Interactive Examples of Healthcare Claims in X12 EDI

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This section contains examples of healthcare claims provided by X12.org, updated with ICD-10 codes and up-to-date CPT codes.

Please read our overview of healthcare claim types (professional, institutional, dental) to get an initial understanding of how X12 EDI claim transactions are organized.

All examples are interactive. Mouse over any portion of an EDI string to see the definition of an EDI element. You can also click on the segment ID (two or three-letter segment identifier) to view all the elements and descriptions in a convenient tabular form.

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