Terms Part 6

Question 1

The transfer of data from one point to another without human intervention

Answer 1

Electronic Data Interchange

Question 2

Collects billing data, processes it for the healthcare provider, and submits the claim to the health plan for payment

Answer 2

Healthcare Clearinghouse

Question 3

Individuals or organizations that perform work on behalf of the CE and that require access to protected health information

Answer 3

Business Associate

Question 4

A set of codes used to encode data elements; record medical diagnoses, procedures, drugs, dental procedures, and other data elements

Answer 4

Code Set

Question 5

A health plan, healthcare clearinghouse, or healthcare provider that transmits any health information in electronic form for one of the covered transactions

Answer 5

Covered Entity

Question 6

Individually identifiable health information that is transmitted or maintained in any form or format by an organization subject to HIPAA

Answer 6

Protected Health Information