Chapter 5
Electronic Transactions and Code Set Rule Detailed
Objectives
The objectives of this chapter are as follows:
- ■ Understand the meaning of the following terms as it relates to the Electronic Transactions and Code Set Rules: code set, code set maintaining organization, data condition, data content, data set, designated standard maintenance organization, direct data entry, electronic media, format, and standard transaction.
- ■ Understand what the ASC X12 implementations specifications are and the specifications for retail pharmacies.
- ■ Determine what ASC X12 specifications are utilized to conduct the following standard transactions: claims or encounters, remittance advice, eligibility inquiry and response, prior authorization and ...
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