Certified Healthcare Technology Specialist (CHTS) Process Workflow & Information Management Redesign Practice Exam

Which standards support the exchange of administrative data, including insurance claims?

1. HL7

2. ANSI ASCX12

3. DICOM

4. LOINC

The correct answer is: ANSI ASCX12

The choice supporting the exchange of administrative data, including insurance claims, is ANSI ASC X12. This standard is specifically designed for electronic data interchange (EDI) in various sectors, including healthcare. ANSI ASC X12 focuses on standardizing the electronic exchange of business documents, such as billing and insurance claims, which are crucial for the administrative operations of healthcare organizations. HL7, while a widely recognized standard in healthcare for clinical data exchange and interoperability, does not primarily address administrative data and claims processing. DICOM pertains to medical imaging data exchange rather than administrative tasks, and LOINC is focused on laboratory data and clinical observations, not on claims or administrative transactions. Thus, ANSI ASC X12 is the most relevant standard for administrative data exchange in the context of healthcare.