EDI Resource Center

X12 EDI 834

What is an EDI 834 Benefit Enrollment and Maintenance?

The EDI 834 is mainly used by employers, government agencies, and insurance providers, to register members in a healthcare benefit plan.

How is EDI 834 Used?

The 834 transaction set is used for any of the following functions regarding health plans:

  • New enrollments
  • Changes in a member's enrollment
  • Disenrollment of members
  • Reinstatement of a member's benefit enrollment

EDI 834 Benefits

  • Get employees quickly onto and off of healthcare coverage
  • Keeps enrollees updated & current
  • Helps to ensure accurate member enrollment and benefit disbursement
  • Enables employers and insurers to automate member enrollment processes

Key Data Elements You'll Find in a Benefit Enrollment and Maintenance:

  • Plan network identification
  • Product or service identification
  • Subscriber name & identification
  • Subscriber qualification or benefit information

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