How are EDI X12 Transactions exchanged in the Healthcare workflow

Understanding EDI X12 Transaction Sets in Healthcare | Complete Guide In this video, we break down the most commonly used EDI X12 transaction sets in the U.S. healthcare ecosystem and explain how each one fits into the end-to-end electronic data interchange (EDI) workflow between payers, providers, and other healthcare entities. Whether you're new to healthcare EDI or looking to solidify your understanding of each transaction's purpose, this video gives you a concise and practical explanation of: ✅ EDI X12 820 – Payroll Deducted and Other Group Premium Payment ✅ EDI X12 834 – Benefit Enrollment and Maintenance ✅ EDI X12 270 – Eligibility, Coverage, or Benefit Inquiry ✅ EDI X12 271 – Eligibility, Coverage, or Benefit Response ✅ EDI X12 278 – Prior Authorization Request and Response ✅ EDI X12 837 – Healthcare Claim (Professional, Institutional, Dental) ✅ EDI X12 835 – Healthcare Claim Payment and Remittance Advice ✅ EDI X12 999 – Functional Acknowledgment ✅ EDI X12 275 – Additional Medical Attachments ✅ EDI X12 276 – Claim Status Request (used with 277 for responses) Explaining which EDI X12 transaction set is exchanged at what stage in the Healthcare workflow, between sponsors, Insurance agencies and the providers/facilities. We'll also touch on how these files interact—for example, how a 270/271 precedes an 837 claim, or how a 278 prior authorization may be required before services can be billed. 🎯 Who This Is For: EDI Analysts & Developers Healthcare IT Professionals Payers & Providers working with EDI QA/Test Engineers validating EDI workflows Anyone preparing for HIPAA EDI compliance roles 🔔 Subscribe for more videos on EDI, HL7, HIPAA, and Healthcare IT workflows. 👍 Like the video if it helped clarify the healthcare EDI process. 💬 Comment below with your questions or topics you'd like to see covered!