Which standard transaction covers Health Care Claim Payment/Advice?

• A. Health Care Claim Payment/Advice (835)
• B. National Provider Identifier registration
• C. Privacy Rule disclosures
• D. Electronic Health Record exchange

Answer: (A)

Standard transactions under HIPAA specify how health information is exchanged electronically, each for a specific purpose. Health Care Claim Payment/Advice is the 835 transaction, the mechanism used by payers to send payment details and remittance advice to a provider after a claim is processed. It conveys how much was paid, any adjustments, patient responsibility, and denial or adjustment codes, which the provider uses to reconcile its accounts and update financial records. This makes it the best fit for the question because it directly covers the payment and remittance information related to a claim. The other options address different areas: NPI registration relates to provider identifiers used in various transactions; Privacy Rule disclosures pertain to patient privacy and consent; Electronic Health Record exchange concerns transferring health records rather than payment information.