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:

Trace the incoming RTE response workflow

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

1. 271 is received from 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: Data Mismatch Items are checked/identified before the response is presented.
5. Response appears in Hyperspace
6. Decision: Is a manual action taken on the response?
7. Step D: Manual Review rules and actions are executed if manual intervention occurs.

Map the steps to the blanks

Matching the letters to the listed items:

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