Master the EPIC Resolute Hospital Billing Test. Prepare with detailed flashcards and multiple-choice questions, each with helpful hints and comprehensive explanations. Ace your exam!

Multiple Choice

What is a typical scrub error you might see in Resolute, and how do you fix it?

Missing patient or membership data is what a Resolute scrub will flag because the claim cannot be matched to a patient or their payer without complete demographics and coverage details. When key fields such as patient name, date of birth, member ID, group number, or insurance information are blank or invalid, the scrub stops the submission to prevent sending a claim that the payer cannot process. The fix is to fill in all the required fields accurately, verify that the member/policy is active for the service date, then resubmit and run the scrub again. Once the data is complete, the claim should pass the scrub and proceed to submission. Other types of scrubs, like incorrect CPT codes or date-of-service alignment, can also cause flags, but they are separate issues. The missing patient/membership data issue is a common, foundational blocker that resolves once those fields are completed.

Missing patient or membership data is what a Resolute scrub will flag because the claim cannot be matched to a patient or their payer without complete demographics and coverage details. When key fields such as patient name, date of birth, member ID, group number, or insurance information are blank or invalid, the scrub stops the submission to prevent sending a claim that the payer cannot process. The fix is to fill in all the required fields accurately, verify that the member/policy is active for the service date, then resubmit and run the scrub again. Once the data is complete, the claim should pass the scrub and proceed to submission.

Other types of scrubs, like incorrect CPT codes or date-of-service alignment, can also cause flags, but they are separate issues. The missing patient/membership data issue is a common, foundational blocker that resolves once those fields are completed.