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Sample EDI 275 Data for the Patient Information Transaction Set
| Agency | Set ID | FG | Trans Desc | Committee |
| ANSI | 275 | PI | Patient Information | Insurance |
EDI 275 Main Page Online EDI 275 Translation Need Help?
Research and Development:
Below is a sample EDI 275 transaction set. The Jobisez.com site has an online translation tool that converts the EDI 275 (Patient Information) document into a CSV file. 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 275 Transaction Set
| Entire Segment |
| ST*275*0001 |
| TRN*1*Reference Identification*Originatin |
| NM1*01*1*Name Last or Organization Name****Name Suffi*1*Identification Code*0 |
| DMG*CC*Date Time Period*A*A**1*COU |
| LX*169211 |
| DTP*001*CC*Date Time Period |
| CAT*01*1*Version Identifier*0*Industry Code*Industry Code*Version Identifier |
| PID*F**10*Product Desc*Description*1S*Source Subquali*N |
| SE*9*0001 |
Solutions:
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