How does Epic Resolute handle claim submissions?

Epic Resolute automates the process of claim submission to insurance payers based on established billing rules. This automation enhances efficiency and accuracy, ensuring that claims are submitted correctly according to payer requirements without the necessity for manual intervention. By utilizing predefined rules and validations, Epic Resolute minimizes the risk of errors that can occur during manual entry, which can lead to claim denials and delays in payment processing. This streamlining of the claims process is a critical function of the system, allowing billing staff to focus on resolving issues and managing follow-ups rather than performing repetitive data entry tasks.

In contrast, manual entry of claims could lead to increased workload and potential mistakes that automation aims to mitigate. Eliminating the need for claims altogether is not feasible since billing is an essential part of the healthcare revenue cycle. Additionally, waiting to submit claims until after payment is received would not align with standard billing practices, which involve submitting claims in a timely manner to ensure prompt reimbursement from payers.