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Reference

Technical reference documentation for healthcare EDI concepts. Use this section when you need to look up specific details about EDI structures, segments, or codes.


In This Section

Loop Hierarchy

Understanding EDI loop structures — how transactions are organized into hierarchical loops, with detailed breakdowns for 837, 835, 270, and 271 transaction types.

Segment Reference

Common EDI segments explained — segment structure (elements, composites), key segments by transaction type, and how to read segment data in EDI Paisan.

Qualifier Codes

Common qualifier codes and their meanings, including entity identifiers, service type codes, adjustment reason codes (CARCs), and benefit information codes.


Need to...Go to...
Understand loop nestingLoop Hierarchy
Look up a segmentSegment Reference
Find a qualifier code meaningQualifier Codes
Learn about a file typeFile Types

External Resources

For official X12 standards and implementation guides:

  • X12.org — Official X12 standards body
  • WEDI — Workgroup for Electronic Data Interchange
  • CMS.gov — CMS Transaction resources

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Use the search feature (Ctrl/Cmd + K) to find topics across all documentation.

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