Question

working with incoming responses

#7 which of the following steps are part of the incoming message flow?

select all that apply (2 pts)

a. items in the response are evaluated for data mismatches
b. user manually assigns a coverage status
c. system evaluates the rules and performs the actions
d. x12 data stored in an rtx record

Explanation:

Analyze the incoming message flow in Epic RTE

The incoming Real-Time Eligibility (RTE) response message flow involves receiving the raw X12 response, parsing and storing the data, and evaluating it against system rules to perform automated actions.

Evaluate each option against the standard workflow

• A. Items in the response are evaluated for data mismatches: Correct. The system compares the incoming response data against existing registration data to identify discrepancies (mismatches).
• B. User manually assigns a coverage status: Incorrect. The incoming message flow is an automated background process; manual assignment is not a standard step of the automated incoming message flow itself.
• C. System evaluates the rules and performs the actions: Correct. The system runs configured rules (such as auto-filing rules) on the incoming response and executes corresponding actions (e.g., updating status, auto-filing).
• D. X12 Data stored in an RTX Record: Correct. The incoming raw X12 response data is parsed and stored in an RTX (RTE Transaction) record for auditing and processing.

Answer:

• (A) Items in the response are evaluated for data mismatches (Correct answer)
• (B) User manually assigns a coverage status
• (C) System evaluates the rules and performs the actions (Correct answer)
• (D) X12 Data stored in an RTX Record (Correct answer)