According to KFF, insurers denied 1 in 5 in-network claims on HealthCare.gov in 2023, and fewer than 1% of those denials were ever appealed, meaning most short-payments simply stay short.

The reality of modern healthcare IT is this: The data problem is largely solved. The workflow problem is not.

This is the operational gap in healthcare X12-the missing layer right above the parsing engine. To fix it, Genpact and Databricks built a unified operational workbench that lives entirely inside your existing Databricks environment. PHI never leaves your secure perimeter, the UI queries the data in place, and row-level security is enforced automatically.

X12 remains the backbone of US healthcare payment (835, 834, 837). The open-source x12-edi-parser authored by the Databricks team is the perfect starting point. It takes raw files, understands the loops, and writes normalized records to Delta Lake.