X12 834

X12N 834 Transaction Set, HIPAA benefit enrollment and maintenance.

Definition

The 834 carries the roster of covered members: a BGN/INS/NM1 hierarchy with one INS loop per member stating the action (Add, Change, Cancel/Termination) and an HD per coverage (Health, Dental, Vision). Typically exchanged employer → payer.

Origin

Defined by ASC X12 and published as the HIPAA TR3 (Technical Report Type 3) 005010X220 plus addendum A1, maintained by the X12N Insurance Subcommittee.

Example in context

INS*Y*18*030*XN*A***FT~ — subscriber (Y), relationship 18 (Self), maintenance code 030 (Audit/Compare), reason XN.

Related terms

• INS (X12) — Insured Benefit segment that triggers each member loop.
• HIPAA X12N — the set of HIPAA Transaction Sets.