Section title: X12 EDI Examples
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ASC X12 Version: 008010 | Transaction Set: 278 | TR3 ID: 008010X342

Business Scenario - Admission request for a multiple birth newborn

A Provider submits an initial admission request for a multiple birth newborn using the X342 8010 version.

Inbound Transmission Explanation

ST*278*1001*008010X342~

Submitter transaction identifier

BHT*0007*13*16139462398*20200624*0734~

HL*1**20*1~

Payer Loop

NM1*X3*2*PAYOR A*****PI*1234567~

HL*2*1*21*1~

Requesting Entity Loop

NM1*1P*1*PCPLASTNAME*PCPFIRSTNAME****XX*1234567899~

Requesting Entity

PER*IC*CONTACT NAME*TE*5556368147*EX*551~

Contact Name and other information

HL*3*2*22*1~

Subscriber Loop

NM1*IL*1*SUBLASTNAME*SUBFIRSTNAME****MI*MEMBERID#~

Member Data

DMG*D8*19560708*M~

HL*4*3*23*1~

Dependent Loop

NM1*QC*1*DEPLASTNAME*BABY BOY 1~

Dependent data

DMG*D8*20200508*M~

INS*N*19***************1~

INS used to describe Birth Sequence Number

HL*5*4*EV*0~

Event Loop

UM*AR*I*65*21:B~

Admission*Initial, Newborn Care, *IP Hospital

DTP*435*D8*20200702~

Admission Date=7/2/20

HI*ABJ:Z3868~

Admitting Diagnosis

HSD*DY*3~

Length of Stay

MSG*PROVIDER COMMENTS CAN GO HERE~

Additional information

NM1*71*1*PROVIDER*ATTENDING****XX*1234567898~

NM1*DO*1*PROVIDER*ADMITTING****XX*1234567899~

Event Provider role identification

NM1*FA*2*FACILITY NAME*****XX*1234567888~

SE*24*1001~

Outbound Transmission Explanation

ST*278*1001*008010X342~

Submitter transaction identifier

BHT*0007*11*16139462398*20200624*07344807*19~

HL*1**20*1~

Payer Loop

NM1*X3*2*PAYOR A*****PI*1234567~

HL*2*1*21*1~

Requesting Entity Loop

NM1*1P*1*PCPLASTNAME*PCPFIRSTNAME****XX*1234567899~

Requesting Entity Contact Name and other information

HL*3*2*22*1~

Subscriber Loop

NM1*IL*1*SUBLASTNAME*SUBFIRSTNAME****MI*MEMBERID#~

Member Data

DMG*D8*19560708*M~

HL*4*3*23*1~

Dependent Loop

NM1*QC*1*DEPLASTNAME*BABY BOY 1~

Dependent data

DMG*D8*20200508*M~

INS*N*19***************1~

INS used to describe Birth Sequence Number

HL*5*4*EV*1~

Event Loop

UM*AR*I**21:B~

Admission, Initial, IP Hospital

HCR*A4**0V~

Certification Action Code

REF*NT*5554772110000000~

Administrative Reference number

DTP*435*D8*20200702~

Admission Date=7/2/20

HI*ABJ:Z3868~

Admitting Diagnosis

NM1*71*1*PROVIDER*ATTENDING****XX*1234567898~

NM1*DO*1*PROVIDER*ADMITTING****XX*1234567899~

Event Provider role identification

NM1*FA*2*FACILITY NAME*****XX*1234567888~

HL*6*5*SS*0~

Service Loop

UM*HS*I*65~

HCR*A4**0V~

Certification Action Code

DTP*472*D8*20200702~

Service Type=Newborn Care to start on 07/02/2020

SE*28*1001~