Examples

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

 

835 Health Care Claim Payment/Advice Examples

> Dollars and Data Sent Together
> ASC X12 Version: 005010 | Transaction Set: 835 | TR3 ID: 005010X221

> Dollars and Data Sent Separately
> ASC X12 Version: 005010 | Transaction Set: 835 | TR3 ID: 005010X221

> Payments
> ASC X12 Version: 005010 | Transaction Set: 835 | TR3 ID: 005010X221

> ERA Sample
> ASC X12 Version: 005010 | Transaction Set: 835 | TR3 ID: 005010X221A1

> Multiple Claims Single Check
> ASC X12 Version: 005010 | Transaction Set: 835 | TR3 ID: 005010X221A1