StanzaAPI commited on
Commit ·
2519bd2
1
Parent(s): 8b9ae57
Publish x12 test data
Browse files- CITATION.cff +13 -0
- LICENSE +127 -0
- README.md +37 -0
- x12-large.csv +0 -0
- x12-large.json +0 -0
- x12-medium.csv +0 -0
- x12-medium.json +0 -0
- x12-small.csv +251 -0
- x12-small.json +167 -0
CITATION.cff
ADDED
|
@@ -0,0 +1,13 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
cff-version: 1.2.0
|
| 2 |
+
message: "If you use this data, please cite it and link to the dataset page."
|
| 3 |
+
title: "ANSI X12 Test Data"
|
| 4 |
+
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."
|
| 5 |
+
type: dataset
|
| 6 |
+
license: CC0-1.0
|
| 7 |
+
version: "1.0.0"
|
| 8 |
+
date-released: "2026-09-30"
|
| 9 |
+
authors:
|
| 10 |
+
- name: "StanzaAPI"
|
| 11 |
+
website: "https://stanzaapi.com"
|
| 12 |
+
repository-code: "https://github.com/StanzaAPI/x12-test-data"
|
| 13 |
+
url: "https://stanzaapi.com/datasets/x12"
|
LICENSE
ADDED
|
@@ -0,0 +1,127 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
Creative Commons Legal Code
|
| 2 |
+
|
| 3 |
+
CC0 1.0 Universal
|
| 4 |
+
|
| 5 |
+
CREATIVE COMMONS CORPORATION IS NOT A LAW FIRM AND DOES NOT PROVIDE
|
| 6 |
+
LEGAL SERVICES. DISTRIBUTION OF THIS DOCUMENT DOES NOT CREATE AN
|
| 7 |
+
ATTORNEY-CLIENT RELATIONSHIP. CREATIVE COMMONS PROVIDES THIS
|
| 8 |
+
INFORMATION ON AN "AS-IS" BASIS. CREATIVE COMMONS MAKES NO WARRANTIES
|
| 9 |
+
REGARDING THE USE OF THIS DOCUMENT OR THE INFORMATION OR WORKS
|
| 10 |
+
PROVIDED HEREUNDER, AND DISCLAIMS LIABILITY FOR DAMAGES RESULTING FROM
|
| 11 |
+
THE USE OF THIS DOCUMENT OR THE INFORMATION OR WORKS PROVIDED
|
| 12 |
+
HEREUNDER.
|
| 13 |
+
|
| 14 |
+
Statement of Purpose
|
| 15 |
+
|
| 16 |
+
The laws of most jurisdictions throughout the world automatically confer
|
| 17 |
+
exclusive Copyright and Related Rights (defined below) upon the creator and
|
| 18 |
+
subsequent owner(s) (each and all, an "owner") of an original work of
|
| 19 |
+
authorship and/or a database (each, a "Work").
|
| 20 |
+
|
| 21 |
+
Certain owners wish to permanently relinquish those rights to a Work for the
|
| 22 |
+
purpose of contributing to a commons of creative, cultural and scientific
|
| 23 |
+
works ("Commons") that the public can reliably and without fear of later
|
| 24 |
+
claims of infringement build upon, modify, incorporate in other works, reuse
|
| 25 |
+
and redistribute as freely as possible in any form whatsoever and for any
|
| 26 |
+
purposes, including without limitation commercial purposes. These owners may
|
| 27 |
+
contribute to the Commons to promote the ideal of a free culture and the
|
| 28 |
+
further production of creative, cultural and scientific works, or to gain
|
| 29 |
+
reputation or greater distribution for their Work in part through the use and
|
| 30 |
+
efforts of others.
|
| 31 |
+
|
| 32 |
+
For these and/or other purposes and motivations, and without any expectation
|
| 33 |
+
of additional consideration or compensation, the person associating CC0 with a
|
| 34 |
+
Work (the "Affirmer"), to the extent that he or she is an owner of Copyright
|
| 35 |
+
and Related Rights in the Work, voluntarily elects to apply CC0 to the Work and
|
| 36 |
+
publicly distribute the Work under its terms, with knowledge of his or her
|
| 37 |
+
Copyright and Related Rights in the Work and the meaning and intended legal
|
| 38 |
+
effect of CC0 on those rights.
|
| 39 |
+
|
| 40 |
+
1. Copyright and Related Rights. A Work made available under CC0 may be
|
| 41 |
+
protected by copyright and related or neighboring rights ("Copyright and
|
| 42 |
+
Related Rights"). Copyright and Related Rights include, but are not limited
|
| 43 |
+
to, the following:
|
| 44 |
+
|
| 45 |
+
i. the right to reproduce, adapt, distribute, perform, display, communicate,
|
| 46 |
+
and translate a Work;
|
| 47 |
+
|
| 48 |
+
ii. moral rights retained by the original author(s) and/or performer(s);
|
| 49 |
+
|
| 50 |
+
iii. publicity and privacy rights pertaining to a person's image or likeness
|
| 51 |
+
depicted in a Work;
|
| 52 |
+
|
| 53 |
+
iv. rights protecting against unfair competition in regards to a Work,
|
| 54 |
+
subject to the limitations in paragraph 4(a), below;
|
| 55 |
+
|
| 56 |
+
v. rights protecting the extraction, dissemination, use and reuse of data in
|
| 57 |
+
a Work;
|
| 58 |
+
|
| 59 |
+
vi. database rights (such as those arising under Directive 96/9/EC of the
|
| 60 |
+
European Parliament and of the Council of 11 March 1996 on the legal
|
| 61 |
+
protection of databases, and under any national implementation thereof,
|
| 62 |
+
including any amended or successor version of such directive); and
|
| 63 |
+
|
| 64 |
+
vii. other similar, equivalent or corresponding rights throughout the world
|
| 65 |
+
based on applicable law or treaty, and any national implementations thereof.
|
| 66 |
+
|
| 67 |
+
2. Waiver. To the greatest extent permitted by, but not in contravention of,
|
| 68 |
+
applicable law, Affirmer hereby overtly, fully, permanently, irrevocably and
|
| 69 |
+
unconditionally waives, abandons, and surrenders all of Affirmer's Copyright
|
| 70 |
+
and Related Rights and associated claims and causes of action, whether now
|
| 71 |
+
known or unknown (including existing as well as future claims and causes of
|
| 72 |
+
action), in the Work (i) in all territories worldwide, (ii) for the maximum
|
| 73 |
+
duration provided by applicable law or treaty (including future time
|
| 74 |
+
extensions), (iii) in any current or future medium and for any number of
|
| 75 |
+
copies, and (iv) for any purpose whatsoever, including without limitation
|
| 76 |
+
commercial, advertising or promotional purposes (the "Waiver"). Affirmer makes
|
| 77 |
+
the Waiver for the benefit of each member of the public at large and to the
|
| 78 |
+
detriment of Affirmer's heirs and successors, fully intending that such Waiver
|
| 79 |
+
shall not be subject to revocation, rescission, cancellation, termination, or
|
| 80 |
+
any other legal or equitable action to disrupt the quiet enjoyment of the Work
|
| 81 |
+
by the public as contemplated by Affirmer's express Statement of Purpose.
|
| 82 |
+
|
| 83 |
+
3. Public License Fallback. Should any part of the Waiver for any reason be
|
| 84 |
+
judged legally invalid or ineffective under applicable law, then the Waiver
|
| 85 |
+
shall be preserved to the maximum extent permitted taking into account
|
| 86 |
+
Affirmer's express Statement of Purpose. In addition, to the extent the Waiver
|
| 87 |
+
is so judged Affirmer hereby grants to each affected person a royalty-free,
|
| 88 |
+
non transferable, non sublicensable, non exclusive, irrevocable and
|
| 89 |
+
unconditional license to exercise Affirmer's Copyright and Related Rights in
|
| 90 |
+
the Work (i) in all territories worldwide, (ii) for the maximum duration
|
| 91 |
+
provided by applicable law or treaty (including future time extensions), (iii)
|
| 92 |
+
in any current or future medium and for any number of copies, and (iv) for any
|
| 93 |
+
purpose whatsoever, including without limitation commercial, advertising or
|
| 94 |
+
promotional purposes (the "License"). The License shall be deemed effective as
|
| 95 |
+
of the date CC0 was applied by Affirmer to the Work. Should any part of the
|
| 96 |
+
License for any reason be judged legally invalid or ineffective under
|
| 97 |
+
applicable law, such partial invalidity or ineffectiveness shall not
|
| 98 |
+
invalidate the remainder of the License, and in such case Affirmer hereby
|
| 99 |
+
affirms that he or she will not (i) exercise any of his or her remaining
|
| 100 |
+
Copyright and Related Rights in the Work or (ii) assert any associated claims
|
| 101 |
+
and causes of action with respect to the Work, in either case contrary to
|
| 102 |
+
Affirmer's express Statement of Purpose.
|
| 103 |
+
|
| 104 |
+
4. Limitations and Disclaimers.
|
| 105 |
+
|
| 106 |
+
a. No trademark or patent rights held by Affirmer are waived, abandoned,
|
| 107 |
+
surrendered, licensed or otherwise affected by this document.
|
| 108 |
+
|
| 109 |
+
b. Affirmer offers the Work as-is and makes no representations or warranties
|
| 110 |
+
of any kind concerning the Work, express, implied, statutory or otherwise,
|
| 111 |
+
including without limitation warranties of title, merchantability, fitness
|
| 112 |
+
for a particular purpose, non infringement, or the absence of latent or
|
| 113 |
+
other defects, accuracy, or the present or absence of errors, whether or not
|
| 114 |
+
discoverable, all to the greatest extent permissible under applicable law.
|
| 115 |
+
|
| 116 |
+
c. Affirmer disclaims responsibility for clearing rights of other persons
|
| 117 |
+
that may apply to the Work or any use thereof, including without limitation
|
| 118 |
+
any person's Copyright and Related Rights in the Work. Further, Affirmer
|
| 119 |
+
disclaims responsibility for obtaining any necessary consents, permissions
|
| 120 |
+
or other rights required for any use of the Work.
|
| 121 |
+
|
| 122 |
+
d. Affirmer understands and acknowledges that Creative Commons is not a
|
| 123 |
+
party to this document and has no duty or obligation with respect to this
|
| 124 |
+
CC0 or use of the Work.
|
| 125 |
+
|
| 126 |
+
For more information, please see
|
| 127 |
+
<http://creativecommons.org/publicdomain/zero/1.0/>
|
README.md
ADDED
|
@@ -0,0 +1,37 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
---
|
| 2 |
+
license: cc0-1.0
|
| 3 |
+
pretty_name: "ANSI X12 Test Data"
|
| 4 |
+
tags:
|
| 5 |
+
- test-data
|
| 6 |
+
- synthetic
|
| 7 |
+
- x12
|
| 8 |
+
configs:
|
| 9 |
+
- config_name: default
|
| 10 |
+
data_files:
|
| 11 |
+
- split: train
|
| 12 |
+
path: "x12-small.csv"
|
| 13 |
+
---
|
| 14 |
+
|
| 15 |
+
# ANSI X12 Test Data
|
| 16 |
+
|
| 17 |
+
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.
|
| 18 |
+
|
| 19 |
+
Free to use under **CC0-1.0** — public domain dedication, no attribution required.
|
| 20 |
+
|
| 21 |
+
## Files
|
| 22 |
+
|
| 23 |
+
- `x12-small.json` / `x12-small.csv` — 100 rows (documents: 25)
|
| 24 |
+
- `x12-medium.json` / `x12-medium.csv` — 2,000 rows (documents: 250)
|
| 25 |
+
- `x12-large.json` / `x12-large.csv` — 20,000 rows (documents: 2,500)
|
| 26 |
+
|
| 27 |
+
Deterministic: the same size always produces the same rows.
|
| 28 |
+
|
| 29 |
+
## Source
|
| 30 |
+
|
| 31 |
+
Generated by StanzaAPI from <https://stanzaapi.com/datasets/x12>.
|
| 32 |
+
|
| 33 |
+
## Citation
|
| 34 |
+
|
| 35 |
+
```
|
| 36 |
+
StanzaAPI. (2026). ANSI X12 Test Data. CC0-1.0. https://stanzaapi.com/datasets/x12
|
| 37 |
+
```
|
x12-large.csv
ADDED
|
The diff for this file is too large to render.
See raw diff
|
|
|
x12-large.json
ADDED
|
The diff for this file is too large to render.
See raw diff
|
|
|
x12-medium.csv
ADDED
|
The diff for this file is too large to render.
See raw diff
|
|
|
x12-medium.json
ADDED
|
The diff for this file is too large to render.
See raw diff
|
|
|
x12-small.csv
ADDED
|
@@ -0,0 +1,251 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
control_number,transaction_set,claim_id,document
|
| 2 |
+
904215028,837P,CLM447464,"ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260628*1200*^*00501*904215028*0*T*:~
|
| 3 |
+
GS*HC*SUBMITTER*RECEIVER*20260628*1200*1*X*005010X222A1~
|
| 4 |
+
ST*837*0001*005010X222A1~
|
| 5 |
+
BHT*0019*00*CLM447464*20260628*1200*CH~
|
| 6 |
+
NM1*41*2*SYNTHETIC SUBMITTER*****46*699457619~
|
| 7 |
+
NM1*40*2*SYNTHETIC RECEIVER*****46*875989804~
|
| 8 |
+
CLM*CLM447464*150.00***11:B:1*Y*A*Y*Y~
|
| 9 |
+
SE*7*0001~
|
| 10 |
+
GE*1*904215028~
|
| 11 |
+
IEA*1*904215028~"
|
| 12 |
+
499009403,837P,CLM393148,"ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260607*1200*^*00501*499009403*0*T*:~
|
| 13 |
+
GS*HC*SUBMITTER*RECEIVER*20260607*1200*1*X*005010X222A1~
|
| 14 |
+
ST*837*0001*005010X222A1~
|
| 15 |
+
BHT*0019*00*CLM393148*20260607*1200*CH~
|
| 16 |
+
NM1*41*2*SYNTHETIC SUBMITTER*****46*468154607~
|
| 17 |
+
NM1*40*2*SYNTHETIC RECEIVER*****46*087534968~
|
| 18 |
+
CLM*CLM393148*150.00***11:B:1*Y*A*Y*Y~
|
| 19 |
+
SE*7*0001~
|
| 20 |
+
GE*1*499009403~
|
| 21 |
+
IEA*1*499009403~"
|
| 22 |
+
135363379,837P,CLM964910,"ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260518*1200*^*00501*135363379*0*T*:~
|
| 23 |
+
GS*HC*SUBMITTER*RECEIVER*20260518*1200*1*X*005010X222A1~
|
| 24 |
+
ST*837*0001*005010X222A1~
|
| 25 |
+
BHT*0019*00*CLM964910*20260518*1200*CH~
|
| 26 |
+
NM1*41*2*SYNTHETIC SUBMITTER*****46*068353092~
|
| 27 |
+
NM1*40*2*SYNTHETIC RECEIVER*****46*809557263~
|
| 28 |
+
CLM*CLM964910*150.00***11:B:1*Y*A*Y*Y~
|
| 29 |
+
SE*7*0001~
|
| 30 |
+
GE*1*135363379~
|
| 31 |
+
IEA*1*135363379~"
|
| 32 |
+
047196218,837P,CLM684256,"ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20261118*1200*^*00501*047196218*0*T*:~
|
| 33 |
+
GS*HC*SUBMITTER*RECEIVER*20261118*1200*1*X*005010X222A1~
|
| 34 |
+
ST*837*0001*005010X222A1~
|
| 35 |
+
BHT*0019*00*CLM684256*20261118*1200*CH~
|
| 36 |
+
NM1*41*2*SYNTHETIC SUBMITTER*****46*503091336~
|
| 37 |
+
NM1*40*2*SYNTHETIC RECEIVER*****46*415702215~
|
| 38 |
+
CLM*CLM684256*150.00***11:B:1*Y*A*Y*Y~
|
| 39 |
+
SE*7*0001~
|
| 40 |
+
GE*1*047196218~
|
| 41 |
+
IEA*1*047196218~"
|
| 42 |
+
455422120,837P,CLM873092,"ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260508*1200*^*00501*455422120*0*T*:~
|
| 43 |
+
GS*HC*SUBMITTER*RECEIVER*20260508*1200*1*X*005010X222A1~
|
| 44 |
+
ST*837*0001*005010X222A1~
|
| 45 |
+
BHT*0019*00*CLM873092*20260508*1200*CH~
|
| 46 |
+
NM1*41*2*SYNTHETIC SUBMITTER*****46*372826639~
|
| 47 |
+
NM1*40*2*SYNTHETIC RECEIVER*****46*782281174~
|
| 48 |
+
CLM*CLM873092*150.00***11:B:1*Y*A*Y*Y~
|
| 49 |
+
SE*7*0001~
|
| 50 |
+
GE*1*455422120~
|
| 51 |
+
IEA*1*455422120~"
|
| 52 |
+
589406485,837P,CLM652286,"ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260512*1200*^*00501*589406485*0*T*:~
|
| 53 |
+
GS*HC*SUBMITTER*RECEIVER*20260512*1200*1*X*005010X222A1~
|
| 54 |
+
ST*837*0001*005010X222A1~
|
| 55 |
+
BHT*0019*00*CLM652286*20260512*1200*CH~
|
| 56 |
+
NM1*41*2*SYNTHETIC SUBMITTER*****46*471042865~
|
| 57 |
+
NM1*40*2*SYNTHETIC RECEIVER*****46*756781178~
|
| 58 |
+
CLM*CLM652286*150.00***11:B:1*Y*A*Y*Y~
|
| 59 |
+
SE*7*0001~
|
| 60 |
+
GE*1*589406485~
|
| 61 |
+
IEA*1*589406485~"
|
| 62 |
+
218195998,837P,CLM988652,"ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260111*1200*^*00501*218195998*0*T*:~
|
| 63 |
+
GS*HC*SUBMITTER*RECEIVER*20260111*1200*1*X*005010X222A1~
|
| 64 |
+
ST*837*0001*005010X222A1~
|
| 65 |
+
BHT*0019*00*CLM988652*20260111*1200*CH~
|
| 66 |
+
NM1*41*2*SYNTHETIC SUBMITTER*****46*481779282~
|
| 67 |
+
NM1*40*2*SYNTHETIC RECEIVER*****46*560991017~
|
| 68 |
+
CLM*CLM988652*150.00***11:B:1*Y*A*Y*Y~
|
| 69 |
+
SE*7*0001~
|
| 70 |
+
GE*1*218195998~
|
| 71 |
+
IEA*1*218195998~"
|
| 72 |
+
910879731,837P,CLM036132,"ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260118*1200*^*00501*910879731*0*T*:~
|
| 73 |
+
GS*HC*SUBMITTER*RECEIVER*20260118*1200*1*X*005010X222A1~
|
| 74 |
+
ST*837*0001*005010X222A1~
|
| 75 |
+
BHT*0019*00*CLM036132*20260118*1200*CH~
|
| 76 |
+
NM1*41*2*SYNTHETIC SUBMITTER*****46*140146298~
|
| 77 |
+
NM1*40*2*SYNTHETIC RECEIVER*****46*566781445~
|
| 78 |
+
CLM*CLM036132*150.00***11:B:1*Y*A*Y*Y~
|
| 79 |
+
SE*7*0001~
|
| 80 |
+
GE*1*910879731~
|
| 81 |
+
IEA*1*910879731~"
|
| 82 |
+
943786922,837P,CLM681962,"ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260101*1200*^*00501*943786922*0*T*:~
|
| 83 |
+
GS*HC*SUBMITTER*RECEIVER*20260101*1200*1*X*005010X222A1~
|
| 84 |
+
ST*837*0001*005010X222A1~
|
| 85 |
+
BHT*0019*00*CLM681962*20260101*1200*CH~
|
| 86 |
+
NM1*41*2*SYNTHETIC SUBMITTER*****46*896746068~
|
| 87 |
+
NM1*40*2*SYNTHETIC RECEIVER*****46*742738879~
|
| 88 |
+
CLM*CLM681962*150.00***11:B:1*Y*A*Y*Y~
|
| 89 |
+
SE*7*0001~
|
| 90 |
+
GE*1*943786922~
|
| 91 |
+
IEA*1*943786922~"
|
| 92 |
+
934347052,837P,CLM096431,"ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260201*1200*^*00501*934347052*0*T*:~
|
| 93 |
+
GS*HC*SUBMITTER*RECEIVER*20260201*1200*1*X*005010X222A1~
|
| 94 |
+
ST*837*0001*005010X222A1~
|
| 95 |
+
BHT*0019*00*CLM096431*20260201*1200*CH~
|
| 96 |
+
NM1*41*2*SYNTHETIC SUBMITTER*****46*274258153~
|
| 97 |
+
NM1*40*2*SYNTHETIC RECEIVER*****46*019887206~
|
| 98 |
+
CLM*CLM096431*150.00***11:B:1*Y*A*Y*Y~
|
| 99 |
+
SE*7*0001~
|
| 100 |
+
GE*1*934347052~
|
| 101 |
+
IEA*1*934347052~"
|
| 102 |
+
311811170,837P,CLM943866,"ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20261125*1200*^*00501*311811170*0*T*:~
|
| 103 |
+
GS*HC*SUBMITTER*RECEIVER*20261125*1200*1*X*005010X222A1~
|
| 104 |
+
ST*837*0001*005010X222A1~
|
| 105 |
+
BHT*0019*00*CLM943866*20261125*1200*CH~
|
| 106 |
+
NM1*41*2*SYNTHETIC SUBMITTER*****46*696508303~
|
| 107 |
+
NM1*40*2*SYNTHETIC RECEIVER*****46*770208031~
|
| 108 |
+
CLM*CLM943866*150.00***11:B:1*Y*A*Y*Y~
|
| 109 |
+
SE*7*0001~
|
| 110 |
+
GE*1*311811170~
|
| 111 |
+
IEA*1*311811170~"
|
| 112 |
+
287711176,837P,CLM062153,"ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260206*1200*^*00501*287711176*0*T*:~
|
| 113 |
+
GS*HC*SUBMITTER*RECEIVER*20260206*1200*1*X*005010X222A1~
|
| 114 |
+
ST*837*0001*005010X222A1~
|
| 115 |
+
BHT*0019*00*CLM062153*20260206*1200*CH~
|
| 116 |
+
NM1*41*2*SYNTHETIC SUBMITTER*****46*199265643~
|
| 117 |
+
NM1*40*2*SYNTHETIC RECEIVER*****46*047191182~
|
| 118 |
+
CLM*CLM062153*150.00***11:B:1*Y*A*Y*Y~
|
| 119 |
+
SE*7*0001~
|
| 120 |
+
GE*1*287711176~
|
| 121 |
+
IEA*1*287711176~"
|
| 122 |
+
247767370,837P,CLM070436,"ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20261102*1200*^*00501*247767370*0*T*:~
|
| 123 |
+
GS*HC*SUBMITTER*RECEIVER*20261102*1200*1*X*005010X222A1~
|
| 124 |
+
ST*837*0001*005010X222A1~
|
| 125 |
+
BHT*0019*00*CLM070436*20261102*1200*CH~
|
| 126 |
+
NM1*41*2*SYNTHETIC SUBMITTER*****46*045560746~
|
| 127 |
+
NM1*40*2*SYNTHETIC RECEIVER*****46*592308967~
|
| 128 |
+
CLM*CLM070436*150.00***11:B:1*Y*A*Y*Y~
|
| 129 |
+
SE*7*0001~
|
| 130 |
+
GE*1*247767370~
|
| 131 |
+
IEA*1*247767370~"
|
| 132 |
+
008347395,837P,CLM397444,"ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260905*1200*^*00501*008347395*0*T*:~
|
| 133 |
+
GS*HC*SUBMITTER*RECEIVER*20260905*1200*1*X*005010X222A1~
|
| 134 |
+
ST*837*0001*005010X222A1~
|
| 135 |
+
BHT*0019*00*CLM397444*20260905*1200*CH~
|
| 136 |
+
NM1*41*2*SYNTHETIC SUBMITTER*****46*082333276~
|
| 137 |
+
NM1*40*2*SYNTHETIC RECEIVER*****46*361985418~
|
| 138 |
+
CLM*CLM397444*150.00***11:B:1*Y*A*Y*Y~
|
| 139 |
+
SE*7*0001~
|
| 140 |
+
GE*1*008347395~
|
| 141 |
+
IEA*1*008347395~"
|
| 142 |
+
306524925,837P,CLM338131,"ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260302*1200*^*00501*306524925*0*T*:~
|
| 143 |
+
GS*HC*SUBMITTER*RECEIVER*20260302*1200*1*X*005010X222A1~
|
| 144 |
+
ST*837*0001*005010X222A1~
|
| 145 |
+
BHT*0019*00*CLM338131*20260302*1200*CH~
|
| 146 |
+
NM1*41*2*SYNTHETIC SUBMITTER*****46*800862655~
|
| 147 |
+
NM1*40*2*SYNTHETIC RECEIVER*****46*099389431~
|
| 148 |
+
CLM*CLM338131*150.00***11:B:1*Y*A*Y*Y~
|
| 149 |
+
SE*7*0001~
|
| 150 |
+
GE*1*306524925~
|
| 151 |
+
IEA*1*306524925~"
|
| 152 |
+
961311698,837P,CLM119141,"ISA*00* *00* *ZZ*SUBMITTER *ZZ*RECEIVER *20260912*1200*^*00501*961311698*0*T*:~
|
| 153 |
+
GS*HC*SUBMITTER*RECEIVER*20260912*1200*1*X*005010X222A1~
|
| 154 |
+
ST*837*0001*005010X222A1~
|
| 155 |
+
BHT*0019*00*CLM119141*20260912*1200*CH~
|
| 156 |
+
NM1*41*2*SYNTHETIC SUBMITTER*****46*003516016~
|
| 157 |
+
NM1*40*2*SYNTHETIC RECEIVER*****46*913603170~
|
| 158 |
+
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~
|
| 198 |
+
CLM*CLM006151*150.00***11:B:1*Y*A*Y*Y~
|
| 199 |
+
SE*7*0001~
|
| 200 |
+
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 |
+
{
|
| 59 |
+
"control_number": "910879731",
|
| 60 |
+
"transaction_set": "837P",
|
| 61 |
+
"claim_id": "CLM036132",
|
| 62 |
+
"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 |
+
},
|
| 124 |
+
{
|
| 125 |
+
"control_number": "897740548",
|
| 126 |
+
"transaction_set": "837P",
|
| 127 |
+
"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",
|
| 145 |
+
"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 |
+
}
|