In this module, you will learn how to review an error in a claim, review claim information, take the appropriate error action, and release the claim for re-adjudication.
Assessment: Performing Claims Resolution
Assessment
Resolving Institutional Claim Header
In this module, you will learn how to review and resolve errors on an Institutional claim header.
Resolving a Dental Claim at the Header Level
In this module, you will learn how to review and resolve errors on a Dental claim header.
Assessment: Accessing Claims for Resolution
Assessment
Selecting Claims for Resolution
In this module, you will learn how to select a claim, with the status of “Suspended,” for resolution.
Claims Resolution: An Overview
In this module, you will be introduced to the Resolution function of Claims and Encounters. You will also learn about the different concepts such as error types, error dispositions, and release and refer functions that are associated with suspended claims.
Introduction to HIPAA Transactions Relating to Claims
In this module, you will be introduced to the outbound and inbound HIPAA transactions that are generated to support the processing of claims and encounters in the Evobrix system. You will also learn about the different types of acknowledgment/responses that are generated as a result of claims processing.