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Sample EDI 837 Data for the Health Care Claim Transaction Set
| Agency | Set ID | FG | Transaction Description | Subcommittee |
| ANSI | 837 | HC | Health Care Claim | Insurance |
EDI 837 Main Page Online EDI 837 Translation Need Help?
Research and Development:
Below is a sample EDI 837 transaction set. The Jobisez.com site has an online translation tool that converts the EDI 837 (Health Care Claim) 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 837 Transaction Set
| Segment | Entire Segment |
| View | ST*837*0001*005010X225A2 |
| View | BHT*0019*00*204*20200727*0857 |
| View | NM1*41*2*SUBMITTER*****46*SUBMITTER ID |
| View | PER*IC*CONTACT NAME*ED*CONTACT*ED*CONTACT 2*ED*CONTACT 3 |
| View | NM1*40*2*WHAIC*****46*WHAIC 837 |
| View | HL*1**20*1 |
| View | NM1*SJ*2*GOOD SHEP 18.4*****XX*1232345672 |
| View | REF*1J*98765 |
| View | HL*2*1*22*0 |
| View | SBR*P*18*******09 |
| View | NM1*IL*1*MADHU*FU*U***MI*NO INSURANCE |
| View | N3*AHGDH*ASDAHSGD |
| View | N4*BARODA*MA*02124 |
| View | DMG*D8*19911010*M*2 |
| View | NM1*PR*2*SELF*****PI*UNKNOWN |
| View | CLM*9505079*4725***13:A:1 |
| View | DTP*096*TM** |
| View | DTP*434*RD8*20200604-20200604 |
| View | DTP*435*DT*202006040349 |
| View | CL1*1*1*01 |
| View | REF*EA*20024508 |
| View | HI*ABK:A050 |
| View | HI*APR: |
| View | HI*APR:A050 |
| View | NM1*71*1*AAAAAAAAAAAAAAAAAAAAAAAAAA |
| View | REF*1G*OTH000 |
| View | LX*1 |
| View | SV2*0370**4725*UN*2 |
| View | DTP*472*D8*20200604 |
| View | CLM*9505080*4725***13:A:1 |
| View | DTP*096*TM** |
| View | DTP*434*RD8*20200604-20200604 |
| View | DTP*435*DT*202006040908 |
| View | CL1*1*1*01 |
| View | REF*EA*20024508 |
| View | HI*ABK:A040 |
| View | HI*APR: |
| View | HI*APR:A040 |
| View | NM1*71*1*AAAAAAAAAAAAAAAAAAAAAAAAAA |
| View | REF*1G*OTH000 |
| View | LX*1 |
| View | SV2*0370**4725*UN*2 |
| View | DTP*472*D8*20200604 |
| View | SE*44*0001 |
Solutions:
Are you looking to trade the EDI 837 transaction with one of your trading partners? Do you need an EDI VAN Savings solution to exchange the 837? Or perhaps you would like to use a Cloud-Based application, so you can plug your 837 transaction directly into your ERP and TMS systems. Even small companies have the ability to trade the EDI 837 by using the EDI Mobile Device solution.
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