The _______ translates the remittance file sent by a payer.

• A. RMO
• B. RMC
• C. Bank
• D. Invoice

Answer: (A)

Translating the remittance file into claim-level postings is handled by the Remittance Management Office (RMO). When a payer sends an electronic remittance file (often in an EDI 835 format), it contains payment amounts, patient responsibility, allowed amounts, and various adjustment codes. The RMO reads that data and maps each payment to the correct claim, spreads payments across line items, applies write-offs or adjustments, and updates the status on each claim and the patient’s balance. This translation is what lets the system automatically apply the payer’s payments accurately.

The bank handles only the fund transfer and cash posting; it doesn’t interpret or map remittance data to specific claims. An invoice is the bill itself, not the mechanism that converts remittance information into claim-level postings.