Examples

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

 

834 - Benefit Enrollment and Maintenance

> Enroll an Employee in Multiple Health Care Insurance Products
> ASC X12 Version: 005010 | Transaction Set: 834 | TR3 ID: 005010X220

> Add a Dependent (Full-time Student) to an Existing Enrollment
> ASC X12 Version: 005010 | Transaction Set: 834 | TR3 ID: 005010X220

> Enroll an Employee in a Managed Care Product
> ASC X12 Version: 005010 | Transaction Set: 834 | TR3 ID: 005010X220

> Add Subscriber Coverage
> ASC X12 Version: 005010 | Transaction Set: 834 | TR3 ID: 005010X220

> Change subscriber information
> ASC X12 Version: 005010 | Transaction Set: 834 | TR3 ID: 005010X220

> Cancel a dependent
> ASC X12 Version: 005010 | Transaction Set: 834 | TR3 ID: 005010X220

> Terminate Eligibility for a Subscriber
> ASC X12 Version: 005010 | Transaction Set: 834 | TR3 ID: 005010X220

> Reinstate an Employee
> ASC X12 Version: 005010 | Transaction Set: 834 | TR3 ID: 005010X220

> Reinstate the Employee at the Coverage (HD) Level
> ASC X12 Version: 005010 | Transaction Set: 834 | TR3 ID: 005010X220

> Reinstate member eligibility (INS)
> ASC X12 Version: 005010 | Transaction Set: 834 | TR3 ID: 005010X220