In Resolute, what is the Remittance Advice file and how is it used?

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Multiple Choice

In Resolute, what is the Remittance Advice file and how is it used?

Remittance Advice in Resolute refers to the data feed that carries the payer’s adjudication results for processed claims, including the actual payments and any adjustments. This file (often in an 835-like format) is used to post those payments and adjustments to the corresponding patient accounts in the accounts receivable ledger. By applying the posted amounts to the correct claims, Resolute reconciles what was billed, what the payer paid, and what remains due, and it updates balances and payment histories accordingly. The other options don’t fit this function. A demographics file is about patient information used for scheduling and records, not for posting payments. A claim error log tracks denials and processing errors for auditing, not for posting payments. A payer contract file stores terms and allowed amounts to help adjudicate claims, rather than posting actual payments to accounts.

Remittance Advice in Resolute refers to the data feed that carries the payer’s adjudication results for processed claims, including the actual payments and any adjustments. This file (often in an 835-like format) is used to post those payments and adjustments to the corresponding patient accounts in the accounts receivable ledger. By applying the posted amounts to the correct claims, Resolute reconciles what was billed, what the payer paid, and what remains due, and it updates balances and payment histories accordingly.

The other options don’t fit this function. A demographics file is about patient information used for scheduling and records, not for posting payments. A claim error log tracks denials and processing errors for auditing, not for posting payments. A payer contract file stores terms and allowed amounts to help adjudicate claims, rather than posting actual payments to accounts.

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