COG220 ACCESS DATA MODEL
QUESTIONS WITH COMPLETE
SOLUTION
iWith regard to the Access Data Model, What is a patient? - A person who receives the services an
organization provides.
What is "Welcome" as it pertains to Epic applications? - Allows patients to check themselves in for an
appointment. It is an application that focuses on self service kiosks or tablets a patient can use to check
in.
With regard to the Access Data Model, What is a payor - The insurance company to whom an insurance
claim will be sent.
Subscriber - The person under whose name the insurance is issued. Each insurance coverage has only
one.
Plan - The set of benefits that the insurance company offers.
Member - The person who is covered by insurance. Patients who will use the coverage. i.e. children on
the health insurance policy.
True of False: Most organizations are more concerned with the member effective dates on a coverage
than the coverage effective dates. - True: Most organizations are more concerned with the member
effective dates
True of False: Most organizations are more concerned with the member effective dates on a coverage
than the coverage effective dates. - True
, In which database object would you find the member-level effective dates for coverage? - The
Coverage_Member_list in Clarity and the EligibilityEvent Fact table in Caboodle.
Which Clarity database object greatly simplifies coverage reports. - The V_COVERAGE_PAYOR_PLAN
database object.
What Caboodle table establishes the relationship between encounters and HARs - The
BillingAccountEncounterMapping Fact
How many patient encounters may be associated with a guarantor record - A unlimited number of
encounters
What are the main database objects that will have one row for each patient encounter? - The PAT_ENC
and EncounterFact tables.
What is a HAR record - The are Hospital Accounts Records that are the center of Resolute Hospital Billing
and are also used in Resolute Professional Billing.
If there are multiple overages for a patient which is the primary coverage for that patient. - The first
coverage revived is designated as the primary coverage.
All Resolute Professional Billing transactions , regardless of VFO and SBO status appear in what Epic
object table. - The ARPB_FILING_ORDER table in Clarity.
What options does Epic provide to patients to maintain their own registration data also referred to as
eCheck-In? - The My Chart and Welcome patient on-line Epic applications.
What options does Epic provide to patients to maintain their own registration data also referred to a
eCheck-In? - The My Chart and Welcome patient on-line Epic applications.
What is an EAR record - Information about a Guarantor. A Guarantor can have more than on of these
records. i.e. a personal Guarantor account and a Workers Comp Guarantor account.
QUESTIONS WITH COMPLETE
SOLUTION
iWith regard to the Access Data Model, What is a patient? - A person who receives the services an
organization provides.
What is "Welcome" as it pertains to Epic applications? - Allows patients to check themselves in for an
appointment. It is an application that focuses on self service kiosks or tablets a patient can use to check
in.
With regard to the Access Data Model, What is a payor - The insurance company to whom an insurance
claim will be sent.
Subscriber - The person under whose name the insurance is issued. Each insurance coverage has only
one.
Plan - The set of benefits that the insurance company offers.
Member - The person who is covered by insurance. Patients who will use the coverage. i.e. children on
the health insurance policy.
True of False: Most organizations are more concerned with the member effective dates on a coverage
than the coverage effective dates. - True: Most organizations are more concerned with the member
effective dates
True of False: Most organizations are more concerned with the member effective dates on a coverage
than the coverage effective dates. - True
, In which database object would you find the member-level effective dates for coverage? - The
Coverage_Member_list in Clarity and the EligibilityEvent Fact table in Caboodle.
Which Clarity database object greatly simplifies coverage reports. - The V_COVERAGE_PAYOR_PLAN
database object.
What Caboodle table establishes the relationship between encounters and HARs - The
BillingAccountEncounterMapping Fact
How many patient encounters may be associated with a guarantor record - A unlimited number of
encounters
What are the main database objects that will have one row for each patient encounter? - The PAT_ENC
and EncounterFact tables.
What is a HAR record - The are Hospital Accounts Records that are the center of Resolute Hospital Billing
and are also used in Resolute Professional Billing.
If there are multiple overages for a patient which is the primary coverage for that patient. - The first
coverage revived is designated as the primary coverage.
All Resolute Professional Billing transactions , regardless of VFO and SBO status appear in what Epic
object table. - The ARPB_FILING_ORDER table in Clarity.
What options does Epic provide to patients to maintain their own registration data also referred to as
eCheck-In? - The My Chart and Welcome patient on-line Epic applications.
What options does Epic provide to patients to maintain their own registration data also referred to a
eCheck-In? - The My Chart and Welcome patient on-line Epic applications.
What is an EAR record - Information about a Guarantor. A Guarantor can have more than on of these
records. i.e. a personal Guarantor account and a Workers Comp Guarantor account.
