How can we use X12 APIs?
Last Updated August 23rd, 2017
The X12 APIs allow communication to trading partners via a simple programmatic interface. It removes the need for a traditional EDI “clearinghouse” and allows you to communicate with payers directly. You can use the APIs for common transactions, including eligibility checks, claims submission, and claims status checking. For example, you can use the Eligibility API to check a patient’s coverages, deductibles, co-pays, and other elements of their plan structure electronically and in real-time. This has a variety of applications in health and financial planning.