by interface type

See our supported standards

asc x12

ASC X12 standards are used for facilitating electronic interchange relating to business processes, in both healthcare and other industries. You can learn more from ASC X12.

Outgoing Admission Notification

This bidirectional X12 278 interface is used to notify a payor or health plan that a patient has been admitted. The request can be done real-time or in batches. Current integrations include...
  • Aetna
  • Experian Health
  • Loxogon
  • Post-N-Track
  • United Healthcare

Outpatient Inventory Management

This set of X12 interfaces is used to manage inventory in Epic's outpatient pharmacy software. Specifically, X12 850 is used to generate a purchase order, X12 855 is used to acknowledge purchase orders, and X12 810 is used for invoicing. The pharmacy system can also create a flat file extract for an external general ledger system. Current integrations include...
  • Amerisource (in progress)
  • McKesson
  • Morris & Dickson

Outgoing Health Care Claims for Institutional, Professional, and Dental Services

This outgoing batch interface sends insurance claim information to payors and intermediary systems using industry standard ANSI ASC X12N 837 transactions (institutional, professional and dental). Current integrations include...
  • Availity
  • Change Healthcare
  • Cirius
  • ClaimLogic
  • ClaimLynx
  • Experian Health
  • GatewayEDI
  • Healthcare IP
  • Navicure
  • nThrive
  • Optum
  • OS inc
  • Quadax
  • RelayHealth
  • SSI
  • ZirMed

Outgoing Health Care Data Reporting Claims

This outgoing batch interface sends insurance claim information to government and intermediary systems using the industry standard ANSI ASC X12N 837 data reporting transaction.

Claim Reconciliation (CRD) read the specRead the technical specs

This incoming batch interface loads information about claim status in a configurable flat file or ANSI ASC X12N 277 or 277CA format. This interface can update the status of claims in the system and is able to load claim error information from payor and intermediary systems.

The flat file format is configurable, but the above common specification is pre-configured in the Foundation System for Epic customers and widely used with success. Current integrations include...
  • Availity
  • Cirius
  • ClaimLogic
  • Emdeon
  • Experian Health
  • GatewayEDI
  • Healthcare IP
  • Navicure
  • nThrive
  • Optum
  • Quadax
  • RelayAssurance
  • SSI
  • ZirMed

Accelerated Claim Reconciliation (ARCD)

This bi-directional interface builds upon the use of standard Claim Reconciliation sends individual claims to intermediary systems using industry standard ANSI ASC X12N 837 transactions (institutional, professional, and dental) and loads information about claim status back using industry standard ANSI ASC X12N 277 or 277CA transactions. This interface updates the status of errored claims in the system. Current integrations include...
  • nThrive

Incoming Claim Acknowledgement

This incoming interface loads claim acknowledgement responses using industry standard ANSI ASC X12N 277CA, 999/997/TA1 or 277U transactions. Current integrations include...
  • Availity
  • Change Healthcare
  • Cirius
  • ClaimLogic
  • ClaimLynx
  • Experian Health
  • GatewayEDI
  • Healthcare IP
  • Navicure
  • nThrive
  • Optum
  • OS inc
  • Quadax
  • Recondo
  • RelayHealth
  • SSI
  • ZirMed

Claim Status Query

This bi-directional real-time interface sends requests and receives responses from payors and intermediary systems about claim statuses using industry standard ANSI ASC X12N 276/277 transactions. Epic uses web services to send and receive the X12 messages. Current integrations include...
  • Availity
  • Experian Health
  • RelayHealth

Incoming Health Care Claim Payment/Advice

This incoming batch interface posts insurance claim payment information from payors and intermediary systems using industry standard ANSI ASC X12N 835 transactions. Current integrations include...
  • Availity
  • Change Healthcare
  • Cirius
  • ClaimLogic
  • ClaimLynx
  • Experian Health
  • GatewayEDI
  • Healthcare IP
  • Navicure
  • nThrive
  • Optum
  • OS inc
  • Quadax
  • RelayHealth
  • SSI
  • ZirMed

Benefit Enrollment and Maintenance

Tapestry receives incoming enrollment information from employers or other sponsors of coverage through batched ANSI ASC X12N 834 transactions. Similarly, it sends enrollment information to entities needing the information through the same standards.

Eligibility, Coverage, or Benefit Inquiry

This bi-directional real-time interface receives and responds to inquiries about a member's eligibility and benefits. It uses ANSI ASC X12N 270/271 transactions. Epic exposes Web services to send and receive the X12 messages.

Health Care Services Review

This bi-directional real-time interface receives and responds to new referral requests. It uses ANSI ASC X12N 278/278 transactions. Similarly, Tapestry can provide unsolicited ANSI 278 notifications for single referrals.

Health Care Claim Status

This bi-directional real-time interface receives requests and sends responses to healthcare providers about claim statuses. ANSI ASC X12N 276/277 transactions are used. Epic exposes Web services to send and receive the X12 messages.

Incoming Health Care Claims for Institutional and Professional Services

Tapestry receives institutional and professional claims in batch from healthcare providers through ANSI ASC X12N 837 transactions. It sends claims in batch to payors using the same standard. Tapestry can also receive dental claims using this standard.

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.

Incoming Health Insurance Premium Payment

This incoming batch interface receives health insurance premium payment information using ANSI ASC X12N 820 transactions.

Outgoing Health Care Claim Remittance Advice

This outgoing batch interface contains claim payment information for health care providers. It uses ANSI ASC X12N 835 transactions. Batches can be provided via Web services exposed by Epic software.

Claims Editing

This bidirectional interface is used for claim code editing. Current integrations include...
  • OptumInsight iCES
  • McKesson CodeReview (in progress for ClaimsXten)

Outgoing Health Care Services Review Request and Response - X12 read the specRead the technical specs

This interface transmits patient referral or authorization information to a third-party system. The referral/authorization information is sent in order to obtain authorization for health care services (such as specialty referrals and procedures) with clearing houses and payors. It uses ANSI X12 278 transactions. Current integrations include...
  • Experian Health

Eligibility Query

This bi-directional real-time query is used to verify eligibility with clearinghouses and payors. It uses ANSI X12 270/271 transactions. Current integrations include...
  • Aetna
  • Anthem
  • Availity
  • Cigna
  • ClaimLogic Patient Eligibility
  • DCS Global AuditLogix
  • Emdeon
  • Experian Health
  • Gateway EDI
  • Group Health Cooperative (Seattle)
  • HDX
  • Health Alliance Plan
  • HealthCare Fiscal Management Inc.
  • Healthcare IP
  • HealthPartners
  • Highmark
  • InstaMed
  • Loxogon
  • Medicaid Minnesota
  • Medicaid New York
  • Medicaid Pennsylvania
  • Medicaid Texas
  • Medicaid Washington
  • Medicaid Wisconsin
  • Medicare
  • Navicure
  • NEHEN
  • Netwerkes (Optum)
  • nThrive
  • Optima
  • Optum
  • Physicians Plus
  • Post-n-track Eligibility
  • Preferred One
  • Provider Advantage
  • Quadax
  • Recondo Technology
  • RelayHealth
  • Rycan
  • The Advisory Board Company
  • The SSI Group
  • TransUnion
  • Tricare
  • United Healthcare
  • Unity
  • UPMC Health Plan
  • VisionShare (ABILITY)
  • WNY HealtheNet
  • ZirMed