Epic Resolute Professional Billing (PB) Fundamentals 2025 – 400 Free Practice Questions to Pass the Exam

Moving a balance to the next payer when a denial cannot be corrected involves utilizing the proper claims management procedure. In this context, the option indicating the use of the Next Responsible Party (NRP) is the correct approach. The NRP is a mechanism used in billing processes that allows providers to identify and transfer financial responsibility for a claim to the next payer when it is determined that the original payer is not liable for the charge.

This approach is particularly important when there are multiple payers involved, as it ensures that the claim is appropriately directed to the party responsible for covering the costs. In situations where a denial occurs and cannot be amended, the NRP method allows for efficient resolution without unnecessary delays.

Other options may not align with the specific process of transferring a balance between payers. For instance, resubmitting the claim might not be effective if the denial has been firmly established and is unchangeable. Similarly, requesting a write-off typically involves accepting the loss of that balance rather than seeking reimbursement from another payer. Calling the payer may provide clarification on the denial reason but does not initiate the transfer process to the next responsible party. Thus, the NRP is the most appropriate choice for managing claims transitions effectively.