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


AgencySet IDFGTransaction DescriptionSubcommittee
ANSI271HBEligibility, Coverage Or Benefit Information Insurance


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Research and Development:
Below is a sample EDI 271 transaction set. The Jobisez.com 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.

Sample of an EDI 271 Transaction Set

ST*271*112352116*005010X279A1
BHT*0022*11*59484403*20180927*170250
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
SE*404*112352116

Solutions:
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.



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