Examples

Providing implementers with examples that clarify the use of ASC X12 transaction sets.

 

276/277 Examples

> Claim Level Status
> ASC X12 Version: 005010 | Transaction Set: 276/277 | TR3 ID: 005010X212

> Provider Level Status
> ASC X12 Version: 005010 | Transaction Set: 276/277 | TR3 ID: 005010X212

> Information Receiver Level Status
> ASC X12 Version: 005010 | Transaction Set: 276/277 | TR3 ID: 005010X212

> Claim Level Status with NCPDP Reject/Payment Code
> ASC X12 Version: 005010 | Transaction Set: 276/277 | TR3 ID: 005010X212