In this module, you will learn how to view the status of a Mass Resolve batch after Job validation. You will also learn how to review the claims associated to the batch and how to submit the batch to the supervisor for approval.
Referring Claims to Another User
In this module, you will learn how to refer a claim to another user for resolution.
Resolving Review Indicators
In this module, you will learn how to add or modify review indicators from the header and service line of a claim while resolving it.
Introduction to Mass Resolve Tasks on Suspended Claims
In this module, you will be introduced to the mass resolution function of the Claims and Encounter subsystem. You will also identify the different components of the mass resolution function, such as TCN, errors and error dispositions, and batch processing.
Reviewing Relevant Dates
In this module, you will learn how to modify relevant dates for a professional claim when resolving a claim.
Managing Service Line Drug Information
In this module, you will learn how to add, modify, or delete service line drug information for a selected claim when resolving a claim.
Reviewing Spinal Manipulation Information
In this module, you will learn how to reveiw spinal manipulation information for a professional claim.
Managing Spenddown
In this module, you will learn how to view, add, or modify spenddown information on the header or service line of a claim while resolving it.
Reviewing Patient Code Lists
In this module, you will learn how to access and review the Patient Code List information while resolving a Professional claim.