In health care billing, what does the term "electronic claim" refer to?
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Medical Office Assistant · Medical Economics, Billing, and Coding
Electronic Claims Submission and Status
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5 questions here, of 85 in this lesson’s practice set. Answers stay hidden until you check.
Which standardized transaction set is used to transmit a professional health care claim electronically?
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A hospital submits an electronic claim for inpatient services. Which transaction set applies?
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Which statement best describes the purpose of the HIPAA electronic transaction standards such as the 837?
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Compared with paper claims, a primary advantage of electronic claim submission is:
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Study tools & related lessonsYou’ll learn to · Related
You’ll learn to
- Describe electronic claim submission, including the standardized 837 transaction and required data elements.
- Explain the role of clearinghouses, electronic acknowledgments, and claim status inquiry in the submission process.
- Distinguish between claim rejections and denials and describe the appropriate response to each.
- Explain timely-filing requirements and the assistant's role in tracking and protecting filing deadlines.
Sources & references
- Centers for Medicare & Medicaid Services — CMS.gov
- American Health Information Management Association — AHIMA - Health Information and Coding
- AAPC — Medical Coding and Billing
This lesson was adapted from the open educational references above; their licenses and attributions are preserved. See Copyright & Licensing.
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