Identify the choice that best completes the statement or answers the question.
-For a health care provider to comply with the Transaction and Code Set Rule, they must
A)mail forms via Postal Service with return receipt requested.
B)receive permission first to send claims through fax machine.
C)send claims to insurance plans using ASC X12N format.
D)write insurance claims on special paper.

Question

Quizplus · Accepted Answer

The Transaction and Code Set Rule, part of the Health Insurance Portability and Accountability Act (HIPAA), requires that any electronic transactions, such as claims to insurance plans, adhere to a standardized format. The ASC X12N format is one such standard for electronic transmission of healthcare information, including insurance claims, making option C the correct choice.

Identify the Choice That Best Completes the Statement or Answers