Sample EDI 278 Data for the Health Care Services Review Information Transaction Set


AgencySet IDFGTransaction DescriptionSubcommittee
ANSI278HIHealth Care Services Review Information Insurance


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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

SegmentEntire Segment
ViewST*278*0001*005010X217
ViewBHT*0007*13*AR1117602*20191220*1720
ViewHL*1**20*1
ViewNM1*X3*2*GLOBALHEALTH*****PI*62308
ViewHL*2*1*21*1
ViewNM1*1P*1*REED*CHERYL****XX*1447222914
ViewREF*EI*621619239
ViewN3*1915 WHITE AVE.
ViewN4*KNOXVILLE*KY*37916
ViewHL*3*2*22*1
ViewNM1*IL*1*SMITH*ROGER****MI*37022514601
ViewREF*6P*1020161
ViewDMG*D8*19490318*M
ViewHL*4*3*EV*0
ViewTRN*1*AR1117602*1260014405
ViewUM*SC*I*ON*11:B
ViewREF*BB*AR1117602
ViewDTP*AAH*RD8*20190613-20190713
ViewHI*ABK:C210
ViewHSD*VS*999
ViewCL1*3*1
ViewNM1*SJ*1*REED*CHERYL****XX*1447222914
ViewN3*123 PARK WAY
ViewN4*NEWYORK*NY*11111
ViewSE*25*0001

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