Which reconciliation levels trigger moving the claim to the error pool?

Which reconciliation levels trigger moving the claim to the error pool?

• A. levels 2 and 3
• B. level 1
• C. levels 3 and 4
• D. level 2 only

Answer: (A)

Reconciliation levels reflect how closely a payment matches the claim. When mismatches occur, only certain levels trigger moving the claim to the error pool for review. The mid-range levels indicate discrepancies that can’t be resolved automatically and require manual investigation, so they’re routed to the error pool. That’s why levels 2 and 3 are the ones that move the claim to the error pool. Level 1 usually covers minor issues that can be resolved without routing to the error pool, and level 4 typically signals a condition that needs a different handling path beyond the standard error pool workflow.

Reconciliation levels reflect how closely a payment matches the claim. When mismatches occur, only certain levels trigger moving the claim to the error pool for review. The mid-range levels indicate discrepancies that can’t be resolved automatically and require manual investigation, so they’re routed to the error pool. That’s why levels 2 and 3 are the ones that move the claim to the error pool. Level 1 usually covers minor issues that can be resolved without routing to the error pool, and level 4 typically signals a condition that needs a different handling path beyond the standard error pool workflow.