Which is an example of electronic claim submission?

Which is an example of electronic claim submission?

• A. Claims submitted via a secure network
• B. Paper claims mailed to payer
• C. Faxed claims with attachments
• D. Emailing claim data with passwords

Answer: (A)

The main concept being tested is how claims are transmitted electronically in healthcare billing. Electronic claim submission means sending claim data directly from a provider’s system to the payer through a secure, electronic channel. This typically involves encrypted transmissions, authenticated access, and standardized formats (such as 837 claims) routed via a clearinghouse or payer portal. Using a secure network ensures faster processing, reliable validation, and an auditable record, which aligns with privacy and security requirements. Mailed paper claims are not electronic since they require physical handling. While a component of some workflows, faxed claims still aren’t the standard electronic path and can be less secure and slower. Emailing claim data, even with passwords, isn’t reliably secure for PHI and isn’t the typical method used for electronic submission.

The main concept being tested is how claims are transmitted electronically in healthcare billing. Electronic claim submission means sending claim data directly from a provider’s system to the payer through a secure, electronic channel. This typically involves encrypted transmissions, authenticated access, and standardized formats (such as 837 claims) routed via a clearinghouse or payer portal. Using a secure network ensures faster processing, reliable validation, and an auditable record, which aligns with privacy and security requirements.

Mailed paper claims are not electronic since they require physical handling. While a component of some workflows, faxed claims still aren’t the standard electronic path and can be less secure and slower. Emailing claim data, even with passwords, isn’t reliably secure for PHI and isn’t the typical method used for electronic submission.