EDI 275 Format
ISA*01*0000000000*01*0000000000*ZZ*ABCDEFGHIJKLMNO*ZZ*123456789012345*101127*1719*U*00400*000003438*0*P*>
GS*ME*1234567890 *999999999 *20120126*1211*1*T*004010
ST*275*0001
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
LX*169211
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
SE*9*0001
GE*1*1
IEA*1*000000333
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.
