When a provider asks a health plan for approval of a service, the response is known as the
A) X12 270.
B) X12 271.
C) X12 837.
D) X12 278.

Question

Quizplus · Accepted Answer

The X12 278 transaction set is used within the healthcare industry to transmit healthcare service information, including inquiry and response, for the purpose of request and review of health care services. When a provider asks a health plan for approval of a service, the response is part of the X12 278 transaction set, which is specifically designed for health care services review and response.

When a Provider Asks a Health Plan for Approval of a Service