EDI 834 Enrollment Router
14 member records (8 subscribers, 6 dependents) translated: 6 adds, 1 change, 3 terminations, 1 reinstatement, 3 audit records; 5 held for errors the carrier would reject; 1 warning to review.
INS03 021 (Addition) for Natarajan, Priya K (Self), born 1988-04-12, age 38 on 2026-09-24, effective 2026-10-01. It passes every enrollment check, so it is ready to load.
Method1Delimiters read from the ISA header: element '*', component '>', segment '~'. Envelope checks: ISA13 = IEA02, GS06 = GE02, GE01, SE01 and ST02 = SE02; members in a set that fails them are held.
2Layout follows the 005010X220A1 guide: BGN, header REF*38, DTP and QTY control totals (TO, ET, DT checked against the INS loops), N1*P5 sponsor, N1*IN payer, N1*TV or BO administrator or broker, then one 2000 loop per member.
| Record | Subscriber ID | Member |
|---|---|---|
| 1 | E10441 | Natarajan, Priya K |
| 2 | E10441 | Natarajan, Arjun |
| 3 | E10441 | Natarajan, Mira |
Raw ANSI X12 834 file
Member census JSON and CSV with adds, changes and terminations (Member census (14 members, JSON), Member census (CSV), Adds, changes and terminations (CSV))
$3,000 / month, 30% to the referring partner
Read in memory for the session, never stored, never used to train a model.
Not medical, clinical, coding or regulatory advice. A qualified healthcare, coding or regulatory professional must review every result. Standard and product names belong to their owners. BaseLoom is not affiliated with or certified by them; validate converted files with your trading partner before production use.