Sample EDI 834 Data for the Benefit Enrollment And Maintenance Transaction Set


AgencySet IDFGTransaction DescriptionSubcommitteeStandard
ANSI834BEBenefit Enrollment And Maintenance InsuranceDownload


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Research and Development:
Below is a sample EDI 834 transaction set. The Jobisez.com site has an online translation tool that converts the EDI 834 (Benefit Enrollment And Maintenance) document into a CSV file. If you are researching the 834s, 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.

Solutions:
Are you looking to trade the EDI 834 transaction with one of your trading partners? Do you need an EDI VAN Savings solution to exchange the 834? Or perhaps you would like to use a Cloud-Based application, so you can plug your 834 transaction directly into your ERP and TMS systems. Even small companies have the ability to trade the EDI 834 by using the EDI Mobile Device solution.

Sample of an EDI 834 Transaction Set

ST*834*12345*005010X220A1
BGN*00*12345*20161108*100649****RX
N1*P5*Sun Dental*FI*812265799
N1*IN*Network Health*FI*391442058
INS*Y*18*021**A
REF*0F*S1234567
REF*1L*EMPXXXXX
REF*23*Sun Dental Plan
NM1*IL*1*Doe*John****34*123456789
PER*IP**TE*3052222222
N3*123 SW 152 AVE
N4*MIAMI*FL*33199
DMG*D8*19800101*F
HD*001**DEN**IND
DTP*348*D8*20161101
SE*16*12345


Official Definition:
Data contents of the Benefit Enrollment and Maintenance Transaction Set (834) for use within the context of an Electronic Data Interchange (EDI) environment. This transaction set can be used to establish communication between the sponsor of the insurance product and the payer. Such transaction(s) may or may not take place through a third party administrator (TPA).



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