stupidedi 1.1.0

data/spec/fixtures/X222-HC837/3c-bad.txt

@@ -0,0 +1,95 @@
+Example 3C - Coordination of Benefits (COB)
+
+The patient is not the subscriber. Both payers are commercial health insurance companies. Payer A will pass the claim directly to Payer B without intervention from provider. In this situation, the Billing Provider must send Payer A all the COB information on Payer B.
+
+Errors Found in File 837P 5010X222-3c
+* W10009:Padding, spaces or control characters detected after segment terminator.
+* H10203:Functional Group ID 'XX' mismatch - Transaction Set is type 'HC'
+* H11204:Code Value 'XX' not used for element 'GS01'
+* H24402:The value '1999996666' fails the check digit algorithm for the "HIPAA National Provider ID (NPI)"
+* H25377:The 'Billing Provider Postal Zone or ZIP Code' must be the nine digit Zip code.
+* H20203:Element SBR08 is present, though marked 'Not Used'
+* H24236:'Claim Filing Indicator Code' was not found, but was expected because PlanID has not yet been mandated.
+* H20205:Incomplete loop (2010BA). Missing HIPAA-required N4 (Subscriber City, State, ZIP Code).
+* W22004:Your data contains character(s) from the extended character set which may only be used by agreement between communicating parties.
+* H40170:The 'Claim Filing Indicator Code' in SBR-09 is missing. Required until the HIPAA Plan ID is mandated.
+* B51124:This Zip Code is not valid for this State.
+* H51086:ICD9 Code '2780' is not valid, must be coded to the highest number of digits possible (4th or 5th digit).H24402:The value '1999996666' fails the check digit algorithm for the "HIPAA National Provider ID (NPI)"
+* H46214:The Rendering Provider information must different than the Billing Provider.
+* H46000:The 'Rendering Provider Secondary Identification' is not allowed because the National Provider Identifierhas been mandated as the only valid provider identifier for HIPAA transactions
+* H24402:The value '1581234567' fails the check digit algorithm for the "HIPAA National Provider ID (NPI)"
+* H25377:The 'Laboratory or Facility Postal Zone or ZIP Code' must be the nine digit Zip code.
+* H10023:Unexpected segment (DMG)
+* H46248:The Release of Information Code (OI06) must match the value sent in CLM09.
+* H20205:Incomplete loop (2330B). Missing HIPAA-required N4 (Other Payer City, State, ZIP Code).
+* H10023:Unexpected segment (DPT)
+
+ISA*00*..........*01*SECRET....*ZZ*SUBMITTERS.ID..*ZZ*RECEIVERS.ID...*030101*1253*^*00501*000000905*1*T*:~
+GS*XX*SENDER CODE*RECEIVER CODE*19991231*0802*1*X*005010X222~
+ST*837*0024*005010X222~
+BHT*0019*00*0123*20051015*1023*CH~
+NM1*41*2*KEY INSURANCE*****46*999996666~
+PER*IC*JERRY*TE*3055552222~
+NM1*40*2*GREAT PRAIRIES*****46*567890~
+HL*1**20*1~
+NM1*85*1*KILDARE*BEN****XX*1999996666~
+N3*1234*SEAWAY ST~
+N4*MIAMI*FL*33111~
+REF*EI*123456789~
+PER*IC*CONNIE*TE*3055551234~
+NM1*87*2~
+N3*2345*OCEAN BLVD~
+N4*MAIMI*FL*33111~
+HL*2*1*22*1~
+SBR*S*******CI~
+NM1*IL*1*SmITH*JACK****MI*22233444~
+DMG*D8*19431022*M~
+NM1*PR*2*GREAT PRAIRIES HEALTH*****PI*567890~
+N3*4456 SOUTH SHORE BLVD~
+N4*CHICAGO*IL*44444~
+REF*G2*EJ6666~
+HL*3*2*23*0~
+PAT*19~
+NM1*QC*1*SMITH*TED~
+N3*236 N MAIN ST~
+N4*MIAMI*FL*33413~
+DMG*D8*19730501*M~
+CLM*26407789*79.04***11:B:1*Y*A*Y*I*P~
+HI*BK:4779*BF:2724*BF:2780*BF:53081~
+NM1*82*1*KILDARE*BEN****XX*1999996666~
+PRV*PE*PXC*204C00000X~
+REF*G2*PBS3334~
+NM1*77*2*KILDARE ASSOCIATES*****XX*1581234567~
+N3*2345 OCEAN BLVD~
+N4*MIAMI*FL*33111~
+SBR*P*01*******CI~
+CAS*PR*1*21.89**2*15~
+AMT*D*39.15~
+AMT*EAF*36.89~
+DMG*D8*19430501*F~
+OI***Y*P**Y~
+NM1*IL*1*SMITH*JANE****MI*JS00111223333~
+N3*236 N MAIN ST~
+N4*MIAMI*FL*33111~
+NM1*PR*2*KEY INSURANCE COMPANY*****PI*999996666~
+NM1*82*1~
+REF*G2*PBS3334~
+LX*1~
+SV1*HC:99213*43*UN*1***1:2:3:4~
+DPT*472*D8*20051003~
+SVD*999996666*40*HC:99213**1~
+CAS*CO*42*3~
+DTP*573*D8*20051015~
+LX*2~
+SV1*HC:90782*15*UN*1***1:2~
+DTP*472*D8*20051003~
+SVD*999996666*15*HC:90782**1~
+DTP*573*D8*20051015~
+LX*3~
+SV1*HC:J3301*21.04*UN*1***1:2~
+DTP*472*D8*20051003~
+SVD*999996666*21.04*HC:J3301**1~
+DTP*573*D8*20051015~
+SE*65*0024~
+GE*1*1~
+IEA*1*000000905~

data/spec/fixtures/X222-HC837/3c-good.txt

@@ -0,0 +1,74 @@
+Example 3C - Coordination of Benefits (COB)
+
+The patient is not the subscriber. Both payers are commercial health insurance companies. Payer A will pass the claim directly to Payer B without intervention from provider. In this situation, the Billing Provider must send Payer A all the COB information on Payer B.
+
+ISA*00*..........*01*SECRET....*ZZ*SUBMITTERS.ID..*ZZ*RECEIVERS.ID...*030101*1253*^*00501*000000905*1*T*:~
+GS*HC*SENDER CODE*RECEIVER CODE*19991231*0802*1*X*005010X222~
+ST*837*0024*005010X222~
+BHT*0019*00*0123*20051015*1023*CH~
+NM1*41*2*KEY INSURANCE*****46*999996666~
+PER*IC*JERRY*TE*3055552222~
+NM1*40*2*GREAT PRAIRIES*****46*567890~
+HL*1**20*1~
+NM1*85*1*KILDARE*BEN****XX*1232343560~
+N3*1234*SEAWAY ST~
+N4*MIAMI*FL*331111234~
+REF*EI*123456789~
+PER*IC*CONNIE*TE*3055551234~
+NM1*87*2~
+N3*2345*OCEAN BLVD~
+N4*MAIMI*FL*33111~
+HL*2*1*22*1~
+SBR*S********CI~
+NM1*IL*1*SMITH*JACK****MI*22233444~
+N3*1234 OAK STREET~
+N4*MIAMI*FL*33111~
+DMG*D8*19431022*M~
+NM1*PR*2*GREAT PRAIRIES HEALTH*****PI*567890~
+N3*4456 SOUTH SHORE BLVD~
+N4*CHICAGO*IL*60601~
+REF*G2*EJ6666~
+HL*3*2*23*0~
+PAT*19~
+NM1*QC*1*SMITH*TED~
+N3*236 N MAIN ST~
+N4*MIAMI*FL*33413~
+DMG*D8*19730501*M~
+CLM*26407789*79.04***11:B:1*Y*A*Y*I*P~
+HI*BK:4779*BF:2724*BF:27801*BF:53081~
+NM1*82*1*KILDARE*BEN****XX*1235786989~
+PRV*PE*PXC*204C00000X~
+NM1*77*2*KILDARE ASSOCIATES*****XX*1581234568~
+N3*2345 OCEAN BLVD~
+N4*MIAMI*FL*331112345~
+SBR*P*01*******CI~
+CAS*PR*1*21.89**2*15~
+AMT*D*39.15~
+AMT*EAF*36.89~
+OI***Y*P**I~
+NM1*IL*1*SMITH*JANE****MI*JS00111223333~
+N3*236 N MAIN ST~
+N4*MIAMI*FL*33111~
+NM1*PR*2*KEY INSURANCE COMPANY*****PI*999996666~
+N4*MIAMI*FL*33111~
+NM1*82*1~
+REF*0B*12345~
+LX*1~
+SV1*HC:99213*43*UN*1***1:2:3:4~
+DTP*472*D8*20051003~
+SVD*999996666*40*HC:99213**1~
+CAS*CO*42*3~
+DTP*573*D8*20051015~
+LX*2~
+SV1*HC:90782*15*UN*1***1:2~
+DTP*472*D8*20051003~
+SVD*999996666*15*HC:90782**1~
+DTP*573*D8*20051015~
+LX*3~
+SV1*HC:J3301*21.04*UN*1***1:2~
+DTP*472*D8*20051003~
+SVD*999996666*21.04*HC:J3301**1~
+DTP*573*D8*20051015~
+SE*66*0024~
+GE*1*1~
+IEA*1*000000905~

data/spec/fixtures/X222-HC837/4-bad.txt

@@ -0,0 +1,67 @@
+Example 4- Medicare Secondary Payer Example (COB)
+
+Errors Found in File 5010X222-4
+* H10203:Functional Group ID 'XX' mismatch - Transaction Set is type 'HC'
+* H11204:Code Value 'XX' not used for element 'GS01'
+* H20617:The value '0100000009' does not match the format for a "HIPAA National Provider ID (NPI)"
+* B51124:This Zip Code is not valid for this State.
+* H25377:The 'Billing Provider Postal Zone or ZIP Code' must be the nine digit Zip code.
+* H20204:Code Value 'G2' at element 'REF01' is valid in the X12 standard, but not in this HIPAA implementation
+* H20204:Code Value 'B' at element 'CLM10' is valid in the X12 standard, but not in this HIPAA implementation
+* W40362:The 'Referring Provider Name' without 'Prior Authorization or Referral Number' is allowed, but should not be used unless necessary.
+* H46000:The 'Referring Provider Secondary Identification' is not allowed because the National Provider Identifier has been mandated as the only valid provider identifier for HIPAA transactions
+* H20617:The value '9090909090' does not match the format for a "HIPAA National Provider ID (NPI)"
+* H46000:The 'Rendering Provider Secondary Identification' is not allowed because the National Provider Identifier has been mandated as the only valid provider identifier for HIPAA transactions
+* H20204:Code Value 'F2' at element 'AMT01' is valid in the X12 standard, but not in this HIPAA implementation
+* H10023:Unexpected segment (DMG)
+* H20204:Code Value 'B' at element 'OI04' is valid in the X12 standard, but not in this HIPAA implementation
+* H20205:Incomplete loop (2330B). Missing HIPAA-required N4 (Other Payer City, State, ZIP Code).
+
+ISA*00*..........*01*SECRET....*ZZ*SUBMITTERS.ID..*ZZ*RECEIVERS.ID...*030101*1253*^*00501*000000905*1*T*:~
+GS*XX*SENDER CODE*RECEIVER CODE*19991231*0802*1*X*005010X222~
+ST*837*0002*005010X222~
+BHT*0019*00*000001142*20050214*115101*CH~
+NM1*41*2*SPECIALISTS*****46*1111111~
+PER*IC*SUE*TE*8005558888~
+NM1*40*2*MEDICARE PENNSYLVANIA*****46*10234~
+HL*1**20*1~
+NM1*85*2*SPECIALISTS*****XX*0100000009~
+N3*5 MAP COURT~
+N4*MAYNE*PA*21236~
+REF*EI*890123456~
+REF*G2*110101~
+HL*2*1*22*0~
+SBR*S*18**MEDICARE*12****MB~
+NM1*IL*1*MEDYUM*WAYNE*M***MI*102200221B1~
+N3*1010 THOUSAND OAK LANE~
+N4*MAYN*PA*17089~
+DMG*D8*19560110*M~
+NM1*PR*2*MEDICARE*****PI*10234~
+N3*5232 MAYNE~
+N4*LYGHT*PA*17009~
+CLM*101KEN6055*120***11:B:1*Y*A*Y*Y*B~
+HI*BK:71516*BF:71906~
+NM1*DN*1*BRYHT*LEE*T~
+REF*1G*B01010~
+NM1*82*1*HENZES*JACK****XX*9090909090~
+PRV*PE*PXC*207X00000X~
+REF*G2*110102XXX~
+SBR*P*01**COMMERCE*****CI~
+AMT*D*80~
+AMT*F2*15~
+DMG*D8*19601222*F~
+OI***Y*B**Y~
+NM1*IL*1*MEDYUM*CAROL****MI*COM188-404777~
+N3*PO BOX 45~
+N4*MAYN*PA*17089~
+NM1*PR*2*COMMERCE*****PI*59999~
+LX*1~
+SV1*HC:99203:25*120*UN*1***1:2~
+DTP*472*D8*20050119~
+SVD*59999*80*HC:99203:25**1~
+CAS*CO*42*25~
+CAS*PR*2*15~
+DTP*573*D8*20050128~
+SE*44*0002~
+GE*1*1~
+IEA*1*000000905~

data/spec/fixtures/X222-HC837/4-good.txt

@@ -0,0 +1,48 @@
+Example 4- Medicare Secondary Payer Example (COB)
+
+ISA*00*..........*01*SECRET....*ZZ*SUBMITTERS.ID..*ZZ*RECEIVERS.ID...*030101*1253*^*00501*000000905*1*T*:~
+GS*HC*SENDER CODE*RECEIVER CODE*19991231*0802*1*X*005010X222~
+ST*837*0002*005010X222~
+BHT*0019*00*000001142*20050214*115101*CH~
+NM1*41*2*SPECIALISTS*****46*1111111~
+PER*IC*SUE*TE*8005558888~
+NM1*40*2*MEDICARE PENNSYLVANIA*****46*10234~
+HL*1**20*1~
+NM1*85*2*SPECIALISTS*****XX*1232343560~
+N3*5 MAP COURT~
+N4*MAYNE*PA*151221234~
+REF*EI*890123456~
+HL*2*1*22*0~
+SBR*S*18**MEDICARE*12****MB~
+NM1*IL*1*MEDYUM*WAYNE*M***MI*102200221B1~
+N3*1010 THOUSAND OAK LANE~
+N4*MAYN*PA*17089~
+DMG*D8*19560110*M~
+NM1*PR*2*MEDICARE*****PI*10234~
+N3*5232 MAYNE~
+N4*LYGHT*PA*17009~
+CLM*101KEN6055*120***11:B:1*Y*A*Y*Y*P~
+REF*9F*12778~
+HI*BK:71516*BF:71906~
+NM1*DN*1*BRYHT*LEE*T***XX*1232343560~
+NM1*82*1*HENZES*JACK****XX*1234567893~
+PRV*PE*PXC*207X00000X~
+SBR*P*01**COMMERCE*****CI~
+AMT*D*80~
+OI***Y*P**Y~
+NM1*IL*1*MEDYUM*CAROL****MI*COM188-404777~
+N3*PO BOX 45~
+N4*MAYN*PA*17089~
+NM1*PR*2*COMMERCE*****PI*59999~
+N3*846 SYCAMORE STREET~
+N4*MAYNE*PA*17089~
+LX*1~
+SV1*HC:99203:25*120*UN*1***1:2~
+DTP*472*D8*20050119~
+SVD*59999*80*HC:99203:25**1~
+CAS*CO*42*25~
+CAS*PR*2*15~
+DTP*573*D8*20050128~
+SE*42*0002~
+GE*1*1~
+IEA*1*000000905~

data/spec/fixtures/X222-HC837/5-bad.txt

@@ -0,0 +1,73 @@
+Example 5 - Ambulance 
+
+The patient is the subscriber. Medicare is the payer and receiver. The provider is the submitter.
+
+Errors Found in File 5010X222-5
+* W10009:Padding, spaces or control characters detected after segment terminator.
+* H10203:Functional Group ID 'XX' mismatch - Transaction Set is type 'HC'
+* H11204:Code Value 'XX' not used for element 'GS01'
+* H24402:The value '2366554859' fails the check digit algorithm for the "HIPAA National Provider ID (NPI)"
+* B51124:This Zip Code is not valid for this State.
+* W10046:Syntax Error for CLM02, trailing zeros following the decimal point should be suppressed.
+* H24391:Missing HIPAA Required 'CLM0502'.
+* H51086:ICD9 Code '8540' is not valid, must be coded to the highest number of digits possible (4th or 5th digit).
+* H10611:Excess Trailing Data Element Delimiter(s).
+* W10046:Syntax Error for SV102, trailing zeros following the decimal point should be suppressed.
+* W10046:Syntax Error for SV102, trailing zeros following the decimal point should be suppressed.
+
+ISA*00*..........*01*SECRET....*ZZ*SUBMITTERS.ID..*ZZ*RECEIVERS.ID...*030101*1253*^*00501*000000905*1*T*:~
+GS*XX*SENDER CODE*RECEIVER CODE*19991231*0802*1*X*005010X222~
+ST*837*000017712*005010X222~
+BHT*0019*00*000017712*20050208*1112*CH~
+NM1*41*2*AAA AMBULANCE SERVICE*****46*376985369~
+PER*IC*LISA SMITH*TE*3037752536~
+NM1*40*2*MEDICARE B*****46*123245~
+HL*1**20*1~
+PRV*BI*PXC*3416L0300X~
+NM1*85*2*AAA AMBULANCE SERVICE*****XX*2366554859~
+N3*12202 AIRPORT WAY~
+N4*BROOMFIELD*CO*800210021~
+REF*EI*376985369~
+HL*2*1*22*0~
+SBR*P*18*******MB~
+NM1*IL*1*JONES*SARAH*A***MI*012345678A~
+N3*1129 REINDEER ROAD~
+N4*CARR*CO*80612~
+DMG*D8*19630729*F~
+NM1*PR*2*MEDICARE PART B*****PI*123245~
+N3*PO BOX 3543~
+N4*BALTIMORE*MD*666013543~
+CLM*051068*766.50***41::1*Y*A*Y*Y*P*OA~
+DTP*439*D8*20050208~
+CR1*LB*275**A*DH*21****PATIENT IMOBILIZED~
+CRC*07*Y*04*06*09~
+CRC*07*N*05*07*08~
+HI*BK:8628*BF:E8888*BF:9592*BF:8540~
+NM1*PW*2*~
+N3*1129 REINDEER ROAD~
+N4*CARR*CO*80612~
+NM1*45*2~
+N3*10005 BANNOCK ST~
+N4*CHEYENNE*WY*82009~
+LX*1~
+SV1*HC:A0427:RH*700*UN*1***1:2:3:4**Y~
+DTP*472*D8*20050208~
+QTY*PT*2~
+REF*6R*1001~
+NTE*ADD*CARDIAC EMERGENCY~
+LX*2~
+SV1*HC:A0425:RH*8.20*UN*21***1:2:3:4**Y~
+DTP*472*D8*20050208~
+QTY*PT*2~
+REF*6R*1002~
+LX*3~
+SV1*HC:A0422:RH*46*UN*1***1:2:3:4**Y~
+DTP*472*D8*20050208~
+REF*6R*1003~
+LX*4~
+SV1*HC:A0382:RH*12.30*UN*1***1:2:3:4**Y~
+DTP*472*D8*20050208~
+REF*6R*1004~
+SE*52*000017712~
+GE*1*1~
+IEA*1*000000905~

data/spec/fixtures/X222-HC837/5-good.txt

@@ -0,0 +1,60 @@
+Example 5 - Ambulance 
+
+The patient is the subscriber. Medicare is the payer and receiver. The provider is the submitter.
+
+ISA*00*..........*01*SECRET....*ZZ*SUBMITTERS.ID..*ZZ*RECEIVERS.ID...*030101*1253*^*00501*000000905*1*T*:~
+GS*HC*SENDER CODE*RECEIVER CODE*19991231*0802*1*X*005010X222~
+ST*837*000017712*005010X222~
+BHT*0019*00*000017712*20050208*1112*CH~
+NM1*41*2*AAA AMBULANCE SERVICE*****46*376985369~
+PER*IC*LISA SMITH*TE*3037752536~
+NM1*40*2*MEDICARE B*****46*123245~
+HL*1**20*1~
+PRV*BI*PXC*3416L0300X~
+NM1*85*2*AAA AMBULANCE SERVICE*****XX*2366554857~
+N3*12202 AIRPORT WAY~
+N4*BROOMFIELD*CO*800210021~
+REF*EI*376985369~
+HL*2*1*22*0~
+SBR*P*18*******MB~
+NM1*IL*1*JONES*SARAH*A***MI*012345678A~
+N3*1129 REINDEER ROAD~
+N4*CARR*CO*80612~
+DMG*D8*19630729*F~
+NM1*PR*2*MEDICARE PART B*****PI*123245~
+N3*PO BOX 3543~
+N4*BALTIMORE*MD*21201~
+CLM*051068*766.5***41:B:1*Y*A*Y*Y*P*OA~
+DTP*439*D8*20050208~
+CR1*LB*275**A*DH*21****PATIENT IMOBILIZED~
+CRC*07*Y*04*06*09~
+CRC*07*N*05*07*08~
+HI*BK:8628*BF:E8888*BF:9592*BF:85400~
+NM1*PW*2~
+N3*1129 REINDEER ROAD~
+N4*CARR*CO*80612~
+NM1*45*2~
+N3*10005 BANNOCK ST~
+N4*CHEYENNE*WY*82009~
+LX*1~
+SV1*HC:A0427:RH*700*UN*1***1:2:3:4**Y~
+DTP*472*D8*20050208~
+QTY*PT*2~
+REF*6R*1001~
+NTE*ADD*CARDIAC EMERGENCY~
+LX*2~
+SV1*HC:A0425:RH*8.2*UN*21***1:2:3:4**Y~
+DTP*472*D8*20050208~
+QTY*PT*2~
+REF*6R*1002~
+LX*3~
+SV1*HC:A0422:RH*46*UN*1***1:2:3:4**Y~
+DTP*472*D8*20050208~
+REF*6R*1003~
+LX*4~
+SV1*HC:A0382:RH*12.3*UN*1***1:2:3:4**Y~
+DTP*472*D8*20050208~
+REF*6R*1004~
+SE*52*000017712~
+GE*1*1~
+IEA*1*000000905~

data/spec/fixtures/X222-HC837/6-bad.txt

@@ -0,0 +1,50 @@
+Example 6 - Chiropractic Example 
+
+The patient is the subscriber. The payer is Medicare Part B. The claim is submitted directly to Medicare by the provider.
+
+Errors Found in File 5010X222-6
+* W10009:Padding, spaces or control characters detected after segment terminator.
+* H10203:Functional Group ID 'XX' mismatch - Transaction Set is type 'HC'
+* H11204:Code Value 'XX' not used for element 'GS01'
+* H24402:The value '1234567890' fails the check digit algorithm for the "HIPAA National Provider ID (NPI)"
+* H25377:The 'Billing Provider Postal Zone or ZIP Code' must be the nine digit Zip code.
+* H20205:Incomplete loop (2010BB). Missing HIPAA-required N4 (Payer City, State, ZIP Code).
+* H10602:Assuming Sub-Element Delimiter is > rather than : in CLM05
+* W22004:Your data contains character(s) from the extended character set which may only be used by agreement between communicating parties.
+* H10602:Assuming Sub-Element Delimiter is > rather than : in HI01
+* H10602:Assuming Sub-Element Delimiter is > rather than : in SV101
+* H10904:Number of Included Segments '31' does not match actual segment count '29'.
+
+ISA*00*..........*01*SECRET....*ZZ*SUBMITTERS.ID..*ZZ*RECEIVERS.ID...*030101*1253*^*00501*000000905*1*T*:~
+GS*XX*SENDER CODE*RECEIVER CODE*19991231*0802*1*X*005010X222~
+ST*837*3701*005010X222~
+BHT*0019*00*007227*20050215*075420*CH~
+NM1*41*2*DAVID GREEN*****46*S01057~
+PER*IC*KATHY SMITH*TE*4105558888~
+NM1*40*2*MEDICARE PART B MARYLAND*****46*12345~
+HL*1**20*1~
+NM1*85*1*GREENE*DAVID*M***XX*1234567890~
+N3*1264 OAKWOOD AVE~
+N4*BALTIMORE*MD*21236~
+REF*EI*987654321~
+PER*IC*DR*TE*4105551212~
+HL*2*1*22*0~
+SBR*P*18*******MB~
+NM1*IL*1*WILLIAMSON*MATTHEW*J***MI*123456789A~
+N3*128 BROADCREEK~
+N4*BALTIMORE*MD*21234~
+DMG*D8*19250110*M~
+NM1*PR*2*MEDICARE PART B MARYLAND*****PI*C12345~
+CLM*125WILL*145.5***11>B>1*Y*A*Y*Y~
+DTP*454*D8*20050115~
+DTP*453*D8*20050110~
+DTP*455*D8*20050113~
+CR2********A**CHRONIC PAIN AND DISCOMFORT~
+HI*BK>7215~
+LX*1~
+SV1*HC>98940*145.5*UN*1***1~
+DTP*472*D8*20050215~
+REF*6R*01~
+SE*31*3701~
+GE*1*1~
+IEA*1*000000905~

data/spec/fixtures/X222-HC837/6-good.txt

@@ -0,0 +1,39 @@
+Example 6 - Chiropractic Example 
+
+The patient is the subscriber. The payer is Medicare Part B. The claim is submitted directly to Medicare by the provider.
+
+ISA*00*..........*01*SECRET....*ZZ*SUBMITTERS.ID..*ZZ*RECEIVERS.ID...*030101*1253*^*00501*000000905*1*T*:~
+GS*HC*SENDER CODE*RECEIVER CODE*19991231*0802*1*X*005010X222~
+ST*837*3701*005010X222~
+BHT*0019*00*007227*20050215*075420*CH~
+NM1*41*2*DAVID GREEN*****46*S01057~
+PER*IC*KATHY SMITH*TE*4105558888~
+NM1*40*2*MEDICARE PART B MARYLAND*****46*12345~
+HL*1**20*1~
+NM1*85*1*GREENE*DAVID*M***XX*1234567893~
+N3*1264 OAKWOOD AVE~
+N4*BALTIMORE*MD*212361264~
+REF*EI*987654321~
+PER*IC*DR*TE*4105551212~
+HL*2*1*22*0~
+SBR*P*18*******MB~
+NM1*IL*1*WILLIAMSON*MATTHEW*J***MI*123456789A~
+N3*128 BROADCREEK~
+N4*BALTIMORE*MD*21234~
+DMG*D8*19250110*M~
+NM1*PR*2*MEDICARE PART B MARYLAND*****PI*C12345~
+N3*1256 POPLAR STREET~
+N4*BALTIMORE*MD*21235~
+CLM*125WILL*145.5***11:B:1*Y*A*Y*Y~
+DTP*454*D8*20050115~
+DTP*453*D8*20050110~
+DTP*455*D8*20050113~
+CR2********A**CHRONIC PAIN AND DISCOMFORT~
+HI*BK:7215~
+LX*1~
+SV1*HC:98940*145.5*UN*1***1~
+DTP*472*D8*20050215~
+REF*6R*01~
+SE*31*3701~
+GE*1*1~
+IEA*1*000000905~

data/spec/fixtures/X222-HC837/7-bad.txt

@@ -0,0 +1,93 @@
+Example 7 - Oxygen 
+
+The patient is the subscriber. The claim is submitted by the provider directly to a Medicare DMERC carrier.
+
+Errors Found in File 5010X222-7
+* W10009:Padding, spaces or control characters detected after segment terminator.
+* H10203:Functional Group ID 'XX' mismatch - Transaction Set is type 'HC'
+* H11204:Code Value 'XX' not used for element 'GS01'
+* W22004:Your data contains character(s) from the extended character set which may only be used by agreement between communicating parties.
+* H20617:The value '9992233334' does not match the format for a "HIPAA National Provider ID (NPI)"
+* H25377:The 'Billing Provider Postal Zone or ZIP Code' must be the nine digit Zip code.
+* H20205:Incomplete loop (2010BB). Missing HIPAA-required N4 (Payer City, State, ZIP Code).
+* W10624:Invalid data found in element, may be un-displayable or cause problems in transmission
+* B40146:'Durable Medical Equipment Service' (SV5) is generally required for the procedure described in SV1-01.
+* W71117:The Condition Indicator/Durable Medical Equipment is required when DMERC CMN, DMERC DIF or Oxygen Therapy Certification is included on this service line and the information is necessary for adjudication.
+* W60101:Patient Weight (PAT08) is required when DMERC CMN (2400/PWK) is present.
+* H20617:The value '5555511111' does not match the format for a "HIPAA National Provider ID (NPI)"
+* H46000:The 'Ordering Provider Secondary Identification' is not allowed because the National Provider Identifier has been mandated as the only valid provider identifier for HIPAA transactions
+* B40146:'Durable Medical Equipment Service' (SV5) is generally required for the procedure described in SV1-01.
+* W60101:Patient Weight (PAT08) is required when DMERC CMN (2400/PWK) is present.
+* H20617:The value '5555511111' does not match the format for a "HIPAA National Provider ID (NPI)"
+* H46000:The 'Ordering Provider Secondary Identification' is not allowed because the National Provider Identifier has been mandated as the only valid provider identifier for HIPAA transactions
+
+ISA*00*..........*01*SECRET....*ZZ*SUBMITTERS.ID..*ZZ*RECEIVERS.ID...*030101*1253*^*00501*000000905*1*T*:~
+GS*XX*SENDER CODE*RECEIVER CODE*19991231*0802*1*X*005010X222~
+ST*837*0001*005010X222~
+BHT*0019*00*16*20050326*1036*CH~
+NM1*41*2*OXYGEN SUPPLY COMPANY*****46*ABC11111~
+PER*IC*BONNIE*TE*8125551111*EM*HELPDESK@OXYGEN.COM~
+NM1*40*2*DMERC CARRIER*****46*99999~
+HL*1**20*1~
+NM1*85*2*OXYGEN SUPPLY COMPANY*****XX*9992233334~
+N3*1800 EAST RIDGE DRIVE~
+N4*RICHMOND*IN*46224~
+REF*EI*389999999~
+HL*2*1*22*0~
+SBR*P*18*******MB~
+NM1*IL*1*SMITH*TERRY****MI*111222333A~
+N3*121 SOUTH ST~
+N4*RICHMOND*IN*46236~
+DMG*D8*19380105*F~
+NM1*PR*2*DMERC CARRIER*****PI*99999~
+CLM*R03996273 #01*520.24***11:B:1*Y*A*Y*Y~
+HI*BK:496*BF:51881*BF:2859~
+LX*1~
+SV1*HC:E1390:RR*461.1*UN*1***1:2~
+PWK*CT*AD~
+CR3*R*MO*99~
+DTP*472*RD8*20050321-20050321~
+DTP*607*D8*20050321~
+DTP*463*D8*20040321~
+DTP*461*D8*20050301~
+NM1*DK*1*WILSON*LARRY****XX*5555511111~
+N3*1212 NORTH MERIDIAN~
+N4*RICHMOND*IN*46223~
+REF*1G*X99999~
+PER*IC*LEE*TE*5554446666~
+LQ*UT*04.03~
+FRM*1A**056~
+FRM*1C**20050228~
+FRM*2**1~
+FRM*3**1~
+FRM*4*Y~
+FRM*5**2~
+FRM*7*Y~
+FRM*8*N~
+FRM*9*Y~
+LX*2~
+SV1*HC:E0431:RR*59.14*UN*1***1:2~
+PWK*CT*AD~
+CR3*R*MO*99~
+DTP*472*RD8*20050321-20050321~
+DTP*607*D8*20050321~
+DTP*463*D8*20040321~
+DTP*461*D8*20050301~
+NM1*DK*1*WILSON*LARRY****XX*5555511111~
+N3*1212 NORTH MERIDIAN~
+N4*RICHMOND*IN*46223~
+REF*1G*X99999~
+PER*IC*LEE*TE*5554446666~
+LQ*UT*04.03~
+FRM*1A**056~
+FRM*1C**20050228~
+FRM*2**1~
+FRM*3**1~
+FRM*4*Y~
+FRM*5**2~
+FRM*7*Y~
+FRM*8*N~
+FRM*9*Y~
+SE*66*0001~
+GE*1*1~
+IEA*1*000000905~

data/spec/fixtures/X222-HC837/7-good.txt

@@ -0,0 +1,78 @@
+Example 7 - Oxygen 
+
+The patient is the subscriber. The claim is submitted by the provider directly to a Medicare DMERC carrier.
+
+ISA*00*..........*01*SECRET....*ZZ*SUBMITTERS.ID..*ZZ*RECEIVERS.ID...*030101*1253*^*00501*000000905*1*T*:~
+GS*HC*SENDER CODE*RECEIVER CODE*19991231*0802*1*X*005010X222~
+ST*837*0001*005010X222~
+BHT*0019*00*16*20050326*1036*CH~
+NM1*41*2*OXYGEN SUPPLY COMPANY*****46*ABC11111~
+PER*IC*BONNIE*TE*8125551111*EM*HELPDESK@OXYGEN.COM~
+NM1*40*2*DMERC CARRIER*****46*99999~
+HL*1**20*1~
+NM1*85*2*OXYGEN SUPPLY COMPANY*****XX*1232343560~
+N3*1800 EAST RIDGE DRIVE~
+N4*RICHMOND*IN*462241800~
+REF*EI*389999999~
+HL*2*1*22*0~
+SBR*P*18*******MB~
+PAT*******01*180~
+NM1*IL*1*SMITH*TERRY****MI*111222333A~
+N3*121 SOUTH ST~
+N4*RICHMOND*IN*46236~
+DMG*D8*19380105*F~
+NM1*PR*2*DMERC CARRIER*****PI*99999~
+N4*CLARKSTON*IN*46236~
+CLM*R0399627301*520.24***11:B:1*Y*A*Y*Y~
+HI*BK:496*BF:51881*BF:2859~
+LX*1~
+SV1*HC:E1390:RR*461.1*UN*1***1:2~
+SV5*HC:E1390*DA*5*450*500*4~
+PWK*CT*AD~
+CR3*R*MO*99~
+CRC*09*Y*38~
+DTP*472*RD8*20050321-20050321~
+DTP*607*D8*20050321~
+DTP*463*D8*20040321~
+DTP*461*D8*20050301~
+NM1*DK*1*WILSON*LARRY****XX*1234567893~
+N3*1212 NORTH MERIDIAN~
+N4*RICHMOND*IN*46223~
+PER*IC*LEE*TE*5554446666~
+LQ*UT*04.03~
+FRM*1A**056~
+FRM*1C**20050228~
+FRM*2**1~
+FRM*3**1~
+FRM*4*Y~
+FRM*5**2~
+FRM*7*Y~
+FRM*8*N~
+FRM*9*Y~
+LX*2~
+SV1*HC:E0431:RR*59.14*UN*1***1:2~
+SV5*HC:E0431*DA*5*450*500*4~
+PWK*CT*AD~
+CR3*R*MO*99~
+CRC*09*Y*38~
+DTP*472*RD8*20050321-20050321~
+DTP*607*D8*20050321~
+DTP*463*D8*20040321~
+DTP*461*D8*20050301~
+NM1*DK*1*WILSON*LARRY****XX*1234567893~
+N3*1212 NORTH MERIDIAN~
+N4*RICHMOND*IN*46223~
+PER*IC*LEE*TE*5554446666~
+LQ*UT*04.03~
+FRM*1A**056~
+FRM*1C**20050228~
+FRM*2**1~
+FRM*3**1~
+FRM*4*Y~
+FRM*5**2~
+FRM*7*Y~
+FRM*8*N~
+FRM*9*Y~
+SE*70*0001~
+GE*1*1~
+IEA*1*000000905~