EDI Services Company - 275 Patient Information x12 edi provided by gedims.com

x12 275 Patient Information

275 Specifications

 The x12 Transaction Set contains the format and establishes the data contents of the Patient Information Transaction Set (275) for use within the context of an Electronic Data Interchange (EDI) environment. This transaction set can be used to communicate individual patient information requests and patient information (either solicited or unsolicited) between separate health care entities in a variety of settings to be consistent with confidentiality and use requirements. Patient information consists of demographic, clinical, and other supporting data.

275 Example

ISA*00* *00* *01*1234567890 *01*999999999 *120126*1211*U*00401*000000333*0*P~
GS*ME*1234567890 *999999999 *20120126*1211*1*T*004010~
ST*275*0001~
TRN*1*Reference Identification*Origination~
NM1*01*1*Name Last or Organization Name****Name Suffi*1*Identification Code*01*01~
DMG*CC*Date Time Period*A*A**1*COU~
LX*169211~
DTP*001*CC*Date Time Period~
CAT*01*1*Version Identifier*0*Industry Code*Industry Code*Version Identifier~
PID*F**10*Product Desc*Description*1S*Source Subquali*N~
SE*9*0001~
GE*1*1~
IEA*1*000000333~