PDMI X12 835 Payer Template

The PDMI X12 835 Payer Template is the document that will identify the X12 835 specifications for Remittances through Pharmacy Data Management, Inc. This document should be used to set up specifications in the Provider's software to ensure the correct segments and fields are transmitted for remittance purposes. If you have any questions concerning this document, please contact PDMI's Programming Department at 800-800-7364, ext. 5412.

PDMI Payer Template