EDI Standards and Protocols 4

Question 1

What is a 'segment terminator' in X12 EDI?

Accepted Answer

A character that marks the end of each segment

Answer

The segment terminator is a single character (defined in ISA16) that marks the end of every segment in an X12 transmission.

Question 2

What does the X12 810 transaction set represent?

Accepted Answer

Invoice

Answer

The 810 Invoice transaction set is the electronic equivalent of a paper invoice sent from a supplier to a buyer.

Question 3

In EDI, what is a 'trading partner agreement' (TPA)?

Accepted Answer

A contract defining EDI transaction rules between two parties

Answer

A TPA is a bilateral agreement specifying the EDI standards, transaction sets, communication protocols, and business rules between two trading partners.

Question 4

Which healthcare EDI transaction set is used for eligibility verification?

Accepted Answer

270/271

Answer

The 270 (Eligibility Inquiry) and 271 (Eligibility Response) pair is used to check a patient's insurance coverage before services.

Question 5

What is the role of the ST segment in X12 EDI?

Accepted Answer

Transaction Set Header

Answer

The ST (Transaction Set Header) segment marks the beginning of an individual X12 transaction set and contains the transaction set identifier code.

(EDI) Practice Test

(EDI) Practice Test

EDI Standards and Protocols 4