What are the 3 Follow-Up record types?

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Multiple Choice

What are the 3 Follow-Up record types?

In Resolute hospital billing, the follow-up workflow is driven by the outcomes you need to address after a claim is processed. The three follow-up record types represent the common payer responses that require action: underpayment, overpayment, and denial. An underpayment means the payer’s payment is less than the allowed amount and you must adjust or pursue the remaining balance. An overpayment occurs when the payer pays more than the allowed amount, prompting reconciliation or refund steps. A denial indicates the claim wasn’t paid at all, triggering actions such as resubmission, appeal, or correction. Other options aren’t the defined trio of follow-up types. Not Allowed Amount is a posting term describing what portion of the allowed amount isn’t paid due to contractual adjustments, not a follow-up category. Reason Codes explain why an adjustment or denial occurred but aren’t themselves the follow-up record types. A Follow-Up Record is just a general record for tracking follow-up activity, not the specific three outcome categories.

In Resolute hospital billing, the follow-up workflow is driven by the outcomes you need to address after a claim is processed. The three follow-up record types represent the common payer responses that require action: underpayment, overpayment, and denial. An underpayment means the payer’s payment is less than the allowed amount and you must adjust or pursue the remaining balance. An overpayment occurs when the payer pays more than the allowed amount, prompting reconciliation or refund steps. A denial indicates the claim wasn’t paid at all, triggering actions such as resubmission, appeal, or correction.

Other options aren’t the defined trio of follow-up types. Not Allowed Amount is a posting term describing what portion of the allowed amount isn’t paid due to contractual adjustments, not a follow-up category. Reason Codes explain why an adjustment or denial occurred but aren’t themselves the follow-up record types. A Follow-Up Record is just a general record for tracking follow-up activity, not the specific three outcome categories.

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