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EPIC TESTS CERTIFICATION EVALUATION
2026 SOLVED QUESTION COLLECTION
โ Why can't a user perform the function of Delete on a charge session? Answer: Does not have access โ What does the transfer function do to the charge session Answer: Transfers to a different user โ True or False: Delete and Force Resubmit are controlled by security Answer: True โ True or False: When Deleting a session in a charge review workqueue, the charge session is removed from your workqueue, but can still be worked on by others. Answer: False โ What does the Transfer button in a charge review workqueue do?
Answer: It moves the charges session from the current workqueue to a designated workqueue โ True or False: Users review charges in charge review workqueues after the system has posted the charges to the account Answer: False โ When should you resubmit a charge session? Answer: When you believe it was corrected โ Why are duplicate charge sessions sent to a supervisor? Answer: The delete button is security controlled โ Where are the charges located that are ready and waiting to process for claims? Answer: The claims queue โ What tool in the system automates processes Answer: Batch Scheduler โ Creating claims is a mostly (manual | automatic) processes Answer: Automatic
โ Who corrects user errors? Where are these errors corrected? Answer: End users; in Hyperspace โ Who corrects master file errors? Where are these errors corrected? Answer: IT analysts; in the backend โ How can you access the step-by-step instructions for how to fix a claim error? Answer: Click on the error link in the claim edit assistant โ What does the Refresh button in the Companion do? Answer: Tests claim errors against the CDF in real time โ Where can you find the payor contact information for a claim in your workqueue? Answer: In the Ins Coverage section โ Which activity do you perform when the payor did not receive the claim and you need to send them a new claim? Answer: Payor Website and Resubmit Claim
โ What do you do to summarize all of the actions taken while working on a claim? Answer: Leave comment/message โ Which activity do you perform when you can't work the claim right now so it shouldn't be on your Active tab? Answer: Defer โ How do you prioritize your workqueue to work the claims with oldest service dates first? Answer: Sort by service date โ Where can you view the past activities performed on claims? Answer: FU Activities or Activity History โ After calling a payor about an outstanding claim, you want to document the conversation so that others researching the balance see a record of your work. Which activity or activities would you add? Answer: Call Payor and Note โ What is the consequences of deferring a claim, and under what circumstance might you do so? Answer: Leaves WQ waiting for INS response
โ From where does the system pull in the allowed amount during Insurance Payment Posting Answer: Contracts โ If the allowed amount in the EOB differs from what appears on the Insurance Payment Posting form, should you change it? Answer: Yes โ What button do you click to select the fields that should copy over when you move to another copy/ Answer: Set Defaults โ You forgot to post an entire check Answer: New Check โ You forgot to post to one invoice Answer: Add new detail โ You posted incorrect dollar amounts to an invoice Answer: Edit detail
โ You applied a payment to the wrong invoice Answer: Delete Detail and Contact your supervisor โ What is the purpose of creating a payment posting batch? Answer: Used for holding for the payment information as it's being entered in the system โ How do you look up an invoice number in PB Insurance Payment Posting if it doesn't appear on the EOB Answer: .p or .a โ If a payor sends payment for an invoice or patient that does not exist in the system, what should you do still record the payment in Resolute. Answer: Post the payment undistributed to a clearing account โ True or False: An allowed amount will always appear automatically on an insurance posting line Answer: False โ What should you do when the system allowed amount is different from the allowed amount on the EOB? Answer: Enter the amount from the EOB in the allowed field
Answer: Follow-Up โ If a claim must be printed to paper right now, the (Demand Claim | Resubmit Claim) activity should be used? Answer: Demand Claim โ If, in order to resubmit the claim successfully, information on the charge needs to be updated, the _______________ function should be used. Answer: Correct โ If a denial cannot be corrected, how can you move the balance to the next payor or guarantor? Answer: NRP โ True or False: The system can automatically create statement runs Answer: True โ Which of the following is a purpose of the Enterprise Statement Run Report? Choose all that apply. A)Reconciliation tool to compare what Epic indicates was generates to what was actually generated
B)Reconciliation tool to compare what was sent to a print vendor and what the print vendor sends back in the receipt C)Record of which guarantor accounts got a statement and which guarantor accounts did not get a statement, even though they qualified for the statement run D)A tool used to determine which guarantors have never received a statement Answer: A, B, C โ How do you jump to the self-payment posting form from the Insurance Payment Posting form? Answer: F
