EDI Transactions
How many EDI transaction types does BCBSMA support?
a. 6 (270, 276, 278, 837, 835, 834)
b. 10 (270, 276, 278Q, 278I, 837P, 837I, 837D, 835, 834, 820)
C. 12 (270, 276, 278Q, 278I, 837P, 837I, 837D, 835, 834, 820J, 890A)
d. None
b.10
Which one is not a benefit of using EDI in healthcare?
a. Faster claim payments
b. Lower administrative cost
c. Format and content flexibility
d. Reduced manual errors
c. Format and content flexibility
How many shifts does the IIT Support Team have to support Operations Monday – Friday each week?
4
First Shift off shore, General Shift off shore, Second Shift off shore, One shift on shore.
These three stages of a Jenkins pipeline are the bare minimum.
Build, Test, Deploy
The Edifecs 4 core values.
Integrity, Innovation, Collaboration, Customer Centricity
Which EDI transaction is like a receipt showing that a payment to the provider has been made?
a. EDI 276 - Claim Status
b. EDI 275 - Attachment
c. EDI 820 - Premium Payment
d. EDI 835 - Remittance Advice
d. EDI 835 - Remittance Advice
Name EDI acknowledgments for EDI 837 (claim submission transaction).
TA1 - interchange acknowledgment
999 - functional group acknowledgment
277CA - claim status acknowledgment
If an unexpected issue occurs off hours while deploying a production change and a different team must be engaged to assist in resolving matters, what is the correct procedure to follow?
Call The Data Center Operations team at 617 246-7923, provide the change number and request they contact the on-call person for the team you need to assist you.
What does IIB stand for?
IBM Integration Bus
Where the Edifecs headquarters is located.
What is Belleview, WA?
Which EDI transaction would you use if you were throwing a party and wanted to know who was eligible to attend?
a. Enrollment
b. Eligibility Inquiry and Response
c. Payment Remittance
d. This is not a valid use case for EDI! Use APIs instead!
b. Eligibility Inquiry and Response
Translate this to English: NM1IL1DUCKDONALD**MIXXA050580714 DMGD819491011M
NM1*IL{{subscriber}}*1{{person}}*DUCK{{last name}}*DONALD{{first name}}*MIXXA050580714{{subscriber ID}} DMGD819491011{{date of birth}}*M{{gender}}
Which one of these is not an Apigee user role?
a. API-Operations
b. Organization Administrator
c. Apigee-Operations
d. All of them are!
c. Apigee-Operations
This was the first security stage in the blue/green pipeline that was introduced by DevSecOps.
Veracode
The leader of Edifecs.
Who is Venkat Kavarthapu?
When was the first cloud EDI transaction processed?
a. April 1, 2024, 12:00:00 am
b. May 30, 2024 1:01:33 pm
c. May 30, 2024 2:04:06 pm
d. Everything is a blur, can't remember
c. May 30, 2024 2:04:06 pm
What is the difference between EDI 277 and EDI 277CA?
EDI277 is a claim status response. It is created as a response to a claim status request (EDI 276) and depicts the status of claims processing in a claim processing system.
EDI277CA is a claim status acknowledgment. It is created as a response to a claim submission and depicts the status of a claim processing in the EDI application.
This question is related to enrollment processing. What are the hours the production RTMS region is in update mode Monday – Friday each week?
5:00 AM ET- 8:00 PM ET.
Note: we allow a cushion before we begin processing enrollment files at the start of the day and when we stop processing enrollment files at the end of the day to avoid issues, so if someone answers 5:15 AM ET- 7:50 PM, this answer is also correct.
These are the three parts of an Apigee proxy endpoint.
Preflow, Conditional flow, PostFlow
About how many employees work for Edifecs?
a. 500
b. 1000
c. 2500
d. 1400
b. 1000
What is the request rate, per hour, for 270?
a. 37,000
b. 40,000
c. 15,000
d. 22,000
b. 40,000
EDI5010 version that we use today became mandatory on January 1 2012. Previous EDI version was EDI4010; it became mandatory on August 17, 2000, What is the next EDI version, and when will it become mandatory?
a. Based on the huge success of the EDI5010 implementation, CMS decided not to enhance it
b. EDI6020 version was scheduled to be implemented in 2020 which was canceled due to Covid. There is no new implementation date announced.
c. EDI7030 version is currently under development with no implementation date announced.
d. EDI is the thing of the past! FHIR is the future!
c. EDI7030 version is currently under development with no implementation date announced.
Who's nickname was 'Dracula' from the Support Team? :)
a. Venkat Vemury
b. Ganga Ade
c. Kevin Prendeville
d. Mahesh Mudragaddam
d. Mahesh Mudragaddam
This Apigee policy best protects against a sudden surge in traffic.
SpikeArrest
During this year, BCBSMA and Edifecs signed their first deal.
What is 2010?