control_number,transaction_set,claim_id,document
904215028,837P,CLM447464,"ISA*00*          *00*          *ZZ*SUBMITTER      *ZZ*RECEIVER       *20260628*1200*^*00501*904215028*0*T*:~
GS*HC*SUBMITTER*RECEIVER*20260628*1200*1*X*005010X222A1~
ST*837*0001*005010X222A1~
BHT*0019*00*CLM447464*20260628*1200*CH~
NM1*41*2*SYNTHETIC SUBMITTER*****46*699457619~
NM1*40*2*SYNTHETIC RECEIVER*****46*875989804~
CLM*CLM447464*150.00***11:B:1*Y*A*Y*Y~
SE*7*0001~
GE*1*904215028~
IEA*1*904215028~"
499009403,837P,CLM393148,"ISA*00*          *00*          *ZZ*SUBMITTER      *ZZ*RECEIVER       *20260607*1200*^*00501*499009403*0*T*:~
GS*HC*SUBMITTER*RECEIVER*20260607*1200*1*X*005010X222A1~
ST*837*0001*005010X222A1~
BHT*0019*00*CLM393148*20260607*1200*CH~
NM1*41*2*SYNTHETIC SUBMITTER*****46*468154607~
NM1*40*2*SYNTHETIC RECEIVER*****46*087534968~
CLM*CLM393148*150.00***11:B:1*Y*A*Y*Y~
SE*7*0001~
GE*1*499009403~
IEA*1*499009403~"
135363379,837P,CLM964910,"ISA*00*          *00*          *ZZ*SUBMITTER      *ZZ*RECEIVER       *20260518*1200*^*00501*135363379*0*T*:~
GS*HC*SUBMITTER*RECEIVER*20260518*1200*1*X*005010X222A1~
ST*837*0001*005010X222A1~
BHT*0019*00*CLM964910*20260518*1200*CH~
NM1*41*2*SYNTHETIC SUBMITTER*****46*068353092~
NM1*40*2*SYNTHETIC RECEIVER*****46*809557263~
CLM*CLM964910*150.00***11:B:1*Y*A*Y*Y~
SE*7*0001~
GE*1*135363379~
IEA*1*135363379~"
047196218,837P,CLM684256,"ISA*00*          *00*          *ZZ*SUBMITTER      *ZZ*RECEIVER       *20261118*1200*^*00501*047196218*0*T*:~
GS*HC*SUBMITTER*RECEIVER*20261118*1200*1*X*005010X222A1~
ST*837*0001*005010X222A1~
BHT*0019*00*CLM684256*20261118*1200*CH~
NM1*41*2*SYNTHETIC SUBMITTER*****46*503091336~
NM1*40*2*SYNTHETIC RECEIVER*****46*415702215~
CLM*CLM684256*150.00***11:B:1*Y*A*Y*Y~
SE*7*0001~
GE*1*047196218~
IEA*1*047196218~"
455422120,837P,CLM873092,"ISA*00*          *00*          *ZZ*SUBMITTER      *ZZ*RECEIVER       *20260508*1200*^*00501*455422120*0*T*:~
GS*HC*SUBMITTER*RECEIVER*20260508*1200*1*X*005010X222A1~
ST*837*0001*005010X222A1~
BHT*0019*00*CLM873092*20260508*1200*CH~
NM1*41*2*SYNTHETIC SUBMITTER*****46*372826639~
NM1*40*2*SYNTHETIC RECEIVER*****46*782281174~
CLM*CLM873092*150.00***11:B:1*Y*A*Y*Y~
SE*7*0001~
GE*1*455422120~
IEA*1*455422120~"
589406485,837P,CLM652286,"ISA*00*          *00*          *ZZ*SUBMITTER      *ZZ*RECEIVER       *20260512*1200*^*00501*589406485*0*T*:~
GS*HC*SUBMITTER*RECEIVER*20260512*1200*1*X*005010X222A1~
ST*837*0001*005010X222A1~
BHT*0019*00*CLM652286*20260512*1200*CH~
NM1*41*2*SYNTHETIC SUBMITTER*****46*471042865~
NM1*40*2*SYNTHETIC RECEIVER*****46*756781178~
CLM*CLM652286*150.00***11:B:1*Y*A*Y*Y~
SE*7*0001~
GE*1*589406485~
IEA*1*589406485~"
218195998,837P,CLM988652,"ISA*00*          *00*          *ZZ*SUBMITTER      *ZZ*RECEIVER       *20260111*1200*^*00501*218195998*0*T*:~
GS*HC*SUBMITTER*RECEIVER*20260111*1200*1*X*005010X222A1~
ST*837*0001*005010X222A1~
BHT*0019*00*CLM988652*20260111*1200*CH~
NM1*41*2*SYNTHETIC SUBMITTER*****46*481779282~
NM1*40*2*SYNTHETIC RECEIVER*****46*560991017~
CLM*CLM988652*150.00***11:B:1*Y*A*Y*Y~
SE*7*0001~
GE*1*218195998~
IEA*1*218195998~"
910879731,837P,CLM036132,"ISA*00*          *00*          *ZZ*SUBMITTER      *ZZ*RECEIVER       *20260118*1200*^*00501*910879731*0*T*:~
GS*HC*SUBMITTER*RECEIVER*20260118*1200*1*X*005010X222A1~
ST*837*0001*005010X222A1~
BHT*0019*00*CLM036132*20260118*1200*CH~
NM1*41*2*SYNTHETIC SUBMITTER*****46*140146298~
NM1*40*2*SYNTHETIC RECEIVER*****46*566781445~
CLM*CLM036132*150.00***11:B:1*Y*A*Y*Y~
SE*7*0001~
GE*1*910879731~
IEA*1*910879731~"
943786922,837P,CLM681962,"ISA*00*          *00*          *ZZ*SUBMITTER      *ZZ*RECEIVER       *20260101*1200*^*00501*943786922*0*T*:~
GS*HC*SUBMITTER*RECEIVER*20260101*1200*1*X*005010X222A1~
ST*837*0001*005010X222A1~
BHT*0019*00*CLM681962*20260101*1200*CH~
NM1*41*2*SYNTHETIC SUBMITTER*****46*896746068~
NM1*40*2*SYNTHETIC RECEIVER*****46*742738879~
CLM*CLM681962*150.00***11:B:1*Y*A*Y*Y~
SE*7*0001~
GE*1*943786922~
IEA*1*943786922~"
934347052,837P,CLM096431,"ISA*00*          *00*          *ZZ*SUBMITTER      *ZZ*RECEIVER       *20260201*1200*^*00501*934347052*0*T*:~
GS*HC*SUBMITTER*RECEIVER*20260201*1200*1*X*005010X222A1~
ST*837*0001*005010X222A1~
BHT*0019*00*CLM096431*20260201*1200*CH~
NM1*41*2*SYNTHETIC SUBMITTER*****46*274258153~
NM1*40*2*SYNTHETIC RECEIVER*****46*019887206~
CLM*CLM096431*150.00***11:B:1*Y*A*Y*Y~
SE*7*0001~
GE*1*934347052~
IEA*1*934347052~"
311811170,837P,CLM943866,"ISA*00*          *00*          *ZZ*SUBMITTER      *ZZ*RECEIVER       *20261125*1200*^*00501*311811170*0*T*:~
GS*HC*SUBMITTER*RECEIVER*20261125*1200*1*X*005010X222A1~
ST*837*0001*005010X222A1~
BHT*0019*00*CLM943866*20261125*1200*CH~
NM1*41*2*SYNTHETIC SUBMITTER*****46*696508303~
NM1*40*2*SYNTHETIC RECEIVER*****46*770208031~
CLM*CLM943866*150.00***11:B:1*Y*A*Y*Y~
SE*7*0001~
GE*1*311811170~
IEA*1*311811170~"
287711176,837P,CLM062153,"ISA*00*          *00*          *ZZ*SUBMITTER      *ZZ*RECEIVER       *20260206*1200*^*00501*287711176*0*T*:~
GS*HC*SUBMITTER*RECEIVER*20260206*1200*1*X*005010X222A1~
ST*837*0001*005010X222A1~
BHT*0019*00*CLM062153*20260206*1200*CH~
NM1*41*2*SYNTHETIC SUBMITTER*****46*199265643~
NM1*40*2*SYNTHETIC RECEIVER*****46*047191182~
CLM*CLM062153*150.00***11:B:1*Y*A*Y*Y~
SE*7*0001~
GE*1*287711176~
IEA*1*287711176~"
247767370,837P,CLM070436,"ISA*00*          *00*          *ZZ*SUBMITTER      *ZZ*RECEIVER       *20261102*1200*^*00501*247767370*0*T*:~
GS*HC*SUBMITTER*RECEIVER*20261102*1200*1*X*005010X222A1~
ST*837*0001*005010X222A1~
BHT*0019*00*CLM070436*20261102*1200*CH~
NM1*41*2*SYNTHETIC SUBMITTER*****46*045560746~
NM1*40*2*SYNTHETIC RECEIVER*****46*592308967~
CLM*CLM070436*150.00***11:B:1*Y*A*Y*Y~
SE*7*0001~
GE*1*247767370~
IEA*1*247767370~"
008347395,837P,CLM397444,"ISA*00*          *00*          *ZZ*SUBMITTER      *ZZ*RECEIVER       *20260905*1200*^*00501*008347395*0*T*:~
GS*HC*SUBMITTER*RECEIVER*20260905*1200*1*X*005010X222A1~
ST*837*0001*005010X222A1~
BHT*0019*00*CLM397444*20260905*1200*CH~
NM1*41*2*SYNTHETIC SUBMITTER*****46*082333276~
NM1*40*2*SYNTHETIC RECEIVER*****46*361985418~
CLM*CLM397444*150.00***11:B:1*Y*A*Y*Y~
SE*7*0001~
GE*1*008347395~
IEA*1*008347395~"
306524925,837P,CLM338131,"ISA*00*          *00*          *ZZ*SUBMITTER      *ZZ*RECEIVER       *20260302*1200*^*00501*306524925*0*T*:~
GS*HC*SUBMITTER*RECEIVER*20260302*1200*1*X*005010X222A1~
ST*837*0001*005010X222A1~
BHT*0019*00*CLM338131*20260302*1200*CH~
NM1*41*2*SYNTHETIC SUBMITTER*****46*800862655~
NM1*40*2*SYNTHETIC RECEIVER*****46*099389431~
CLM*CLM338131*150.00***11:B:1*Y*A*Y*Y~
SE*7*0001~
GE*1*306524925~
IEA*1*306524925~"
961311698,837P,CLM119141,"ISA*00*          *00*          *ZZ*SUBMITTER      *ZZ*RECEIVER       *20260912*1200*^*00501*961311698*0*T*:~
GS*HC*SUBMITTER*RECEIVER*20260912*1200*1*X*005010X222A1~
ST*837*0001*005010X222A1~
BHT*0019*00*CLM119141*20260912*1200*CH~
NM1*41*2*SYNTHETIC SUBMITTER*****46*003516016~
NM1*40*2*SYNTHETIC RECEIVER*****46*913603170~
CLM*CLM119141*150.00***11:B:1*Y*A*Y*Y~
SE*7*0001~
GE*1*961311698~
IEA*1*961311698~"
030874567,837P,CLM608240,"ISA*00*          *00*          *ZZ*SUBMITTER      *ZZ*RECEIVER       *20260112*1200*^*00501*030874567*0*T*:~
GS*HC*SUBMITTER*RECEIVER*20260112*1200*1*X*005010X222A1~
ST*837*0001*005010X222A1~
BHT*0019*00*CLM608240*20260112*1200*CH~
NM1*41*2*SYNTHETIC SUBMITTER*****46*916759875~
NM1*40*2*SYNTHETIC RECEIVER*****46*973227192~
CLM*CLM608240*150.00***11:B:1*Y*A*Y*Y~
SE*7*0001~
GE*1*030874567~
IEA*1*030874567~"
273776087,837P,CLM112873,"ISA*00*          *00*          *ZZ*SUBMITTER      *ZZ*RECEIVER       *20260812*1200*^*00501*273776087*0*T*:~
GS*HC*SUBMITTER*RECEIVER*20260812*1200*1*X*005010X222A1~
ST*837*0001*005010X222A1~
BHT*0019*00*CLM112873*20260812*1200*CH~
NM1*41*2*SYNTHETIC SUBMITTER*****46*998459579~
NM1*40*2*SYNTHETIC RECEIVER*****46*578536493~
CLM*CLM112873*150.00***11:B:1*Y*A*Y*Y~
SE*7*0001~
GE*1*273776087~
IEA*1*273776087~"
897740548,837P,CLM365648,"ISA*00*          *00*          *ZZ*SUBMITTER      *ZZ*RECEIVER       *20261218*1200*^*00501*897740548*0*T*:~
GS*HC*SUBMITTER*RECEIVER*20261218*1200*1*X*005010X222A1~
ST*837*0001*005010X222A1~
BHT*0019*00*CLM365648*20261218*1200*CH~
NM1*41*2*SYNTHETIC SUBMITTER*****46*559244181~
NM1*40*2*SYNTHETIC RECEIVER*****46*935513405~
CLM*CLM365648*150.00***11:B:1*Y*A*Y*Y~
SE*7*0001~
GE*1*897740548~
IEA*1*897740548~"
842686321,837P,CLM006151,"ISA*00*          *00*          *ZZ*SUBMITTER      *ZZ*RECEIVER       *20261013*1200*^*00501*842686321*0*T*:~
GS*HC*SUBMITTER*RECEIVER*20261013*1200*1*X*005010X222A1~
ST*837*0001*005010X222A1~
BHT*0019*00*CLM006151*20261013*1200*CH~
NM1*41*2*SYNTHETIC SUBMITTER*****46*847115460~
NM1*40*2*SYNTHETIC RECEIVER*****46*394927608~
CLM*CLM006151*150.00***11:B:1*Y*A*Y*Y~
SE*7*0001~
GE*1*842686321~
IEA*1*842686321~"
979334953,837P,CLM182773,"ISA*00*          *00*          *ZZ*SUBMITTER      *ZZ*RECEIVER       *20260121*1200*^*00501*979334953*0*T*:~
GS*HC*SUBMITTER*RECEIVER*20260121*1200*1*X*005010X222A1~
ST*837*0001*005010X222A1~
BHT*0019*00*CLM182773*20260121*1200*CH~
NM1*41*2*SYNTHETIC SUBMITTER*****46*852099254~
NM1*40*2*SYNTHETIC RECEIVER*****46*394268317~
CLM*CLM182773*150.00***11:B:1*Y*A*Y*Y~
SE*7*0001~
GE*1*979334953~
IEA*1*979334953~"
596674428,837P,CLM314674,"ISA*00*          *00*          *ZZ*SUBMITTER      *ZZ*RECEIVER       *20260917*1200*^*00501*596674428*0*T*:~
GS*HC*SUBMITTER*RECEIVER*20260917*1200*1*X*005010X222A1~
ST*837*0001*005010X222A1~
BHT*0019*00*CLM314674*20260917*1200*CH~
NM1*41*2*SYNTHETIC SUBMITTER*****46*062299087~
NM1*40*2*SYNTHETIC RECEIVER*****46*136301560~
CLM*CLM314674*150.00***11:B:1*Y*A*Y*Y~
SE*7*0001~
GE*1*596674428~
IEA*1*596674428~"
827981771,837P,CLM949909,"ISA*00*          *00*          *ZZ*SUBMITTER      *ZZ*RECEIVER       *20260823*1200*^*00501*827981771*0*T*:~
GS*HC*SUBMITTER*RECEIVER*20260823*1200*1*X*005010X222A1~
ST*837*0001*005010X222A1~
BHT*0019*00*CLM949909*20260823*1200*CH~
NM1*41*2*SYNTHETIC SUBMITTER*****46*753797367~
NM1*40*2*SYNTHETIC RECEIVER*****46*378715926~
CLM*CLM949909*150.00***11:B:1*Y*A*Y*Y~
SE*7*0001~
GE*1*827981771~
IEA*1*827981771~"
859764129,837P,CLM603729,"ISA*00*          *00*          *ZZ*SUBMITTER      *ZZ*RECEIVER       *20260723*1200*^*00501*859764129*0*T*:~
GS*HC*SUBMITTER*RECEIVER*20260723*1200*1*X*005010X222A1~
ST*837*0001*005010X222A1~
BHT*0019*00*CLM603729*20260723*1200*CH~
NM1*41*2*SYNTHETIC SUBMITTER*****46*683287464~
NM1*40*2*SYNTHETIC RECEIVER*****46*483408855~
CLM*CLM603729*150.00***11:B:1*Y*A*Y*Y~
SE*7*0001~
GE*1*859764129~
IEA*1*859764129~"
051489975,837P,CLM137254,"ISA*00*          *00*          *ZZ*SUBMITTER      *ZZ*RECEIVER       *20260515*1200*^*00501*051489975*0*T*:~
GS*HC*SUBMITTER*RECEIVER*20260515*1200*1*X*005010X222A1~
ST*837*0001*005010X222A1~
BHT*0019*00*CLM137254*20260515*1200*CH~
NM1*41*2*SYNTHETIC SUBMITTER*****46*225629177~
NM1*40*2*SYNTHETIC RECEIVER*****46*676284125~
CLM*CLM137254*150.00***11:B:1*Y*A*Y*Y~
SE*7*0001~
GE*1*051489975~
IEA*1*051489975~"