Claims can only appear in Claim Edit Workques if they are in which pool?

• A. Approved Pool
• B. Pending Pool
• C. Backlog Pool
• D. Error Pool

Answer: (D)

In this area of the system, edits to claims are handled by a dedicated review path that catches problems and routes them for correction. When a claim edit fails or cannot be submitted due to an error, it is placed into the Error Pool so staff can quickly locate, fix the data issue, and then reprocess. This keeps problematic edits separate from claims that are progressing or already approved.

The other pools represent different processing states rather than error handling. The Approved Pool holds edits that have cleared and are ready for final disposition. The Pending Pool contains items awaiting processing steps, not necessarily errors. The Backlog Pool is for items waiting to be worked on but not flagged as edit errors. Since Claim Edit Work Queues are specifically used to address and remediate edit errors, the Error Pool is the correct place for such claims.