+01 (909) 494-2134 This email address is being protected from spambots. You need JavaScript enabled to view it.

x12 100 Insurance Plan Description

100 Example

ISA*00* *00* *01*1234567890 *01*999999999 *120125*1325*U*00401*000000001*0*P~
GS*PG*1234567890 *999999999 *20120125*1325*1*T*004010~
ST*100*0001~
BGN*00*Reference Identification*20120125*1325*01*Reference Identification*01*1*00~
C3*CUR*433283*CUR*CUR~
DTP*001*CC*Date Time Period~
NM1*01*1*Name Last or Organization Name*Name First*Name Middle*Name Prefi*Name Suffi*1*Identification Code*01*01~
N3*Address Information*Address Information~
N4*City Name*ST*POSTAL CODE*COU*A*Location Identifier~
REF*01*Reference Identification*Description*01\Reference Identification\01\Reference Identification\01\Reference Identification~
PER*1A*Name*AA*Communication Number*AA*Communication Number*AA*Communication Number*Contact Inquiry Refe~
PER*1A*Name*AA*Communication Number*AA*Communication Number*AA*Communication Number*Contact Inquiry Refe~
PER*1A*Name*AA*Communication Number*AA*Communication Number*AA*Communication Number*Contact Inquiry Refe~
N1*01*Name*1*Identification Code*01*01~
N2*Name*Name~
N3*Address Information*Address Information~
N4*City Name*ST*POSTAL CODE*COU*A*Location Identifier~
COM*AA*Communication Number~
III*0*Industry Code*01*Free-Form Message ~
Text*21485498*01\4\3158\01\30293911918169\71562414\01\98\22\01\242598854187\29853\01\206791526722\2*1S*1S*1S~
MSG*Free-Form Message Text*AA*6187232~
PER*1A*Name*AA*Communication Number*AA*Communication Number*AA*Communication Number*Contact Inquiry Refe~
N3*Address Information*Address Information~
N4*City Name*ST*POSTAL CODE*COU*A*Location Identifier~
PID*F*01*10*Product Desc*Description*1S*Source Subquali*N*LAN~
LIN*Assigned Identificat*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service~
ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service~
ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID~
DTP*001*CC*Date Time Period~
NM1*01*1*Name Last or Organization Name*Name First*Name Middle*Name Prefi*Name Suffi*1*Identification Code*01*01~
BLI*A1*Product/Service ID*27920257061*01*ACT*2798913313178101*01*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*1*1*1*1*1~
DTP*001*CC*Date Time Period~
III*0*Industry Code*01*Free-Form Message~
Text*19*01\58091304630633\213771918\01\2\4539111\01\32422858125946\1457323733\01\395292\1068\01\231383050086\90271483*1S*1S*1S~
AMT*1*514476602*C~
QTY*01*65*01\260941387\304321657\01\29381113216\166161\01\2\23743\01\25624235013121\7311781225\01\21052541\2~
SI*10*Se*Product/Service ID*Se*Product/Service ID*Se*Product/Service ID*Se*Product/Service ID*Se*Product/Service ID*Se*Product/Service~
ID*Se*Product/Service ID*Se*Product/Service ID*Se*Product/Service ID*Se*Product/Service ID~
AMT*1*538813688*C~
QTY*01*1479*01\174811539\1637885\01\350323529\221217\01\3256915\1696826\01\129\218314\01\257821719732038\1~
AM1*01*A1*Product/Service ID*124402331*245*29956146~
MSG*Free-Form Message Text*AA*258~
PO1*Assigned Identificat*4841*01*7561*AA*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service~
ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID~
LIN*Assigned Identificat*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service~
ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service~
ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID~
SPA*01*CC*Date Time Period*1*15*001*001*001*10*Product Desc*Source Subquali~
III*0*Industry Code*01*Free-Form Message Text*17119*01\23325\1073\01\2125505\24661\01\5501036\2004\01\2\14\01\2\2795*1S*1S*1S~
N4*City Name*ST*POSTAL CODE*COU*A*Location Identifier~
SPA*01*CC*Date Time Period*1*1495*001*001*001*10*Product Desc*Source Subquali~
AM1*01*A1*Product/Service ID*3056328601*26957647*1439~
MSG*Free-Form Message Text*AA*20147~
PO1*Assigned Identificat*3065*01*12199*AA*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service~
ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID*A1*Product/Service ID~
SPA*01*CC*Date Time Period*1*2596930853611*001*001*001*10*Product Desc*Source Subquali~
SPA*01*CC*Date Time Period*1*136662354327753*001*001*001*10*Product Desc*Source Subquali~
III*0*Industry Code*01*Free-Form Message Text*169834*01\2385523\119134\01\24922\66827451\01\24\2\01\12\1\01\2761465761\16*1S*1S*1S~
SE*48*0001~
GE*1*1~
IEA*1*000000001~

Address

   Global EDI Management Services
   1900 W Redlands Blvd #13035
     San Bernardino CA 92423

   (909) 494-2134
   Email Us Here
   Mo-Fr: 07.00 - 17.00 PST
  www.gedims.com



It's your destination for data translation.

    

Latest News

With many years of experience and successful EDI implementations under our belt, GEDIMS has developed a methodology that will keep your business on the right track.

Written on 16 January 2018


Electronic data interchange and file translation services for all businesses, we will reduce your manual data entry and increase productivity.

Written on 14 November 2017