X12 EDI Transaction Sets
Description
Our EDI Test Data Management solution supports most HIPAA-mandated X12 EDI transaction sets. To reduce the time it takes to set up your EDI Test Data Project in GenRocket, some EDI transaction sets have one or many preconfigured Test Data Cases so that you can quickly achieve specific Business Case Scenarios.
Supported X12 EDI Transaction Sets and Guides
The table below shows which EDI Transactions Sets are currently supported and have preconfigured Test Data Cases available.
| X12 EDI Transaction Set | Supported | Preconfigured Test Data Cases Available | Number of Available Test Data Cases |
| 270 - X279 Eligibility Benefit Inquiry |
✓ |
✓ |
1 |
| 271 - X279 Benefit Information Response |
✓ |
✓ |
1 |
| 274 - 0027 - X109 Provider-Site-Group |
✓ |
||
| 274 - 0028 - X109 Group-Site-Provider |
✓ |
||
| 274 - 0027 - X253 Provider-Site-Group |
✓ |
||
| 275 - X314 Support a Claim or Encounter |
✓ |
||
| 275 - X316 Support a Healthcare Services Review |
✓ |
||
| 276 - X212 Claim Status Request |
✓ |
✓ |
1 |
| 277 - X212 Status Request Response |
✓ |
✓ |
1 |
| 277 - X214 Claim Acknowledgement |
✓ |
||
| 278 - X215 Inquiry | ✓ | ||
| 278 - X215 Response | ✓ | ||
| 278 - X216 Notification | ✓ | ||
| 278 - X216 Acknowledgement | ✓ | ||
| 278 - X217 Request for Review | ✓ | ✓ | 1 |
| 278 - X217 Request for Review Response | ✓ | ✓ | 1 |
| 820 - X218 Group Premium Payment | ✓ | ✓ | 4 |
| 834 - X220 Benefit Enrollment/Maintenance |
✓ |
✓ |
10 |
| 835 - X221 Claim Payment/Advice | ✓ |
✓ |
1 |
| 837D - X224 Health Care Claim: Dental | ✓ | ||
| 837D - X300 Claims Data Reporting: Dental | ✓ | ||
| 837I - X223 Health Care Claim: Institutional | ✓ |
✓ |
5 |
| 837I - X299 Claims Data Reporting: Institutional | ✓ | ||
| 837P - X222 Health Care Claim: Professional | ✓ | ✓ | 3 |
| 837P - X298 Claims Data Reporting: Professional | ✓ | ||
| 837P - X222A2 Health Care Claim: Professional | ✓ | ||
| 850 - X359 Purchase Order | ✓ | ||
| 999 - X231 Implementation Acknowledgement | ✓ |
Article Feedback: Was this helpful?
Give feedback