Epic Claims And Remit Practice Test

If you want to create two separate claims for the same payer with mixed charges, which feature is used?

Claim Split Data Merge Claim Consolidation Charge Separation

Correct Answer:

Claim Split

Explanation:

Separating mixed charges into two separate claims for the same payer is done with the claim split feature. This function takes the charges on one claim and divides them into two distinct claims, both submitted to the same payer but with their own charge sets. It’s especially useful when different portions of the bill must be processed under different rules, coding groupings, or submission criteria, while you still keep the payer on both claims. The other options involve combining or reworking data rather than creating two separate claims, so they don’t fit this scenario.

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