Question

#26 in the benefit filing test configuration, what does the circled icon mean?

coverage level
out
individual
deductible amount $250.00
deductible remaining amount $250.00
out-of-pocket max amount $6,500.00
out-of-pocket remaining amount $6,500.00

select one of the following (1 pt)
a. a conflict was resolved
b. the patient has an outstanding balance
c. multiple values were found for the benefit combination
d. no values were found for the benefit combination

Explanation:

Identify the circled icon and context

The question asks what the circled icon (a red circle with a horizontal line through it, resembling a "no entry" or "stop" sign) means in the Benefit Filing Test Configuration.

Analyze the options

The options represent different outcomes of the benefit filing logic:

• A. A conflict was resolved
• B. The patient has an outstanding balance
• C. Multiple values were found for the benefit combination
• D. No values were found for the benefit combination

In Epic's Real-Time Eligibility (RTE) Benefit Filing Test tool, a red circle with a slash/line indicates that no values were found in the incoming response for that specific benefit combination (e.g., Coverage Level: Out, Individual, Deductible Amount).

Determine the correct choice

The icon indicates that no values were found for the benefit combination, which corresponds to option D.

Answer:

• A. A conflict was resolved
• B. The patient has an outstanding balance
• C. Multiple values were found for the benefit combination
• D. No values were found for the benefit combination (Correct answer)