Sample EDI 275 Data for the Patient Information Transaction Set


AgencySet IDFGTransaction DescriptionSubcommittee
ANSI275PIPatient Information Insurance


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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. If you are researching the 275s, 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 275 Transaction Set

ST*275*1234*005010X211
BGN*02*123456789*20060424*1244
NM1*1P*1*POPDELL*ROBERT****24*4376557IM
NM1*PR*2*AETNA 1234560010*****PI*PAYER123
NM1*IL*1*SMITH*SARA****MI*352584768003G
LX*1
TRN*1*JONP56789001
DTP*368*D8*20060331
CAT*AE*HL
EFI*05***************ASC
BIN*4896*ABCDEFG
SE*12*1234

Solutions:
Are you looking to trade the EDI 275 transaction with one of your trading partners? Do you need an EDI VAN Savings solution to exchange the 275? Or perhaps you would like to use a Cloud-Based application, so you can plug your 275 transaction directly into your ERP and TMS systems. Even small companies have the ability to trade the EDI 275 by using the EDI Mobile Device solution.



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