Using the X12N example files
There are no maps included in the X12N example. You can select any of the provided schemas to use in validation map, or maps created to transform to, or from, the supported versions and transactions.
The following table shows the versions and transactions supported by the X12N example schemas:
| Version and ID | Schema name | Transaction Set ID | Document Title |
| 003051X | x12n_3050 | 835 | Health Care Claim Payment/Advice |
| 003070X074 | x12n_3070 | 186 | Laboratory Results Report for Insurance Underwriting Requirements |
| 003070X105 | Paramedical Results Report for Insurance Underwriting Requirements | ||
| 003070X023 | 270 | Health Care Eligibility/Benefit Inquiry and Information Response | |
| 003070X023 | 271 | Health Care Eligibility/Benefit Inquiry and Information Response | |
| 003070X069 | 276 | Health Care Claim Status Request and Response | |
| 003070X069 | 277 | Health Care Claim Status Request and Response | |
| 003070X070 | Health Care Payer Unsolicited Claim Status | ||
| 003070X070A1 | Addenda to Health Care Payer Unsolicited Claim Status | ||
| 003070X071 | Health Care Claim Request for Additional Information | ||
| 003070X004 | 278 | Health Care Services Request for Review and Response | |
| 003070X058 | Health Care Services Review - Notification | ||
| 003070X020 | 834 | Benefit Enrollment and Maintenance | |
| 003070X052 | 835 | Health Care Claim Payment/Advice | |
| 003070X064 | 837 | Health Care Claim: Institutional | |
| 003070X065 | 837 | Health Care Claim: Dental | |
| 003070X066 | 837 | Health Care Claim: Professional | |
| 004010X086 | x12n_4010 | 148 | Doctor's First Report of Injury |
| 004010X092 | 270 | Health Care Eligibility/Benefit Inquiry and Information Response | |
| 004010X092A1 | Addenda to Health Care Eligibility/Benefit Inquiry and Information Response | ||
| 004010X040 | 271 | Unsolicited Health Care Eligibility/Benefit Roster | |
| 004010X092 | Health Care Eligibility/Benefit Inquiry and Information Response | ||
| 004010X093 | 276 | Health Care Claim Status Request and Response | |
| 004010X093A1 | Addenda to Health Care Claim Status Request and Response | ||
| 004010X093 | 277 | Health Care Claim Status Request and Response | |
| 004010X093A1 | Addenda to Health Care Claim Status Request and Response | ||
| 004010X059 | 278 | Health Care Services Review Inquiry/Response | |
| 004010X094 | Health Care Claim Services Request for Review and Response | ||
| 004010X094A1 | Addenda to Health Care Claim Services Request for Review and Response | ||
| 004010X094A1 | Addenda to Health Care Claim Services Request for Review and Response | ||
| 004010X111 | Health Care Services Review - Notification | ||
| 004010X047 | 811 | Consumer Service Provider Insurance Billing | |
| 004010X061 | 820 | Payroll Deducted and Other Group Premium Payment for Insurance Products | |
| 004010X061A1 | Addenda to Payroll Deducted and Other Group Premium Payment for Insurance Products | ||
| 004010X226 | EPN STP 820 | ||
| 004010X256 | EPN STP 820 for Straight-Through-Processing | ||
| 004010X282 | EPN STP 820 for Straight-Through-Processing | ||
| 004010X309 | EPN STP 820 for Straight-Through-Processing | ||
| 004010X047 | 824 | Consumer Service Provider Insurance Billing | |
| 004010X161 | Implementation Guide and Application Reporting | ||
| 004010X095 | 834 | Benefit Enrollment and Maintenance | |
| 004010X095A1 | Addenda to Benefit Enrollment and Maintenance | ||
| 004010X091 | 835 | Health Care Claim Payment/Advice | |
| 004010X091A1 | Addenda to Health Care Claim Payment/Advice | ||
| 004010X067 | 837 | Property and Casualty Medical Bill Report to Regulatory Agencies | |
| 004010X096 | Health Care Claim: Institutional | ||
| 004010X096A1 | Addenda to Health Care Claim: Institutional | ||
| 004010X097 | Health Care Claim: Dental | ||
| 004010X097A1 | Addenda to Health Care Claim: Dental | ||
| 004010X098 | Health Care Claim: Professional | ||
| 004010X098A1 | Addenda to Health Care Claim: Professional | ||
| 004040X122 | x12n_4040 | 269 | Health Care Benefit Coordination Verification Request and Response |
| 004040X167 | 277 | Health Care Claim Acknowledgement | |
| 004050X168 | x12n_4050 | 269 | Health Care Benefit Coordination Verification Request and Response |
| 004050X138 | 270 | Health Care Eligibility/Benefit Inquiry and Information Response | |
| 004050X138 | 271 | Health Care Eligibility/Benefit Inquiry and Information Response | |
| 004050X103 | 274 | Health Care Provider Information | |
| 004050X109 | Health Care Provider Directory | ||
| 004050X185 | Health Care Provider Inquiry and Information Response | ||
| 004050X253 | Health Care Provider Information | ||
| 004050X151 | 275 | Additional Information To Support a Health Care Claim or Encounter | |
| 004050X139 | 276 | Health Care Claim Status Request and Response | |
| 004050X139 | 277 | Health Care Claim Status Request and Response | |
| 004050X150 | Health Care Claim Request for Additional Information | ||
| 004050X164 | Request for Medical Information and Reports in Support of a Disability or Workers' Compensation Claim | ||
| 004050X140 | 278 | Health Care Services Request for Review and Response | |
| 004050X137 | 820 | Payroll Deducted and Other Group Premium Payment for Insurance Products | |
| 004050X166 | 824 | Implementation Guide Reporting | |
| 004050X125 | 834 | Benefit Enrollment and Maintenance | |
| 004050X124 | 835 | Health Care Claim Payment/Advice | |
| 004050X141 | 837 | Health Care Claim: Institutional | |
| 004050X142 | Health Care Claim: Dental | ||
| 004050X143 | Health Care Claim: Professional | ||
| 004050X156 | Health Care Service Data Reporting | ||
| 004060X201 | x12n_4060 | 811 | State Agency Insurance Reporting |
| 005010X187 | x12n_5010 | 269 | Health Care Benefit Coordination Verification Request and Response |
| 005010X279 | 270 | Health Care Eligibility/Benefit Inquiry and Information Response | |
| 005010X279A1 | Errata for [Addenda to] Health Care Eligibility/Benefit Inquiry and Information Response | ||
| 005010X279 | 271 | Health Care Eligibility/Benefit Inquiry and Information Response | |
| 005010X279A1 | Errata for [Addenda to] Health Care Eligibility/Benefit Inquiry and Information Response | ||
| 005010X210 | 275 | Additional Information To Support a Health Care Claim or Encounter | |
| 005010X211 | Additional Information To Support a Health Care Services Review | ||
| 005010X212 | 276 | Health Care Claim Status Request and Response | |
| 005010X212 | 277 | Health Care Claim Status Request and Response | |
| 005010X213 | Health Care Claim Request for Additional Information | ||
| 005010X214 | Health Care Claim Acknowledgment | ||
| 005010X227 | Request for Information in Support of a Disability Claim | ||
| 005010X228 | Health Care Claim Pending Status Information | ||
| 005010X215 | 278 | Health Care Services Review Inquiry/Response | |
| 005010X216 | Health Care Services Review - Notification | ||
| 005010X217 | Health Care Services Request for Review and Response | ||
| 005010X217 | Health Care Services Request for Review and Response | ||
| 005010X218 | 820 | Payroll Deducted and Other Group Premium Payment for Insurance Products | |
| 005010X306 | Health Insurance Exchange Related Payments | ||
| 005010X186 | 824 | Application Reporting for Insurance | |
| 005010X186A1 | Errata for [Addenda to] Application Reporting for Insurance | ||
| 005010 | 831 | Application Control Totals | |
| 005010X220 | 834 | Benefit Enrollment and Maintenance | |
| 005010X220A1 | Errata for [Addenda to] Health Care Benefit Enrollment and Maintenance | ||
| 005010X307 | Health Insurance Exchange: Enrollment | ||
| 005010X318 | Plan Member Reporting | ||
| 005010X221 | 835 | Health Care Claim Payment/Advice | |
| 005010X221A1 | Errata for [Addenda to] Health Care Claim Payment/Advice | ||
| 005010X222 | 837 | Health Care Claim: Professional | |
| 005010X222A1 | Errata for [Addenda to] Health Care Claim: Professional | ||
| 005010X222A2 | Second Type 1 Errata for [Addenda to] Benefit Enrollment and Maintenance | ||
| 005010X223 | Health Care Claim: Institutional | ||
| 005010X223A1 | First Type 1 Errata for [Addenda to] Health Care Claim: Institutional | ||
| 005010X223A2 | Second Type 1 Errata for [Addenda to] Health Care Claim: Institutional | ||
| 005010X223A3 | Third Type 1 Errata for [Addenda to] Health Care Claim: Institutional | ||
| 005010X224 | Health Care Claim: Dental | ||
| 005010X224A1 | First Type 1 Errata for [Addenda to] Health Care Claim: Dental | ||
| 005010X224A2 | Second Type 1 Errata for [Addenda to] Health Care Claim: Dental | ||
| 005010X224A3 | Third Type 1 Errata for [Addenda to] Health Care Claim: Dental | ||
| 005010X225 | Health Care Service: Data Reporting | ||
| 005010X225A1 | First Type 1 Errata for [Addenda to] Health Care Service: Data Reporting | ||
| 005010X225A2 | Second Type 1 Errata for [Addenda to] Health Care Service: Data Reporting | ||
| 005010X291 | Health Care Predetermination: Professional | ||
| 005010X291A1 | Errata for [Addenda to] Health Care Predetermination: Professional | ||
| 005010X292 | Health Care Predetermination: Institutional | ||
| 005010X292A1 | Errata for [Addenda to] Health Care Predetermination: Institutional | ||
| 005010X298 | Post Adjudicated Claims Data Reporting: Professional | ||
| 005010X298A1 | First Type 1 Errata for [Addenda to] Post Adjudicated Claims Data Reporting: Professional | ||
| 005010X299 | Post Adjudicated Claims Data Reporting: Institutional | ||
| 005010X299A1 | First Type 1 Errata for [Addenda to] Post Adjudicated Claims Data Reporting: Institutional | ||
| 005010X300 | Post Adjudicated Claims Data Reporting: Dental | ||
| 005010X300A1 | First Type 1 Errata for [Addenda to] Post Adjudicated Claims Data Reporting: Dental | ||
| 005010X230 | 997 | Functional Acknowledgment for Health Care Insurance | |
| 005010X231 | 999 | Implementation Acknowledgment for Health Care Insurance | |
| 005010X231A1 | Errata for [Addenda to] Implementation Acknowledgment for Health Care Insurance | ||
| 005040X273 | x12n_5040 | 269 | Health Care Benefit Coordination Verification Request and Response |
| 005040X254 | 275 | Additional Payer Health Care Information | |
| 005050X274 | x12n_5050 | 275 | Personal Health Record Transfer Between Health Plans |
| 006010X288 | x12n_6010 | 820 | International ACH Transaction |
| 006020X280 | x12n_6020 | 270 | Health Care Eligibility/Benefit Inquiry and Information Response |
| 006020X280 | 271 | Health Care Eligibility/Benefit Inquiry and Information Response | |
| 006020X296 | Unsolicited Health Care Eligibility/Benefit Roster | ||
| 006020X206 | 274 | Health Care Provider Information | |
| 006020X207 | Health Care Provider Directory | ||
| 006020X297 | Provider Electronic Service Information Discovery | ||
| 006020X275 | 275 | Additional Information To Support a Health Care Claim or Encounter | |
| 006020X278 | Additional Information To Support a Health Care Services Review | ||
| 006020X314 | Additional Information To Support a Health Care Claim or Encounter | ||
| 006020X316 | Additional Information To Support a Health Care Services Review | ||
| 006020X267 | 276 | Health Care Claim Status Request and Response | |
| 006020X267 | 277 | Health Care Claim Status Request and Response | |
| 006020X268 | Health Care Claim Request for Additional Information | ||
| 006020X269 | Health Care Claim Acknowledgment | ||
| 005040X270 | Health Care Claim Pending Status Information | ||
| 006020X313 | Health Care Claim Request for Additional Information | ||
| 006020X264 | 278 | Health Care Services Review Inquiry/Response | |
| 006020X265 | Health Care Services Review - Notification | ||
| 006020X266 | Health Care Services Request for Review and Response | ||
| 006020X315 | Health Care Services Request for Review and Response | ||
| 006020X284 | 820 | Payroll Deducted and Other Group Premium Payment for Insurance Products | |
| 006020X257 | 824 | Application Reporting for Insurance | |
| 006020X304 | 832 | Health Care Fee Schedule | |
| 006020X283 | 834 | Benefit Enrollment and Maintenance | |
| 006020X258 | 835 | Health Care Claim Payment/Advice | |
| 006020X259 | 837 | Health Care Claim: Professional | |
| 006020X260 | Health Care Claim: Institutional | ||
| 006020X261 | Health Care Claim: Dental | ||
| 006020X262 | Health Care Service: Data Reporting | ||
| 006020X336 | Post-adjudicated Claims Data Reporting: Professional | ||
| 006020X337 | Post-adjudicated Claims Data Reporting: Institutional | ||
| 006020X338 | Post-adjudicated Claims Data Reporting: Dental | ||
| 006020X305 | 838 | Provider Enrollment for EDI Services | |
| 006020X290 | 999 | Implementation Acknowledgment for Health Care Insurance | |
| 008010X | 270 | ||
| 008010X344 | X12n8010 | 271 | Premium Payment Grace Period Notification (271)* |
The following table shows the 7030-8030 versions and transactions supported by the X12N example schemas:
| ID | Schema name | Transaction Set ID | Document Title |
| X109 | X12n_8010 | 274 | Health Care Provider Directory |
| X12n_8020 | |||
| X253 | X12n_8010 | Health Care Provider Information | |
| X274 | X12n_8010 | 275 | Personal Health Record Data Transfer Between Health Plans |
| X12n_8020 | |||
| X298 | X12n_8010 | 837 | Post-adjudicated Claims Data Reporting: Professional |
| X12n_8020 | |||
| X299 | X12n_8010 | Post-adjudicated Claims Data Reporting: Institutional | |
| X12n_8020 | |||
| X300 | X12n_8010 | Post-adjudicated Claims Data Reporting: Dental | |
| X12n_8020 | |||
| X305 | X12n_8020 | 838 | Provider Enrollment for EDI Services |
| X318 | X12n_8020 | 834 | Plan Member Reporting |
| X321 | X12n_8020 | 824 | The Application Reporting for Insurance |
| X322 | X12n_7030 | 835 | Health Care Claim Payment/Advice |
| X12n_8010 | |||
| X12n_8020 | |||
| X12n_8030 | |||
| X323 | X12n_7030 | 837271 | Health Care Claim: Professional |
| X12n_8010 | |||
| X12n_8020 | |||
| X12n_8030 | |||
| X324 | X12n_7030 | Health Care Claim: Institutional | |
| X12n_8010 | |||
| X12n_8020 | |||
| X12n_8030 | |||
| X325 | X12n_7030 | Health Care Claim: Dental | |
| X12n_8010 | |||
| X12n_8020 | |||
| X326 | X12n_7030 | Health Care Service: Data Reporting | |
| X12n_8010 | |||
| X12n_8020 | |||
| X327 | X12n_7030 | 278 | Health Care Services Review - Inquiry and Response |
| X12n_8010 | |||
| X12n_8020 | |||
| X328 | X12n_7030 | Health Care Services Review Notification and Acknowledgment | |
| X12n_8010 | |||
| X12n_8020 | |||
| X329 | X12n_7030 | 276/277 | Health Care Claim Status Request and Response |
| X12n_8010 | |||
| X12n_8020 | |||
| X330 | X12n_7030 | 277 | Health Care Claim Acknowledgment |
| X12n_8010 | |||
| X12n_8020 | |||
| X331 | X12n_7030 | Health Care Claim Pending Status Information | |
| X12n_8010 | |||
| X12n_8020 | |||
| X332 | X12n_8030 | 270/271 | Health Care Eligibility/Benefit Inquiry and Information Response |
| X333 | X12n_7030 | 834 | Benefit Enrollment and Maintenance |
| X12n_8010 | |||
| X12n_8020 | |||
| X340 | X12n_7030 | 277 | Health Care Claim Request for Additional Information |
| X12n_8010 | |||
| X12n_8020 | |||
| X341 | X12n_7030 | 275 | Additional Information to Support a Health Care Claim or Encounter |
| X12n_8010 | |||
| X12n_8020 | |||
| X342 | X12n_7030 | 278 | Health Care Services Review - Request for Review and Response |
| X12n_8010 | |||
| X12n_8020 | |||
| X343 | X12n_7030 | 275 | Additional Information to Support a Health Care Services Review |
| X12n_8010 | |||
| X12n_8020 | |||
| X344 | X12n_8010 | 271 | Premium Payment Grace Period Notification |
| X12n_8020 | |||
| X346 | X12n_7030 | 834 | Health Insurance Exchange: Enrollment |
| X12n_8010 | |||
| X12n_8020 |