What is the alternate name for the HIPAA referral certification and authorization?

The correct answer is the alternate name for HIPAA referral certification and authorization, which refers to the HIPAA X12 278 transaction. This transaction set is specifically designed to facilitate the electronic exchange of information regarding referrals and authorizations needed for services.

The X12 278 transaction allows healthcare providers to request and receive information about the certification or authorization for services in a standardized format. This efficiency helps to streamline the referral process and ensure that all parties involved have accurate and timely information regarding patient care and necessary approvals, ultimately enhancing patient management and reducing delays in access to healthcare services.

The other transaction codes listed serve different purposes within the healthcare system. For instance, X12 270 is used for eligibility inquiries, while X12 835 is designated for electronic remittance advice, and X12 1500 refers to a form used for submitting health insurance claims. Each transaction plays a unique role in healthcare data exchange, but the specific focus on referral certification and authorization is encapsulated in the X12 278.