Question

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

___ manual review rules and actions
___ data mismatch items
___ x12 data extracted and stored in the rtx master file
___ auto-filing rules and actions

Explanation:

Analyze the RTE response processing workflow

The diagram shows the sequential steps an incoming Real-Time Eligibility (RTE) 271 response goes through:

1. The 271 response is received from the Clearinghouse or Payer.
2. Step A: The raw X12 data is extracted and stored in the RTX master file.
3. Step B: Auto-filing rules and actions are applied to determine if the data can be automatically filed.
4. Step C: If there are discrepancies, Data Mismatch Items are identified.
5. The response appears in Hyperspace for user review.
6. If a manual action is taken on the response, Step D (Manual Review rules and actions) is executed.

Map the steps to the blanks

• Manual Review rules and actions \(

ightarrow\) D

• Data Mismatch Items \(

ightarrow\) C

• X12 Data extracted and stored in the RTX Master File \(

ightarrow\) A

• Auto-filing rules and actions \(

ightarrow\) B

Answer:

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

<blank>D</blank> Manual Review rules and actions

<blank>C</blank> Data Mismatch Items

<blank>A</blank> X12 Data extracted and stored in the RTX Master File

<blank>B</blank> Auto-filing rules and actions