Sample EDI 271 Data for the Eligibility, Coverage Or Benefit Information Transaction Set

AgencySet IDFGTransaction DescriptionSubcommitteeStandard
ANSI271HBEligibility, Coverage Or Benefit Information InsuranceDownload

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Research and Development:
Below is a sample EDI 271 transaction set. The site has an online translation tool that converts the EDI 271 (Eligibility, Coverage Or Benefit Information) document into a CSV file. If you are researching the 271s, you can view other trading partner's mapping specifications. You can also gain knowledge by researching all EDI document types. Jobisez LLC can also provide assistance if you need additional help.

Are you looking to trade the EDI 271 transaction with one of your trading partners? Do you need an EDI VAN Savings solution to exchange the 271? Or perhaps you would like to use a Cloud-Based application, so you can plug your 271 transaction directly into your ERP and TMS systems. Even small companies have the ability to trade the EDI 271 by using the EDI Mobile Device solution.

Sample of an EDI 271 Transaction Set

HL*1**20*1~NM1*PR*2*Medicare - All states*****PI*10000~HL*2*1*21*1~NM1*1P*2*Test JL Medicare*****XX*1275611790~HL*3*2*22*0~TRN*2*970555*9876543210~NM1*IL*1*GOOKIN*VINCENT*I***MI*007225654A~N3*2000 N CONGRESS AVE*LOT 49~N4*WEST PALM BEACH*FL*334096330~DMG*D8*19300511*M~DTP*307*RD8*20170927-20190127~EB*I**41^54^68^82~EB*1**88~EB*1**30^10^15^42^45^48^49^65^69^76^78^83^A5^A7^AG^BT^BU^BV*MA~DTP*291*D8*19950501~MSG*CMS mailed a Medicare card with a new Medicare Beneficiary Identifier (MBI) to this ben

Official Definition:
Data contents of the Eligibility, Coverage or Benefit Information Transaction Set (271) for use within the context of an Electronic Data Interchange (EDI) environment. This transaction set can be used to communicate information about or changes to eligibility, coverage or benefits from information sources (such as - insurers, sponsors, payors) to information receivers (such as - physicians, hospitals, repair facilities, third party administrators, governmental agencies). This information includes but is not limited to: benefit status, explanation of benefits, coverages, dependent coverage level, effective dates, amounts for co-insurance, co-pays, deductibles, exclusions and limitations.

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