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What describes a particular electronic format that providers and health plans must use to send and receive healthcare transactions?

User Mkn
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Answer:

The particular electronic format that providers and health plans must use to send and receive healthcare transactions is known as the ANSI ASC X12 format.

Step-by-step explanation:

ANSI (American National Standards Institute) ASC X12 is a widely adopted standard for electronic data interchange (EDI) in the healthcare industry, specifically for the exchange of healthcare-related transactions. It defines the structure and syntax for the electronic exchange of healthcare information, ensuring consistency and interoperability between different healthcare systems and entities. Healthcare transactions that are commonly exchanged using the ANSI ASC X12 format include claims, eligibility verification, remittance advice, and other administrative and financial transactions. This standardized format allows for efficient and accurate communication between healthcare providers and health plans, streamlining processes and reducing errors.

User Salman Raza
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