EDIFACT, EDI 837, and X12 are just standards with specific purposes, predominantly used in the healthcare sector but also in top industries that use EDI for better business efficiency and responsiveness in their decision making.
EDIFACT vs. ANSI X12
EDIFACT and ANSI X12 are both functionally similar but are geographically used in different regions.
X12 is generally used in the American region whereas EDIFACT is seen being used in the Africa-Asian region more commonly.
Moreover, in EDIFACT, the information would be a message whereas, ANSI X12 edi is a transaction set.
Both are developed and supported by different organizations.
Facts about EDI 837
EDI 837 is a standard type used for the exchange of claim-based information between the healthcare provider and the insurance company.
It has nothing to confuse with EDIFACT and ANSI X12 and has 3 different types i.e. EDI 837 Q1, Q2, Q3 each for professional, dental, and institutional claim information respectively.
However, EDI 837 is often seen being confused with EDI 835, which is quite understandable because both are successive and just next to each other.
EDI 837 can be understood as a ‘Request’ or information that is sent to the claim provider. On the other hand, EDI 835 is a ‘Reply’ to that ‘Request’ after getting well-scrutinized from the other end.
EDI 835 and 837 are quite confusing as both are related to the claim procurement process and would require better clarification to distinguish between.
Facts about ANSI X12
ANSI X12 is a global set of rules to be implemented over the EDI standards used in intercompany exchanges across the globe. The main objective of X12 is to uniform all the standards so that uniformity and singularity could be maintained all around the world at least geographically.
For example, EDIFACT and X12 both are common standards but are used in different regions which help in identifying the businesses from where they belong to.
The content that X12 consists of is of message-type and are categorically different but identified by their 3 digit identification such as-
- EDI 810- An invoice message
- EDI 820- Payment order (EFT)
- EDI 830- Delivery forecast
- EDI 832- Price/sales catalog
- EDI 846- Inventory Inquiry/Advice
- EDI 850- Purchase order
- EDI 855- Purchase order acknowledgment
- EDI 856- Ship Notice/manifest (ASN)
- EDI 860- Purchase order change
- EDI 862- Delivery Just-in-Time, etc.
Knowing the facts you must have a clear understanding of the three of the particular EDI attributes that are termed confusing in nature. And assuming that if someone is talking about these three of the EDI standards must have a basic idea about EDI deployment into an organization.
Usually, the healthcare software development services are familiar with edi solutions and provide adequate consultation along with 24*7 edi support. To say, A3logics has been serving as a full-fledged enterprise software development company with healthcare software as one of its niche and EDI managed services as its potential offering to its healthcare clients.
It is advised to understand EDI from the very ground level, about its requisites, about the company’s requirements and abilities to handle EDI van services, and then deploy it in a business as it has the potential to turn the business around.
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