Which channel should be used to submit professional and institutional claims from Resolute?

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Multiple Choice

Which channel should be used to submit professional and institutional claims from Resolute?

Submitting through the Clearinghouse is the standard pathway because it serves as the centralized electronic gateway between Epic Resolute and payer networks. It handles both professional and institutional claim formats, validates data against payer rules, applies necessary edits, and converts claims to each payer’s preferred format before routing them correctly. It also provides submission status and remittance information, helping you track and post payments efficiently. While some payers may offer direct secure portals, that approach is typically less efficient for high-volume submission and lacks the uniform validation and routing the Clearinghouse provides. Fax or mail are not suitable for electronic, timely claim submission.

Submitting through the Clearinghouse is the standard pathway because it serves as the centralized electronic gateway between Epic Resolute and payer networks. It handles both professional and institutional claim formats, validates data against payer rules, applies necessary edits, and converts claims to each payer’s preferred format before routing them correctly. It also provides submission status and remittance information, helping you track and post payments efficiently. While some payers may offer direct secure portals, that approach is typically less efficient for high-volume submission and lacks the uniform validation and routing the Clearinghouse provides. Fax or mail are not suitable for electronic, timely claim submission.

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