Articles tagged with “healthcare-edi”

EDI X12 270/271 Tutorial: Real-Time Benefit Checks Guide

A deep-dive tutorial on the EDI X12 270/271 transaction sets. Learn how this HIPAA standard enables real-time pharmacy benefit and eligibility verification, updated with 2025 Surescripts data, CMS-0057-F FHIR mandates, and NCPDP RTPB v13 requirements.

55 min read

11/7/2025

edi x12 270 271 real-time benefit check hipaa transactions ncpdp ansi x12 eligibility inquiry healthcare edi benefit verification

X12 EDI Transactions: A Guide to Healthcare's 270/271 & 278

Learn about the ANSI X12 EDI protocol. This guide explains the structure of X12 transaction sets, with a deep dive into healthcare's 270/271 and 278 transactions, including CMS-0057-F prior authorization mandates and the X12-to-FHIR transition

35 min read

11/2/2025

edi ansi x12 x12 transactions healthcare edi hipaa transactions edi 270/271 edi 278 electronic data interchange