Accredited ACH Professional (AAP) Practice Exam

Disable ads (and more) with a membership for a one time $2.99 payment

Prepare for the Accredited ACH Professional (AAP) Exam with tailored questions and study materials to enhance your understanding of ACH transactions and operations. Test your skills and readiness for this important certification!

Practice this question and more.

Which ANSI ASC X12 transaction set is indicative of Health Care payments?

ANSI ASC X12.823
ANSI ASC X12.521
ANSI ASC X12.835
ANSI ASC X12.820

The correct answer is: ANSI ASC X12.835

The ANSI ASC X12.835 transaction set is specifically designed for healthcare payment and remittance advice. This set is used to communicate detailed information about healthcare claims payment from a payer to a provider. The information included in an 835 transaction typically covers payment details, adjustments, and the specific claims being paid or denied, making it essential for providers to reconcile payments against the services they render. Understanding the healthcare payment process involves recognizing the importance of the 835 transaction set, as it helps healthcare providers manage accounts receivable and ensures they receive accurate payments. This format aligns with the needs of the healthcare industry, helping streamline administrative processes related to billing and payments. In contrast, the other transaction sets listed serve different purposes: for instance, the 823 transaction set is used for the remittance advice for various financial transactions, the 521 is used for the payment order, and the 820 covers payment orders and remittance advice. Therefore, they do not specifically address the healthcare payment processes as the 835 transaction does.