary payer pays before the primary, the receipt can’t be fully posted to the patient’s account yet because the primary responsibility hasn’t been settled. The system places this payment in an undistributed bucket (a suspense or holding area) until the primary payer’s remittance advice arrives. This keeps COB processing accurate, preventing misallocation or improper posting. Once the primary response is received, the payment can then be matched and distributed appropriately, and any remaining or secondary adjustments handled.

Why the other options don’t fit: a primary remittance list tracks payments from the primary payer; a secondary payout file is used for secondary disbursements after adjudication; a posted payments list contains payments that have already been posted to accounts.