Question

sending eligibility queries

#4 the trigger for a patient-level rte query in hyperspace is:

select one of the following (2 pts)
a. clicking the coverage on the sidebar checklist
b. the create new coverage button in response history
c. the send query button
d. the pat guar and cvg button

Explanation:

Identify the query level and trigger mechanism

In Epic Real-Time Eligibility (RTE), queries can be sent at different levels (such as coverage-level or patient-level). A patient-level query is used to search for a patient's active coverages using demographic information.

Evaluate the given options

• A. Clicking the coverage on the Sidebar Checklist: This typically triggers a coverage-level query for that specific selected coverage, not a patient-level query.
• B. The Create New Coverage button in Response History: This is used to create a coverage record from the response details, not to trigger the initial query.
• C. The Send Query button: This is used to manually send or re-send a query once a specific coverage or query template is selected.
• D. The Pat Guar and Cvg button: In the Interactive Navigator (such as the Checklist), clicking the "Pat Guar and Cvg" (Patient, Guarantor, and Coverage) button triggers a patient-level query to search for any existing coverages associated with the patient.

Answer:

• (A) Clicking the coverage on the Sidebar Checklist
• (B) The Create New Coverage button in Response History
• (C) The Send Query button
• (D) The Pat Guar and Cvg button (Correct answer)