Resolving Managed Care Pended Payment Transactions

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In this module, you will learn how to select Managed Care Payment (MC) transactions for resolution, resolve errors in MC transactions, and release transaction(s) for reprocessing after a transaction is forced or denied. You will also learn how to perform actions such as deny/deny all and force/force all transactions from the Pended Payment Transaction List and modify the pended payment transaction list.

Managing Spenddown

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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.

Managing Service Line Drug Information

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In this module, you will learn how to add, modify, or delete service line drug information for a selected claim when resolving a claim.

Managing Related Causes Information

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In this module, you will learn how to add, modify, and delete related causes information when resolving a professional, institutional, or dental claim when resolving a claim.