Question

review key

1. put the steps in order of the query chaining workflow.

___ system queries alternate payer
___ response returns with info regarding eligibility with alternate payer
___ response returns with info regarding alternate payer
___ user queries medicare/medicaid

Explanation:

Analyze the query chaining workflow

The standard Epic Real-Time Eligibility (RTE) query chaining workflow follows a logical sequence of user action, initial response containing alternate payer information, automated system follow-up query, and final response:

1. The user initiates the process by querying the primary government payer (Medicare/Medicaid).
2. A response returns from the primary payer containing information regarding an alternate payer (e.g., a managed care plan).
3. The system automatically triggers a follow-up query to that alternate payer (query chaining).
4. A response returns from the alternate payer with the final eligibility details.

Match steps to sequence numbers

• \(\text{Step 1}\): User queries Medicare/Medicaid
• \(\text{Step 2}\): Response returns with info regarding alternate payer
• \(\text{Step 3}\): System queries alternate payer
• \(\text{Step 4}\): Response returns with info regarding eligibility with alternate payer

Answer:

Put the steps in order of the query chaining workflow.
<blank>3</blank> System queries alternate payer
<blank>4</blank> Response returns with info regarding eligibility with alternate payer
<blank>2</blank> Response returns with info regarding alternate payer
<blank>1</blank> User queries Medicare/Medicaid