What is ANSI EDI | ANSI EDI Definition (2024)

FAQs

What is ANSI EDI | ANSI EDI Definition? ›

ANSI EDI is the US standard for development and maintenance of any electronic interchange of business documents (EDI communication), formerly known as ANSI ASC X12).

ANSI X12 stands for American National Standards Institute X12 and refers to the American EDI (Electronic Data Interchange) standard developed back in 1979 by the ANSI subsidiary Accredited Standards Committee (ASC).

ANSI X12 is primarily used in North America, while UN/EDIFACT is more common in Europe and other parts of the world. While both standards serve the same purpose of facilitating electronic communication between trading partners, they differ in syntax, structure, and data elements.

The 837 EDI document type is an electronic version of a paper Health Care Claim. Standard EDI formats include X12, ANSI, EDIFACT and its subsets. The 837 EDI document type is used to submit health care claim billing information, encounter information, or both, from health care service providers to payers.

ANSI X12 is a set of Electronic Data Interchange (EDI) standards that allows businesses to exchange electronic documents and data in a uniform format. These standards form the basis for automated data transfer between organizations and their trading partners.

The American National Standards Institute (ANSI) is a private, non-profit organization that administers and coordinates the U.S. voluntary standards and conformity assessment system.

American National Standards Institute (ANSI) codes are standardized numeric or alphabetic codes whose documentation is issued by ANSI to ensure uniform identification of geographic entities through all government agencies.

EDIFACT (Electronic Data Interchange for Administration, Commerce, and Transport) and ANSI X12 (American National Standards Institute X12) are two commonly used EDI standards. The former is widely used across Europe, while ANSI X12 is prevalent in North America.

X12 is a standard developed by the American National Standards Institute (ANSI) for electronic data interchange between businesses based in North America. At the same time, EDIFACT is a standard given by the United Nations for electronic data interchange between businesses worldwide.

The EDI 835 transaction set is called Health Care Claim Payment and Remittance Advice. It has been specified by HIPAA 5010 requirements for the electronic transmission of healthcare payment and benefit information.

What is the difference between 835 and 837? ›

An 835 claim file is the format that insurance organizations send back to healthcare providers. To put it simply… In other words, an 837 is a bill and an 835 is a receipt. Sometimes 835 claims are also called Electronic Remittance Advice (ERA).

The EDI 270 Health Care Eligibility/Benefit Inquiry transaction set is used to request information from a healthcare insurance plan about a policy's coverages, typically in relation to a particular plan subscriber.

ANSI X12 was originally conceived to support businesses across different industry sectors in North America. The ANSI X12 standard is now used worldwide by over 300,000 companies. ANSI X12 is similar to EDIFACT in that each EDI document is made up of multiple segments. Each segment is composed of a sequence of elements.

An EDI standard defines the format and structure of EDI messages to ensure that the computer systems of all parties involved can receive and process the EDI messages. It is therefore a critical element of EDI.

X12 is a standard for EDI trading in commercial and non-commercial sectors. X12 has an underlying syntax, which is an ANSI standard. Within that syntax, there are directories of data elements, composite data elements, segments, and messages.

There are several EDI standards in use today, including ANSI, EDIFACT, TRADACOMS and ebXML. And, for each standard there are many different versions, e.g., ANSI 5010 or EDIFACT version D12, Release A. When two businesses decide to exchange EDI documents, they must agree on the specific EDI standard and version.

Dimensions are added to drawings to define the part and guide manufacturing. General rules and conventions are used to dimension a drawing in a complete, orderly, and succinct manner.