Scenario Based Quiz - Claim paid & applied towards offset

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1. What is the reason for the claim paid and applied towards offset?




2. If the claim is applied towards offset and paid details are correct then what will be your next questions?




3. If the claim is paid and applied towards offset but the payment details are not correct i.e. the paid amount and PTR are not equal to the allowed amount then what will you do?




4. If the claim is paid and applied towards offset and you get all the details and receive the EOB then what will be action?




5. If the claim is paid and applied towards offset and you get all the details and requested the EOB but do not receive the EOB then what will be your action?








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6 comments:

  1. Anonymous19 September 2023 at 09:24

    for 5th question, we need to contact payer and request for EOB

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    Replies
    1. ARLearning Team23 September 2023 at 01:57

      Thanks for your response. We have made the correction in the 5th question.

      Delete
  2. Anonymous19 October 2023 at 11:07

    Still there's no update in 5th question.

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    Replies
    1. ARLearning Team22 October 2023 at 06:48

      We have provided the update above and made the correction in the question.

      Delete
  3. BeardBoy8 August 2024 at 07:05

    For the 5th quation we need to call the payer and ask then the EOB after that we need to post the notes and send the EOB to posting Team

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    Replies
    1. ARLearning Team24 August 2024 at 08:44

      Yes, you are right. But, sometimes even after requesting the EOB multiple times, the EOB is not received. In that case, there is no option other than noting the account.

      If there is a client update that an account cannot be noted without an EOB in a paid scenario then you can go with the update.

      Delete