EDI Standards and Protocols 2 — Questions and Answers
Question 1: Which EDI standard is most commonly used for healthcare transactions in the United States?
- EDIFACT
- ANSI X12 (Correct answer)
- TRADACOMS
- RosettaNet
Correct answer: ANSI X12
ANSI X12 is the dominant EDI standard in the US healthcare industry, mandated by HIPAA for electronic transactions.
Question 2: In EDI, what does the ISA segment represent?
- Individual Segment Acknowledgment
- Interchange Control Header (Correct answer)
- Item Stock Acknowledgment
- Internal Sender Address
Correct answer: Interchange Control Header
The ISA (Interchange Control Header) segment is the outermost envelope in an X12 EDI transaction, identifying the sender and receiver.
Question 3: What is the purpose of the EDI 997 transaction set?
- Purchase order confirmation
- Functional acknowledgment (Correct answer)
- Invoice payment status
- Shipping notification
Correct answer: Functional acknowledgment
The 997 Functional Acknowledgment confirms receipt and syntactic validity of an EDI transmission from trading partners.
Question 4: Which delimiter separates data elements within an X12 EDI segment?
- The character defined in ISA11 (Correct answer)
- Always an asterisk (*)
- Always a colon (:)
- Always a tilde (~)
Correct answer: The character defined in ISA11
The data element separator is defined in position ISA11 of the interchange header and can be any agreed-upon character.
Question 5: In EDIFACT, what is the equivalent of the X12 ISA/IEA envelope?
- UNA/UNZ
- UNB/UNZ (Correct answer)
- UNH/UNT
- BGM/UNZ
Correct answer: UNB/UNZ
UNB (Interchange Header) and UNZ (Interchange Trailer) form the outermost interchange envelope in EDIFACT.
Question 6: What does the qualifier '00' in the ISA01 field signify?
- The interchange is encrypted
- No authorization information is present (Correct answer)
- The sender is a government entity
- The data uses EDIFACT encoding
Correct answer: No authorization information is present
ISA01 value '00' with spaces in ISA02 indicates that no authorization information qualifier or data is used.
Question 7: Which X12 transaction set is used to send an electronic purchase order?
- 810
- 820
- 850 (Correct answer)
- 856
Correct answer: 850
The 850 Purchase Order transaction set is used by buyers to electronically transmit purchase orders to suppliers.
EDI Standards and Protocols 2
Which EDI standard is most commonly used for healthcare transactions in the United States?