Payer status information is stored on which bucket?

• A. claims bucket
• B. eligibility bucket
• C. insurance bucket
• D. payments bucket

Answer: (C)

Payer status information reflects the current standing of the payer within a patient’s coverage and relationship, such as whether the payer is active, accepts claims, and related governance of the account. In Epic, this type of data is organized under the Insurance bucket because it pertains to the payer’s contract, network, and overall status as it relates to coverage, not to individual claims, eligibility checks, or payments themselves. The claims bucket is where the actual submitted claims and their processing statuses live, the eligibility bucket contains a patient’s eligibility and benefit details, and the payments bucket tracks remittance and payments. Therefore, payer status belongs in the Insurance bucket since it directly concerns the payer’s relationship and status within the insurance record.