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Publish x12 test data

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  1. CITATION.cff +13 -0
  2. LICENSE +127 -0
  3. README.md +37 -0
  4. x12-large.csv +0 -0
  5. x12-large.json +0 -0
  6. x12-medium.csv +0 -0
  7. x12-medium.json +0 -0
  8. x12-small.csv +251 -0
  9. x12-small.json +167 -0
CITATION.cff ADDED
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+ cff-version: 1.2.0
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+ message: "If you use this data, please cite it and link to the dataset page."
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+ title: "ANSI X12 Test Data"
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+ abstract: "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."
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+ type: dataset
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+ license: CC0-1.0
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+ version: "1.0.0"
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+ date-released: "2026-09-30"
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+ authors:
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+ - name: "StanzaAPI"
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+ website: "https://stanzaapi.com"
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+ repository-code: "https://github.com/StanzaAPI/x12-test-data"
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+ url: "https://stanzaapi.com/datasets/x12"
LICENSE ADDED
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README.md ADDED
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+ ---
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+ license: cc0-1.0
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+ pretty_name: "ANSI X12 Test Data"
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+ tags:
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+ - test-data
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+ - synthetic
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+ - x12
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+ configs:
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+ - config_name: default
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+ data_files:
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+ - split: train
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+ path: "x12-small.csv"
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+ ---
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+
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+ # ANSI X12 Test Data
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+
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+ 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.
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+
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+ Free to use under **CC0-1.0** — public domain dedication, no attribution required.
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+
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+ ## Files
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+
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+ - `x12-small.json` / `x12-small.csv` — 100 rows (documents: 25)
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+ - `x12-medium.json` / `x12-medium.csv` — 2,000 rows (documents: 250)
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+ - `x12-large.json` / `x12-large.csv` — 20,000 rows (documents: 2,500)
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+
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+ Deterministic: the same size always produces the same rows.
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+
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+ ## Source
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+
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+ Generated by StanzaAPI from <https://stanzaapi.com/datasets/x12>.
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+
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+ ## Citation
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+
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+ ```
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+ StanzaAPI. (2026). ANSI X12 Test Data. CC0-1.0. https://stanzaapi.com/datasets/x12
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+ ```
x12-large.csv ADDED
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x12-large.json ADDED
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+ CLM*CLM119141*150.00***11:B:1*Y*A*Y*Y~
159
+ SE*7*0001~
160
+ GE*1*961311698~
161
+ IEA*1*961311698~"
162
+ 030874567,837P,CLM608240,"ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260112*1200*^*00501*030874567*0*T*:~
163
+ GS*HC*SUBMITTER*RECEIVER*20260112*1200*1*X*005010X222A1~
164
+ ST*837*0001*005010X222A1~
165
+ BHT*0019*00*CLM608240*20260112*1200*CH~
166
+ NM1*41*2*SYNTHETIC SUBMITTER*****46*916759875~
167
+ NM1*40*2*SYNTHETIC RECEIVER*****46*973227192~
168
+ CLM*CLM608240*150.00***11:B:1*Y*A*Y*Y~
169
+ SE*7*0001~
170
+ GE*1*030874567~
171
+ IEA*1*030874567~"
172
+ 273776087,837P,CLM112873,"ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260812*1200*^*00501*273776087*0*T*:~
173
+ GS*HC*SUBMITTER*RECEIVER*20260812*1200*1*X*005010X222A1~
174
+ ST*837*0001*005010X222A1~
175
+ BHT*0019*00*CLM112873*20260812*1200*CH~
176
+ NM1*41*2*SYNTHETIC SUBMITTER*****46*998459579~
177
+ NM1*40*2*SYNTHETIC RECEIVER*****46*578536493~
178
+ CLM*CLM112873*150.00***11:B:1*Y*A*Y*Y~
179
+ SE*7*0001~
180
+ GE*1*273776087~
181
+ IEA*1*273776087~"
182
+ 897740548,837P,CLM365648,"ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20261218*1200*^*00501*897740548*0*T*:~
183
+ GS*HC*SUBMITTER*RECEIVER*20261218*1200*1*X*005010X222A1~
184
+ ST*837*0001*005010X222A1~
185
+ BHT*0019*00*CLM365648*20261218*1200*CH~
186
+ NM1*41*2*SYNTHETIC SUBMITTER*****46*559244181~
187
+ NM1*40*2*SYNTHETIC RECEIVER*****46*935513405~
188
+ CLM*CLM365648*150.00***11:B:1*Y*A*Y*Y~
189
+ SE*7*0001~
190
+ GE*1*897740548~
191
+ IEA*1*897740548~"
192
+ 842686321,837P,CLM006151,"ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20261013*1200*^*00501*842686321*0*T*:~
193
+ GS*HC*SUBMITTER*RECEIVER*20261013*1200*1*X*005010X222A1~
194
+ ST*837*0001*005010X222A1~
195
+ BHT*0019*00*CLM006151*20261013*1200*CH~
196
+ NM1*41*2*SYNTHETIC SUBMITTER*****46*847115460~
197
+ NM1*40*2*SYNTHETIC RECEIVER*****46*394927608~
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+ CLM*CLM006151*150.00***11:B:1*Y*A*Y*Y~
199
+ SE*7*0001~
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+ GE*1*842686321~
201
+ IEA*1*842686321~"
202
+ 979334953,837P,CLM182773,"ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260121*1200*^*00501*979334953*0*T*:~
203
+ GS*HC*SUBMITTER*RECEIVER*20260121*1200*1*X*005010X222A1~
204
+ ST*837*0001*005010X222A1~
205
+ BHT*0019*00*CLM182773*20260121*1200*CH~
206
+ NM1*41*2*SYNTHETIC SUBMITTER*****46*852099254~
207
+ NM1*40*2*SYNTHETIC RECEIVER*****46*394268317~
208
+ CLM*CLM182773*150.00***11:B:1*Y*A*Y*Y~
209
+ SE*7*0001~
210
+ GE*1*979334953~
211
+ IEA*1*979334953~"
212
+ 596674428,837P,CLM314674,"ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260917*1200*^*00501*596674428*0*T*:~
213
+ GS*HC*SUBMITTER*RECEIVER*20260917*1200*1*X*005010X222A1~
214
+ ST*837*0001*005010X222A1~
215
+ BHT*0019*00*CLM314674*20260917*1200*CH~
216
+ NM1*41*2*SYNTHETIC SUBMITTER*****46*062299087~
217
+ NM1*40*2*SYNTHETIC RECEIVER*****46*136301560~
218
+ CLM*CLM314674*150.00***11:B:1*Y*A*Y*Y~
219
+ SE*7*0001~
220
+ GE*1*596674428~
221
+ IEA*1*596674428~"
222
+ 827981771,837P,CLM949909,"ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260823*1200*^*00501*827981771*0*T*:~
223
+ GS*HC*SUBMITTER*RECEIVER*20260823*1200*1*X*005010X222A1~
224
+ ST*837*0001*005010X222A1~
225
+ BHT*0019*00*CLM949909*20260823*1200*CH~
226
+ NM1*41*2*SYNTHETIC SUBMITTER*****46*753797367~
227
+ NM1*40*2*SYNTHETIC RECEIVER*****46*378715926~
228
+ CLM*CLM949909*150.00***11:B:1*Y*A*Y*Y~
229
+ SE*7*0001~
230
+ GE*1*827981771~
231
+ IEA*1*827981771~"
232
+ 859764129,837P,CLM603729,"ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260723*1200*^*00501*859764129*0*T*:~
233
+ GS*HC*SUBMITTER*RECEIVER*20260723*1200*1*X*005010X222A1~
234
+ ST*837*0001*005010X222A1~
235
+ BHT*0019*00*CLM603729*20260723*1200*CH~
236
+ NM1*41*2*SYNTHETIC SUBMITTER*****46*683287464~
237
+ NM1*40*2*SYNTHETIC RECEIVER*****46*483408855~
238
+ CLM*CLM603729*150.00***11:B:1*Y*A*Y*Y~
239
+ SE*7*0001~
240
+ GE*1*859764129~
241
+ IEA*1*859764129~"
242
+ 051489975,837P,CLM137254,"ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260515*1200*^*00501*051489975*0*T*:~
243
+ GS*HC*SUBMITTER*RECEIVER*20260515*1200*1*X*005010X222A1~
244
+ ST*837*0001*005010X222A1~
245
+ BHT*0019*00*CLM137254*20260515*1200*CH~
246
+ NM1*41*2*SYNTHETIC SUBMITTER*****46*225629177~
247
+ NM1*40*2*SYNTHETIC RECEIVER*****46*676284125~
248
+ CLM*CLM137254*150.00***11:B:1*Y*A*Y*Y~
249
+ SE*7*0001~
250
+ GE*1*051489975~
251
+ IEA*1*051489975~"
x12-small.json ADDED
@@ -0,0 +1,167 @@
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
+ {
2
+ "name": "ANSI X12 Test Data",
3
+ "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.",
4
+ "source": "https://stanzaapi.com/datasets/x12",
5
+ "license": "CC0-1.0",
6
+ "validity": "structurally-synthetic",
7
+ "size": "small",
8
+ "count": 25,
9
+ "columns": [
10
+ "control_number",
11
+ "transaction_set",
12
+ "claim_id",
13
+ "document"
14
+ ],
15
+ "rows": [
16
+ {
17
+ "control_number": "904215028",
18
+ "transaction_set": "837P",
19
+ "claim_id": "CLM447464",
20
+ "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~"
21
+ },
22
+ {
23
+ "control_number": "499009403",
24
+ "transaction_set": "837P",
25
+ "claim_id": "CLM393148",
26
+ "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~"
27
+ },
28
+ {
29
+ "control_number": "135363379",
30
+ "transaction_set": "837P",
31
+ "claim_id": "CLM964910",
32
+ "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~"
33
+ },
34
+ {
35
+ "control_number": "047196218",
36
+ "transaction_set": "837P",
37
+ "claim_id": "CLM684256",
38
+ "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~"
39
+ },
40
+ {
41
+ "control_number": "455422120",
42
+ "transaction_set": "837P",
43
+ "claim_id": "CLM873092",
44
+ "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~"
45
+ },
46
+ {
47
+ "control_number": "589406485",
48
+ "transaction_set": "837P",
49
+ "claim_id": "CLM652286",
50
+ "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~"
51
+ },
52
+ {
53
+ "control_number": "218195998",
54
+ "transaction_set": "837P",
55
+ "claim_id": "CLM988652",
56
+ "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~"
57
+ },
58
+ {
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+ "control_number": "910879731",
60
+ "transaction_set": "837P",
61
+ "claim_id": "CLM036132",
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+ "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~"
63
+ },
64
+ {
65
+ "control_number": "943786922",
66
+ "transaction_set": "837P",
67
+ "claim_id": "CLM681962",
68
+ "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~"
69
+ },
70
+ {
71
+ "control_number": "934347052",
72
+ "transaction_set": "837P",
73
+ "claim_id": "CLM096431",
74
+ "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~"
75
+ },
76
+ {
77
+ "control_number": "311811170",
78
+ "transaction_set": "837P",
79
+ "claim_id": "CLM943866",
80
+ "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~"
81
+ },
82
+ {
83
+ "control_number": "287711176",
84
+ "transaction_set": "837P",
85
+ "claim_id": "CLM062153",
86
+ "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~"
87
+ },
88
+ {
89
+ "control_number": "247767370",
90
+ "transaction_set": "837P",
91
+ "claim_id": "CLM070436",
92
+ "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~"
93
+ },
94
+ {
95
+ "control_number": "008347395",
96
+ "transaction_set": "837P",
97
+ "claim_id": "CLM397444",
98
+ "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~"
99
+ },
100
+ {
101
+ "control_number": "306524925",
102
+ "transaction_set": "837P",
103
+ "claim_id": "CLM338131",
104
+ "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~"
105
+ },
106
+ {
107
+ "control_number": "961311698",
108
+ "transaction_set": "837P",
109
+ "claim_id": "CLM119141",
110
+ "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~"
111
+ },
112
+ {
113
+ "control_number": "030874567",
114
+ "transaction_set": "837P",
115
+ "claim_id": "CLM608240",
116
+ "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~"
117
+ },
118
+ {
119
+ "control_number": "273776087",
120
+ "transaction_set": "837P",
121
+ "claim_id": "CLM112873",
122
+ "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~"
123
+ },
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+ {
125
+ "control_number": "897740548",
126
+ "transaction_set": "837P",
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+ "claim_id": "CLM365648",
128
+ "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~"
129
+ },
130
+ {
131
+ "control_number": "842686321",
132
+ "transaction_set": "837P",
133
+ "claim_id": "CLM006151",
134
+ "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~"
135
+ },
136
+ {
137
+ "control_number": "979334953",
138
+ "transaction_set": "837P",
139
+ "claim_id": "CLM182773",
140
+ "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~"
141
+ },
142
+ {
143
+ "control_number": "596674428",
144
+ "transaction_set": "837P",
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+ "claim_id": "CLM314674",
146
+ "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~"
147
+ },
148
+ {
149
+ "control_number": "827981771",
150
+ "transaction_set": "837P",
151
+ "claim_id": "CLM949909",
152
+ "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~"
153
+ },
154
+ {
155
+ "control_number": "859764129",
156
+ "transaction_set": "837P",
157
+ "claim_id": "CLM603729",
158
+ "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~"
159
+ },
160
+ {
161
+ "control_number": "051489975",
162
+ "transaction_set": "837P",
163
+ "claim_id": "CLM137254",
164
+ "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~"
165
+ }
166
+ ]
167
+ }