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Sample EDI 278 Data for the Health Care Services Review Information Transaction Set
| Agency | Set ID | FG | Trans Desc | Committee |
| ANSI | 278 | HI | Health Care Services Review Information | Insurance |
EDI 278 Main Page Online EDI 278 Translation Need Help?
Research and Development:
Below is a sample EDI 278 transaction set. The Jobisez.com site has an online translation tool that converts the EDI 278 (Health Care Services Review 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 278 Transaction Set
| Entire Segment |
| ST*278*0001*005010X217 |
| BHT*0007*13*AR1117602*20191220*1720 |
| HL*1**20*1 |
| NM1*X3*2*GLOBALHEALTH*****PI*62308 |
| HL*2*1*21*1 |
| NM1*1P*1*REED*CHERYL****XX*1447222914 |
| REF*EI*621619239 |
| N3*1915 WHITE AVE. |
| N4*KNOXVILLE*KY*37916 |
| HL*3*2*22*1 |
| NM1*IL*1*SMITH*ROGER****MI*37022514601 |
| REF*6P*1020161 |
| DMG*D8*19490318*M |
| HL*4*3*EV*0 |
| TRN*1*AR1117602*1260014405 |
| UM*SC*I*ON*11:B |
| REF*BB*AR1117602 |
| DTP*AAH*RD8*20190613-20190713 |
| HI*ABK:C210 |
| HSD*VS*999 |
| CL1*3*1 |
| NM1*SJ*1*REED*CHERYL****XX*1447222914 |
| N3*123 PARK WAY |
| N4*NEWYORK*NY*11111 |
| SE*25*0001 |
Solutions:
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