What format does an audit tracking database use for health care claim payment advice?

The audit tracking database for health care claim payment advice uses the 835 format, which is specifically designed for reporting payment information for healthcare claims. The 835 transaction set is part of the ANSI X12 Electronic Data Interchange (EDI) format and provides a standardized way to communicate details about claims payment, adjustments, and other related information between payers and providers.

This format includes important details such as payment amounts, allowed amounts, patient responsibility, and reasons for any payment adjustments. By utilizing the 835 format, healthcare organizations can maintain accurate records of payment transactions, facilitating audits and ensuring compliance with regulatory requirements.

Other options like the 837, CMS-1500, and ICD-10-CM serve different purposes within healthcare data reporting. The 837 format is used for the electronic submission of healthcare claims, the CMS-1500 is a paper claim form used for billing services provided by health care professionals, and ICD-10-CM provides codes for the classification of diseases and related health problems. Hence, those formats do not align with the specific use case of tracking claim payment advice, which is why the 835 format is the correct answer.