In this module, you will learn how to select a claim, with the status of “Suspended,” for resolution.
Assessment: Accessing Claims for Resolution
Assessment
Viewing Managed Care Payments
In this module, you will learn how to view the key details of the organizational and individual level data on a Managed Care Payment Summary page.
Assessment: Transaction Processing
Assessment
Viewing Managed Care Payment Transactions
In this module, you will learn how to view managed care payment transactions.
Viewing Managed Care Rate-based Retro Adjustments
In this module, you will learn how to view Retro Rate Payments.
Introduction to Processing Managed Care Payments
In this module, you will be introduced to the Managed Care Payment process. You will also learn about the key concepts in managed care payments, such as capitation, Recoupment, manual payment, and retroactive manual payment.