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x12-test-data / x12-small.json
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{
 "name": "ANSI X12 Test Data",
 "description": "Structurally complete X12 837P claim documents (ISA, GS, ST, BHT, NM1, CLM, SE, GE, IEA) with varying control numbers. Synthetic claims; not real patients or payers.",
 "source": "https://stanzaapi.com/datasets/x12",
 "license": "CC0-1.0",
 "validity": "structurally-synthetic",
 "size": "small",
 "count": 25,
 "columns": [
 "control_number",
 "transaction_set",
 "claim_id",
 "document"
 ],
 "rows": [
 {
 "control_number": "904215028",
 "transaction_set": "837P",
 "claim_id": "CLM447464",
 "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260628*1200*^*00501*904215028*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20260628*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM447464*20260628*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*699457619~\nNM1*40*2*SYNTHETIC RECEIVER*****46*875989804~\nCLM*CLM447464*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*904215028~\nIEA*1*904215028~"
 },
 {
 "control_number": "499009403",
 "transaction_set": "837P",
 "claim_id": "CLM393148",
 "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260607*1200*^*00501*499009403*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20260607*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM393148*20260607*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*468154607~\nNM1*40*2*SYNTHETIC RECEIVER*****46*087534968~\nCLM*CLM393148*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*499009403~\nIEA*1*499009403~"
 },
 {
 "control_number": "135363379",
 "transaction_set": "837P",
 "claim_id": "CLM964910",
 "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260518*1200*^*00501*135363379*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20260518*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM964910*20260518*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*068353092~\nNM1*40*2*SYNTHETIC RECEIVER*****46*809557263~\nCLM*CLM964910*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*135363379~\nIEA*1*135363379~"
 },
 {
 "control_number": "047196218",
 "transaction_set": "837P",
 "claim_id": "CLM684256",
 "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20261118*1200*^*00501*047196218*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20261118*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM684256*20261118*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*503091336~\nNM1*40*2*SYNTHETIC RECEIVER*****46*415702215~\nCLM*CLM684256*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*047196218~\nIEA*1*047196218~"
 },
 {
 "control_number": "455422120",
 "transaction_set": "837P",
 "claim_id": "CLM873092",
 "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260508*1200*^*00501*455422120*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20260508*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM873092*20260508*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*372826639~\nNM1*40*2*SYNTHETIC RECEIVER*****46*782281174~\nCLM*CLM873092*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*455422120~\nIEA*1*455422120~"
 },
 {
 "control_number": "589406485",
 "transaction_set": "837P",
 "claim_id": "CLM652286",
 "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260512*1200*^*00501*589406485*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20260512*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM652286*20260512*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*471042865~\nNM1*40*2*SYNTHETIC RECEIVER*****46*756781178~\nCLM*CLM652286*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*589406485~\nIEA*1*589406485~"
 },
 {
 "control_number": "218195998",
 "transaction_set": "837P",
 "claim_id": "CLM988652",
 "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260111*1200*^*00501*218195998*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20260111*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM988652*20260111*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*481779282~\nNM1*40*2*SYNTHETIC RECEIVER*****46*560991017~\nCLM*CLM988652*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*218195998~\nIEA*1*218195998~"
 },
 {
 "control_number": "910879731",
 "transaction_set": "837P",
 "claim_id": "CLM036132",
 "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260118*1200*^*00501*910879731*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20260118*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM036132*20260118*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*140146298~\nNM1*40*2*SYNTHETIC RECEIVER*****46*566781445~\nCLM*CLM036132*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*910879731~\nIEA*1*910879731~"
 },
 {
 "control_number": "943786922",
 "transaction_set": "837P",
 "claim_id": "CLM681962",
 "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260101*1200*^*00501*943786922*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20260101*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM681962*20260101*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*896746068~\nNM1*40*2*SYNTHETIC RECEIVER*****46*742738879~\nCLM*CLM681962*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*943786922~\nIEA*1*943786922~"
 },
 {
 "control_number": "934347052",
 "transaction_set": "837P",
 "claim_id": "CLM096431",
 "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260201*1200*^*00501*934347052*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20260201*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM096431*20260201*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*274258153~\nNM1*40*2*SYNTHETIC RECEIVER*****46*019887206~\nCLM*CLM096431*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*934347052~\nIEA*1*934347052~"
 },
 {
 "control_number": "311811170",
 "transaction_set": "837P",
 "claim_id": "CLM943866",
 "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20261125*1200*^*00501*311811170*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20261125*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM943866*20261125*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*696508303~\nNM1*40*2*SYNTHETIC RECEIVER*****46*770208031~\nCLM*CLM943866*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*311811170~\nIEA*1*311811170~"
 },
 {
 "control_number": "287711176",
 "transaction_set": "837P",
 "claim_id": "CLM062153",
 "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260206*1200*^*00501*287711176*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20260206*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM062153*20260206*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*199265643~\nNM1*40*2*SYNTHETIC RECEIVER*****46*047191182~\nCLM*CLM062153*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*287711176~\nIEA*1*287711176~"
 },
 {
 "control_number": "247767370",
 "transaction_set": "837P",
 "claim_id": "CLM070436",
 "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20261102*1200*^*00501*247767370*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20261102*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM070436*20261102*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*045560746~\nNM1*40*2*SYNTHETIC RECEIVER*****46*592308967~\nCLM*CLM070436*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*247767370~\nIEA*1*247767370~"
 },
 {
 "control_number": "008347395",
 "transaction_set": "837P",
 "claim_id": "CLM397444",
 "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260905*1200*^*00501*008347395*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20260905*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM397444*20260905*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*082333276~\nNM1*40*2*SYNTHETIC RECEIVER*****46*361985418~\nCLM*CLM397444*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*008347395~\nIEA*1*008347395~"
 },
 {
 "control_number": "306524925",
 "transaction_set": "837P",
 "claim_id": "CLM338131",
 "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260302*1200*^*00501*306524925*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20260302*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM338131*20260302*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*800862655~\nNM1*40*2*SYNTHETIC RECEIVER*****46*099389431~\nCLM*CLM338131*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*306524925~\nIEA*1*306524925~"
 },
 {
 "control_number": "961311698",
 "transaction_set": "837P",
 "claim_id": "CLM119141",
 "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260912*1200*^*00501*961311698*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20260912*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM119141*20260912*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*003516016~\nNM1*40*2*SYNTHETIC RECEIVER*****46*913603170~\nCLM*CLM119141*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*961311698~\nIEA*1*961311698~"
 },
 {
 "control_number": "030874567",
 "transaction_set": "837P",
 "claim_id": "CLM608240",
 "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260112*1200*^*00501*030874567*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20260112*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM608240*20260112*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*916759875~\nNM1*40*2*SYNTHETIC RECEIVER*****46*973227192~\nCLM*CLM608240*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*030874567~\nIEA*1*030874567~"
 },
 {
 "control_number": "273776087",
 "transaction_set": "837P",
 "claim_id": "CLM112873",
 "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260812*1200*^*00501*273776087*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20260812*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM112873*20260812*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*998459579~\nNM1*40*2*SYNTHETIC RECEIVER*****46*578536493~\nCLM*CLM112873*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*273776087~\nIEA*1*273776087~"
 },
 {
 "control_number": "897740548",
 "transaction_set": "837P",
 "claim_id": "CLM365648",
 "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20261218*1200*^*00501*897740548*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20261218*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM365648*20261218*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*559244181~\nNM1*40*2*SYNTHETIC RECEIVER*****46*935513405~\nCLM*CLM365648*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*897740548~\nIEA*1*897740548~"
 },
 {
 "control_number": "842686321",
 "transaction_set": "837P",
 "claim_id": "CLM006151",
 "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20261013*1200*^*00501*842686321*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20261013*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM006151*20261013*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*847115460~\nNM1*40*2*SYNTHETIC RECEIVER*****46*394927608~\nCLM*CLM006151*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*842686321~\nIEA*1*842686321~"
 },
 {
 "control_number": "979334953",
 "transaction_set": "837P",
 "claim_id": "CLM182773",
 "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260121*1200*^*00501*979334953*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20260121*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM182773*20260121*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*852099254~\nNM1*40*2*SYNTHETIC RECEIVER*****46*394268317~\nCLM*CLM182773*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*979334953~\nIEA*1*979334953~"
 },
 {
 "control_number": "596674428",
 "transaction_set": "837P",
 "claim_id": "CLM314674",
 "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260917*1200*^*00501*596674428*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20260917*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM314674*20260917*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*062299087~\nNM1*40*2*SYNTHETIC RECEIVER*****46*136301560~\nCLM*CLM314674*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*596674428~\nIEA*1*596674428~"
 },
 {
 "control_number": "827981771",
 "transaction_set": "837P",
 "claim_id": "CLM949909",
 "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260823*1200*^*00501*827981771*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20260823*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM949909*20260823*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*753797367~\nNM1*40*2*SYNTHETIC RECEIVER*****46*378715926~\nCLM*CLM949909*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*827981771~\nIEA*1*827981771~"
 },
 {
 "control_number": "859764129",
 "transaction_set": "837P",
 "claim_id": "CLM603729",
 "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260723*1200*^*00501*859764129*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20260723*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM603729*20260723*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*683287464~\nNM1*40*2*SYNTHETIC RECEIVER*****46*483408855~\nCLM*CLM603729*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*859764129~\nIEA*1*859764129~"
 },
 {
 "control_number": "051489975",
 "transaction_set": "837P",
 "claim_id": "CLM137254",
 "document": "ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260515*1200*^*00501*051489975*0*T*:~\nGS*HC*SUBMITTER*RECEIVER*20260515*1200*1*X*005010X222A1~\nST*837*0001*005010X222A1~\nBHT*0019*00*CLM137254*20260515*1200*CH~\nNM1*41*2*SYNTHETIC SUBMITTER*****46*225629177~\nNM1*40*2*SYNTHETIC RECEIVER*****46*676284125~\nCLM*CLM137254*150.00***11:B:1*Y*A*Y*Y~\nSE*7*0001~\nGE*1*051489975~\nIEA*1*051489975~"
 }
 ]
}