EDI Standards and Protocols 5

Question 1

What is the X12 835 transaction set used for?

Accepted Answer

Health Care Claim Payment/Advice

Answer

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?

Accepted Answer

A purchase order message type

Answer

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?

Accepted Answer

Wrapper segments that group and identify EDI content

Answer

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?

Accepted Answer

Beginning Segment identifying the PO type, number, and date

Answer

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?

Accepted Answer

Accredited Standards Committee X12 (ASC X12)

Answer

ASC X12 is the ANSI-accredited standards development organization that creates and maintains X12 EDI transaction sets.

(EDI) Practice Test