INSURANCE/HEALTH

EDI Documents For Insurance & Health

EDI DOCUMENTS FOR INSURANCE/HEALTH

Following is a list of the approved EDI version 4 ANSI X12 documents for Insurance/Health transactions. You will likely only a some subset of the documents listed to become EDI compliant with your Trading Partner.

Please note that, although their are written "standards" for each EDI document, the standards are written very loosely so that the Trading Partners, themselves, can decide on the specific structure and format, although, usually one Trading Partner dictates the format to the other.

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Insurance/Health (INS)
Document Description
100Insurance Plan Description
112Property Damage Report
148Report of Injury, Illness or Incident
186Insurance Underwriting Requirements Reporting
252Insurance Producer Administration
255Underwriting Information Services
267Individual Life, Annuity and Disability Application
268Annuity Activity
270Eligibility, Coverage or Benefit Inquiry
271Eligibility, Coverage or Benefit Information
272Property and Casualty Loss Notification
273Insurance/Annuity Application Status
274Health Care Provider Information
275Patient Information
276Health Care Claim Status Request
277Health Care Claim Status Notification
278Health Care Services Review Information
288Wage Determination
362Cargo Insurance Advice of Shipment
500Medical Event Reporting
820Premium Payments
834Benefit Enrollment and Maintenance
835Health Care Claim Payment/Advice
837Health Care Claim
924Loss or Damage Claim - Motor Vehicle
925Claim Tracer
926Claim Status Report and Tracer Reply
928Automotive Inspection Detail

Which EDI Documents Are Most Important To Improving
Supply Chain Performance?

EDI DOCUMENTS MOST IMPORTANT
TO IMPROVING SUPPLY CHAIN PERFORMANCE


ADVANCED SHIPMENT NOTIFICATIONS - 85%      
PURCHASE ORDER ACKNOWLEDGEMENTS - 84%      
CUSTOMER ORDER CAPTURES - 79%      
PURCHASE ORDER CHANGES - 73%      
ORDER STATUS MESSAGES - 70%      
* Supply Chain Insights, LLC; B2B Study, June-September 2013. Survey of Manufacturers, Retailers, Distributors & others currently using EDI.