Question

1. fill in the blanks that match the steps on the diagram which an incoming rte response goes through while being processed:

-d- manual review rules and actions
-b- data mismatch items
-a- x12 data extracted and stored in the rtx master file
-c- auto-filing rules and actions

Explanation:

Analyze the workflow diagram

The diagram shows the sequential steps an incoming Real-Time Eligibility (RTE) response (271 transaction) goes through when received from a clearinghouse or payer.

Match steps to labels

1. First step (A): Immediately after the 271 is received, the raw X12 data is parsed, extracted, and stored in the RTX master file. Thus, A corresponds to "X12 Data extracted and stored in the RTX Master File".
2. Second step (B): Once stored, the system checks for discrepancies between the response data and existing Epic data. Thus, B corresponds to "Data Mismatch Items".
3. Third step (C): The system then applies automated rules to determine if the data can be automatically filed. Thus, C corresponds to "Auto-filing rules and actions".
4. Fourth step (D): After the response appears in Hyperspace, if manual intervention is required, manual review rules are triggered. Thus, D corresponds to "Manual Review rules and actions".

Verify the sequence

The sequence shown in the diagram is already correctly matched to the letters:

• A: X12 Data extracted and stored in the RTX Master File
• B: Data Mismatch Items
• C: Auto-filing rules and actions
• D: Manual Review rules and actions

Answer:

1. Fill in the blanks that match the steps on the diagram which an incoming RTE response goes through while being processed:

• <blank>A</blank>- X12 Data extracted and stored in the RTX Master File
• <blank>B</blank>- Data Mismatch Items
• <blank>C</blank>- Auto-filing rules and actions
• <blank>D</blank>- Manual Review rules and actions