What is the lifecycle of a claim from submission to payment in Resolute?

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The lifecycle in Resolute follows a straightforward sequence: you submit the claim to the payer, the payer adjudicates it, you receive a remittance advice or EOB/ERA, you post the payment (or process the denial), and then you handle any appeals or resubmission if needed. Submission starts the flow, triggering the payer’s review against coverage and edits during adjudication. The remittance advice or ERA/EOB then provides the actual financial details, including what the payer paid, patient responsibility, and denial reasons. Payment posting updates the patient’s account with the amount paid or notes the denial outcome. If a claim is denied or only partially paid, an appeal or resubmission is the next step to seek payment. The other options describe incorrect sequences or outcomes not aligned with how claims actually progress in Resolute.