Question

sending eligibility queries

#6 which of the following search paths are required for those payers that are 5010 compliant?

select all that apply (2 pts)

a. id, dob, and last name
b. first name, last name, dob
c. id, dob
d. id, first name, last name, and dob
e. id, first name, and last name

Explanation:

Identify the 5010 compliance requirements for RTE search paths

In Epic Real-Time Eligibility (RTE) configuration, payers that are ASC X12 5010 compliant require specific search paths to ensure accurate patient identification. The standard 5010-compliant search paths mandated for eligibility queries are:

1. ID, DOB, and Last Name
2. First Name, Last Name, DOB

Evaluate the given options

• Option A (ID, DOB, and Last Name) is a required 5010-compliant search path.
• Option B (First Name, Last Name, DOB) is a required 5010-compliant search path.
• Options C, D, and E do not represent the standard required search paths for 5010-compliant payers.

Answer:

• (A) ID, DOB, and Last Name (Correct answer)
• (B) First Name, Last Name, DOB (Correct answer)
• (C) ID, DOB
• (D) ID, First Name, Last Name, and DOB
• (E) ID, First Name, and Last Name