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Introduction to EDI EDI EDI Evolution Introduction of EDI standards such as ANSI X12, EDIFACT, and HIPAA US HealthCare Insurance domain US HealthCare Insurance work process Healthcare Claim Insurance life cycle Frequent and common used terms related to Healthcare Insurance HIPAA, ARRA, PPACA acts PHI Data X12 files structure EDI Testing Health Care EDI Transactions sets 270 - Health Care Eligibility Benefit Inquiry and Response 271 - Health Care Eligibility Response 276 - Health Care Claim Status Request 277 - Health Care Claim Status Response 278 - Health Care Services Review - Request for Review and Response 837 - Health Care Claim Institutional, Dental, Professional 835 - Health Care Claim Payment / Advice 834 - Benefit Enrollment and Maintenance 820 - Payroll Deducted and Other Group Premium Payment for Insurance Products Understanding of 270 & 271 transaction sets and how to do EDI testing Understanding of 276 & 277 transaction sets and how to do EDI testing Understanding of 278 and how to do EDI testing Understanding of 837 I and how to do EDI testing Understanding of 837 P and how to do EDI testing Understanding of 837 D and how to do EDI testing Comparative discussion of 837 P, I & D and how to do EDI testing Understanding of 835 and how to do EDI testing Understanding of 835 and how to do EDI testing Understanding of 834 and how to do EDI testing Understanding of 820 and how to do EDI testing