JSON Schema for 834 (Benefits and Enrollment)

Unique identifier assigned by the converter

Type of this object, always set to 'MEMBER_COVERAGE'

Converted X12 EDI file name

File effective dates

Master policy number

Sponsor

Insurer

Tpas

Member indicator

Relationship code

Maintenance type code

Maintenance reason code

Benefit status code

Medicare plan code

Since: v2.14.8

Medicare eligibility reason code

Since: v2.14.8

Cobra event code

Employment status code

Student status code

Handicap indicator

Death date

Since: v2.14.8

Confidentiality code

Birth sequence number

Member identifier

Group or policy number

Supplemental identifiers

Status info effective dates

Member

Incorrect member

Member policy amounts from the member loop 2100A

Member mailing address

Employers

Schools

Custodial parent

Responsible persons

Drop off location

Disabilities

Reporting categories

Health coverages

Parent EDI transaction for this object

Marital status code

Ethnicity code

Deprecated: Use 'ethnicityCodes' instead

Ethnicity codes

Since: v2.14.8

Citizenship code

Employment class codes

Wage frequency code

Wage amount

Work hours count

Employer location identification code

Salary grade code

Health related code

Height

Weight

Language info

Deprecated: Use 'languages' instead

Languages

Since: v2.14.8

Maintenance type code

Insurance line code

Plan description

Coverage level code

Late enrollment indicator

Coverage dates

Contract amounts

Group or policy numbers

Prior coverage month count

Providers

Coordination of Benefits

Entity role

View codes and descriptions

Type of this entity: 'BUSINESS' for organization, 'INDIVIDUAL' for person

Values:

BUSINESS(2), INDIVIDUAL(1)

Identification type, e.g., NPI or EIN. This is a qualifier code translated to a string constant (enum)

View codes and descriptions

Identifier

Tax id

Organization name or person last name

First name

Middle name

Address

Contacts

Other identifications

Account number

Account number2

Type code

Diagnosis code

Date from

Date to

Payer responsibility sequence code

Group or policy number

Coordination of benefits code

Service type codes

Since: v2.14.8

Additional identifiers

Date from

Date to

Insurers

Birth date

Gender

Values:

FEMALE(F), MALE(M), UNKNOWN(U)

Line

Line2

City

State code

Zip code

Country code

Location qualifier; only used for 834 transaction

Since: v2.14.8

Location identifier; only used for 834 transaction

Since: v2.14.8

Country subdivision code; only used for 834 transaction

Since: v2.14.8

Function code

Name

Contact numbers

Type of contact number

Values:

ALTERNATE_PHONE, BEEPER, CELL_PHONE, EMAIL, EXTENSION, FAX, HOME_PHONE, PHONE, UNKNOWN, URL, WORK_PHONE

Number

Name

Identifier qualifier code

Identifier type

Identifier

Effective date

End date

Code qualifier

Code

Language description

Language use indicator

Code specifying type of date or time

Type of date; qualifier code translated to a mnemonic string constant (enum)

View codes and descriptions

The date value or the first date of the date range ('RD8' qualifier)

The second date if the value is the date range ('RD8' qualifier), otherwise null

Code qualifying the reference identification

Type of reference; qualifier code as a string constant (enum)

View codes and descriptions

Reference identification

Code specifying the type of amount (amount qualifier code)

Type of amount; qualifier code translated to a mnemonic string constant (enum)

View codes and descriptions

Amount

Code specifying the type of quantity (quantity qualifier code)

Type of quantity; qualifier code translated to a mnemonic string constant (enum)

View codes and descriptions

Quantity

Control number

Transaction type translated to string constant, PROF for 837P, INST for 837I, etc.

Purpose code

Originator application transaction id

Creation date

Creation time

Original transaction set reference number

Action code

Transaction set identifier code

Implementation convention reference

File effective dates

Control totals

File info

File name

URL of the file, including the full path

Last modified date and time of the file