Sample EDI 277 Data for the Health Care Information Status Notification Transaction Set


AgencySet IDFGTransaction DescriptionSubcommittee
ANSI277HNHealth Care Information Status Notification Insurance


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Below is a sample EDI 277 transaction set. The Jobisez.com site has an online translation tool that converts the EDI 277 (Health Care Information Status Notification) 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 277 Transaction Set

SegmentEntire Segment
ViewST*277*0001*005010X212
ViewBHT*0010*11*xxxxxxxxxxx*20111111*111111*xx
ViewHL*1**20*1
ViewNM1*PR*1*xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx*****xx*11111
ViewPER*IC*xxxxxxxxxxxxxxxxxxxxxxx*xx*1111111111
ViewHL*2*1*21*1
ViewNM1*41*1*xxxxxxxxxxxxxxxxxxxxxxxxxxxxxx*****11*xxxxxx
ViewHL*3*2*19*1
ViewNM1*1P*1*xxxxxxxxxxxxxxxxxxxx*****xx*1111111111
ViewHL*4*3*22*0
ViewNM1*IL*1*xxxxxx*xxxxxxxx****xx*xxxxxxxxxxxx
ViewTRN*2*xxxxxxxxxxx
ViewSTC*F2:111*20111111**1111
ViewREF*1K*xxxxxxxxxxxxxxxx
ViewDTP*472*RD8*20111111-20111111
ViewSVC*HC:11111*1111*1****1
ViewSTC*F2:111*20111111
ViewDTP*472*RD8*20111111-20111111
ViewHL*5*3*22*0
ViewNM1*IL*1*xxxxxxx*xxxxxx****xx*xxxxxxxxxxxx
ViewTRN*2*xxxxxxxxxxx
ViewSTC*E0:11*20111111**1
ViewDTP*472*RD8*20111111-20111111
ViewHL*6*2*19*1
ViewNM1*1P*1*xxxxxxxxxxxxxxxxxxxx*****xx*1111111111
ViewHL*7*6*22*1
ViewNM1*IL*1*xxxxx*xxxx****xx*xxxxxxxxxxxx
ViewHL*8*7*23
ViewNM1*QC*1*xxxxx*xxxxx
ViewTRN*2*xxxxxxxxxxx
ViewSTC*F2:111*20111111**1111
ViewREF*1K*xxxxxxxxxxxxxxxx
ViewREF*EJ*xxxxxxxxxxxxxxxxxxxxxxxx
ViewDTP*472*RD8*20111111-20111111
ViewSVC*HC:11111*1111*1****1
ViewSTC*F2:11*20111111
ViewDTP*472*RD8*20111111-20111111
ViewTRN*2*xxxxxxxxxxx
ViewSTC*F2:111*20111111**1111
ViewREF*1K*xxxxxxxxxxxxxxxx
ViewDTP*472*RD8*20111111-20111111
ViewSVC*HC:11111*1111*1****1
ViewSTC*F2:11*20111111
ViewDTP*472*RD8*20111111-20111111
ViewTRN*2*xxxxxxxxxxx
ViewSTC*F2:111*20111111**1111
ViewREF*1K*xxxxxxxxxxxxxxxx
ViewDTP*472*RD8*20111111-20111111
ViewSVC*HC:11111:11*1111*1****1
ViewSTC*F2:111:xx*20111111
ViewDTP*472*RD8*20111111-20111111
ViewSVC*HC:11111*1111*1****1
ViewSTC*F2:111*20111111
ViewDTP*472*RD8*20111111-20111111
ViewHL*9*6*22*0
ViewNM1*IL*1*xxxxxx*xxxxxxx****xx*xxxxxxxxxxxxxx
ViewTRN*2*xxxxxxxxxxx
ViewSTC*F2:111*20111111**1111
ViewREF*1K*xxxxxxxxxxxxxxxx
ViewDTP*472*RD8*20111111-20111111
ViewSVC*HC:11111*1111*1****1
ViewSTC*F2:11:xx*20111111
ViewDTP*472*RD8*20111111-20111111
ViewHL*10*6*22*0
ViewNM1*IL*1*xxxxx*xxxxx****xx*xxxxxxxxxxxx
ViewTRN*2*xxxxxxxxxxx
ViewSTC*E0:11*20111111
ViewDTP*472*RD8*20111111-20111111
ViewSE*69*0001

Solutions:
Are you looking to trade the EDI 277 transaction with one of your trading partners? Do you need an EDI VAN Savings solution to exchange the 277? Or perhaps you would like to use a Cloud-Based application, so you can plug your 277 transaction directly into your ERP and TMS systems. Even small companies have the ability to trade the EDI 277 by using the EDI Mobile Device solution.



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