VERIFIED ANSWERS
\.Which of the following are standard restrictions on the Claim Run
Restrictions window? Choose ALL that apply.
A. Payer
B. Financial Class
C. Location
D. Invoice Number - ANSWERS✔-A, B, C
\.True or False: A claim run can be accepted only if it has only been
printed to paper or file. - ANSWERS✔-True
\.True or False: Demand claims go through the CDF and are checked for
errors like all other claims. - ANSWERS✔-False
\.True/False: Claims reconciliation must be run manually. - ANSWERS✔-
False, it can be run through a batch job
, \.What of the following can be done automatically by the system based
on the information received in a claim reconciliation file? Choose ALL
that apply:
A. Accept clean claims.
B. Send errored claims to the error pool to be worked in a claim edit
workqueue.
C. Post insurance payment
D. Mark records in a follow-up workqueue which can cause them to be
rerouted to a new follow-up workqueue - ANSWERS✔-A,B, and D
\.What are the benefits for assigning each payer to a financial class?
Choose ALL that apply.
A. Reporting Purposes
B. Claims Functionality
C. Group similar payers together - ANSWERS✔-A, B, and C
\.True or False: Benefit packages can be attached directly to a payer
record. - ANSWERS✔-False, benefit packages can only be attached to
benefit plans.
\.True or False: If you restrict a payer or plan by service area, the payer
or plan cannot be used in the service area listed. - ANSWERS✔-False, if