What is the role of Remittance Advice (835) in Resolute, and how does it affect reconciliation?

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Multiple Choice

What is the role of Remittance Advice (835) in Resolute, and how does it affect reconciliation?

The Remittance Advice (835) is the payer’s electronic explanation of benefits that flows after a claim is adjudicated, detailing what was paid, what was adjusted, any denials or patient responsibility, and the reasons codes behind those actions. In Resolute, the 835 is imported and used to post payments and adjustments directly to the correct accounts, updating remittance postings and the AR balances. This makes reconciliation possible because you have an authoritative source that shows exactly how the payer settled each claim, what portion was paid, what adjustments were applied, and what the patient owes. By aligning the 835 data with the billed charges, you can identify discrepancies, underpayments, or denials, and ensure the patient and payer ledgers reflect accurate, up-to-date balances. This process is focused on payments and reconciliations, not on scheduling, patient history, or contract terms, which is why this option fits best.

The Remittance Advice (835) is the payer’s electronic explanation of benefits that flows after a claim is adjudicated, detailing what was paid, what was adjusted, any denials or patient responsibility, and the reasons codes behind those actions. In Resolute, the 835 is imported and used to post payments and adjustments directly to the correct accounts, updating remittance postings and the AR balances. This makes reconciliation possible because you have an authoritative source that shows exactly how the payer settled each claim, what portion was paid, what adjustments were applied, and what the patient owes. By aligning the 835 data with the billed charges, you can identify discrepancies, underpayments, or denials, and ensure the patient and payer ledgers reflect accurate, up-to-date balances. This process is focused on payments and reconciliations, not on scheduling, patient history, or contract terms, which is why this option fits best.

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