Assessment
Resolving Managed Care Pended Payment Transactions
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.
Viewing Managed Care Payment Transactions
In this module, you will learn how to view managed care payment transactions.
Assessment: Transaction Processing
Assessment
Uploading HIPAA Transactions via Web
In this module, you will learn how to upload HIPAA transactions.
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.
Adjusting Professional Claim Headers by a State User
In this module, you will learn how to perform adjustment tasks such as replacing and voiding a professional claim, modifying data for a claim, and uploading the relevant documents as required. You will also learn how to make adjustments to the claim information using the Show menu.
Assigning New Account Coding Segments to UPP or Buyout Premium Payment Transactions
In this module, you will learn how to re-assign account code for an already paid payment in UPP.