Claim edit rules are:

Claim edit rules are:

• A. RULES!! (CER)
• B. Extensions (LPP)
• C. ACN formats
• D. Release templates

Answer: (A)

Claim edit rules are the checks Epic uses to validate a claim during submission and adjudication. In Epic Claims and Remit, these are known as Claims Edit Rules, abbreviated CER. They encode payer requirements and internal business logic, ensuring proper coding, complete data, correct date logic, and valid relationships between fields (like diagnoses, procedures, and modifiers). When a claim triggers a CER violation, it flags an error that must be resolved before the claim can proceed. The other options refer to different features not used to define the claim validation set: extensions, ACN formats, and release templates relate to something else entirely.

Claim edit rules are the checks Epic uses to validate a claim during submission and adjudication. In Epic Claims and Remit, these are known as Claims Edit Rules, abbreviated CER. They encode payer requirements and internal business logic, ensuring proper coding, complete data, correct date logic, and valid relationships between fields (like diagnoses, procedures, and modifiers). When a claim triggers a CER violation, it flags an error that must be resolved before the claim can proceed. The other options refer to different features not used to define the claim validation set: extensions, ACN formats, and release templates relate to something else entirely.