Examples

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

 

Health Insurance Exchange: Enrollment Examples

The business scenarios on this website are provided as illustrative examples only and represent one use of the Technical Report, based on the business model, policies, procedures and assumptions of the scenario and its developers. In some cases the scenarios were developed prior to the availability of specific regulatory or administrative guidance. Such regulatory guidance may subsequently be released. Implementers are cautioned to evaluate whether the scenarios provide a predicted and/or serviceable outcome under the implementers’ own business model, policies, procedures and assumptions in the current regulatory environment

> Enroll Individuals in a Qualified Health Plan through a Health Insurance Exchange
> ASC X12 Version: 005010 | Transaction Set: 834 | TR3 ID: 005010X307

> SHOP enrollment in a Qualified Health Plan through a Health Insurance Exchange
> ASC X12 Version: 005010 | Transaction Set: 834 | TR3 ID: 005010X307