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 the function of the 837I claim format in Resolute?

The main concept here is that the 837I is the institutional electronic claim format used for hospital or facility billing. In Resolute, this format is meant for submitting facility claims (inpatient and outpatient) to payers, with data organized around facility charges such as revenue codes, service dates, units, and total charges that reflect the hospital or facility services rather than individual professional services. It’s distinct from the professional claim format used by physicians (837P) and from paper forms or remittance advice. Remittance advice is handled by the 835 format, not the 837I. So the correct understanding is that the 837I represents the institutional electronic claim format used for hospital billing.

The main concept here is that the 837I is the institutional electronic claim format used for hospital or facility billing. In Resolute, this format is meant for submitting facility claims (inpatient and outpatient) to payers, with data organized around facility charges such as revenue codes, service dates, units, and total charges that reflect the hospital or facility services rather than individual professional services. It’s distinct from the professional claim format used by physicians (837P) and from paper forms or remittance advice. Remittance advice is handled by the 835 format, not the 837I. So the correct understanding is that the 837I represents the institutional electronic claim format used for hospital billing.