What is the flag on an insurance bucket based on payer's response?

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Multiple Choice

What is the flag on an insurance bucket based on payer's response?

In Epic Resolute, when an insurance claim has a response from the payer, the item gets marked with a Follow-Up Record. This flag signals that action is required—staff will follow up with the payer, request additional documentation, resubmit, or make corrections. It keeps the workflow moving and lets the team track outstanding items until they’re resolved. Reason Codes are for capturing the payer’s reason for action (like denial or request for information), but they aren’t the flag itself. Paid Amount (Posting Term) and Billed Amount (Contracts Term) are financial figures used for posting or contract terms, not workflow flags. So the Follow-Up Record best represents the flag on the insurance bucket based on payer response.

In Epic Resolute, when an insurance claim has a response from the payer, the item gets marked with a Follow-Up Record. This flag signals that action is required—staff will follow up with the payer, request additional documentation, resubmit, or make corrections. It keeps the workflow moving and lets the team track outstanding items until they’re resolved.

Reason Codes are for capturing the payer’s reason for action (like denial or request for information), but they aren’t the flag itself. Paid Amount (Posting Term) and Billed Amount (Contracts Term) are financial figures used for posting or contract terms, not workflow flags. So the Follow-Up Record best represents the flag on the insurance bucket based on payer response.

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