EDI X12 ANSI 270

PHP Library for creating EDI X12 ANSI 270 File 5010 Version

A Simple PHP function for creating an EDI X12 ANSI 270 file version 005010X279A1

• EDI Transactions

• X12 Examples

How To use

$res[] =   [
	'tansaction_id' => '000001' 			/*Unique Transaction ID for each request */
	,'date_of_service' => '20171028'        /* Date Of service */ 
	,'subscriber_lname' => '***'			/* Subscriber/Patient last name */ 
	,'subscriber_fname' => '***'			/* Subscriber/Patient First name */ 
	,'subscriber_mname' => '**'				/* Subscriber/Patient middle name */ 
	,'subscriber_dob'=>'***'				/* Subscriber/Patient DOB  YYYYMMDD*/ 
	,'subscriber_policy_number' => '***' 	/* Subscriber/Patient Policy Number*/ 
	,'subscriber_gender' => 'M'				/* Subscriber/Patient Gender M/F/U */ 
	,'date' =>'20171028'					/* Interchange Date  YYYYMMDD*/
	,'provider_npi' => '***'				/* Doctor NPI*/
	,'x12_sender_id' => '***'				
	,'payer_code' => '***' 					/* Insurance Payer Code*/
	,'x12_version' => '005010X279A1'
	,'payer_name' => '****'					/* Insurance Payer Name*/
	];
	

	createEDIFile($res,$segTer,$compEleSep);
	echo "270 File is Ready !";

The output file generated have a valid X12 EDI ANSI 270 file , just send the file to your insurance wharehouse

Donation

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