EDI 275 Patient Information Specifications

EDI 275 Format


GS*ME*1234567890 *999999999 *20120126*1211*1*T*004010


TRN*1*Reference Identification*Originatin

NM1*01*1*Name Last or Organization Name****Name Suffi*1*Identification Code*01*01

DMG*CC*Date Time Period*A*A**1*COU


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




EDI 275 Specification

This 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.


Accredited Standards Committee X12. ASC X12 Standard [Table Data]. Data Interchange Standards Association, Inc., Falls Church, VA. http://www.x12.org

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