Financial

Exchange information about money that's due and money that's paid.

Managed Care

Epic provides a managed care product - Tapestry - for use by our organizations that provide a health plan for their patients. Their managed population may also be seen outside of their organization. These interfaces are specifically used when Epic's managed care software is in use.

Outgoing interfaces refer to interfaces in which the EMR sends the message. Incoming interfaces refer to interfaces in which the EMR receives the message.

Health Care Claims - Incoming 837/277CA

Tapestry receives incoming professional, institutional, or dental claims through ANSI ASC X12 837 transactions and sends responses with 277CA transactions.
Current integrations include...
  • Availity
  • DSG (Data Systems Group)
  • McKesson
  • Waystar

Health Care Claim Remittance Advice - Outgoing 835

Tapestry sends outgoing health care claim payment and remittance advice through ANSI ASC X12 835 transactions.
Current integrations include...
  • DSG (Data Systems Group)
  • McKesson

Health Care Claim Code Editor - Outgoing

Tapestry sends outgoing health care claim code edit requests through proprietary transactions.

Benefit Enrollment and Maintenance - Incoming 834

Tapestry receives incoming benefit enrollment through ANSI ASC X12 834 transactions.

Health Care Claim Status - Incoming 276/277

Tapestry receives incoming claim status requests through ANSI ASC X12 276 transactions and sends responses with 277 transactions.

Payment Order/Remittance Advice - Incoming 820

Tapestry receives incoming payment order and remittance advice through ANSI ASC X12 820 transactions.

Eligibility, Coverage, or Benefit Inquiry - Incoming 270/271

Tapestry receives incoming eligibility, coverage, or benefit inquiries through ANSI ASC X12 270 transactions and sends responses with 271 transactions.
Current integrations include...
  • Change Healthcare
  • HDX
  • Post-n-track
  • Relay Health

Health Care Services Review - Incoming 278/278

Tapestry receives incoming health care services review requests through ANSI ASC X12 278 transactions and sends responses with 278 transactions.

Health Care Claim Status Notification - Outgoing 277P

Tapestry sends outgoing health care claim status notifications through ANSI ASC X12 277P transactions.

Tapestry Outgoing Health Care Services Authorization Notification - 278/278 (bidirectional)

Tapestry sends outgoing health care services authorization notification through ANSI ASC X12 278 transactions and receives responses with 278 transactions.
Current integrations include...
  • TriZetto Provider Solutions, a Cognizant Company

Health Care Services Review Additional Information - Outgoing 275

Tapestry sends outgoing additional information for health care services authorizations through ANSI ASC X12 275 transactions and receives responses with 275 transactions.

Outgoing Health Care Claim Acknowledgement

This outgoing batch interface sends claim acknowledgement responses to incoming ANSI 837 files using ANSI ASC X12N 277CA transactions.

Outgoing Health Care Services Functional Acknowledgement

This message is sent in response to incoming healthcare services messages. It acknowledges the receipt of the message and, if necessary, reports any formatting errors in the file. It is an ANSI ASC X12N 999 transaction.