Electronic Data Interchange (EDI) is the to-computer exchange of business documents in a standard electronic format between business partners. X12 protocol and structure of X12 protocol

1. EDI Basics
BY
PRASANTHI RAO

2. What is EDI?
Electronic Data Interchange (EDI) is the computer-to-
computer exchange of business documents in
a standard electronic format between business
partners.

3. X12 protocol :
The X12 protocol is an electronic data interchange (EDI) standard, developed
for the electronic exchange of machine-readable information between businesses.
 The main objective of X12 body organisation is to develop standards to
facilitate electronic messaging interchanges relating to business transactions.

4. Structure of EDI-X12:
Interchange
Functional Group
Transaction

5. Structure of EDI-X12: (continued)
ISA ( interchange header)
GS (Functional Group header)
ST (Transaction set header)
SE (Transaction set trailer)
ST (Transaction set header)
SE (transaction set trailer)
.
.
.
GE (Functional Group Trailer)
IEA (interchange trailer)

6. EDI-X12 Samples:
Healthcare: (HIPAA Act)
◦ EDI 837 - Health Care Claim
837i - Institutional Claim
837p - professional Claim
837d - dental claim
◦ EDI 834: Benefit Enrollment and Maintenance
◦ EDI 278: Health Car-e Services Review Information
◦ EDI 270-271 : Eligibility & Benefit Inquiry & Response

7. EDI-X12 Samples: (continued)
Non Health Care:
 EDI 850 - Purchase Order
 EDI 810 - Invoice
 EDI 858 - Shipment Information
 EDI 999 – Implementation Acknowledgment
 To get a list of EDI-X12 transactions, go to the following link
https://www.edistaffing.com/resources/edi-transaction-glossary

8. Thank You