gm_x12 1.6.0

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Files changed (1869) hide show
  1. checksums.yaml +7 -0
  2. data/.gitignore +18 -0
  3. data/.project +13 -0
  4. data/.ruby-version +1 -0
  5. data/Gemfile +4 -0
  6. data/LICENSE +22 -0
  7. data/README.md +100 -0
  8. data/Rakefile +26 -0
  9. data/example/factory.rb +92 -0
  10. data/example/parse.rb +57 -0
  11. data/init.rb +1 -0
  12. data/lib/x12.rb +48 -0
  13. data/lib/x12/base.rb +226 -0
  14. data/lib/x12/composite.rb +37 -0
  15. data/lib/x12/empty.rb +43 -0
  16. data/lib/x12/field.rb +94 -0
  17. data/lib/x12/loop.rb +96 -0
  18. data/lib/x12/parser.rb +133 -0
  19. data/lib/x12/segment.rb +114 -0
  20. data/lib/x12/table.rb +44 -0
  21. data/lib/x12/version.rb +3 -0
  22. data/lib/x12/xmldefinitions.rb +173 -0
  23. data/misc/270.xml +152 -0
  24. data/misc/270interchange.xml +164 -0
  25. data/misc/271.xml +125 -0
  26. data/misc/276.xml +93 -0
  27. data/misc/277.xml +95 -0
  28. data/misc/832.xml +127 -0
  29. data/misc/834.xml +92 -0
  30. data/misc/835.xml +84 -0
  31. data/misc/837p.xml +255 -0
  32. data/misc/850.xml +66 -0
  33. data/misc/850dsd.xml +59 -0
  34. data/misc/997.xml +55 -0
  35. data/misc/997single.xml +835 -0
  36. data/misc/999.xml +54 -0
  37. data/misc/AAA.xml +31 -0
  38. data/misc/ACD.xml +30 -0
  39. data/misc/ACK.xml +56 -0
  40. data/misc/ACS.xml +31 -0
  41. data/misc/ACT.xml +36 -0
  42. data/misc/AD1.xml +32 -0
  43. data/misc/ADI.xml +31 -0
  44. data/misc/ADJ.xml +44 -0
  45. data/misc/ADT.xml +37 -0
  46. data/misc/ADV.xml +34 -0
  47. data/misc/ADX.xml +31 -0
  48. data/misc/AEI.xml +30 -0
  49. data/misc/AES.xml +32 -0
  50. data/misc/AIN.xml +40 -0
  51. data/misc/AK1.xml +30 -0
  52. data/misc/AK2.xml +30 -0
  53. data/misc/AK3.xml +31 -0
  54. data/misc/AK4.xml +31 -0
  55. data/misc/AK5.xml +33 -0
  56. data/misc/AK9.xml +36 -0
  57. data/misc/AM1.xml +33 -0
  58. data/misc/AMT.xml +30 -0
  59. data/misc/ANI.xml +36 -0
  60. data/misc/AOC.xml +32 -0
  61. data/misc/AOI.xml +40 -0
  62. data/misc/AOL.xml +35 -0
  63. data/misc/AOR.xml +40 -0
  64. data/misc/AP1.xml +40 -0
  65. data/misc/APE.xml +32 -0
  66. data/misc/API.xml +35 -0
  67. data/misc/APR.xml +30 -0
  68. data/misc/ARC.xml +30 -0
  69. data/misc/ARS.xml +32 -0
  70. data/misc/ASI.xml +30 -0
  71. data/misc/ASL.xml +31 -0
  72. data/misc/ASM.xml +30 -0
  73. data/misc/ASO.xml +38 -0
  74. data/misc/AST.xml +38 -0
  75. data/misc/AT1.xml +28 -0
  76. data/misc/AT2.xml +39 -0
  77. data/misc/AT3.xml +34 -0
  78. data/misc/AT4.xml +28 -0
  79. data/misc/AT5.xml +33 -0
  80. data/misc/AT6.xml +30 -0
  81. data/misc/AT7.xml +34 -0
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  83. data/misc/AT9.xml +35 -0
  84. data/misc/ATA.xml +30 -0
  85. data/misc/ATH.xml +32 -0
  86. data/misc/ATN.xml +33 -0
  87. data/misc/ATR.xml +37 -0
  88. data/misc/ATV.xml +37 -0
  89. data/misc/AVA.xml +29 -0
  90. data/misc/AWD.xml +31 -0
  91. data/misc/AXL.xml +35 -0
  92. data/misc/B1.xml +33 -0
  93. data/misc/B10.xml +36 -0
  94. data/misc/B11.xml +38 -0
  95. data/misc/B12.xml +30 -0
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  107. data/misc/BAA.xml +33 -0
  108. data/misc/BAK.xml +37 -0
  109. data/misc/BAL.xml +30 -0
  110. data/misc/BAT.xml +31 -0
  111. data/misc/BAU.xml +33 -0
  112. data/misc/BAX.xml +41 -0
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  114. data/misc/BC.xml +34 -0
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  116. data/misc/BCD.xml +42 -0
  117. data/misc/BCH.xml +43 -0
  118. data/misc/BCI.xml +35 -0
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  121. data/misc/BCP.xml +40 -0
  122. data/misc/BCQ.xml +34 -0
  123. data/misc/BCS.xml +39 -0
  124. data/misc/BCT.xml +37 -0
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  126. data/misc/BDD.xml +30 -0
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  147. data/misc/BMA.xml +35 -0
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  152. data/misc/BNR.xml +33 -0
  153. data/misc/BNX.xml +31 -0
  154. data/misc/BOL.xml +38 -0
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  156. data/misc/BOS.xml +33 -0
  157. data/misc/BOX.xml +42 -0
  158. data/misc/BPA.xml +32 -0
  159. data/misc/BPP.xml +41 -0
  160. data/misc/BPR.xml +48 -0
  161. data/misc/BPT.xml +37 -0
  162. data/misc/BQR.xml +35 -0
  163. data/misc/BQT.xml +38 -0
  164. data/misc/BR.xml +38 -0
  165. data/misc/BRA.xml +34 -0
  166. data/misc/BRC.xml +32 -0
  167. data/misc/BRR.xml +33 -0
  168. data/misc/BSC.xml +31 -0
  169. data/misc/BSD.xml +36 -0
  170. data/misc/BSF.xml +30 -0
  171. data/misc/BSI.xml +36 -0
  172. data/misc/BSN.xml +34 -0
  173. data/misc/BSR.xml +39 -0
  174. data/misc/BSS.xml +38 -0
  175. data/misc/BT1.xml +38 -0
  176. data/misc/BTA.xml +31 -0
  177. data/misc/BTC.xml +39 -0
  178. data/misc/BTI.xml +41 -0
  179. data/misc/BTP.xml +37 -0
  180. data/misc/BTR.xml +35 -0
  181. data/misc/BTS.xml +42 -0
  182. data/misc/BUY.xml +32 -0
  183. data/misc/BVA.xml +52 -0
  184. data/misc/BVB.xml +34 -0
  185. data/misc/BVP.xml +38 -0
  186. data/misc/BVS.xml +39 -0
  187. data/misc/BW.xml +30 -0
  188. data/misc/BX.xml +41 -0
  189. data/misc/C001.xml +43 -0
  190. data/misc/C002.xml +33 -0
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  224. data/misc/C998.xml +29 -0
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  226. data/misc/CA1.xml +29 -0
  227. data/misc/CAD.xml +36 -0
  228. data/misc/CAI.xml +34 -0
  229. data/misc/CAL.xml +43 -0
  230. data/misc/CAS.xml +46 -0
  231. data/misc/CAT.xml +34 -0
  232. data/misc/CB1.xml +29 -0
  233. data/misc/CBS.xml +30 -0
  234. data/misc/CCI.xml +37 -0
  235. data/misc/CD.xml +38 -0
  236. data/misc/CD1.xml +58 -0
  237. data/misc/CD2.xml +35 -0
  238. data/misc/CD3.xml +41 -0
  239. data/misc/CDA.xml +49 -0
  240. data/misc/CDD.xml +41 -0
  241. data/misc/CDI.xml +38 -0
  242. data/misc/CDS.xml +38 -0
  243. data/misc/CED.xml +32 -0
  244. data/misc/CF1.xml +33 -0
  245. data/misc/CF2.xml +37 -0
  246. data/misc/CFI.xml +34 -0
  247. data/misc/CFT.xml +36 -0
  248. data/misc/CGS.xml +32 -0
  249. data/misc/CHB.xml +36 -0
  250. data/misc/CHR.xml +30 -0
  251. data/misc/CI.xml +41 -0
  252. data/misc/CIC.xml +32 -0
  253. data/misc/CID.xml +34 -0
  254. data/misc/CIV.xml +45 -0
  255. data/misc/CL1.xml +31 -0
  256. data/misc/CLD.xml +32 -0
  257. data/misc/CLI.xml +33 -0
  258. data/misc/CLM.xml +48 -0
  259. data/misc/CLP.xml +41 -0
  260. data/misc/CLR.xml +31 -0
  261. data/misc/CM.xml +44 -0
  262. data/misc/CMA.xml +38 -0
  263. data/misc/CMC.xml +29 -0
  264. data/misc/CN1.xml +33 -0
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  266. data/misc/COM.xml +30 -0
  267. data/misc/CON_.xml +30 -0
  268. data/misc/CPR.xml +32 -0
  269. data/misc/CQ.xml +37 -0
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  278. data/misc/CRC.xml +34 -0
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  1848. data/misc/rdoc_template.rb +697 -0
  1849. data/test/tc_factory_270.rb +170 -0
  1850. data/test/tc_factory_270interchange.rb +306 -0
  1851. data/test/tc_factory_271.rb +235 -0
  1852. data/test/tc_factory_276.rb +42 -0
  1853. data/test/tc_factory_277.rb +43 -0
  1854. data/test/tc_factory_834.rb +265 -0
  1855. data/test/tc_factory_837p.rb +285 -0
  1856. data/test/tc_factory_997.rb +138 -0
  1857. data/test/tc_factory_999.rb +128 -0
  1858. data/test/tc_parse_270.rb +98 -0
  1859. data/test/tc_parse_270interchange.rb +184 -0
  1860. data/test/tc_parse_271.rb +158 -0
  1861. data/test/tc_parse_276.rb +151 -0
  1862. data/test/tc_parse_277.rb +128 -0
  1863. data/test/tc_parse_834.rb +49 -0
  1864. data/test/tc_parse_835.rb +215 -0
  1865. data/test/tc_parse_837p.rb +82 -0
  1866. data/test/tc_parse_997.rb +147 -0
  1867. data/test/tc_parse_999.rb +89 -0
  1868. data/x12.gemspec +21 -0
  1869. metadata +1946 -0
data/misc/271.xml ADDED
@@ -0,0 +1,125 @@
1
+ <!--
2
+ This file is part of the X12Parser library that provides tools to
3
+ manipulate X12 messages using Ruby native syntax.
4
+
5
+ Copyright (C) 2013 P&D Technical Solutions, LLC
6
+
7
+ This library is free software; you can redistribute it and/or
8
+ modify it under the terms of the GNU Lesser General Public
9
+ License as published by the Free Software Foundation; either
10
+ version 2.1 of the License, or (at your option) any later version.
11
+
12
+ This library is distributed in the hope that it will be useful,
13
+ but WITHOUT ANY WARRANTY; without even the implied warranty of
14
+ MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the GNU
15
+ Lesser General Public License for more details.
16
+
17
+ You should have received a copy of the GNU Lesser General Public
18
+ License along with this library; if not, write to the Free Software
19
+ Foundation, Inc., 51 Franklin Street, Fifth Floor, Boston, MA 02110-1301 USA
20
+
21
+ $Id: 271.xml 2013-03-17 mjp using version 5010 $
22
+ -->
23
+
24
+ <Definition>
25
+ <Loop name="271" required="y">
26
+ <Segment name="ISA" max="1" required="y" />
27
+ <Segment name="GS" max="1" required="y" />
28
+ <Loop name="L271" max="1" comment="This X12 Transaction Set contains the format and establishes the data contents of the Professional Healthcare Claim Transaction Set (271) for use within the context of an Electronic Data Interchange (EDI) environment.">
29
+ <Segment name="ST" max="1" required="y" />
30
+ <Segment name="BHT" max="1" required="y" comment="" />
31
+ <Loop name="L2000A" max="inf" comment="Information Source Level">
32
+ <Segment name="HL" max="1" required="y" comment="Information Source Level" />
33
+ <Segment name="AAA" max="9" comment="Request Validation" />
34
+ <Loop name="L2100A" max="1" comment="Information Source Name">
35
+ <Segment name="NM1" max="1" required="y" commnet="Information Source Name" />
36
+ <Segment name="REF" max="9" comment="Information Source Additional Identification" />
37
+ <Segment name="PER" max="3" comment="Information Source Contact Information" />
38
+ <Segment name="AAA" max="9" comment="Request Validation" />
39
+ </Loop>
40
+ </Loop>
41
+ <Loop name="L2000B" max="inf" comment="Information Receiver Level">
42
+ <Segment name="HL" max="1" comment="Information Receiver Level" />
43
+ <Loop name="L2100B" max="1" comment="Information Receiver Name">
44
+ <Segment name="NM1" max="1" required="y" comment="Information Receiver Name" />
45
+ <Segment name="REF" max="9" comment="Information Receiver Additional Identification" />
46
+ <Segment name="AAA" max="9" comment="Information Receiver Request Validation" />
47
+ </Loop>
48
+ </Loop>
49
+ <Loop name="L2000C" max="inf" comment="Subscriber Level">
50
+ <Segment name="HL" max="1" comment="Subscriber Level" />
51
+ <Segment name="TRN" max="3" comment="Subscriber Trace Number" />
52
+ <Loop name="L2100C" max="1" comment="Subscriber Name">
53
+ <Segment name="NM1" max="1" required="y" comment="Subscriber Name" />
54
+ <Segment name="REF" max="9" comment="Subscriber Additional Identification" />
55
+ <Segment name="N3" max="1" comment="Subscriber Address" />
56
+ <Segment name="N4" max="1" comment="Subscriber City/State/ZIP Code" />
57
+ <Segment name="PER" max="3" comment="Subscriber Contact Information" />
58
+ <Segment name="AAA" max="9" comment="Subscriber Request Validation" />
59
+ <Segment name="DMG" max="1" comment="Subscriber Demographic Information" />
60
+ <Segment name="INS" max="1" comment="Subscriber Relationship" />
61
+ <Segment name="DTP" max="9" comment="Subscriber Date" />
62
+ <Loop name="L2110C" max="inf" comment="Subscriber Eligibility or Benefit Information">
63
+ <Segment name="EB" max="1" comment="Subscriber Eligibility or Benefit Information" />
64
+ <Segment name="HSD" max="9" comment="Health Care Services Delivery" />
65
+ <Segment name="REF" max="9" comment="Subscriber Additional Identification" />
66
+ <Segment name="DTP" max="20" comment="Subscriber Eligibility/Benefit Date" />
67
+ <Segment name="AAA" max="9" comment="Subscriber Request Validation" />
68
+ <Segment name="MSG" max="10" comment="Message Text" />
69
+ <Loop name="L2115C" max="10" comment="Subscriber Eligibility or Benefit Additional Information">
70
+ <Segment name="III" max="1" comment="Subscriber Eligibility or Benefit Additional Information" />
71
+ </Loop>
72
+ <Segment name="LS" max="1" comment="Loop Header" />
73
+ <Loop name="L2120C" max="1" comment="Subscriber Benefit Related Entity Name">
74
+ <Segment name="NM1" max="1" comment="Subscriber Benefit Related Entity Name" />
75
+ <Segment name="N3" max="1" comment="Subscriber Benefit Related Entity Address" />
76
+ <Segment name="N4" max="1" comment="Subscriber Benefit Related City/State/ZIP Code" />
77
+ <Segment name="PER" max="3" comment="Subscriber Benefit Related Entity Contact Information" />
78
+ <Segment name="PRV" max="1" comment="Subscriber Benefit Related Provider Information" />
79
+ </Loop>
80
+ <Segment name="LE" max="1" comment="Loop Trailer" />
81
+ </Loop>
82
+ </Loop>
83
+ </Loop>
84
+ <Loop name="L2000D" max="inf" comment="Dependent Level">
85
+ <Segment name="HL" max="1" comment="Dependent Level" />
86
+ <Segment name="TRN" max="3" comment="Dependent Trace Number" />
87
+ <Loop name="L2100D" max="1" comment="Dependent Name">
88
+ <Segment name="NM1" max="1" required="y" comment="Dependent Name" />
89
+ <Segment name="REF" max="9" comment="Dependent Additional Identification" />
90
+ <Segment name="N3" max="1" comment="Dependent Address" />
91
+ <Segment name="N4" max="1" comment="Dependent City/State/ZIP Code" />
92
+ <Segment name="PER" max="3" comment="Dependent Contact Information" />
93
+ <Segment name="AAA" max="9" comment="Dependent Request Validation" />
94
+ <Segment name="DMG" max="1" comment="Dependent Demographic Information" />
95
+ <Segment name="INS" max="1" comment="Dependent Relationship" />
96
+ <Segment name="DTP" max="9" comment="Dependent Date" />
97
+ <Loop name="L2110D" max="inf" comment="Depenent Eligibility or Benefit Information">
98
+ <Segment name="EB" max="1" comment="Dependent Eligibility or Benefit Information" />
99
+ <Segment name="HSD" max="9" comment="Health Care Services Delivery" />
100
+ <Segment name="REF" max="9" comment="Dependent Additional Identification" />
101
+ <Segment name="DTP" max="20" comment="Dependent Eligibility/Benefit Date" />
102
+ <Segment name="AAA" max="9" comment="Dependent Request Validation" />
103
+ <Segment name="MSG" max="10" comment="Message Text" />
104
+ <Loop name="L2115D" max="10" comment="Dependent Eligibility or Benefit Additional Information">
105
+ <Segment name="III" max="1" comment="Dependent Eligibility or Benefit Additional Information" />
106
+ </Loop>
107
+ <Segment name="LS" max="1" comment="Dependent Eligibility or Benefit Information" />
108
+ <Loop name="L2120D" max="1" comment="Dependent Benefit Related Entity Name">
109
+ <Segment name="NM1" max="1" comment="Dependent Benefit Related Entity Name" />
110
+ <Segment name="N3" max="1" comment="Dependent Benefit Related Entity Address" />
111
+ <Segment name="N4" max="1" comment="Dependent Benefit Related Entity City/State/ZIP Code" />
112
+ <Segment name="PER" max="3" comment="Dependent Benefit Related Entity Contact Information" />
113
+ <Segment name="PRV" max="1" comment="Dependent Benefit Related Provider Information" />
114
+
115
+ </Loop>
116
+ <Segment name="LE" max="1" comment="Loop Trailer" />
117
+ </Loop>
118
+ </Loop>
119
+ </Loop>
120
+ <Segment name="SE" required="y" />
121
+ </Loop>
122
+ <Segment name="GE" max="1" required="y"/>
123
+ <Segment name="IEA" max="1" required="y"/>
124
+ </Loop>
125
+ </Definition>
data/misc/276.xml ADDED
@@ -0,0 +1,93 @@
1
+ <!--
2
+ This file is part of the X12Parser library that provides tools to
3
+ manipulate X12 messages using Ruby native syntax.
4
+
5
+ Copyright (C) 2012, 2013 P&D Technical Solutions, LLC
6
+
7
+ This library is free software; you can redistribute it and/or
8
+ modify it under the terms of the GNU Lesser General Public
9
+ License as published by the Free Software Foundation; either
10
+ version 2.1 of the License, or (at your option) any later version.
11
+
12
+ This library is distributed in the hope that it will be useful,
13
+ but WITHOUT ANY WARRANTY; without even the implied warranty of
14
+ MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the GNU
15
+ Lesser General Public License for more details.
16
+
17
+ You should have received a copy of the GNU Lesser General Public
18
+ License along with this library; if not, write to the Free Software
19
+ Foundation, Inc., 51 Franklin Street, Fifth Floor, Boston, MA 02110-1301 USA
20
+
21
+ $Id: 835.xml 2013-06-08 mjp using version 5010 $
22
+ Non-standard implementation of the 835 transaction
23
+ Allows for multiple ST/SE segments
24
+ -->
25
+
26
+ <Definition>
27
+ <Loop name="276" required="y">
28
+ <Segment name="ISA" max="1" required="y"/>
29
+ <Segment name="GS" max="1" required="y"/>
30
+ <Loop name="L276" max="inf" comment="This X12 Transaction Set contains the format and establishes the data contents of the Professional Healthcare Status Request and Response (276) for use within the context of an Electronic Data Interchange (EDI) environment.">
31
+ <Segment name="ST" max="1" required="y"/>
32
+ <Segment name="BHT" max="1" required="y" comment="Beginning Hierarchical Transaction"/>
33
+ <Loop name="L2000A" max="inf" required="y" comment="Information Source Level">
34
+ <Segment name="HL" max="1" required="y" comment="Information Source Level"/>
35
+ <Loop name="L2100A" max="inf" required="y" comment="Payer Name">
36
+ <Segment name="NM1" max="1" required="y" comment="Payer Name" />
37
+ <Segment name="PER" max="1" required="n" comment="Payer Contact information" />
38
+ </Loop>
39
+ </Loop>
40
+ <Loop name="L2000B" max="inf" comment="Information Receiver Level">
41
+ <Segment name="HL" max="1" required="y" comment="Information Receiver Level" />
42
+ <Loop name="L2100B" max="inf" comment="Information Receiver Name">
43
+ <Segment name="NM1" max="1" required="y" comment="Information Receiver Name" />
44
+ </Loop>
45
+ </Loop>
46
+ <Loop name="L2000C" max="inf" comment="Service Provider Level">
47
+ <Segment name="HL" max="1" required="y" comment="Service Provider Level" />
48
+ <Loop name="L2100C" max="inf" comment="Provider Name" >
49
+ <Segment name="NM1" max="1" required="y" comment="Provider Name" />
50
+ </Loop>
51
+ </Loop>
52
+ <Loop name="L2000D" max="inf" comment="Subscriber Level">
53
+ <Segment name="HL" max="1" required="y" comment="Subscriber Level" />
54
+ <Segment name="DMG" max="1" required="n" comment="Subscriber Demographic Information" />
55
+ <Loop name="L2100D" max="inf" comment="Subscriber Name">
56
+ <Segment name="NM1" max="1" required="y" comment="Subscriber Name" />
57
+ </Loop>
58
+ <Loop name="L2200D" max="inf" comment="Claim Submitter Trace">
59
+ <Segment name="TRN" max="1" required="y" comment="Claim Submitter Trace Number" />
60
+ <Segment name="REF" max="3" required="n" />
61
+ <Segment name="AMT" max="1" required="n" comment="Claim Submitted Charges" />
62
+ <Segment name="DTP" max="1" required="n" comment="Claim Service Date" />
63
+ <Loop name="L2210D" max="inf" comment="Service Line Information">
64
+ <Segment name="SVC" max="1" required="n" comment="Service Line Information" />
65
+ <Segment name="REF" max="1" required="n" comment="Service Line Item Identifiaction" />
66
+ <Segment name="DTP" max="1" required="Y" comment="Service Line Date" />
67
+ </Loop>
68
+ </Loop>
69
+ </Loop>
70
+ <Loop name="L2000E" max="inf" comment="Dependent Level">
71
+ <Segment name="HL" max="1" required="y" comment="Dependent Level" />
72
+ <Segment name="DMG" max="1" required="n" comment="Dependent Demographic Information" />
73
+ <Loop name="L2100E" max="inf" comment="Dependent Name">
74
+ <Segment name="NM1" max="1" required="y" comment="Dependent Name" />
75
+ </Loop>
76
+ <Loop name="L2200E" max="inf" comment="Claim Submitter Trace Number">
77
+ <Segment name="TRN" max="1" required="y" comment="Claim Subimtter Trace Number" />
78
+ <Segment name="REF" max="3" required="n" />
79
+ <Segment name="AMT" max="1" required="n" comment="Claim Submitted Charges" />
80
+ <Segment name="DTP" max="1" required="n" comment="CLaim Service Date" />
81
+ <Loop name="L2210E" max="inf" comment="Service Line Information">
82
+ <Segment name="SVC" max="1" required="n" comment="Service Line Information" />
83
+ <Segment name="REF" max="1" required="n" comment="Service Line Item Identification" />
84
+ <Segment name="DTP" max="1" required="y" comment="Service Line Date" />
85
+ </Loop>
86
+ </Loop>
87
+ </Loop>
88
+ <Segment name="SE" required="y" />
89
+ </Loop>
90
+ <Segment name="GE" max="1" required="y"/>
91
+ <Segment name="IEA" max="1" required="y"/>
92
+ </Loop>
93
+ </Definition>
data/misc/277.xml ADDED
@@ -0,0 +1,95 @@
1
+ <!--
2
+ This file is part of the X12Parser library that provides tools to
3
+ manipulate X12 messages using Ruby native syntax.
4
+
5
+ Copyright (C) 2012, 2013 P&D Technical Solutions, LLC
6
+
7
+ This library is free software; you can redistribute it and/or
8
+ modify it under the terms of the GNU Lesser General Public
9
+ License as published by the Free Software Foundation; either
10
+ version 2.1 of the License, or (at your option) any later version.
11
+
12
+ This library is distributed in the hope that it will be useful,
13
+ but WITHOUT ANY WARRANTY; without even the implied warranty of
14
+ MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the GNU
15
+ Lesser General Public License for more details.
16
+
17
+ You should have received a copy of the GNU Lesser General Public
18
+ License along with this library; if not, write to the Free Software
19
+ Foundation, Inc., 51 Franklin Street, Fifth Floor, Boston, MA 02110-1301 USA
20
+
21
+ $Id: 835OA.xml 2013-06-08 mjp using version 5010 $
22
+ Non-standard implementation of the 835 transaction
23
+ Allows for multiple ST/SE segments
24
+ -->
25
+
26
+ <Definition>
27
+ <Loop name="277" required="y">
28
+ <Segment name="ISA" max="1" required="y" />
29
+ <Segment name="GS" max="1" required="y" />
30
+ <Loop name="L277" max="inf" comment="This X12 Transaction Set contains the format and establishes the data contents of the Professional Healthcare Status Request and Response (277) for use within the context of an Electronic Data Interchange (EDI) environment.">
31
+ <Segment name="ST" max="1" required="y" />
32
+ <Segment name="BHT" max="1" required="y" comment="Beginning Hierarchical Transaction"/>
33
+ <Loop name="L2000A" max="inf" required="y" comment="Information Source Level">
34
+ <Segment name="HL" max="1" required="y" comment="Information Source Level" />
35
+ <Loop name="L2100A" max="1" required="y" comment="Payer Name">
36
+ <Segment name="NM1" max="1" required="y" comment="Payer Name" />
37
+ <Segment name="PER" max="1" required="n" comment="Payer Contact information" />
38
+ </Loop>
39
+ </Loop>
40
+ <Loop name="L2000B" max="inf" comment="Information Receiver Level">
41
+ <Segment name="HL" max="1" required="y" comment="Information Receiver Level" />
42
+ <Loop name="L2100B" max="inf" comment="Information Receiver Name">
43
+ <Segment name="NM1" max="1" required="y" comment="Information Receiver Name" />
44
+ </Loop>
45
+ </Loop>
46
+ <Loop name="L2000C" max="inf" comment="Service Provider Level">
47
+ <Segment name="HL" max="1" required="y" comment="Service Provider Level" />
48
+ <Loop name="L2100C" max="inf" comment="Provider Name" >
49
+ <Segment name="NM1" max="1" required="y" comment="Provider Name" />
50
+ </Loop>
51
+ </Loop>
52
+ <Loop name="L2000D" max="inf" comment="Subscriber Level">
53
+ <Segment name="HL" max="1" required="y" comment="Subscriber Level" />
54
+ <Segment name="DMG" max="1" required="y" comment="Subscriber Demographic Information" />
55
+ <Loop name="L2100D" max="inf" comment="Subscriber Name">
56
+ <Segment name="NM1" max="1" required="y" comment="Subscriber Name" />
57
+ </Loop>
58
+ <Loop name="L2200D" max="inf" comment="Claim Submitter Trace">
59
+ <Segment name="TRN" max="1" required="y" comment="Claim Submitter Trace Number" />
60
+ <Segment name="STC" max="1" required="y" comment="Claim Level Status Information" />
61
+ <Segment name="REF" max="3" required="n" />
62
+ <Segment name="DTP" max="1" required="n" comment="Claim Service Date" />
63
+ <Loop name="L2220D" max="inf" comment="Service Line Information">
64
+ <Segment name="SVC" max="1" required="n" comment="Service Line Information" />
65
+ <Segment name="STC" max="1" required="n" comment="Service Line Status Information" />
66
+ <Segment name="REF" max="1" required="n" comment="Service Line Item Identifiaction" />
67
+ <Segment name="DTP" max="1" required="Y" comment="Service Line Date" />
68
+ </Loop>
69
+ </Loop>
70
+ </Loop>
71
+ <Loop name="L2000E" max="inf" comment="Dependent Level">
72
+ <Segment name="HL" max="1" required="n" comment="Dependent Level" />
73
+ <Segment name="DMG" max="1" required="y" comment="Dependent Demographic Information" />
74
+ <Loop name="L2100E" max="inf" comment="Dependent Name">
75
+ <Segment name="NM1" max="1" required="y" comment="Dependent Name" />
76
+ </Loop>
77
+ <Loop name="L2200E" max="inf" comment="Claim Submitter Trace Number">
78
+ <Segment name="TRN" max="1" required="y" comment="Claim Subimtter Trace Number" />
79
+ <Segment name="STC" max="1" required="y" comment="Claim Level Status Information" />
80
+ <Segment name="REF" max="3" required="y" />
81
+ <Segment name="DTP" max="1" required="n" comment="CLaim Service Date" />
82
+ <Loop name="L2220E" max="inf" comment="Service Line Information">
83
+ <Segment name="SVC" max="1" required="n" comment="Service Line Information" />
84
+ <Segment name="STC" max="1" required="n" comment="Service Line Status Information" />
85
+ <Segment name="REF" max="1" required="n" comment="Service Line Item Identification" />
86
+ <Segment name="DTP" max="1" required="n" comment="Service Line Date" />
87
+ </Loop>
88
+ </Loop>
89
+ </Loop>
90
+ <Segment name="SE" required="y" />
91
+ </Loop>
92
+ <Segment name="GE" max="1" required="y"/>
93
+ <Segment name="IEA" max="1" required="y"/>
94
+ </Loop>
95
+ </Definition>
data/misc/832.xml ADDED
@@ -0,0 +1,127 @@
1
+ <!--
2
+ This file is part of the X12Parser library that provides tools to
3
+ manipulate X12 messages using Ruby native syntax.
4
+
5
+ Copyright (C) 2016 P&D Technical Solutions, LLC
6
+
7
+ This library is free software; you can redistribute it and/or
8
+ modify it under the terms of the GNU Lesser General Public
9
+ License as published by the Free Software Foundation; either
10
+ version 2.1 of the License, or (at your option) any later version.
11
+
12
+ This library is distributed in the hope that it will be useful,
13
+ but WITHOUT ANY WARRANTY; without even the implied warranty of
14
+ MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the GNU
15
+ Lesser General Public License for more details.
16
+
17
+ You should have received a copy of the GNU Lesser General Public
18
+ License along with this library; if not, write to the Free Software
19
+ Foundation, Inc., 51 Franklin Street, Fifth Floor, Boston, MA 02110-1301 USA
20
+
21
+ $Id: 832.xml 2016-02-24 mjp using version 5010 $
22
+ Non-standard implementation of the 835 transaction
23
+ Allows for multiple ST/SE segments
24
+ -->
25
+
26
+ <Definition>
27
+ <Loop name="832"
28
+ comment="This X12 Transaction Set contains the format and establishes the data contents of the Price/Sales Catalog Transaction Set (832) for use within the context of an Electronic Data Interchange (EDI) environment. The transaction set can be used to provide for customary and established business and industry practice relative to furnishing or requesting the price of goods or services in the form of a catalog.">
29
+ <Segment name="ISA" max="1" required="y"/>
30
+ <Segment name="GS" max="1" required="y"/>
31
+ <Segment name="ST" max="1" required="y">
32
+ <Field name="TransactionSetIdentifierCode" const="850" min="3" max="3" comment="Code uniquely identifying a Transaction Set"/>
33
+ <Field name="TransactionSetControlNumber" min="4" max="9" comment="Identifying control number that must be unique within the transaction set functional group assigned by the originator for a transaction set"/>
34
+ </Segment>
35
+ <Segment name="BCT" max="1" required="y" comment="Beginning segment for Price/Sales Catalog">
36
+ <Field name="CatalogPurposeCode" min="2" max="2" validation="T683" comment="Code indicating purpose of catalog"/>
37
+ <Field name="CatalogNumber1" required="y" min="1" max="15" comment="Identifying number for catalog or superseded catalog"/>
38
+ <Field name="CatalogVersionNumber1" required="n" min="1" max="15" comment="Identifying version number of catalog or superseded catalog"/>
39
+ <Field name="CatalogRevisionNumber1" required="n" min="1" max="6" comment="Identifying revision number of catalog or superseded catalog"/>
40
+ <Field name="UnitOrBasisForMeasurementCode" required="n" min="2" max="2" validation="T355" comment="Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken"/>
41
+ <Field name="CatalogNumber2" required="n" min="1" max="15" comment="Identifying number for catalog or superseded catalog"/>
42
+ <Field name="CatalogVersionNumber2" required="n" min="1" max="15" comment="Identifying version number of catalog or superseded catalog"/>
43
+ <Field name="CatalogRevisionNumber2" required="n" min="1" max="6" comment="Identifying revision number of catalog or superseded catalog"/>
44
+ <Field name="Description" required="y" min="1" max="80" comment="A free-form description to clarify the related data elements and their content"/>
45
+ <Field name="TransactionSetPurposeCode" required="y" min="2" max="2" validation="T353" comment="Code identifying purpose of transaction set"/>
46
+ </Segment>
47
+ <Segment name="PER" max="3" required="n" comment="Administrative communication contact"/>
48
+ <Loop name="LIN" required="n" max="700000" comment="To specify basic item identification data">
49
+ <Segment name="LIN" max="1" required="n" comment="Item Identification">
50
+ <Field name="AssignedIdentification" required="y" min="1" max="20" comment="Alphanumeric characters assigned for differentiation within a transaction set"/>
51
+ <Field name="ProductServiceIdQualifier1" min="2" max="2" validation="T235" comment="Code identifying the type/source of the descriptive number used in Product/Service ID (234)"/>
52
+ <Field name="ProductServiceId1" min="1" max="48" comment="Identifying number for a product or service"/>
53
+ </Segment>
54
+ <Segment name="G53" max="1" required="n" comment="Maintenance Type"/>
55
+ <Segment name="SLN" max="100" required="n" comment="Subline Item Detail"/>
56
+ <Segment name="DTM" max="10" required="n" comment="Date/Time Reference"/>
57
+ <Segment name="CTB" max="25" required="n" comment="Restrictions/ Conditions"/>
58
+ <Segment name="PID" max="200" required="n" comment="Product/Item Description">
59
+ <Field name="ItemDescriptionType" min="1" max="1" validation="T349" comment="Code indicating the format of a description"/>
60
+ <Field name="ProductProcessCharacteristicCode" required="n" min="2" max="3" validation="T750" comment="Code identifying the general class of a product or process characteristic"/>
61
+ <Field name="AgencyQualifierCode" required="n" min="2" max="2" validation="T559" comment="Code identifying the agency assigning the code values"/>
62
+ <Field name="ProductDescriptionCode" required="n" min="1" max="12" comment="A code from an industry code list which provides specific data about a product characteristic"/>
63
+ <Field name="Description" required="y" min="1" max="80" comment="A free-form description to clarify the related data elements and their content"/>
64
+ <Field name="SurfaceLayerPositionCode" required="n" min="2" max="2" validation="T752" comment="Code indicating the product surface, layer or position that is being described"/>
65
+ <Field name="SourceSubqualifier" required="n" min="1" max="15" comment="A reference that indicates the table or text maintained by the Source Qualifier"/>
66
+ <Field name="YesNoConditionOrResponseCode" required="n" min="1" max="1" validation="T1073" comment="Code indicating a Yes or No condition or response"/>
67
+ <Field name="LanguageCode" required="n" min="2" max="3" comment="Code designating the language used in text, from a standard code list maintained by the International Standards Organization (ISO 639)"/>
68
+ </Segment>
69
+ <Segment name="PO4" max="1" required="n" comment="Item Physical Details">
70
+ <Field name="Pack" type="long" required="y" min="1" max="6" comment="The number of inner containers, or number of eaches if there are no inner containers, per outer container"/>
71
+ <Field name="Size" type="double" required="n" min="1" max="8" comment="Size of supplier units in pack"/>
72
+ <Field name="UnitOrBasisForMeasurementCode1" required="y" min="2" max="2" validation="T355" comment="Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken"/>
73
+ <Field name="PackagingCode" required="n" min="3" max="5" validation="T103.2" comment="Code identifying the type of packaging; Part 1: Packaging Form, Part 2: Packaging Material; if the Data Element is used, then Part 1 is always required"/>
74
+ <Field name="WeightQualifier" required="n" min="1" max="2" validation="T187" comment="Code defining the type of weight"/>
75
+ <Field name="GrossWeightPerPack" type="double" required="n" min="1" max="9" comment="Numeric value of gross weight per pack"/>
76
+ <Field name="UnitOrBasisForMeasurementCode2" required="n" min="2" max="2" validation="T355" comment="Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken"/>
77
+ <Field name="GrossVolumePerPack" type="double" required="n" min="1" max="9" comment="Numeric value of gross volume per pack"/>
78
+ <Field name="UnitOrBasisForMeasurementCode3" required="n" min="2" max="2" validation="T355" comment="Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken"/>
79
+ <Field name="Length" type="double" required="n" min="1" max="8" comment="Largest horizontal dimension of an object measured when the object is in the upright position"/>
80
+ <Field name="Width" type="double" required="n" min="1" max="8" comment="Shorter measurement of the two horizontal dimensions measured with the object in the upright position"/>
81
+ <Field name="Height" type="double" required="n" min="1" max="8" comment="Vertical dimension of an object measured when the object is in the upright position"/>
82
+ <Field name="UnitOrBasisForMeasurementCode4" required="n" min="2" max="2" validation="T355" comment="Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken"/>
83
+ <Field name="InnerPack" type="long" required="n" min="1" max="6" comment="The number of eaches per inner container"/>
84
+ <Field name="SurfaceLayerPositionCode" required="n" min="2" max="2" validation="T752" comment="Code indicating the product surface, layer or position that is being described"/>
85
+ <Field name="AssignedIdentification1" required="n" min="1" max="20" comment="Alphanumeric characters assigned for differentiation within a transaction set"/>
86
+ <Field name="AssignedIdentification2" required="n" min="1" max="20" comment="Alphanumeric characters assigned for differentiation within a transaction set"/>
87
+ <Field name="Number" type="long" required="n" min="1" max="9" comment="A generic number"/>
88
+ </Segment>
89
+ <Loop name="CTP" max="100" required="n">
90
+ <Segment name="CTP" max="1" required="n" comment="Pricing Information">
91
+ <Field name="ClassOfTradeCode" required="n" min="2" max="2" validation="T687" comment="Code indicating class of trade"/>
92
+ <Field name="PriceIdentifierCode" required="y" min="3" max="3" validation="T236" comment="Code identifying pricing specification"/>
93
+ <Field name="UnitPrice" type="double" required="y" min="1" max="17" comment="Price per unit of product, service, commodity, etc."/>
94
+ <Field name="Quantity" type="double" required="y" min="1" max="15" comment="Numeric value of quantity"/>
95
+ <Field name="CompositeUnitOfMeasure" type="C001" required="y" min="0" max="inf" comment="To identify a composite unit of measure (See Figures Appendix for examples of use)"/>
96
+ <Field name="PriceMultiplierQualifier" required="n" min="3" max="3" validation="T648" comment="Code indicating the type of price multiplier"/>
97
+ <Field name="Multiplier" type="double" required="n" min="1" max="10" comment="Value to be used as a multiplier to obtain a new value"/>
98
+ <Field name="MonetaryAmount" type="double" required="n" min="1" max="18" comment="Monetary amount"/>
99
+ <Field name="BasisOfUnitPriceCode" required="n" min="2" max="2" validation="T639" comment="Code identifying the type of unit price for an item"/>
100
+ <Field name="ConditionValue" required="n" min="1" max="10" comment="Identifies rate restrictions or provisions"/>
101
+ <Field name="MultiplePriceQuantity" type="long" required="n" min="1" max="2" comment="Quantity of units for a given price, e.g., 3 for $10.00"/>
102
+ </Segment>
103
+ <Segment name="G40" max="99" required="n" comment="Bracket Price"/>
104
+ <Segment name="DTM" max="10" required="n" comment="Date/Time Reference"/>
105
+ <Segment name="CUR" max="5" required="n" comment="Currency">
106
+ <Field name="EntityIdentifierCode1" min="2" max="3" validation="T98" comment="Code identifying an organizational entity, a physical location, property or an individual"/>
107
+ <Field name="CurrencyCode1" min="3" max="3" comment="Code (Standard ISO) for country in whose currency the charges are specified"/>
108
+ </Segment>
109
+ <Segment name="REF" max="inf" required="n" comment="Reference Identification"/>
110
+ <Segment name="G43" max="9999" required="n" comment="Promotion/Price List Area"/>
111
+ </Loop>
112
+ </Loop>
113
+ <Loop name="N1" max="200" required="n"
114
+ comment="The 'N1' segment should be used to specify the name and SAN of the source (agent / distributor / wholesaler). If the SAN is not available then segments 'N2', 'N3', and 'N4' should be used to specify the source's address.">
115
+ <Segment name="N1" max="1" required="n" comment="Name"/>
116
+ <Segment name="N2" max="2" required="n" comment="Additional Name Information"/>
117
+ <Segment name="N3" max="2" required="n" comment="Address Information"/>
118
+ <Segment name="N4" max="1" required="n" comment="Geographic location"/>
119
+ </Loop>
120
+ <Segment name="CTT" max="1" required="n" comment="Transaction totals">
121
+ <Field name="NumberOfLineItems" type="long" min="1" max="6" comment="Total number of line items in the transaction set"/>
122
+ </Segment>
123
+ <Segment name="SE" max="1" required="y"/>
124
+ <Segment name="GE" max="1" required="y"/>
125
+ <Segment name="IEA" max="1" required="y"/>
126
+ </Loop>
127
+ </Definition>
data/misc/834.xml ADDED
@@ -0,0 +1,92 @@
1
+
2
+ <!--
3
+ This file is part of the X12Parser library that provides tools to
4
+ manipulate X12 messages using Ruby native syntax.
5
+
6
+ Copyright (C) 2016 P&D Technical Solutions, LLC
7
+
8
+ This library is free software; you can redistribute it and/or
9
+ modify it under the terms of the GNU Lesser General Public
10
+ License as published by the Free Software Foundation; either
11
+ version 2.1 of the License, or (at your option) any later version.
12
+
13
+ This library is distributed in the hope that it will be useful,
14
+ but WITHOUT ANY WARRANTY; without even the implied warranty of
15
+ MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the GNU
16
+ Lesser General Public License for more details.
17
+
18
+ You should have received a copy of the GNU Lesser General Public
19
+ License along with this library; if not, write to the Free Software
20
+ Foundation, Inc., 51 Franklin Street, Fifth Floor, Boston, MA 02110-1301 USA
21
+
22
+ $Id: 834OA.xml 2016-11-01 mjp using version 5010A $
23
+ -->
24
+
25
+ <Definition>
26
+ <Loop name="834" required="y">
27
+ <Segment name="ISA" max="1" required="y" />
28
+ <Segment name="GS" max="1" required="y" />
29
+ <Loop name="L834" max="inf" comment="This X12 Transaction Set contains the format and establishes the data contents of the Benefit Enrollment and Maintenance Transaction Set (834) for use within the context of an Electronic Data Interchange (EDI) environment.">
30
+ <Segment name="ST" max="1" required="y" />
31
+ <Segment name="BGN" max="1" required="y" />
32
+ <Segment name="DTP" max="1" required="n" />
33
+ <Segment name="QTY" max="1" required="n" />
34
+ <Loop name="L1000A" max="1" required="y" comment="Payer Identification">
35
+ <Segment name="N1" max="1" required="y" />
36
+ </Loop>
37
+ <Loop name="L1000B" max="1" required="y" comment="Payee Identification" >
38
+ <Segment name="N1" max="1" required="y" />
39
+ </Loop>
40
+ <Loop name="L2000" max="infinite" required="y" comment="2000 Loop Member Level Detail">
41
+ <Segment name="INS" max="1" required="y" />
42
+ <Segment name="REF" min="3" max="3" required="y" comment="Subscriber Identifier, Member Policy Number, Member Supplemental Identifier"/>
43
+ <Loop name="L2100A" max="1" required="n" comment="2100A" >
44
+ <Segment name="NM1" max="1" required="y" comment="Member Name"/>
45
+ <Segment name="PER" max="1" required="n" comment="Member Communications Numbers"/>
46
+ <Segment name="N3" max="1" required="n" comment="Member Residence Street Address"/>
47
+ <Segment name="N4" max="1" required="n" comment="Member City, State, Zip Code"/>
48
+ <Segment name="DMG" max="1" required="n" comment="Member Demographics"/>
49
+ <Segment name="LUI" max="1" required="n" comment="Member Language"/>
50
+ </Loop>
51
+ <Loop name="L2100G" max="13" required="n" comment="2100G" >
52
+ <Segment name="NM1" max="1" required="n" comment="Member Name. For Dependent Records only."/>
53
+ <Segment name="PER" max="1" required="n" comment="Member Communications Numbers. For Dependent Records only."/>
54
+ <Segment name="N3" max="1" required="n" comment="Member Residence Street Address. For Dependent Records only."/>
55
+ <Segment name="N4" max="1" required="n" comment="Member City, State, Zip Code. For Dependent Records only."/>
56
+ </Loop>
57
+ <Loop name="L2300" max="1" required="y" comment="2300" >
58
+ <Segment name="HD" max="1" required="y" comment="Health Coverage"/>
59
+ <Segment name="DTP" min="1" max="2" required="y" comment="Health Coverage Dates"/>
60
+ <Segment name="REF" max="1" required="y" comment="Health Coverage Policy Number"/>
61
+ </Loop>
62
+ <Loop name="L2310" max="1" required="y" comment="PROVIDER INFORMATION" >
63
+ <Segment name="LX" max="1" required="y" comment="Provider Information"/>
64
+ <Segment name="NM1" max="1" required="y" comment="Provider Name"/>
65
+ <Segment name="N3" max="1" required="y" comment="Provider Residence Street Address"/>
66
+ <Segment name="N4" max="1" required="n" comment="Provider City, State, Zip Code"/>
67
+ <Segment name="PER" max="1" required="n" comment="Provider Contant."/>
68
+ <Loop name="L2320" required="n" comment="COB information">
69
+ <Segment name="COB" max="1" required="y"/>
70
+ <Segment name="DTP" min="1" max="1" required="y" comment="Health Coverage Date"/>
71
+ <Segment name="NM1" max="1" required="y" comment="provider"/>
72
+ </Loop>
73
+ <Loop name="L2700" max="1" comment="Dual Eligible Members">
74
+ <Segment name="LS" max="1" required="y" comment="LS*2700"/>
75
+ <Segment name="LX" max="1" required="y" comment="Provider Information"/>
76
+ <Segment name="N1" max="1" required="y" comment="Provider Information">
77
+ <Field name="ID" min="1" max="1" comment="no idea"/>
78
+ <Field name="Status" min="1" max="1" comment="no idea"/>
79
+ </Segment>
80
+ <Segment name="REF" max="1" required="y" comment="Provider Information"/>
81
+ <Segment name="DTP" min="1" max="1" required="y" comment="Provider Coverage Dates"/>
82
+ <Segment name="LE" max="1" required="n" comment="LE*2700"/>
83
+ </Loop>
84
+ </Loop>
85
+
86
+ </Loop>
87
+ <Segment name="SE" max="1" required="y" comment="Transaction Set Trailer"/>
88
+ </Loop>
89
+ <Segment name="GE" max="1" required="y"/>
90
+ <Segment name="IEA" max="1" required="y"/>
91
+ </Loop>
92
+ </Definition>