EPIC RESOLUTE PB CERTIFICATION
PRACTICE EXAM 2026 – 300
QUESTIONS WITH ANSWERS &
EXPLANATIONS |GRADED A+ | MOST
RECENT!!
QUESTION 1
What is the primary purpose of the Hospital Account Record (HAR) in Resolute PB?
A) To store patient demographic information only
B) To serve as the visit-specific financial record for charges, payments, and
adjustments
C) To track employee payroll deductions
D) To manage physician scheduling
<details> <summary>Click to reveal answer</summary> **Answer: B** –
The HAR is the visit-specific financial record that contains all
transactions for a single patient encounter. </details>
QUESTION 2
Which of the following best describes a Guarantor?
A) The patient's primary care physician
B) The person responsible for paying the bill
C) The insurance company processing the claim
D) The hospital administrator
<details> <summary>Click to reveal answer</summary> **Answer: B** –
The Guarantor is the individual or entity legally responsible for
payment of the account. </details>
QUESTION 3
What is the function of the Claim Definition File (CDF)?
,A) It stores patient allergy information
B) It formats claims and checks for errors to meet payor-specific requirements
C) It generates patient appointment reminders
D) It calculates nurse staffing levels
<details> <summary>Click to reveal answer</summary> **Answer: B** –
The CDF formats the claim and performs initial error checks to
ensure compliance with payor requirements before submission.
</details>
QUESTION 4
In Resolute PB, what is a Coverage Record?
A) A record of the patient's medical history
B) A record that stores insurance policy details for a patient
C) A record of hospital bed assignments
D) A record of physician credentials
<details> <summary>Click to reveal answer</summary> **Answer: B** –
The Coverage Record contains all insurance policy information,
including payor, plan, and subscriber details. </details>
QUESTION 5
Which workqueue is used to hold claims that have errors preventing them from
being submitted?
A) Claim Edit Workqueue
B) Payment Posting Workqueue
C) Denial Workqueue
D) Registration Workqueue
<details> <summary>Click to reveal answer</summary> **Answer: A** –
The Claim Edit Workqueue holds claims with errors that must be
corrected before submission. </details>
,QUESTION 6
What is the difference between the Claim Edit Workqueue Companion and the Claim
Edit Workqueue Assistant?
A) Companion is for hospital billing; Assistant is for professional billing
B) Companion lists claims with errors; Assistant provides detailed error information
for a selected claim
C) Companion processes payments; Assistant processes adjustments
D) There is no difference; they are the same tool
<details> <summary>Click to reveal answer</summary> **Answer: B** –
The Companion displays the list of claims in error, and the
Assistant provides detailed error information for the selected
claim. </details>
QUESTION 7
Which of the following is a valid reason for a claim to be placed in the Claim Edit
Workqueue?
A) Missing patient date of birth
B) Invalid procedure code
C) Missing prior authorization number
D) All of the above
<details> <summary>Click to reveal answer</summary> **Answer: D** –
Any missing or invalid data required for claim submission can
trigger an edit and place the claim in the workqueue. </details>
QUESTION 8
What does the Billing Indicator flag on a HAR signify?
A) The account is ready for final billing
B) The account requires special attention or manual action before billing can proceed
C) The account has been fully paid
D) The account has been archived
<details> <summary>Click to reveal answer</summary> **Answer: B** –
A Billing Indicator flags that a specific action must be taken on
the HAR before normal billing can proceed. </details>
, QUESTION 9
In Resolute PB, what is a Charge?
A) A payment received from the patient
B) A requested service or item that has been recorded for billing
C) A denial from an insurance company
D) A patient appointment request
<details> <summary>Click to reveal answer</summary> **Answer: B** –
A Charge represents a service or item provided to the patient that
has been recorded for billing purposes. </details>
QUESTION 10
What is the purpose of the Payment Posting workqueue?
A) To hold claims that need to be resubmitted
B) To hold payments and adjustments that require manual review before posting
C) To generate patient statements
D) To schedule patient follow-up appointments
<details> <summary>Click to reveal answer</summary> **Answer: B** –
The Payment Posting workqueue holds transactions that need manual
review or verification before they are posted to the account.
</details>
QUESTION 11
Which of the following is a type of Adjustment in Resolute PB?
A) Contractual adjustment
B) Courtesy adjustment
C) Administrative adjustment
D) All of the above
<details> <summary>Click to reveal answer</summary> **Answer: D** –
All three are valid types of adjustments used to write off or reduce
charges. </details>
PRACTICE EXAM 2026 – 300
QUESTIONS WITH ANSWERS &
EXPLANATIONS |GRADED A+ | MOST
RECENT!!
QUESTION 1
What is the primary purpose of the Hospital Account Record (HAR) in Resolute PB?
A) To store patient demographic information only
B) To serve as the visit-specific financial record for charges, payments, and
adjustments
C) To track employee payroll deductions
D) To manage physician scheduling
<details> <summary>Click to reveal answer</summary> **Answer: B** –
The HAR is the visit-specific financial record that contains all
transactions for a single patient encounter. </details>
QUESTION 2
Which of the following best describes a Guarantor?
A) The patient's primary care physician
B) The person responsible for paying the bill
C) The insurance company processing the claim
D) The hospital administrator
<details> <summary>Click to reveal answer</summary> **Answer: B** –
The Guarantor is the individual or entity legally responsible for
payment of the account. </details>
QUESTION 3
What is the function of the Claim Definition File (CDF)?
,A) It stores patient allergy information
B) It formats claims and checks for errors to meet payor-specific requirements
C) It generates patient appointment reminders
D) It calculates nurse staffing levels
<details> <summary>Click to reveal answer</summary> **Answer: B** –
The CDF formats the claim and performs initial error checks to
ensure compliance with payor requirements before submission.
</details>
QUESTION 4
In Resolute PB, what is a Coverage Record?
A) A record of the patient's medical history
B) A record that stores insurance policy details for a patient
C) A record of hospital bed assignments
D) A record of physician credentials
<details> <summary>Click to reveal answer</summary> **Answer: B** –
The Coverage Record contains all insurance policy information,
including payor, plan, and subscriber details. </details>
QUESTION 5
Which workqueue is used to hold claims that have errors preventing them from
being submitted?
A) Claim Edit Workqueue
B) Payment Posting Workqueue
C) Denial Workqueue
D) Registration Workqueue
<details> <summary>Click to reveal answer</summary> **Answer: A** –
The Claim Edit Workqueue holds claims with errors that must be
corrected before submission. </details>
,QUESTION 6
What is the difference between the Claim Edit Workqueue Companion and the Claim
Edit Workqueue Assistant?
A) Companion is for hospital billing; Assistant is for professional billing
B) Companion lists claims with errors; Assistant provides detailed error information
for a selected claim
C) Companion processes payments; Assistant processes adjustments
D) There is no difference; they are the same tool
<details> <summary>Click to reveal answer</summary> **Answer: B** –
The Companion displays the list of claims in error, and the
Assistant provides detailed error information for the selected
claim. </details>
QUESTION 7
Which of the following is a valid reason for a claim to be placed in the Claim Edit
Workqueue?
A) Missing patient date of birth
B) Invalid procedure code
C) Missing prior authorization number
D) All of the above
<details> <summary>Click to reveal answer</summary> **Answer: D** –
Any missing or invalid data required for claim submission can
trigger an edit and place the claim in the workqueue. </details>
QUESTION 8
What does the Billing Indicator flag on a HAR signify?
A) The account is ready for final billing
B) The account requires special attention or manual action before billing can proceed
C) The account has been fully paid
D) The account has been archived
<details> <summary>Click to reveal answer</summary> **Answer: B** –
A Billing Indicator flags that a specific action must be taken on
the HAR before normal billing can proceed. </details>
, QUESTION 9
In Resolute PB, what is a Charge?
A) A payment received from the patient
B) A requested service or item that has been recorded for billing
C) A denial from an insurance company
D) A patient appointment request
<details> <summary>Click to reveal answer</summary> **Answer: B** –
A Charge represents a service or item provided to the patient that
has been recorded for billing purposes. </details>
QUESTION 10
What is the purpose of the Payment Posting workqueue?
A) To hold claims that need to be resubmitted
B) To hold payments and adjustments that require manual review before posting
C) To generate patient statements
D) To schedule patient follow-up appointments
<details> <summary>Click to reveal answer</summary> **Answer: B** –
The Payment Posting workqueue holds transactions that need manual
review or verification before they are posted to the account.
</details>
QUESTION 11
Which of the following is a type of Adjustment in Resolute PB?
A) Contractual adjustment
B) Courtesy adjustment
C) Administrative adjustment
D) All of the above
<details> <summary>Click to reveal answer</summary> **Answer: D** –
All three are valid types of adjustments used to write off or reduce
charges. </details>
