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EDI 834-A1 Benefit Enrollment and Maintenance
What is EDI 834-A1 Benefit Enrollment and Maintenance?
EDI allows enterprises to send crucial business information electronically. There are various types of EDIs, such as EDI 850, EDI 810, EDI 834, and many others. However, the EDI 834 -A1 transaction set is used for conveying member enrollment details, such as plan subscription and employee demographic information. This transaction set is also used for new enrollments, changes in the member’s existing enrollment information, and disenrollment of members.
EDI X12 834-A1 Benefit Enrollment and Maintenance Sample
The following example details the format of an EDI 834 document[1].
ST*834*0001*005010X220A1~
BGN*00*XXX20110524C002*20110524*2215****2~
REF*38*G02408~
DTP*007*D8*20110524~
N1*P5*SUMMACARE ENROLL*FI*99-9999999~
N1*IN*SUMMACARE*FI*999999999~
INS*Y*18*021*28*A***FT~
REF*0F*111224444~
REF*1L*G04559SB~
DTP*336*D8*20110501~
NM1*IL*1*DOE*JOHN*I~
PER*IP**HP*3305551111~
N3*486 SOME STREET~
N4*AKRON*OH*44313~
DMG*D8*19640101*M~
HD*021**HLT~
DTP*348*D8*20110601~
LX*1~
NM1*P3*1******SV*170*25~
SE*20*0001~
Workflow for the Exchange of EDI 834-A1 Benefit Enrollment and Maintenance
Upon receiving an EDI 834-A1 document, the recipient sends an EDI 999 Implementation Acknowledgement to confirm that the file was received and provide feedback on the acceptance of the document.
Stay EDI Compliant with Astera EDIConnect
Designed to facilitate electronic data interchange, Astera EDIConnect is an intuitive, code-free solution that supports EDIFACT and ANSI X12 EDI formats. With a built-in EDI parser, validator, and transaction builder, Astera EDIConnect makes the process of sending and receiving EDI documents simple and easy.
