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Resolute Fundamentals
Insurance 101
Claim Edit
AR Follow-up
100
This button is used to navigate to all areas of the EHR.
What is the EPIC button?
100
This coverage helps pay for services that Medicare doesn’t cover.
What is a Medigap coverage?
100
This type of file is used to check claims for errors
What is Claim Definition File (CDF)?
100
The function in Epic that allows for electronic creation and validation of eligibility of a new or existing patient’s coverage.
What is Passport?
200
The search functionality used in Resolute to find Guarantor Accounts
What is Transaction Inquiry?
200
The form used to determine Medicare’s filing order
What is the MSPQ (Medicare Secondary Payor Questionnaire)?
200
The number of days that a claim can be deferred before it will need to be transferred to a foundation WQ
What is 7 days?
200
The standard follow-up action that a rep should take to provide status of a claim.
What is notate the account?
300
This type of account is linked to patient's charges, payments, adjustments and insurance information.
What is a guarantor account?
300
The rule where the primary insurance is determined by the insurance that has been effective the longest
What is the Effective Date Rule?
300
The section of Epic an Account Rep would locate the necessary information for an Attachment Needed Claim Edit.
What is the Chart Review?
300
The location in the Assistant screen that will allow you to navigate to the patient's registration record.
What is the Patient Name Hyperlink?