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Billing and coding

Transaction set codes (X12)

QuestionAnswer
Message formatting standard used for Electronic Data Interchange (EDI) documents X12
Number assigned to an electronic transaction.​ HIPAA 270​
Transaction sent to a secondary or tertiary payer (X12 837)
Explains how an insurance policy will pay if more than one policy applies. HIPAA Coordination of Benefits (COB)
Health Care Claim Status Inquiry/Response​ X12 276/277
Eligibility for a Health Plan Inquiry/Response​ X12 270/271
Health Care Payment and Remittance Advice X12 835
Health Plan Premium Payments​ X12 820
Health Plan Enrollment and Disenrollment​ X12 834
Proof of payment document sent by a customer to a business. Remittance advice (ERA/RA)
Created by: InstructorWatson
 

 



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