The Blanchette Health Plan uses a method of claims submission that allows its providers to submit claims directly to Blanchette through a computer application-to-application exchange of claims using a standard data format. This information indicates that Blanchette allows its providers to submit claims using technology known as
A) Telemedicine
B) An electronic referral system
C) Electronic data interchange
D) Encounter reporting

Question

Quizplus · Accepted Answer

The method described in the scenario is electronic data interchange (EDI), which involves the computer-to-computer exchange of business documents in a structured, standardized format. Telemedicine refers to the remote delivery of healthcare services, an electronic referral system involves sending patient information from one healthcare provider to another for specialized care, and encounter reporting refers to documenting details of a patient's visit for billing and record-keeping purposes.

The Blanchette Health Plan Uses a Method of Claims Submission