RHB330 Resolute Hospital Billing Claim & Remittance Practice Test

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• Which term represents the records that define standard actions for the reason codes and can be overridden by an extension rule?
• Use the ______ of the claim to test it against the WQ or rules used in the WQ.
• After a clean claim is loaded into the reconciliation file, what status is assigned?
• True or False: If you use sequence numbers with your claim invoice numbers, you will be generating a new base number for every claim that is produced.
• In the cash import table, you specify which ______ type to search.
• The Crossover to Payer field is a ______ that allows you to list ______ of accepted crossover payers.
• Which file is used to enable remittance code mapping at the plan, payer, or service area level?
• Which component evaluates Demand Claims?
• You must do what in order for the payer and plan once built?
• Where should you update timely filing deadline changes that no longer match the HSD defaults?
• Which configuration would you use to route behavioral health claims to Red Oak based on the patient's insurer?
• Which statement is true about payers in the system?
• True or False: All dashboard components provide data that is up-to-date at the current time.
• Which checks should be processed during a remittance run?
• What is a Workqueue (Error) Rule?
• A Service Area HSD is __________ the Facility Level HSD.
• What term describes the supporting documents attached to a claim to support billing?
• Which of the following is NOT a common financial class?
• RMCs define standard actions for the reason code and can be overridden by scenario using an _______ or a ____ record.
• The CDF can override the Type of Bill on the claim in certain situations, like switching it to 132 and 133 for recurring accounts.
• If you use sequence numbers with claim invoice numbers, you will keep the same base number and need to distinguish between multiple claims on the same account.
• A rule that identifies an error code will be used as the ________.
• During loading, the system reads the remittance file to look for unrecognized codes or characters. Which action describes this step?
• You must select the bucket to which the payment is to be posted. Which option best describes the destination?
• Of the three kinds of codes a payer might send (Group, Reason, and Remark), which two have records built for them in the RMC master file?
• If a rule contains more than one criterion, you must define the relationship between criteria.
• What term is used for payments that cannot be posted to another clearing account?
• Claim Values is the most common context for Claim Edit Rules and it uses the ______ of the claim for testing.
• Crossover Payer Setup is Configured within which record?
• Settings at the Payer Level override those at the Service Area HSD Level. Which level takes precedence?
• Crossover payer relationships can be set up at which levels?
• Which operator checks if a value lies within a set of values?
• FDF Master File Contains:
• Which option is NOT one of the three ways to produce a claim from the hospital account?
• In Resolute Hospital Billing, claims are checked according to the CDF associated with the plan or payer. Which of the following best describes the CDF's role?
• A self-pay ROM allows you to automate posting self-pay payments via a flat file from your _______.
• In the absence of any rules, what happens to error pool claims?
• A scan error indicates the remittance processing cannot interpret a remittance code. Which option correctly reflects this scenario?
• Level 2: External Edit Return—What happens to claims with errors?
• What groups similar types of claim errors?
• A rule is made up of one or more criteria. Each criterion is composed of three parts:
• What happens when a secondary payer sends reimbursement before the primary?
• Where can crossover payers be configured?
• In a coverage record, which element represents the insured individual?
• What is the recommended number of RMOs per payer per billing system?
• Where can the invoice number needed for posting be found?
• If the claim triggers an edit check or rules, where is it sent?
• True or False: Including Zs after the last letter ensures the upper bound is after all names starting with that letter.
• Which statement best describes the pairing of Extensions and Rules in this system?
• When Crossover Payers are set up, Epic will ___________________ the claim for the secondary payer.
• What are acceptable formats for the claims reconciliation file?
• What is the purpose of a Claim Split?
• Which directory is used to store remittance data after processing?
• System settings for Hospital Billing are stored in ______________________.
• Level 3: Rapid Retest—What is a key difference from External Edit Return?
• The ____________ determines how high/low or how far left/right the ink prints on the page for a claim.
• When a payer requires that you send some subset of charges or accounts to another payer for reimbursement, this requires ___________________ Payer configuration.
• Demand claims printing conditions include which of the following?
• When you make a custom claim edit rule, you can also make custom ______ with step-bystep instructions and links to workspaces in Epic.
• Which of the following is a direct result of configuring a Subpayer relationship?
• If a secondary payer pays before a primary payer in a crossover, where is that payment stored?
• Which option represents the HB Claims testing job?
• What does the Force item do in the claim edit workflow?
• For HB workqueues with error or warning rules, how many rules must be met for a claim to qualify?
• Which option helps decide remittance processing actions by using extensions to select options?
• Which term describes a workqueue that is intended to monitor overall error volume and has no individual user ownership?
• Template 1600 uses which data structure to interpret the bank file?
• Some Payer and Plan settings can only be configured where?
• New Claim Edit Checks are created by:
• Alternate Payer configuration is used to route what portion of charges?
• Which field can the CDF override to change billing classification such as recurring accounts?
• Which statement best describes the purpose of a Group Override?
• A Rule defines which records appear in a workqueue; one rule can be linked to many workqueues; if a change is made to the rule, that change impacts all workqueues to which it is linked. Which option best captures this?
• The Automatic Claim Codes for UB screen lets you automatically add _______________, _______________, and ______________ to claims.
• Property can be:
• Payer status information will be stored on the ______.
• A scan error indicates which condition?
• HB Claim Run batch job template includes which of the following?
• Which three code types can be automatically added to UB claims by the UB screen?
• Which field identifies which claims in the error pool will go into each claim edit workqueue?
• To automatically route behavioral health claims to Red Oak when a patient has Strongbow Insurance, which configuration is used?
• If the same setting exists in multiple places, the system will use the setting at the __________.
• Alternate Payer by charges context corresponds to which of the following contexts?
• The _________ determines how high/low or how far left/right the ink prints on the paper for a claim.
• Which statement best captures the purpose of an Error Rule in a claim edit workflow?
• Which types of records can be claim edits?
• Which of the following are payments that are not for invoices?
• The plan represents what?
• Build a payer record for how many payers you do business with?
• For payments from a payer of a given financial class that do not have a payer-specific clearing account, which clearing account is used?
• How many payers can be associated with one plan record?
• There are three directories necessary for remittance:
• Which extension automatically formats the information from the format received to the format in Epic?
• A cancel claim includes TOB XX8 and a condition code. If payment has already been received, the ICN number is also included on the claim.
• The additional documentation included with a claim required for payment is called what?
• What is the purpose of the description field?
• On which screen are crossover payers listed in the Payer master file?
• Which statement best describes the role of the 1600 template?
• Reason codes and __________ codes are built as ______ records.
• Which record holds the setting to switch to electronic claims?
• Which statement describes the system behavior regarding matching remittances when a secondary payer is involved?
• Which statement best describes the Catch All claim edit WQ?
• During Creating & Loading the Remittance Run, which action is performed?
• How many plans can be associated with one payer record?
• Which types of records can be claim edits?
• When the primary remittance is posted, which action is performed?
• HB Claim Edit Workqueues only allow which type of rules?
• Electronic claim forms and paper claim forms are in ______________ master files.
• A plan record can be linked to how many payer records?
• Remittance files should only be processed if the _______ is confirmed.
• What is the primary purpose of the HB Claims Testing template?
• True or False: A user can only have access to one dashboard?
• If a setting exists at HSD and payer levels, which level's setting governs processing?
• To handle scan errors caused by a new payer code, ______ the payer code to an ANSI standard code and then reload the remit file.
• Which component translates the remittance file sent by a payer?
• A Plan record is _______________ specific than a Payer record.
• What does a cancel claim do?
• CDFs are connected to which entities and how are they linked to plans?
• The secondary payer is called what?
• Which codes are automatically added by the Automatic Claim Codes for UB screen?
• You need to convert the ______ payer ID to ______ payer ID.
• When a patient is covered by Strongbow Insurance and behavioral health claims should automatically go to Red Oak, what configuration is used?
• Remittance code mapping can be done at the plan, ____________, or service area level.
• Where is the rule that determines automatic claim attachments located?
• ACN Format Parameter configuration uses a standard extension 70551.
• Which component determines which Remittance Option (RMO) to use in remittance processing?
• Resolute Hospital Billing checks claims according to the CDF associated with which entity?
• What does Claims Reconciliation show?
• Which statement about the remittance directories is true?
• How can a processing error on a payment be identified?
• When the clearinghouse identifies an error, Claims Reconciliation levels 2 and 3 will put that claim into which pool?
• Which statement best describes the Watchlist's purpose?
• If a setting is configured at both HSD and payer levels, which setting does the system use?
• A Payer (EPM) record must also have an attached ______ to be selected in Registration.
• A ______________ error indicates the system cannot interpret a remittance code.
• HB Claims Testing template looks at the error pool and runs claim edit checks. It identifies and clears which?
• The bank file data is converted using which mechanism to be usable in Epic?
• The CDF can change many things about how _______________appear on the claim, including maximum quantities and when to combine them onto 1 line.
• What feature allows sending charges on a claim form different from the defaults?
• Batch jobs automate _______ and ______. Processing is automated inside the ____.
• Which acronym is used to label payments that are not tied to any invoice?
• What is required to identify a coverage during Registration?
• Which component ensures erroneous claims are directed to the error pool?
• What is the purpose of the 'Reason for Follow-up' in a Workqueue (Error) Rule?
• Which statement best describes the link between a plan and payers?
• Which fields will allow for different actions to be performed for a single remittance code depending on the circumstance?
• How can claims reconciliation be processed?
• Use a ______________________ to override one piece of info on a claim.
• Routing rules are used to...
• Crossover relationships can be configured at which levels?
• When you demand a claim, it is evaluated by the CDF and....
• The mapping between a bank's payer ID and Epic's payer ID is managed in which area?
• The Value in a rule criterion must be what?
• Which statement about the PCL string is true?
• Which approach helps minimize the total number of claim forms?
• Which extension number is used to set the ACN parameter?
• ID Maintenance can provide a reference to map the bank payer ID to the payer record in Epic. What is this reference?
• Among HSD, payer, and plan records, which type is the most specific setting?
• The notation M] is used as an upper bound to catch all last names starting with M; which statement is true?
• The invoice number can be found on the which document?
• Claim Edit Rules are:
• What does ICN stand for?
• What field formats the incoming data to Epic’s standard format?
• Of the three kinds of codes a payer might send (Group, Reason, and Remark), which two have records built for them in the RMC master file?
• Import converts the bank's payer ID to which Epic identifier?
• Which clearing account is used for payments not related to specific services?
• Where are bank payer IDs linked to Epic payer IDs?
• Common uses for the description field are to:
• Configuring a ________ relationship allows the invoice payer to be recorded as payer on the payment transaction.
• If there are no rules, which statement is true?
• If a setting is configured at the HSD and payer levels, will the system use the setting at the payer level?
• The codes built in the RMC master file should be ANSI Standard remittance codes, not payer-specific codes.
• HB Claim Run batch job template includes all of the claim run restrictions plus what additional features?
• What describes the relationship between a Rule and its linked workqueues?
• The sequence numbers in an invoice, such as 01, 02, 03, indicate:
• Which statement is true about the remittance directories Load, Tran, and Archive?
• Value represents the data stored in the item. This must be appropriate to the property and operator being used.
• Use a ______ to override multiple related pieces of information on a claim.
• The _________ translates the remittance file sent by a payer.
• Remittance files should only be processed after which condition is confirmed?
• Which code category corresponds to Attachment errors?
• For invoice payments that don’t match an invoice or patient in the system, post to a _____________ account.
• Which statement aligns with Auto-Accept policy for claim runs?
• Which three directories are necessary for remittance processing?
• Batch jobs automate ___________ and ________ . Processing is automated inside the ______.
• Operator
• Which action prints a paper claim immediately by overriding the claim form and including only selected claim lines?
• In testing Claim Edit Rules, which identifier is used most commonly to test logic in the Claim Values context?
• Workqueue rules may appear in HP workqueue configuration as what types of rules?
• If a Claim Edit Workqueue has no rules in it, then ______ appear in the workqueue.
• Which remittance option is determined by extensions in the Remittance Option Selection table?
• A rule is made up of one or more criteria. Each criterion is composed of three parts. Which three parts make up a criterion?
• What is the term used for a file that enables automated posting of self-pay payments?
• Which combination of remittance code types has records built in the RMC master file?
• The Error Message field is not editable for Claim Edit type rules as the error is not defined by the rules in the workqueue. Where are the errors defined?
• The Payer ID sent by the bank will not match which field in Epic?
• What action puts the insurance bucket back on the claims queue (even if the insurance bucket is already outstanding)?
• Once a remittance run is loaded, it must be processed, or matched to invoices in the system, before it can be accepted, which posts the payments to the accounts.
• If a load error occurs due to file structure mismatch, what is the recommended action?
• Can the system be configured to automatically accept clean claims based on information in a claim reconciliation file?
• Which dashboard component can tell you the percentage of claims that did NOT have a claim error in yesterday's claim run?
• What does ANSI 276 describe?
• Reason codes and _______ codes are built as _____ records.
• Electronic claim forms and paper claim forms are in ______________ master files.
• Which action moves a claim to reprocess after an error is detected?
• When posting a payment to the secondary insurance bucket for a crossover claim, the invoice number used can be from?
• In reconciliation processing, which pool collects claims with errors?
• The closest FS Cash Import table is copied because all such tables start with which prefix?
• Which type of rule is used to assign work to queues based on criteria such as payer or financial class?
• In batch processing, which component handles automated loading and acceptance of remittance data?
• Which of the following is an alternative upper-bound method?
• Which statement defines a PLB?
• Claim attachments can be automated at which levels?
• A self-pay RMO allows you to automate posting self-pay payments via a flat file from which source?
• Which statement best describes the purpose of the Description field?
• Before remittance payments can be posted to accounts, which two steps must occur?
• From which source does a self-pay RMO typically post payments automatically via a flat file?
• Level 1: Automatic Claim Accept—What happens after the clearinghouse returns reconciliation file?
• Which statement about the Watchlist is true?
• Where can you enter claim attachment rules and ACN extensions?
• What describes a Group Override?
• RMCs define standard actions for the reason code and can be overridden by scenario using an _____________ or a ____________ record.
• Which statement best describes the relationship between a Payer (EPM) record and a Plan (EPP)?
• What is the purpose of the Payer Specific Remittance Code Mapping screen?
• What purpose does listing the financial classes serve?
• Claim edit checks are:
• For a claim to qualify for a Claim Edit workqueue it must:
• In alpha-split rules, which bound is more inclusive?
• What mapping screen is used to align payer-specific remittance codes with ANSI standard remittance code records?
• Duplicate file detection indicates which of the following?
• Which of the following is a commonly used financial class?
• Which item allows you to print a paper claim right now and override the claim form, the account class, the TOB and include only selected claim lines?
• HSD 1 is also called which profile?
• Which field determines whether a rule is active and can be added to a workqueue or system setting?
• Which Master File contains Electronic PB and HB ANSI forms?
• Which statement about financial classes is true?
• What is a cash management error?
• Settings at the plan level override settings at the _________.
• Demand Claims
• From Report Settings, which tab determines which columns appear on the report?
• In Resolute HB, if the demand claim fails any edit checks or splits during processing, the errors or split messages are displayed. A user can choose to
• Which of the following best lists the available operators?
• Which statement about the codes in the RMC master file is accurate?
• Which claim type can override the TOB and claim lines?
• Which statement about extension 70551 and the ACN Format parameter is true?
• The facility-level HSD profile contains additional settings that other profiles do not contain, such as for which area?
• The CDF can be used to Split a claim in different situations, for example when a recurring account overlaps other accounts.
• The codes built in the RMC master file should be ANSI STANDARD remittance codes, not payer-specific codes.
• What is the primary function of the CDF?
• Which term describes the place that aggregates metrics from multiple reports?
• Use a ________ to override one piece of info on a claim.
• A coverage record consists of what 3 things?
• Which clearing account type is used for payments that do not relate to any specific service?
• If there are no routing rules, which claims qualify for the workqueue?
• What is a Routing Rule?
• Which items belong in the description field?
• Which term best describes a configuration that routes some charges to another payer for reimbursement?
• Which tab controls which columns appear on a report?
• Which component enables the conversion of external payer IDs to Epic payer records in the system?
• Which component defines which records appear in a workqueue and can be linked to many workqueues?
• A rule that identifies a way to divide up work, like payer or financial class, will be used as a ________.
• Can a plan record be associated with several payers?
• For scan errors caused by a new payer code, _____________ the payer code to an ANSI standard code and then reload the remit file.
• The ________________ __________ field automatically formats the information from the format received to the format in Epic.
• Service-area levels are manually linked to the service area record.
• Who creates New Claim Edit Checks?
• Claims can only appear in Claim Edit Workqueues if they are in the ______.
• What type of error indicates the system cannot interpret a remittance code?
• What is a Routing Rule?
• Are claim edit checks and rules the same type of record?
• True or False: Service‐area level HSDs are manually linked to the service area record.
• What is the INI code for a Payer Record?
• Where is an insurance bucket located when waiting for claims processing?
• External Edit Return—What happens if a user fixes an error in Claim Edit but does not click Refresh?
• _______ are payments that are not for invoices.
• In the context of hospital billing, which component influences standard settings and routing of records?
• The CDF can change many things about how ______ appear on the claim, including maximum quantities and when to combine them onto 1 line.
• Which statement about reconciliation processing is true?
• If you get a payment from the secondary payer with the primary payer's invoice number, can you still use that primary invoice number to post to the secondary payer's payment?
• What is the limitation regarding plan-payer associations?
• In case of conflicting settings, which level has the final authority?
• To set the Attachment Control Number (ACN), use a copy of extension 70551 and configure the parameter in it. Which extension is used for this parameter?
• Demanding a claim always creates what type of claim?
• Which two types of claim forms are used and linked to the CDF?
• Which statement about demand claims is accurate?
• The ______ field accepts numeric values and is primarily used to determine which claim edit workqueue the claim goes to (based on the team that owns it).
• What is a flat file?
• Remittance code mapping can be done at the plan, _____, or service area level.
• Use a _____________ to override multiple related pieces of info on a claim.
• Which claim edit workqueue is generally used to monitor the volume of the claims error pool and is not worked by users?
• If a Rule is changed, what is the impact?
• If there are no rules...
• If an errored claim does not appear in any workqueue (or if it is only in a catch-all workqueue), it appears on the Watchlist dashboard component.
• What characterizes a delimited flat file?
• What is the purpose of a routing rule?
• Which terms describe the fields that allow for different actions to be performed for a single remittance code depending on the circumstance?
• Duplicate file or duplicate check means what?
• What are the two kinds of rules that can be used in an HB workqueue?
• What is the primary purpose of a remittance option?
• Payments from a payer of a given financial class that do not have a payer-specific clearing account use which clearing account?
• The Remittance Option Selection table uses extensions to determine which _____ to use.
• What type of record determines which claims will have a claim attachment automatically generated?
• What is the primary purpose of a dashboard in a reporting environment?
• A cancel claim does not erase the previously created claim on the account but rather
• The purpose of the remittance option selection table
• Can a plan record be associated with more than one payer?
• In which master files can a CDF be attached to for use?
• Load errors citing a file structure mismatch refer to which remittance file structure?
• In payment posting, which option describes where the payment should be recorded?
• Workqueue Rules: When multiple workqueue rules are listed it's an OR relationship.
• Which statement describes the relationship between the Code field and claim edit workqueues?
• The edit checks for the Achievement plan should be listed in which CDF?
• What term describes a centralized view that aggregates information from multiple reports to display key metrics?
• Routing Rules: When multiple routing rules are listed it's an AND relationship between the rule (BWR) records.
• Where are remit files stored after the remittance run is accepted/removed?
• Where can you view a remittance image?
• Demand claims do not allow which functionality?
• Which statement is true about the UB screen's automatic code feature?
• What function does the batch scheduler serve in claims reconciliation?
• Configuring a Subpayer relationship allows the invoice payer to be recorded on the payment transaction.
• Which clearing account is used for payments from a payer for invoices/patients that do not exist in the system?
• Payers and Plans are created where?
• Which statement is true about how changes propagate from a Rule to its linked workqueues?
• The payer represents what?
• Can claims reconciliation be run automatically, manually, or both?
• When the CDF finds an error, it sends claims to the ______.
• CER Rules refer to:
• Which configuration is used to route behavioral health claims to a different payer than the primary when a patient has a specific insurer?
• When the clearinghouse says the claim is clean, it will be ________ when we load the reconciliation file.
• Where are Errors defined?
• Which button allows users to open the remittance image.
• That bank's IDs are labeled with an ______.
• Tables can reference an _____________ from ID Maintenance to convert the banks payer ID to the payer record in Epic.
• What is a workqueue (Error) Rule?
• Alternate Payer by charges is associated with which context?
• _____ determine how to split the money between HARs.
• Which statement best describes the purpose of mapping payer-specific codes to ANSI standard remittance codes in the RMC master file?
• Where are HB remittance errors found?
• Which of the following is NOT one of the remittance directories?
• Which statement best describes who creates new Claim Edit Checks and new Claim Edit Rules?
• Who creates New Claim Edit Rules?
• Unmatched invoice payments should be posted to which type of account?
• A payer record may be attached to multiple plans but a plan may only be attached to a __________ payer.
• Build one ______ for each __________ class. Only build extras if additional specialized CDF's are needed.
• What category number corresponds to Billing errors?
• HB Charge Review allows for either Warning Rules or Error Rules. HB Claim Edit Workqueues only allow what type of rules?
• From Report Settings, which tab determines which records are included in the report?
• What type of workqueue is generally used to monitor the volume of the claims error pool, and has no user working it?
• The correct design for an upper bound should include which to ensure it is alphabetically after all names starting with the specified letter?
• An operator in the rule criteria is defined as what?
• The Service Area HSD is more specific than the Facility Level HSD.
• A plan can be attached to how many payers?
• You might also build separate claim forms when you send directly to payers. Which statement is true?
• Build a plan record for each plan or set of benefits a payer offers.
• Batch jobs automate which two processes, with processing inside the RMO?
• Claim Forms Guidance – Start with one electronic and one paper for UB (institutional) and CMS (professional). Which configuration is recommended?
• Which rules determine which claim edits appear in a workqueue?
• What is the purpose of each of the directories?
• When the secondary payer pays first, the payment will appear on the ____________________________ until the primary payer has responded.
• Which payer offers the Achievement plan?
• ANSI 277 is what kind of file?
• Which statement correctly describes the relationship between claim edit checks and claim edit rules?
• What is the purpose of the Payer Specific Remittance Code Mapping screen?
• Which of the following is NOT a valid part of a rule criterion?
• When claims appear on the Watchlist, you must review your build to include them in a currently existing workqueue or build a new workqueue.
• You need what 2 elements to create a coverage record that is selectable in Registration?
• Which pool contains claims that are flagged for errors and drive routing decisions?
• What is the purpose of the Claim Edit Workqueue Companion?
• Any service areas that need different Resolute Hospital Billing settings require a __________, manually plugged in to the service area record.
• The Achievement plan problem: The HB Commercial CDF is listed as the CDF in the Acme payer record. What could be causing the problem?
• Which master file category stores both electronic and paper claim forms?
• How is the ACN Format Parameter configured?
• Payer Records are created and updated using which method?
• If you want to create two separate claims for the same payer on an account (with some charges on one claim and other charges on the other), then use a ______.
• Rules are used for?
• The CDF can be used to ______ a claim in different situations, for example, when a recurring account overlaps other accounts.
• A Property could be which of the following?
• What should you do before building a payer or plan record?
• Resubmitting a claim
• Does a payer represent one insurance company or many?
• What is another name for the secondary payer?
• During batch processing of bank deposits, what action is performed for each check?
• New Claim Edit Rules are mostly created by:
• What is the purpose of the ACN (Attachment Control Number)?
• Start with _____ CDF's in the Foundation system and then only add additional ones when needed.
• Some dashboard components require batch jobs to run overnight to populate data.
• Tables can reference an ______ from ID Maintenance to convert the bank's payer ID to the payer record in Epic.
• Which Master File contains Paper Forms for Claims and EOBs?
• What is the primary purpose of a delimited flat file in data interchange?
• Which records are considered the most important for HB claims?
• Resubmitting a claim results in which printing schedule?
• Paper and electronic __________________ are specified in the CDF.
• After you demand a claim, it is evaluated by the CDF. Which action is allowed regarding printing?
• What is the term for the repository used to hold claims that contain errors awaiting remediation?
• Which statement about formats for the claims reconciliation file is true?
• Claim Edit Checks are ______ and Claim Edit Rules are ______.
• Which component translates the remittance file sent by a payer?
• A PROVIDER LEVEL ADJUSTMENT (PLB) IS:
• What is a Workqueue (Error) Rule?
• When building a rule, which field is optional and displays on the Rule Definition form?
• ABF Master File Contains:
• When accepting the remittance run, which sequence correctly describes the outcome?
• Which clearing account is used for payments from a payer for invoices/patients that do not exist in the system?
• Which statement about HB batch jobs is true?
• A ___________ is a portal for viewing information from different reports. Its purpose is to show many key metrics in a single, easy to access location.
• Rule Editor is used for:
• A property in the rule criterion can be described as which?
• Which team primarily creates new claim edit checks?
• Which factor determines if a user can override a given edit?
• Which statement is true about alpha-split lower bounds?
• The CDF can override the ______________ on the claim in certain situations, like switching it to 132 and 133 for recurring accounts.
• What do workqueue rules do?
• Which statement about payer-plan relationships is true?
• __________ determine how to split the money between HARs.
• Which statement about a Rule's scope is true?
• When selecting what will be on the attachment, you can use a
• Alternate Payers _______________ be selected in Registration.
• Claim Definition File includes the following contexts:
• If the remittance option selection table is not filled when loading remittance through batch scheduler, the run will not load properly.
• Which rule type directly influences assignment of error items to different workqueues based on criteria?
• Which statement describes demanding a claim?
• Complete the blanks: Once a remittance run is ______, it must be ______, or matched to invoices in the system, before it can be ______, which posts the payments to the accounts.
• Which format is supported for the claims reconciliation file?
• Which of the following is an example of a rule operator?
• What is the first step when building coverages?
• The payer of the check goes into which posting area?
• What helps break up the workload among multiple workqueues?
• Which clearing account is used for payments received from a payer that are not related to specific services?
• The Automatic Claim Codes for UB screen lets you automatically add _____________________, _________________________, and ___________________________ to claims.
• Which of the following could be a valid example for a numeric property value?
• The Cash Import Table is used to specify which aspects of the bank file?