ASC X12 Version: 005010 | Transaction Set: 834 | TR3 ID: 005010X220
Example 5: Change subscriber information
John Doe is correcting his date of birth.
Used to indicate the start of a transaction set and to specify a transaction set control number.
This is an original transaction uniquely identified by the sender with reference #12456. The transaction was created on 5/20/1998 at 12:00 Noon.
Specifies the sponsor/sender's tax ID number.
Specifies the insurance company/receiver's tax ID number.
Beginning of Table 2. Indicates that the subscriber (John Doe) is updating coverage as an active employee.
John's subscriber ID number.
This is the group number assigned by the carrier.
Members name and ssn.
This is John's date of birth and gender.
Subscriber's name. The NM101 = 70 indicates that this is a change to information previously sent.
This is John's incorrect date of birth.
End of transaction set. 12 segments were sent and the control number in the ST segment is 12345.