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X12 EDI management

Updated on April 23, 2021
Pega Foundation for Healthcare

The Foundation contains preconfigured rules for managing the following pair of real-time X12 EDI messages:

  • X12 270/271 — Healthcare Eligibility Request and Response
  • X12 276/277 — Healthcare Claim Status Request and Response

The sample implementations contain message intake and parsing rules, work object creation and mapping, sample business edits, and outbound response message generation. The Foundation also includes sample X12 files for 270 and 276 messages.

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