By Interface Type

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.

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...
  • AccuReg
  • Anthem
  • Arizona Department of Health Services
  • Athena Health
  • Availity
  • Change Healthcare
  • Cigna
  • Experian Health
  • GE
  • HDX
  • HealthCare Fiscal Management
  • Healthia
  • Highmark
  • Humana
  • InstaMed
  • Loxogon
  • Medicaid
  • Navicure
  • NEBO
  • NEHEN
  • nThrive
  • Ontario Ministry of Health
  • Optum
  • Pelitas
  • Post-n-track
  • Quadax
  • RealMed
  • Recondo
  • Relay Health
  • Rycan
  • Search America
  • Surescripts
  • The Advisory Board
  • The SSI Group
  • TransUnion
  • TriZetto Provider Solutions, a Cognizant Company
  • UnitedHealthcare
  • VisionShare
  • Waystar
  • WebMD
  • WNY HealtheNet

Payer 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...
  • Aetna
  • Availity
  • Change Healthcare
  • Experian Health
  • NEHEN
  • nThrive
  • Optum
  • Quadax
  • The SSI Group
  • TriZetto Provider Solutions, a Cognizant Company

Outgoing Health Care Services Review Request and Response - X12

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...
  • Aetna
  • Allscripts
  • Athena Health
  • Availity
  • Change Healthcare
  • Conduent
  • ECIN
  • Emblem
  • Experian Health
  • GE
  • Midas
  • Mindray
  • Morrisey
  • Optum
  • Quartz
  • Recondo
  • Relay Health
  • UnitedHealthcare

Outgoing Pharmacy Benefit Eligibility Query - 270/271

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...
  • Cardinal Health
  • Experian Health
  • Surescripts

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
  • Availity
  • Change Healthcare
  • Cigna
  • Experian Health
  • Horizon
  • Medicaid
  • Optum
  • Pelitas
  • Post-n-track
  • Quartz
  • Relay Health
  • The Advisory Board
  • UnitedHealthcare

Outgoing Pharmacy Purchase Order from Willow Inventory

Sends medication purchase order requests to your supplier. The interface uses the ANSI X12 850 transaction set or GS1 for the request.
Current integrations include...
  • Alliance Healthcare
  • AmerisourceBergen
  • Anda
  • AutoMed
  • BD
  • Cardinal Health
  • CenterX
  • McKesson
  • Mediq
  • Morris & Dickson
  • Oracle
  • Parata
  • Parmed
  • River City Pharma
  • Thrifty White

Incoming Pharmacy Purchase Order Invoice to Willow Inventory

The standard ANSI X12 Incoming Purchase Order Invoice Interface is used for receiving invoices from a supplier for purchase orders placed in Willow Inventory. The interface uses the ANSI X12 810 transaction set for the response.
Current integrations include...
  • Alliance Healthcare
  • AmerisourceBergen
  • Anda
  • Cardinal Health
  • CenterX
  • Macro Helix
  • McKesson
  • Morris & Dickson
  • Parmed

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

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.

Incoming Purchase Order Acknowledgement to Willow Inventory

The standard ANSI X12 Incoming Purchase Order Acknowledgement Interface is used for receiving acknowledgements from a supplier for purchase orders placed in Willow Inventory. The interface uses the ANSI X12 855 transaction set for the response.
Current integrations include...
  • Alliance Healthcare
  • AmerisourceBergen
  • Anda
  • Cardinal Health
  • CenterX
  • Macro Helix
  • McKesson
  • Morris & Dickson
  • Oracle
  • Parmed
  • Thrifty White

Incoming Shipment Notification to Willow Inventory

Receives information about items sent by a supplier to fill a purchase order from Willow Inventory. This interface uses the ANSI X12 856 transaction set or, starting in Epic 2018, GS1. The response is received by an Interconnect service running on a separate server.
Current integrations include...
  • AmerisourceBergen
  • BD
  • Cardinal Health
  • CenterX
  • 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...
  • ABILITY Network
  • Availity
  • Carisk Intelligent Clearinghouse
  • Change Healthcare
  • Cirius
  • ClaimLynx
  • Experian Health
  • Healthcare IP
  • nThrive
  • Optum
  • OS inc
  • Quadax
  • SSI
  • TriZetto Provider Solutions, a Cognizant Company
  • WayStar

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.

External Edit Management 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
  • Change Healthcare
  • Experian Health
  • Healthcare IP
  • InstaMed
  • nThrive
  • Optum
  • Quadax
  • SSI
  • TriZetto Provider Solutions, a Cognizant Company
  • WayStar

Rapid Retest

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. See also our requirements for clearinghouse vendors supporting rapid retest.
Current integrations include...
  • Availity
  • Change Healthcare
  • Experian Health
  • Healthcare IP
  • nThrive
  • Quadax
  • The SSI Group
  • TriZetto Provider Solutions, a Cognizant Company
  • WayStar

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
  • ClaimLynx
  • Experian Health
  • Healthcare IP
  • nThrive
  • Optum
  • OS inc
  • Quadax
  • Recondo
  • SSI
  • TriZetto Provider Solutions, a Cognizant Company
  • WayStar

Incoming Health Care Claim Payment/Advice

This incoming batch interface posts insurance claim payment information received directly from payers and content aggregators, such as claims clearinghouses and banks, using standard ANSI ASC X12N 835 transactions.
Current integrations include...
  • Quadax
  • ABILITY Network
  • Availity
  • Bank of America
  • BBVA
  • Change Healthcare
  • Chase
  • Cirius
  • ClaimLynx
  • Experian Health
  • Fifth Third
  • Healthcare IP
  • nThrive
  • Optum
  • OS inc
  • Patientco
  • PNC
  • Quadax
  • SSI
  • TD Bank, N.A.
  • TriZetto Provider Solutions, a Cognizant Company
  • US Bank
  • WayStar
  • Wells Fargo

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.