COG220 ACCESS DATA MODEL EXAM
2026/2027 NEWEST 400 ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALE ALREADY GRADED A+
1. What does the Registration data model primarily focus on?
A) Clinical documentation and procedures
B) The patient, guarantor, and coverage(s) used on an encounter
C) Facility bed management and transfers
D) Provider scheduling and availability
Answer B: The patient, guarantor, and coverage(s) used on an encounter
Rationale: The Registration data model captures patient demographics, the responsible guarantor, and
insurance coverages applicable to a specific healthcare encounter .
2. What is the HAR (Hospital Account Record) in Epic?
A) A record containing a patient's clinical history
B) A record consolidating registration information active for an encounter
C) A schedule of provider appointments
D) A log of all user actions in the system
Answer B: A record consolidating registration information active for an encounter
Rationale: The HAR consolidates all active registration information for a specific patient encounter,
serving as the billing and financial hub .
3. In which Clarity table is registration information stored for an encounter billed in Resolute
Hospital Billing (HB)?
A) ARPV_VISITS
B) PAT_ENC
,C) HSP_ACCOUNT
D) BillingAccountFact
Answer C: HSP_ACCOUNT
Rationale: For hospital billing (Resolute HB), encounter registration information is stored in the
HSP_ACCOUNT table .
4. In which table is registration information stored for an encounter billed in Resolute Professional
Billing (PB) when the organization uses Single Billing Office (SBO)?
A) ARPV_VISITS
B) PAT_ENC
C) HSP_ACCOUNT
D) BillingAccountFact
Answer C: HSP_ACCOUNT
Rationale: Even with Professional Billing, if the organization uses Single Billing Office (SBO), registration
information is stored in HSP_ACCOUNT .
5. What is the name of the table that stores registration information for an encounter billed in
Resolute Professional Billing (PB) when the organization does NOT use SBO?
A) HSP_ACCOUNT
B) ARPV_VISITS
C) PAT_ENC
D) BillingAccountFact
Answer B: ARPV_VISITS
Rationale: Without Single Billing Office, PB encounters store registration information in ARPV_VISITS .
6. What is the grain of the BillingAccountFact table?
A) One row per patient
B) One row per provider
,C) One row per HAR, regardless of how it is generated
D) One row per patient encounter
Answer C: One row per HAR, regardless of how it is generated
Rationale: BillingAccountFact contains exactly one row for every Hospital Account Record (HAR),
regardless of which Resolute system generated it .
7. What is the grain of the HSP_ACCOUNT table?
A) One row per patient
B) One row per HAR, not including VFO HARs
C) One row per patient encounter
D) One row per provider
Answer B: One row per HAR, not including VFO HARs
Rationale: HSP_ACCOUNT stores one row for every HAR used in Resolute billing, excluding VFO (Virtual
Fiscal Object) HARs .
8. What is the SNR master file?
A) The System Number Registry
B) The Scheduled Accessibility Configuration master file
C) The Service Number Record
D) The Schedule Notification Record
Answer B: The Scheduled Accessibility Configuration master file
Rationale: SNR is the Scheduled Accessibility Configuration master file used by Cadence for accessibility
settings .
9. What is EpicUUID used for in Epic's data models?
A) To identify patients' medical records
B) To serve as a unique identifier for Epic's data models
C) To track billing transactions
, D) To identify providers
Answer B: To serve as a unique identifier for Epic's data models
Rationale: EpicUUID is a unique identifier for Epic's data models used consistently across different
database objects .
10. What is the difference between internal and external identifiers in Epic?
A) Internal identifiers are recognizable to users; external identifiers are not
B) Internal identifiers are unique but not recognizable to users; external identifiers are recognizable but
not guaranteed to be unique
C) Both are guaranteed to be unique and recognizable
D) Internal identifiers are used for billing; external identifiers for clinical data
Answer B: Internal identifiers are unique but not recognizable to users; external identifiers are
recognizable but not guaranteed to be unique
Rationale: Internal identifiers (like PAT_ID) are unique but not user-friendly; external identifiers (like
MRN) are recognizable but not guaranteed unique .
11. What is the difference between a subscriber and a member?
A) Subscribers pay for insurance; members receive healthcare services only
B) The subscriber is the person the insurance is issued to; a member is covered by the insurance
C) Subscribers are patients; members are providers
D) There is no difference; the terms are interchangeable
Answer B: The subscriber is the person the insurance is issued to; a member is covered by the
insurance
Rationale: The subscriber is the person in whose name the insurance is issued, while a member is any
person covered by the insurance .
12. What are the "In" ADT events?
A) 1 (admission), 3 (transfer in), and 9 (leave of absence return)
2026/2027 NEWEST 400 ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALE ALREADY GRADED A+
1. What does the Registration data model primarily focus on?
A) Clinical documentation and procedures
B) The patient, guarantor, and coverage(s) used on an encounter
C) Facility bed management and transfers
D) Provider scheduling and availability
Answer B: The patient, guarantor, and coverage(s) used on an encounter
Rationale: The Registration data model captures patient demographics, the responsible guarantor, and
insurance coverages applicable to a specific healthcare encounter .
2. What is the HAR (Hospital Account Record) in Epic?
A) A record containing a patient's clinical history
B) A record consolidating registration information active for an encounter
C) A schedule of provider appointments
D) A log of all user actions in the system
Answer B: A record consolidating registration information active for an encounter
Rationale: The HAR consolidates all active registration information for a specific patient encounter,
serving as the billing and financial hub .
3. In which Clarity table is registration information stored for an encounter billed in Resolute
Hospital Billing (HB)?
A) ARPV_VISITS
B) PAT_ENC
,C) HSP_ACCOUNT
D) BillingAccountFact
Answer C: HSP_ACCOUNT
Rationale: For hospital billing (Resolute HB), encounter registration information is stored in the
HSP_ACCOUNT table .
4. In which table is registration information stored for an encounter billed in Resolute Professional
Billing (PB) when the organization uses Single Billing Office (SBO)?
A) ARPV_VISITS
B) PAT_ENC
C) HSP_ACCOUNT
D) BillingAccountFact
Answer C: HSP_ACCOUNT
Rationale: Even with Professional Billing, if the organization uses Single Billing Office (SBO), registration
information is stored in HSP_ACCOUNT .
5. What is the name of the table that stores registration information for an encounter billed in
Resolute Professional Billing (PB) when the organization does NOT use SBO?
A) HSP_ACCOUNT
B) ARPV_VISITS
C) PAT_ENC
D) BillingAccountFact
Answer B: ARPV_VISITS
Rationale: Without Single Billing Office, PB encounters store registration information in ARPV_VISITS .
6. What is the grain of the BillingAccountFact table?
A) One row per patient
B) One row per provider
,C) One row per HAR, regardless of how it is generated
D) One row per patient encounter
Answer C: One row per HAR, regardless of how it is generated
Rationale: BillingAccountFact contains exactly one row for every Hospital Account Record (HAR),
regardless of which Resolute system generated it .
7. What is the grain of the HSP_ACCOUNT table?
A) One row per patient
B) One row per HAR, not including VFO HARs
C) One row per patient encounter
D) One row per provider
Answer B: One row per HAR, not including VFO HARs
Rationale: HSP_ACCOUNT stores one row for every HAR used in Resolute billing, excluding VFO (Virtual
Fiscal Object) HARs .
8. What is the SNR master file?
A) The System Number Registry
B) The Scheduled Accessibility Configuration master file
C) The Service Number Record
D) The Schedule Notification Record
Answer B: The Scheduled Accessibility Configuration master file
Rationale: SNR is the Scheduled Accessibility Configuration master file used by Cadence for accessibility
settings .
9. What is EpicUUID used for in Epic's data models?
A) To identify patients' medical records
B) To serve as a unique identifier for Epic's data models
C) To track billing transactions
, D) To identify providers
Answer B: To serve as a unique identifier for Epic's data models
Rationale: EpicUUID is a unique identifier for Epic's data models used consistently across different
database objects .
10. What is the difference between internal and external identifiers in Epic?
A) Internal identifiers are recognizable to users; external identifiers are not
B) Internal identifiers are unique but not recognizable to users; external identifiers are recognizable but
not guaranteed to be unique
C) Both are guaranteed to be unique and recognizable
D) Internal identifiers are used for billing; external identifiers for clinical data
Answer B: Internal identifiers are unique but not recognizable to users; external identifiers are
recognizable but not guaranteed to be unique
Rationale: Internal identifiers (like PAT_ID) are unique but not user-friendly; external identifiers (like
MRN) are recognizable but not guaranteed unique .
11. What is the difference between a subscriber and a member?
A) Subscribers pay for insurance; members receive healthcare services only
B) The subscriber is the person the insurance is issued to; a member is covered by the insurance
C) Subscribers are patients; members are providers
D) There is no difference; the terms are interchangeable
Answer B: The subscriber is the person the insurance is issued to; a member is covered by the
insurance
Rationale: The subscriber is the person in whose name the insurance is issued, while a member is any
person covered by the insurance .
12. What are the "In" ADT events?
A) 1 (admission), 3 (transfer in), and 9 (leave of absence return)
