RHB330 Resolute Hospital Billing Claims
Exam Questions And Answers
Demand Claim -
correct answer ✅Allows you to print a paper claim right now and
override the claim form, account class, the Type of Bill and include
only selected claim lines.
Resubmit Claim -
correct answer ✅Puts the insurance bucket back on the claims
queue (even if the insurance bucket is already outstanding).
Cancel Claim -
correct answer ✅Created when the initial claim was sent with
incorrect information. Cancel claims can be created even if the
bucket has already been rejected. This allows billers to go back and
send the cancel claim if they have previously forgotten.
Claims Reconciliation -
correct answer ✅Creates a record for each claim in a claim run.
Import claim status files from clearinghouses (or payer) giving you a
record of a claim's status once it has left Epic. Automation based on
communication.
ANSI 277 -
correct answer ✅Specifically formatted delimited file.
, RHB330 Resolute Hospital Billing Claims
Exam Questions And Answers
Delimited Flat File -
correct answer ✅Flat file that contains delimiters that indicate
when the information in the file changes from one piece of data to
another.
Claim Medium -
correct answer ✅Setting in the CDF that specifies whether the
claim form is paper or electronic.
CDF -
correct answer ✅Checks for payer or plan specific errors. Claim
formatting and Claim error checking.
Plan -
correct answer ✅Set of benefits a payer offers.
Payer -
correct answer ✅Insurance provider.
HSD -
correct answer ✅System settings for hospital billing.
Exam Questions And Answers
Demand Claim -
correct answer ✅Allows you to print a paper claim right now and
override the claim form, account class, the Type of Bill and include
only selected claim lines.
Resubmit Claim -
correct answer ✅Puts the insurance bucket back on the claims
queue (even if the insurance bucket is already outstanding).
Cancel Claim -
correct answer ✅Created when the initial claim was sent with
incorrect information. Cancel claims can be created even if the
bucket has already been rejected. This allows billers to go back and
send the cancel claim if they have previously forgotten.
Claims Reconciliation -
correct answer ✅Creates a record for each claim in a claim run.
Import claim status files from clearinghouses (or payer) giving you a
record of a claim's status once it has left Epic. Automation based on
communication.
ANSI 277 -
correct answer ✅Specifically formatted delimited file.
, RHB330 Resolute Hospital Billing Claims
Exam Questions And Answers
Delimited Flat File -
correct answer ✅Flat file that contains delimiters that indicate
when the information in the file changes from one piece of data to
another.
Claim Medium -
correct answer ✅Setting in the CDF that specifies whether the
claim form is paper or electronic.
CDF -
correct answer ✅Checks for payer or plan specific errors. Claim
formatting and Claim error checking.
Plan -
correct answer ✅Set of benefits a payer offers.
Payer -
correct answer ✅Insurance provider.
HSD -
correct answer ✅System settings for hospital billing.
