Healthcare Leader EDI 834 Benefit Enrollment and Maintenance

Schema Reference

30 segments · X12 834 Benefit Enrollment and Maintenance

ISA01 Authorization Information Qualifier

M ID 2-2

ISA02 Authorization Information

M AN 10-10

ISA03 Security Information Qualifier

M ID 2-2

ISA04 Security Information

M AN 10-10

ISA05 Interchange ID Qualifier

M ID 2-2

ISA06 Interchange Sender ID

M AN 15-15

ISA07 Interchange ID Qualifier

M ID 2-2

ISA08 Interchange Receiver ID

M AN 15-15

ISA09 Interchange Date

M DT 6-6

ISA10 Interchange Time

M TM 4-4

ISA11 Repetition Separator M MIN 1 MAX 1 ID: I65 Type is not applicable; the repetition separator is a delimiter and not a data element; this field provides the delimiter used to separate repeated occurrences of a simple data element or a composite data structure; this value must be different than the data element separator, component element separator, and the segment terminator ISA12 Interchange Control Version Number

M ID 5-5

ISA13 Interchange Control Number

M N0 9-9

ISA14 Acknowledgment Requested

M ID 1-1

ISA15 Interchange Usage Indicator

M ID 1-1

GS01 Functional Identifier Code

M ID 2-2

GS02 Application Sender's Code

M AN 2-15

GS03 Application Receiver's Code

M AN 2-15

GS04 Date

M DT 8-8

GS05 Time

M TM 4-8

GS06 Group Control Number

M N0 1-9

GS07 Responsible Agency Code

M ID 1-2

GS08 Version / Release / Industry Identifier Code

M AN 1-12

ST01 Transaction Set Identifier Code

M ID 3-3

ST02 Transaction Set Control Number

M AN 4-9

BGN01 Transaction Set Purpose Code

M ID 2-2

BGN02 Reference Identification

M AN 1-50

BGN03 Date

M DT 8-8

BGN04 Time

C TM 4-8

BGN05 Time Code

O ID 2-2

BGN06 Reference Identification

O AN 1-50

BGN07 Transaction Type Code

O ID 2-2

BGN08 Action Code

O ID 1-2

BGN09 Security Level Code

O ID 2-2

REF01 Reference Identification Qualifier

M ID 2-3

REF02 Reference Identification

C AN 1-50

REF03 Description

C AN 1-80

DTP01 Date/Time Qualifier

M ID 3-3

DTP02 Date Time Period Format Qualifier

M ID 2-3

DTP03 Date Time Period

M AN 1-35

N1 Loop

N101 Entity Identifier Code

M ID 2-3

N102 Name

C AN 1-60

N103 Identification Code Qualifier

C ID 1-2

N104 Identification Code

C AN 2-80

N301 Address Information

M AN 1-55

N302 Address Information

O AN 1-55

N401 City Name

O AN 2-30

N402 State or Province Code

C ID 2-2

N403 Postal Code

O ID 3-15

N404 Country Code

C ID 2-3

INS Loop Repeat: 4

INS01 Yes/No Condition or Response Code

M ID 1-1

INS02 Individual Relationship Code

M ID 2-2

INS03 Maintenance Type Code

O ID 3-3

INS04 Maintenance Reason Code

O ID 2-3

INS05 Benefit Status Code

O ID 1-1

INS07 Consolidated Omnibus Budget Reconciliation Act (COBRA) Qualifying Event Code

O ID 1-2

INS08 Employment Status Code

O ID 2-2

INS09 Student Status Code

O ID 1-1

INS10 Yes/No Condition or Response Code

O ID 1-1

INS11 Date Time Period Format Qualifier

C ID 2-3

INS12 Date Time Period

C AN 1-35

INS13 Confidentiality Code

O ID 1-1

INS14 City Name

O AN 2-30

INS15 State or Province Code

O ID 2-2

INS16 Country Code

O ID 2-3

INS17 Number

O N0 1-9

REF01 Reference Identification Qualifier

M ID 2-3

REF02 Reference Identification

C AN 1-50

REF03 Description

C AN 1-80

DTP01 Date/Time Qualifier

M ID 3-3

DTP02 Date Time Period Format Qualifier

M ID 2-3

DTP03 Date Time Period

M AN 1-35

NM1 Loop

NM101 Entity Identifier Code

M ID 2-3

NM102 Entity Type Qualifier

M ID 1-1

NM103 Name Last or Organization Name

C AN 1-60

NM104 Name First

O AN 1-35

NM105 Name Middle

O AN 1-25

NM106 Name Prefix

O AN 1-10

NM107 Name Suffix

O AN 1-10

NM108 Identification Code Qualifier

C ID 1-2

NM109 Identification Code

C AN 2-80

NM110 Entity Relationship Code

C ID 2-2

NM111 Entity Identifier Code

O ID 2-3

PER01 Contact Function Code

M ID 2-2

PER02 Name

O AN 1-60

PER03 Communication Number Qualifier

C ID 2-2

PER04 Communication Number

C AN 1-256

PER05 Communication Number Qualifier

C ID 2-2

PER06 Communication Number

C AN 1-256

PER07 Communication Number Qualifier

C ID 2-2

PER08 Communication Number

C AN 1-256

N301 Address Information

M AN 1-55

N302 Address Information

O AN 1-55

N401 City Name

O AN 2-30

N402 State or Province Code

C ID 2-2

N403 Postal Code

O ID 3-15

N404 Country Code

C ID 2-3

DMG01 Date Time Period Format Qualifier

C ID 2-3

DMG02 Date Time Period

C AN 1-35

DMG03 Gender Code

O ID 1-1

DMG04 Marital Status Code

O ID 1-1

DMG06 Citizenship Status Code

O ID 1-2

ICM01 Frequency Code

M ID 1-1

ICM02 Monetary Amount

M R 1-18

ICM03 Quantity

O R 1-15

ICM04 Location Identifier

O AN 1-30

ICM05 Salary Grade

O AN 1-5

ICM06 Currency Code

O ID 3-3

AMT01 Amount Qualifier Code

M ID 1-3

AMT02 Monetary Amount

M R 1-18

AMT03 Credit/Debit Flag Code

O ID 1-1

HLH01 Health-Related Code

O ID 1-1

HLH02 Height

O R 1-8

HLH03 Weight

O R 1-10

HLH04 Weight

O R 1-10

HLH05 Description

O AN 1-80

HLH06 Current Health Condition Code

O ID 1-1

HLH07 Description

O AN 1-80

DSB Loop Repeat: 4

DSB01 Disability Type Code

M ID 1-1

DSB02 Quantity

O R 1-15

DSB03 Occupation Code

O ID 4-6

DSB04 Work Intensity Code

O ID 1-1

DSB05 Product Option Code

O ID 1-2

DSB06 Monetary Amount

O R 1-18

DSB07 Product/Service ID Qualifier

C ID 2-2

DSB08 Medical Code Value

C AN 1-15

DTP01 Date/Time Qualifier

M ID 3-3

DTP02 Date Time Period Format Qualifier

M ID 2-3

DTP03 Date Time Period

M AN 1-35

HD Loop Repeat: 99

HD01 Maintenance Type Code

M ID 3-3

HD02 Maintenance Reason Code

O ID 2-3

HD03 Insurance Line Code

O ID 2-3

HD04 Plan Coverage Description

O AN 1-50

HD05 Coverage Level Code

O ID 3-3

HD06 Count

O N0 1-9

HD07 Count

O N0 1-9

HD08 Underwriting Decision Code

O ID 1-1

HD09 Yes/No Condition or Response Code

O ID 1-1

HD10 Drug House Code

O ID 2-3

HD11 Yes/No Condition or Response Code

O ID 1-1

DTP01 Date/Time Qualifier

M ID 3-3

DTP02 Date Time Period Format Qualifier

M ID 2-3

DTP03 Date Time Period

M AN 1-35

REF01 Reference Identification Qualifier

M ID 2-3

REF02 Reference Identification

C AN 1-50

REF03 Description

C AN 1-80

LX Loop Repeat: 30

LX01 Assigned Number

M N0 1-6

NM101 Entity Identifier Code

M ID 2-3

NM102 Entity Type Qualifier

M ID 1-1

NM103 Name Last or Organization Name

C AN 1-60

NM104 Name First

O AN 1-35

NM105 Name Middle

O AN 1-25

NM106 Name Prefix

O AN 1-10

NM107 Name Suffix

O AN 1-10

NM108 Identification Code Qualifier

C ID 1-2

NM109 Identification Code

C AN 2-80

NM110 Entity Relationship Code

C ID 2-2

NM111 Entity Identifier Code

O ID 2-3

COB Loop Repeat: 5

COB01 Payer Responsibility Sequence Number Code

O ID 1-1

COB02 Reference Identification

O AN 1-50

COB03 Coordination of Benefits Code

O ID 1-1

COB04 Service Type Code

O ID 1-2

DTP01 Date/Time Qualifier

M ID 3-3

DTP02 Date Time Period Format Qualifier

M ID 2-3

DTP03 Date Time Period

M AN 1-35

SE01 Number of Included Segments

M N0 1-10

SE02 Transaction Set Control Number

M AN 4-9

Healthcare Leader EDI 834 FAQ

Common questions about 834 Benefit Enrollment and Maintenance transactions with Healthcare Leader.

How long does it take to set up Healthcare Leader EDI with Stacksync?

Most suppliers are fully connected and processing live Healthcare Leader EDI transactions within 3–5 business days. Stacksync's no-code setup means you don't need developers or EDI consultants — configure your field mappings through our visual interface, run a test cycle, and go live.

Do I need an existing VAN or AS2 connection to trade with Healthcare Leader?

No. Stacksync handles the entire EDI transport layer. We connect directly to Healthcare Leader's trading partner network through our certified connections. You don't need to manage a separate VAN subscription, AS2 certificates, or SFTP configurations.

How does Stacksync help with Healthcare Leader compliance?

Stacksync improves compliance scores by eliminating manual processing delays. Purchase Orders sync to your system in real time, ASNs are generated automatically when you ship, and invoices are validated with three-way matching before submission. Real-time monitoring alerts you to issues before they become chargebacks.

What EDI document types does Stacksync support for Healthcare Leader?

Stacksync supports all EDI document types required by Healthcare Leader — including Purchase Orders (850), Invoices (810), ASNs (856), PO Acknowledgments (855), and more. Our platform handles the full lifecycle from order to payment automatically.

Can I connect Healthcare Leader EDI to my existing ERP or WMS?

Yes. Stacksync integrates with any system that has a database or API — including SAP, Oracle, NetSuite, Microsoft Dynamics, and custom-built ERPs. Data flows bidirectionally between Healthcare Leader's EDI network and your system in real time.

What happens when Healthcare Leader updates their EDI specifications?

Stacksync monitors Healthcare Leader's EDI spec changes and updates our mappings proactively. When a change affects your integration, we notify you and apply updates — so you stay compliant without scrambling to decode new implementation guides.

Healthcare Leader X12 834 Benefit Enrollment and Maintenance

Schema Reference

Automating Healthcare Leader EDI 834

Healthcare Leader EDI 834 FAQ

Alex Marinov