ANSI X12 Documents

Below is a list of ANSI X12 documents and their use in the health care industry. This list is not complete but these are the documents used in sending claims, eligibility requests and statements with Apex EDI.

Document Purpose
270 Eligibility, Coverage or Benefit Inquiry (Eligibility Request)
271 Eligibility, Coverage or Benefit Information (Eligibility Response)
277 Health Care Claim Status Notification (Insurance Response)
835 Health Care Claim Payment/Advice (Electronic EOB)
837 Health Care Claim