Transactions Overview

Transactions Overview
A computer monitor with a flow on the screen

What Is a Transaction?

A transaction is an electronic exchange of information between two parties to carry out financial or administrative activities related to health care. For example, a health care provider will send a claim to a health plan to request payment for medical services.

thumbnail image of Health Care Transactions Basics PDF

Health Care Transactions Basics (PDF)

Overview document of electronic transactions used in health care to increase efficiencies in operations, improve the quality and accuracy of information, and reduce the overall costs to the system.

Standards for Transactions

Under HIPAA, HHS adopted certain standard transactions for the electronic exchange of health care data. These transactions include:

HIPAA covered entities who conduct any of these transactions electronically must use an adopted standard from ASC X12N or NCPDP (for certain pharmacy transactions).

Learn More

Keep Up to Date!

Sign up for Administrative Simplification Email Updates and follow us on Twitter and check out our Resources and FAQs.

Page Last Modified:
11/28/2023 01:15 PM