Question

part 2 of 2

the following data returns from an x12 message:
ebaemp86*d**y~
msg*urgent visit

which ecd does the data file to?

select one of the following (1 pt)
a. emergency services 86
b. ed 2
c. urgent care 6
d. it does not file, because no match was found

Explanation:

Analyze the incoming X12 message data

The incoming X12 message contains:

• EBAEMP86*D**Y~ (indicating service type 86 for Emergency Services)
• MSG*URGENT VISIT (the MSG segment text is "URGENT VISIT")

Evaluate the benefit filing mappings sequentially

We evaluate the mappings for "Emergency Services [86]" in order:

1. Mapping 1: "No MSG Segment" is selected. Since an MSG segment exists in the message (MSG*URGENT VISIT), this mapping is not a match.
2. Mapping 2: "Custom MSG Logic" is selected with search logic NOT "URGENT CARE". The MSG segment text "URGENT VISIT" does not contain the string "URGENT CARE". Therefore, the condition NOT "URGENT CARE" is true (satisfied).
3. Since Mapping 2 is a match, the evaluation stops here.

Determine the target filing destination

Mapping 2 specifies:

• Match action: "File to service - ED [2]"

Therefore, the data files to ED [2].

Answer:

• A. Emergency Services [86]
• B. ED [2] (Correct answer)
• C. Urgent Care [6]
• D. It does not file, because no match was found