Question

configuring plan mapping & query chaining

#9 you need to create a data pull that searches a segment for a service type of general health benefits. which of the following lines will allow you to search for that information in the x12 message?

select one of the following (1 pt)
a. eb03 = 98
b. eb03 contains general health benefits
c. eb03 inrep 30
d. eb03 inset health benefits

Explanation:

Identify the standard X12 service type code for general health benefits

In X12 EDI 271 transactions, the EB03 element represents the Service Type Code. The standard industry code for "General Medical Care" or "General Health Benefits" is 30.

Evaluate the syntax for Epic RTE segment search data pulls

Epic's segment search utility uses specific operators to evaluate elements. The operator InRep (In Repeating element/group) or direct comparison is used to find specific values. To search for the service type code 30 in the EB03 element, the correct syntax is EB03 InRep 30.

Eliminate incorrect options

• Option A (\(EB03 = 98\)) uses code 98, which is not the standard code for general health benefits.
• Option B uses literal text "GENERAL HEALTH BENEFITS" instead of the standard X12 numeric code.
• Option D uses an incorrect operator and literal text.

Answer:

• (A) EB03 = 98
• (B) EB03 Contains GENERAL HEALTH BENEFITS
• (C) EB03 InRep 30 (Correct answer)
• (D) EB03 InSet HEALTH BENEFITS