EDI 275 Segments for the Patient Information Transaction Set

AgencySet IDFGTransaction DescriptionSubcommittee
ANSI275PIPatient Information Insurance

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Research and Development:
See the list of EDI 275 segments in below data grid. Click on the links in the 'Segments' column in the below data grid to view all of the Elements for for that Segment. The Jobisez.com site has an online translation tool that converts the EDI 275 (Patient Information) document into a CSV file. For more detailed information, you can view a sample EDI 275 document by analyzing a transaction set example. If you are researching the 275s, 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.

The EDI 275 Segments

Segment DetailsDescriptionSectReqMax LoopMax UsagePos
BGNBeginning SegmentHO011
DTMDate/Time ReferenceHO032
NM1Individual Or Organizational NameHO99999914
IN1Individual IdentificationHO015
DMGDemographic InformationHO036
PRVProvider InformationHO017
PERAdministrative Communications ContactHO028
REFReference InformationHO059
DTPDate Or Time Or PeriodHO0110
NX1Property Or Entity IdentificationHO5111
N3Party LocationHO0112
N4Geographic LocationHO0113
LXTransaction Set Line NumberDO999999114
STCStatus InformationDO0116
NM1Individual Or Organizational NameDO0117
PRVProvider InformationDO0118
PERAdministrative Communications ContactDO0119
REFReference InformationDO0520
DTPDate Or Time Or PeriodDO999999121
CATCategory Of Patient Information ServiceDO0122
PIDProduct/Item DescriptionDO0123
EFIElectronic Format IdentificationDO1124
BINBinary Data SegmentDM0125

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