EDI Standards and Protocols 5 — Questions and Answers
Question 1: What is the X12 835 transaction set used for?
- Health Care Claim
- Health Care Claim Payment/Advice (Correct answer)
- Eligibility Inquiry
- Claim Status Request
Correct answer: Health Care Claim Payment/Advice
The 835 Health Care Claim Payment/Advice is sent by payers to providers to explain payment for one or more claims.
Question 2: In EDIFACT, what does the qualifier 'ORDERS' in the UNH segment identify?
- An authorization order
- A purchase order message type (Correct answer)
- An ordered list of segments
- A directive from the UN standards body
Correct answer: A purchase order message type
ORDERS is the EDIFACT message type identifier for a purchase order, equivalent to X12's 850 transaction set.
Question 3: What does 'envelope' refer to in EDI terminology?
- The physical media carrying EDI data tapes
- Wrapper segments that group and identify EDI content (Correct answer)
- The email attachment containing EDI files
- A proprietary encryption container
Correct answer: Wrapper segments that group and identify EDI content
Envelopes in EDI are paired header/trailer segments (like ISA/IEA, GS/GE, ST/SE) that wrap and identify content at different levels.
Question 4: What is the purpose of the BEG segment in an X12 850 Purchase Order?
- Beginning Segment identifying the PO type, number, and date (Correct answer)
- Buyer Entity Group for routing
- Basic Encoding Group for character sets
- Billing and Exchange Gateway
Correct answer: Beginning Segment identifying the PO type, number, and date
The BEG (Beginning Segment for Purchase Order) identifies the PO type, purchase order number, and purchase order date at the start of an 850.
Question 5: Which organization maintains the X12 EDI standards in the United States?
- ISO
- Accredited Standards Committee X12 (ASC X12) (Correct answer)
- GS1 US
- ANSI directly
Correct answer: Accredited Standards Committee X12 (ASC X12)
ASC X12 is the ANSI-accredited standards development organization that creates and maintains X12 EDI transaction sets.
Question 6: What is a 'Value Added Network' (VAN) in EDI?
- A private secure network offering mailbox-based EDI transmission services (Correct answer)
- A software that adds value by validating EDI syntax
- A government network for B2G EDI compliance
- An encryption layer added to raw EDI data
Correct answer: A private secure network offering mailbox-based EDI transmission services
A VAN is a third-party service that provides secure EDI mailboxes, protocol translation, and store-and-forward messaging between trading partners.
Question 7: In EDI X12, the IEA segment serves what function?
- Identifies the EDI application version
- Interchange Control Trailer closing the ISA envelope (Correct answer)
- Internal Error Analysis report
- Item Element Array header
Correct answer: Interchange Control Trailer closing the ISA envelope
IEA (Interchange Control Trailer) closes the interchange envelope opened by ISA, containing a count of functional groups and the interchange control number.
EDI Standards and Protocols 5
What is the X12 835 transaction set used for?