EDI

API DocsTerminal
Transaction Set
in
X12 Release 008010

275 Patient Information

Functional Group PI

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.

Heading

Sequence
Segment
Name
Max use
0100
Transaction Set HeaderMandatory
Max 1
To indicate the start of a transaction set and to assign a control number
0200
Beginning Segment
Max 1
To indicate the beginning of a transaction set
0300
Date/Time Reference
Max 3
To specify pertinent dates and times
0400
Trace
Max 5
To uniquely identify a transaction to an application
1000 Loop
Repeat >1
0500
Individual or Organizational Name
Max 1
To supply the full name of an individual or organizational entity
Loop 1000 identifies a single patient; it also identifies other entities or individuals which include the requester, responder or other organizations.
0600
Individual Identification
Max 1
To provide identification of an individual or entity
0700
Demographic Information
Max 3
To supply demographic information
0800
Provider Information
Max 1
To specify the identifying characteristics of a provider
The PRV segment is only used in Loop 1000 when identifying a requestor or responder who is also a provider.
0900
Administrative Communications Contact
Max 2
To identify a person or office to whom administrative communications should be directed
1000
Reference Information
Max 15
To specify identifying information
1050
Date or Time or Period
Max 1
To specify any or all of a date, a time, or a time period
1100 Loop
Repeat 5
1100
Property or Entity Identification
Max 1
To define the attributes of a property or an entity
1200
Party Location
Max 1
To specify the location of the named party
1300
Geographic Location
Max 1
To specify the geographic place of the named party

Detail

Sequence
Segment
Name
Max use
2000 Loop
Repeat >1
0100
Transaction Set Line Number
Max 1
To reference a line number in a transaction set
0150
Trace
Max 1
To uniquely identify a transaction to an application
The TRN segment in Loop 2000 identifies a previously sent transaction set. The 2000 Loop provides supporting or additional information for that item when TRN is used.
0175
Status Information
Max 1
To report the status, required action, and paid information of a claim or service line
The STC segment in 2000 Loop identifies the status and action requested in a prior transaction when the response is provided in this transaction.
0200
Individual or Organizational Name
Max 1
To supply the full name of an individual or organizational entity
The NM1 segment in Loop 2000 identifies an individual provider within a responder group.
0300
Provider Information
Max 1
To specify the identifying characteristics of a provider
0400
Administrative Communications Contact
Max 1
To identify a person or office to whom administrative communications should be directed
0500
Reference Information
Max 5
To specify identifying information
0540
Health Care Information Codes
Max 2
To supply information related to the delivery of health care
0560
Service Information
Max 1
To supply payment and control information to a provider for a particular service
2100 Loop
Repeat >1
0600
Date or Time or Period
Max 1
To specify any or all of a date, a time, or a time period
0700
Category of Patient Information Service
Max 1
To specify categories of patient information service
0800
Product/Item Description
Max 1
To describe a product or process in coded or free-form format
2110 Loop
Repeat 1
0900
Associated Object Type Identification
Max 1
To identify attributes and status related to the object
1000
Binary Data StructureMandatory
Max 1
To transfer binary data in a single data segment, convey a critical filter for transmission and allow identification of the end of the data segment through a count; there is no identification of the internal structure of the binary data in this segment
1100
Transaction Set TrailerMandatory
Max 1
To indicate the end of the transaction set and provide the count of the transmitted segments (including the beginning (ST) and ending (SE) segments)
Stedi is a registered trademark of Stedi, Inc. Stedi's EDI Reference and Specifications are provided for marketing purposes and are free of charge. All names, logos, and brands of third parties listed on our site are trademarks of their respective owners (including “X12”, which is a trademark of X12 Incorporated). Stedi, Inc. and its products and services are not endorsed by, sponsored by, or affiliated with these third parties. Our use of these names, logos, and brands is for identification purposes only, and does not imply any such endorsement, sponsorship, or affiliation.
Stedi is a registered trademark of Stedi, Inc. Stedi's EDI Reference and Specifications are provided for marketing purposes and are free of charge. All names, logos, and brands of third parties listed on our site are trademarks of their respective owners (including “X12”, which is a trademark of X12 Incorporated). Stedi, Inc. and its products and services are not endorsed by, sponsored by, or affiliated with these third parties. Our use of these names, logos, and brands is for identification purposes only, and does not imply any such endorsement, sponsorship, or affiliation.