Which of the following standards for the exchange of administrative data includes insurance claims?

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Study for the Certified Associate in Healthcare Information and Management Systems Exam. Utilize flashcards and multiple-choice questions with hints and explanations. Prepare effectively for your healthcare IT certification!

Multiple Choice

Which of the following standards for the exchange of administrative data includes insurance claims?

Explanation:
Administrative data deals with business transactions like insurance claims, eligibility checks, and payments. ANSI ASC X12N is the standard used for these HIPAA-required healthcare transactions, including claim submissions (837), eligibility inquiries (270/271), claim status (276/277), and remittance advice (835). DICOM handles imaging data; HL7 focuses on clinical and care-related messages; CHI is not used for claims. So insurance claims are included under ANSI ASC X12N.

Administrative data deals with business transactions like insurance claims, eligibility checks, and payments. ANSI ASC X12N is the standard used for these HIPAA-required healthcare transactions, including claim submissions (837), eligibility inquiries (270/271), claim status (276/277), and remittance advice (835). DICOM handles imaging data; HL7 focuses on clinical and care-related messages; CHI is not used for claims. So insurance claims are included under ANSI ASC X12N.

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