X12 834 and 820: Enrollment and Premium Payments
How employers and exchanges send member enrollments to payers (834) and pay premiums (820), with the key loops and maintenance codes.
X12 834 and 820: Enrollment and Premium Payments
Coming soon. This post is a placeholder in the US Healthcare learning path. The outline below is what it will cover.
What this post will cover
- 834 structure: sponsor, payer, member and coverage loops
- Maintenance type codes: add, change, terminate, reinstate
- Full files vs change files
- 820 premium payments and remittance
- Common enrollment errors and reconciliation
Further watching
From the HealthTech Decoded channel:
Where this fits
Level 3 · Health data exchange › Healthcare EDI (ANSI X12)
This post is licensed under CC BY 4.0 by the author.