Which process occurs first in the claims workflow as defined by the claim run?

Boost your knowledge for the Epic Resolute Professional Billing (PB) Fundamentals exam. Study with detailed questions and explanations to prepare effectively. Ace your certification!

In the claims workflow defined by the claims run, the creation of the claim batch occurs first. This step involves grouping together all claims that are ready to be processed based on the criteria set within the billing system. The creation of a claim batch is crucial because it organizes the claims for further processing.

When claims are batched together, the system can efficiently handle numerous claims in a single operation, ensuring that all necessary information is compiled and prepared for subsequent steps, such as validation, payment processing, and charge finalization. This initial organization sets the stage for all other actions in the claims workflow, making it a foundational step in the process.

In contrast, although validation of patient eligibility and finalization of patient charges are important steps in the workflow, they occur after claims have been batched. Processing of payments also follows after claims have gone through the necessary validation and adjustment processes. Therefore, understanding that claim batching is the starting point helps clarify the sequence and organization of billing operations within a successful medical billing cycle.

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