Sample EDI 835 Data for the Health Care Claim Payment / Advice Transaction Set


AgencySet IDFGTrans DescCommittee
ANSI835HPHealth Care Claim Payment / Advice Insurance


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Below is a sample EDI 835 transaction set. The Jobisez.com site has an online translation tool that converts the EDI 835 (Health Care Claim Payment / Advice) document into a CSV file. If you are researching the 835s, you can view other trading partner's mapping specifications. You can also gain knowledge by researching all EDI Document Types. Jobisez LLC can also provide assistance if you need additional help.

Sample of an EDI 835 Transaction Set

Entire Segment
ST*835*000000001
BPR*I*12433.47*C*ACH*CCP*01*041203824*DA*9653481425*1203174593**01*111000614*
TRN*1*0927974940*1203174593
REF*EV*999999999999999
DTM*405*20251014
N1*PR*AMBETTER
N3*7700 FORSYTH
N4*ST LOUIS*MO*63105
PER*CX*EDI SUPPORT DESK*TE*8002252573
PER*BL*EDI HELPDESK*TE*8002252573
N1*PE*SENIOR CARE PROVIDERS*XX*1841824489
N3*21396 PROVINCIAL BLVD
N4*KATY*TX*77450
REF*TJ*843959949
LX*1
CLP*4043215652*1*490*244.26*38.44*MC*Y279MPEY4417**1
NM1*QC*1*AKTER*ATIFA****MI*U9368349702
NM1*IL*1*KADER*MOHAMMAD****MI*U9368349701
NM1*82*1*MANSOUR*MOHAMED****XX*1871809442
REF*EA*000000413589
AMT*AU*282.7
SVC*HC:99214:25*160*128.96
DTM*472*20251003
CAS*CO*45*31.04
REF*6R*995730944L1365980181
AMT*B6*128.96
SVC*HC:93923*250*95.14
DTM*472*20251003
CAS*CO*45*123.14
CAS*PR*2*31.72*1
REF*6R*995730944L1365980182
AMT*B6*126.86
SVC*HC:94010*80*20.16
DTM*472*20251003
CAS*CO*45*53.12
CAS*PR*2*6.72*1
REF*6R*995730944L1365980183
AMT*B6*26.88
LX*2
CLP*4043215610*1*130*62.45**MC*Y279MPEY4818**1
NM1*QC*1*AL FARAH*HABIB****MI*U9135075602
NM1*IL*1*SWEIS*AMAL****MI*U9135075601
NM1*82*1*MANSOUR*MOHAMED****XX*1871809442
REF*EA*000000413590
AMT*AU*62.45
SVC*HC:99490*130*62.45
DTM*472*20250731
CAS*CO*45*67.55
REF*6R*995731690L1365981790
AMT*B6*62.45
LX*3
CLP*4044843474*1*160*128.96**MC*Y280MPEM8996**1
NM1*QC*1*AL RSHAIDAT*EMAD****MI*U9529443501
NM1*IL*1*AL RSHAIDAT*EMAD****MI*U9529443501
NM1*82*1*MANSOUR*MOHAMED****XX*1871809442
REF*EA*000000413592
AMT*AU*128.96
SVC*HC:99214*160*128.96
DTM*472*20250930
CAS*CO*45*31.04
REF*6R*995731628L1366385674
AMT*B6*128.96
LX*4
CLP*4043215492*1*200*135.24**MC*Y279MPEY4453**1
NM1*QC*1*BROOKS*LATERRIA****MI*UZ099513601
NM1*IL*1*BROOKS*LATERRIA****MI*UZ099513601
NM1*82*1*AL HADAD*SUDAD K****XX*1558922625
REF*EA*000000413653
AMT*AU*135.24
SVC*HC:99487*200*135.24
DTM*472*20250831
CAS*CO*45*64.76
REF*6R*995731687L1365981787
AMT*B6*135.24
LX*5
CLP*4043215585*1*450*208.94**MC*Y279MPEY4510**1
NM1*QC*1*DUNN*VERLONDA****MI*U9660978801
NM1*IL*1*DUNN*VERLONDA****MI*U9660978801
NM1*82*1*AL HADAD*SUDAD K****XX*1558922625
REF*EA*000000413655
AMT*AU*208.94
SVC*HC:99204:25*200*84.22
DTM*472*20250930
CAS*CO*45*115.78
REF*6R*995731637L1365981710
AMT*B6*84.22
SVC*HC:99396*250*124.72
DTM*472*20250930
CAS*CO*45*125.28
REF*6R*995731637L1365981711
AMT*B6*124.72
LX*6
CLP*4043215558*1*150*42.42*20*MC*Y279MPEY3697**1
NM1*QC*1*FLORES-RIBON*ERIKA****MI*UZ111631101
NM1*IL*1*FLORES-RIBON*ERIKA****MI*UZ111631101
NM1*82*1*AL HADAD*SUDAD K****XX*1558922625
REF*EA*000000413656
AMT*AU*62.42
SVC*HC:99402*150*42.42
DTM*472*20251003
CAS*CO*45*87.58
CAS*PR*3*20*1
REF*6R*995730939L1365980171
AMT*B6*62.42
LX*7
CLP*4043215495*1*160*128.96**MC*Y279MPEY4994**1
NM1*QC*1*ALLEN*ERIC****MI*UZ060687001
NM1*IL*1*ALLEN*ERIC****MI*UZ060687001
NM1*82*1*MANSOUR*MOHAMED****XX*1871809442
REF*EA*000000413594
AMT*AU*128.96
SVC*HC:99214*160*128.96
DTM*472*20251001
CAS*CO*45*31.04
REF*6R*995730981L1365980252
AMT*B6*128.96
LX*8
CLP*4043215534*1*160*128.96**MC*Y279MPEY4351**1
NM1*QC*1*ARELLANO*MARIA****MI*U9614735901
NM1*IL*1*ARELLANO*MARIA****MI*U9614735901
NM1*82*1*MANSOUR*MOHAMED****XX*1871809442
REF*EA*000000413595
AMT*AU*128.96
SVC*HC:99214*160*128.96
DTM*472*20251006
CAS*CO*45*31.04
REF*6R*995730933L1365980164
AMT*B6*128.96
LX*9
CLP*4043215650*1*200*135.24**MC*Y279MPEY4761**1
NM1*QC*1*ILORI-OLADELE*OLABIYI****MI*UZ122324301
NM1*IL*1*ILORI-OLADELE*OLABIYI****MI*UZ122324301
NM1*82*1*AL HADAD*SUDAD K****XX*1558922625
REF*EA*000000413657
AMT*AU*135.24
SVC*HC:99487*200*135.24
DTM*472*20250930
CAS*CO*45*64.76
REF*6R*995731645L1365981726
AMT*B6*135.24
LX*10
CLP*4043215531*1*160*128.96**MC*Y279MPEY5512**1
NM1*QC*1*ILORI-OLADELE*OLABIYI****MI*UZ122324301
NM1*IL*1*ILORI-OLADELE*OLABIYI****MI*UZ122324301
NM1*82*1*AL HADAD*SUDAD K****XX*1558922625
REF*EA*000000413658
AMT*AU*128.96
SVC*HC:99214*160*128.96
DTM*472*20251002
CAS*CO*45*31.04
REF*6R*995730961L1365980211
AMT*B6*128.96
LX*11
CLP*4043215526*1*450*186.53*15*MC*Y279MPEY5110**1
NM1*QC*1*KHANAM*TOHURA****MI*U9241768402
NM1*IL*1*MUZTABA*AHMED****MI*U9241768401
NM1*82*1*AL HADAD*SUDAD K****XX*1558922625
REF*EA*000000413660
AMT*AU*201.53
SVC*HC:99204:25*200*69.22
DTM*472*20250930
CAS*CO*45*115.78
CAS*PR*3*15*1
REF*6R*995731643L1365981723
AMT*B6*84.22
SVC*HC:99395*250*117.31
DTM*472*20250930
CAS*CO*45*132.69
REF*6R*995731643L1365981724
AMT*B6*117.31
LX*12
CLP*4043215631*1*410*181.79**MC*Y279MPEY4962**1
NM1*QC*1*CASTILLO*ANTHONY****MI*UZ141708601
NM1*IL*1*CASTILLO*ANTHONY****MI*UZ141708601
NM1*82*1*MANSOUR*MOHAMED****XX*1871809442
REF*EA*000000413597
AMT*AU*181.79
SVC*HC:99214:25*160*64.48
DTM*472*20251001
CAS*CO*45*95.52
REF*6R*995730980L1365980246
AMT*B6*64.48
SVC*HC:99395*250*117.31
DTM*472*20251001
CAS*CO*45*132.69
REF*6R*995730980L1365980247
AMT*B6*117.31
LX*13
CLP*4043215505*1*160*98.96*30*MC*Y279MPEY4202**1
NM1*QC*1*DANIELS*DONDRE****MI*U9822915301
NM1*IL*1*DANIELS*DONDRE****MI*U9822915301
NM1*82*1*MANSOUR*MOHAMED****XX*1871809442
REF*EA*000000413599
AMT*AU*128.96
SVC*HC:99214*160*98.96
DTM*472*20251003
CAS*CO*45*31.04
CAS*PR*3*30*1
REF*6R*995730942L1365980177

Solutions:
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