hccinfhir 0.0.1__py3-none-any.whl → 0.0.3__py3-none-any.whl

hccinfhir/data/sample_837_0.txt

@@ -0,0 +1,175 @@
+ISA*00*          *00*          *01*987654321      *ZZ*123456789      *180508*0833*^*00501*697773230*1*P*:~
+GS*HC*CLEARINGHOUSE*123456789*20180508*0833*212950697*X*005010X222A1~
+ST*837*000000001*005010X222A1~
+BHT*0019*00*7349063984*20180508*0833*CH~
+NM1*41*2*CLEARINGHOUSE LLC*****46*987654321~
+PER*IC*CLEARINGHOUSE CLIENT SERVICES*TE*8005551212*FX*8005551212~
+NM1*40*2*123456789*****46*CHPWA~
+HL*1**20*1~
+NM1*85*2*BH CLINIC OF VANCOUVER*****XX*1122334455~
+N3*12345 MAIN ST~
+N4*VANCOUVER*WA*98662~
+REF*EI*720000000~
+PER*IC*CONTACT*TE*9185551212~
+NM1*87*2~
+N3*PO BOX 1234~
+N4*VANCOUVER*WA*986681234~
+HL*2*1*22*0~
+SBR*P*18**COMMUNITY HLTH PLAN OF WASH*****CI~
+NM1*IL*1*SUBSCRIBER*JOHN*J***MI*987321~
+N3*987 65TH PL~
+N4*VANCOUVER*WA*986640001~
+DMG*D8*19881225*M~
+NM1*PR*2*COMMUNITY HEALTH PLAN OF WASHINGTON*****PI*CHPWA~
+CLM*1805080AV3648339*20***57:B:1*Y*A*Y*Y~
+REF*D9*7349065509~
+HI*ABK:F1120~
+NM1*82*1*PROVIDER*JAMES****XX*1112223338~
+PRV*PE*PXC*261QR0405X~
+NM1*77*2*BH CLINIC OF VANCOUVER*****XX*1122334455~
+N3*12345 MAIN ST SUITE A1~
+N4*VANCOUVER*WA*98662~
+LX*1~
+SV1*HC:H0003*20*UN*1***1~
+DTP*472*D8*20180428~
+REF*6R*142671~
+SE*34*000000001~
+ST*837*000000002*005010X222A1~
+BHT*0019*00*7349063984*20180508*0833*CH~
+NM1*41*2*CLEARINGHOUSE LLC*****46*987654321~
+PER*IC*CLEARINGHOUSE CLIENT SERVICES*TE*8005551212*FX*8005551212~
+NM1*40*2*123456789*****46*CHPWA~
+HL*63**20*1~
+NM1*85*2*BH CLINIC OF VANCOUVER*****XX*1122334455~
+N3*12345 MAIN ST~
+N4*VANCOUVER*WA*98662~
+REF*EI*720000000~
+PER*IC*CONTACT*TE*9185551212~
+NM1*87*2~
+N3*PO BOX 1234~
+N4*VANCOUVER*WA*986681234~
+HL*64*63*22*0~
+SBR*P*18**COMMUNITY HLTH PLAN OF WASH*****CI~
+NM1*IL*1*PATIENT*SUSAN*E***MI*765123~
+N3*765 43RD ST~
+N4*VANCOUVER*WA*986640002~
+DMG*D8*19881031*F~
+NM1*PR*2*COMMUNITY HEALTH PLAN OF WASHINGTON*****PI*CHPWA~
+CLM*1805080AV3648347*50.1***57:B:1*Y*A*Y*Y~
+REF*D9*7349065730~
+HI*ABK:F1520*ABF:F1220~
+NM1*82*1*PROVIDER*SUSAN****XX*1112223346~
+PRV*PE*PXC*261QR0405X~
+NM1*77*2*BH CLINIC OF VANCOUVER*****XX*1122334455~
+N3*12345 MAIN ST SUITE A1~
+N4*VANCOUVER*WA*98662~
+LX*1~
+SV1*HC:96153:HF*50.1*UN*6***1:2~
+DTP*472*D8*20180426~
+REF*6R*143792~
+SE*34*000000002~
+ST*837*000000003*005010X222A1~
+BHT*0019*00*7349063984*20180508*0833*CH~
+NM1*41*2*CLEARINGHOUSE LLC*****46*987654321~
+PER*IC*CLEARINGHOUSE CLIENT SERVICES*TE*8005551212*FX*8005551212~
+NM1*40*2*123456789*****46*CHPWA~
+HL*49**20*1~
+NM1*85*2*BH CLINIC OF VANCOUVER*****XX*1122334455~
+N3*12345 MAIN ST~
+N4*VANCOUVER*WA*98662~
+REF*EI*720000000~
+PER*IC*CONTACT*TE*9185551212~
+NM1*87*2~
+N3*PO BOX 1234~
+N4*VANCOUVER*WA*986681234~
+HL*50*49*22*0~
+SBR*P*18**COMMUNITY HLTH PLAN OF WASH*****CI~
+NM1*IL*1*SUBSCRIBER*JOHN*J***MI*987321~
+N3*987 65TH PL~
+N4*VANCOUVER*WA*986640001~
+DMG*D8*19881225*M~
+NM1*PR*2*COMMUNITY HEALTH PLAN OF WASHINGTON*****PI*CHPWA~
+CLM*1805080AV3648340*11.64***57:B:1*Y*A*Y*Y~
+REF*D9*7349065492~
+HI*ABK:F1020*ABF:F1220~
+NM1*82*1*PROVIDER*SUSAN****XX*1112223346~
+PRV*PE*PXC*261QR0405X~
+NM1*77*2*BH CLINIC OF VANCOUVER*****XX*1122334455~
+N3*12345 MAIN ST SUITE A1~
+N4*VANCOUVER*WA*98662~
+LX*1~
+SV1*HC:T1017:HF*11.64*UN*1***1:2~
+DTP*472*D8*20180427~
+REF*6R*140976~
+SE*34*000000003~
+ST*837*000000004*005010X222A1~
+BHT*0019*00*7349063984*20180508*0833*CH~
+NM1*41*2*CLEARINGHOUSE LLC*****46*987654321~
+PER*IC*CLEARINGHOUSE CLIENT SERVICES*TE*8005551212*FX*8005551212~
+NM1*40*2*123456789*****46*CHPWA~
+HL*75**20*1~
+NM1*85*2*BH CLINIC OF VANCOUVER*****XX*1122334455~
+N3*12345 MAIN ST~
+N4*VANCOUVER*WA*98662~
+REF*EI*720000000~
+PER*IC*CONTACT*TE*9185551212~
+NM1*87*2~
+N3*PO BOX 1234~
+N4*VANCOUVER*WA*986681234~
+HL*76*75*22*0~
+SBR*P*18**COMMUNITY HLTH PLAN OF WASH*****CI~
+NM1*IL*1*PATIENT*SUSAN*E***MI*765123~
+N3*765 43RD ST~
+N4*VANCOUVER*WA*986640002~
+DMG*D8*19881031*F~
+NM1*PR*2*COMMUNITY HEALTH PLAN OF WASHINGTON*****PI*CHPWA~
+CLM*1805080AV3648353*234***53:B:1*Y*A*Y*Y~
+REF*D9*7349064290~
+HI*ABK:F251~
+NM1*82*1*PROVIDER*SUSAN****XX*1112223346~
+PRV*PE*PXC*251S00000X~
+NM1*77*2*BH CLINIC OF VANCOUVER*****XX*1122334455~
+N3*12345 MAIN ST SUITE A1~
+N4*VANCOUVER*WA*98662~
+LX*1~
+SV1*HC:90853*234*UN*120***1~
+DTP*472*D8*20180427~
+REF*6R*140787~
+NTE*ADD*05~
+SE*35*000000004~
+ST*837*000000005*005010X222A1~
+BHT*0019*00*7349063984*20180508*0833*CH~
+NM1*41*2*CLEARINGHOUSE LLC*****46*987654321~
+PER*IC*CLEARINGHOUSE CLIENT SERVICES*TE*8005551212*FX*8005551212~
+NM1*40*2*123456789*****46*CHPWA~
+HL*79**20*1~
+NM1*85*2*BH CLINIC OF VANCOUVER*****XX*1122334455~
+N3*12345 MAIN ST~
+N4*VANCOUVER*WA*98662~
+REF*EI*720000000~
+PER*IC*CONTACT*TE*9185551212~
+NM1*87*2~
+N3*PO BOX 1234~
+N4*VANCOUVER*WA*986681234~
+HL*80*79*22*0~
+SBR*P*18**COMMUNITY HLTH PLAN OF WASH*****CI~
+NM1*IL*1*SUBSCRIBER*JOHN*J***MI*987321~
+N3*987 65TH PL~
+N4*VANCOUVER*WA*986640001~
+DMG*D8*19881225*M~
+NM1*PR*2*COMMUNITY HEALTH PLAN OF WASHINGTON*****PI*CHPWA~
+CLM*1805080AV3648355*20***57:B:1*Y*A*Y*Y~
+REF*D9*7349064036~
+HI*ABK:F1020*ABF:F1120~
+NM1*82*1*PROVIDER*JAMES****XX*1112223338~
+PRV*PE*PXC*261QR0405X~
+NM1*77*2*BH CLINIC OF VANCOUVER*****XX*1122334455~
+N3*12345 MAIN ST SUITE A1~
+N4*VANCOUVER*WA*98662~
+LX*1~
+SV1*HC:H0003*20*UN*1***1:2~
+DTP*472*D8*20180427~
+REF*6R*143907~
+SE*34*000000005~
+GE*5*212950697~
+IEA*1*697773230~

hccinfhir/data/sample_837_1.txt

@@ -0,0 +1,49 @@
+ISA*00*          *00*          *ZZ*589155000448185*ZZ*RegenceBluePoin*241205*2042*U*00401*566609694*0*P*:~
+GS*HC*589155000448185*RegenceBluePoin*20241205*2042*1*X*005010X223A2~
+ST*837*0105*005010X223A2~
+BHT*0019*00*241205204217*20241205*2042*CH~
+NM1*41*2*NATIONAL BIRTH CENTERS INC*****XX*1578387320~
+PER*IC*BETHANY BROWN*TE*8003494054~
+NM1*40*2*RegenceBluePointGoldHSAwithSpinalManipulationVisionEAP*****XX*22013UT245~
+PER*IC*Carmen Bennett*TE*3775756630~
+HL*1**20*1~
+NM1*85*2*NATIONAL BIRTH CENTERS INC*****XX*1578387320~
+N3*1141 N LOOP 1604 E # 105436~
+N4*SAN ANTONIO*TX*78232~
+REF*EI*46-4072679~
+PER*IC*BETHANY BROWN*TE*8003494054~
+HL*2*1*22*0~
+SBR*P*18*068094280******CI~
+NM1*IL*1*Lisa*Garcia*Z***MI*517705255678~
+N3*746 Garcia Plaza Apt. 156~
+N4*Port Debraton*NC*82352~
+CLM*4742333269*297***11:B:1*Y*A*Y*I~
+DTP*434*RD8*20240422-20240430~
+DTP*435*D8*20240809~
+DTP*096*TM*2337~
+HI*ABK:S00459S~
+HI*ABK:T426X6A~
+HI*ABK:S35496D~
+HI*ABK:O368913~
+HI*ABK:T368X6A~
+HI*ABK:S36118D~
+HI*ABK:S46229A~
+LX*1~
+SV1*HC:33222*62*UN*1***6:2:7:4***~
+DTP*472*D8*20180428~
+REF*6R*142671~
+LX*2~
+SV1*HC:27005*80*UN*1***7:1***~
+DTP*472*D8*20180428~
+REF*6R*142671~
+LX*3~
+SV1*HC:65860*65*UN*1***7***~
+DTP*472*D8*20180428~
+REF*6R*142671~
+LX*4~
+SV1*HC:75891*90*UN*1***4***~
+DTP*472*D8*20180428~
+REF*6R*142671~
+SE*45*0105~
+GE*1*1~
+IEA*1*566609694~

hccinfhir/data/sample_837_10.txt

@@ -0,0 +1,42 @@
+ISA*00*          *00*          *ZZ*765613337801994*ZZ*OptimaFourSight*241205*2042*U*00401*351175143*0*P*:~
+GS*HC*765613337801994*OptimaFourSight*20241205*2042*1*X*005010X223A2~
+ST*837*5856*005010X223A2~
+BHT*0019*00*241205204222*20241205*2042*CH~
+NM1*41*2*HSA PORT ARTHUR, LLC*****XX*1194548073~
+PER*IC*AIMEE GILL*TE*8186660602~
+NM1*40*2*OptimaFourSight*****XX*89242VA018~
+PER*IC*Jose Smith*TE*3750822093~
+HL*1**20*1~
+NM1*85*2*HSA PORT ARTHUR, LLC*****XX*1194548073~
+N3*505 N BRAND BLVD STE 1200~
+N4*GLENDALE*CA*91203~
+REF*EI*71-3391736~
+PER*IC*AIMEE GILL*TE*8186660602~
+HL*2*1*22*0~
+SBR*P*18*731323546******CI~
+NM1*IL*1*Brad*Watson*D***MI*341405376684~
+N3*2658 Edwards Lakes~
+N4*Carterchester*AZ*20036~
+CLM*4742333269*128***11:B:1*Y*A*Y*I~
+DTP*434*RD8*20240422-20240430~
+DTP*435*D8*20240809~
+DTP*096*TM*2337~
+HI*ABK:W214XXA~
+HI*ABK:S31813D~
+HI*ABK:V0492XD~
+HI*ABK:T498X6A~
+LX*1~
+SV1*HC:37180*93*UN*1***3:4:1***~
+DTP*472*D8*20180428~
+REF*6R*142671~
+LX*2~
+SV1*HC:24000*4*UN*1***1:3:4***~
+DTP*472*D8*20180428~
+REF*6R*142671~
+LX*3~
+SV1*HC:16035*31*UN*1***3***~
+DTP*472*D8*20180428~
+REF*6R*142671~
+SE*38*5856~
+GE*1*1~
+IEA*1*351175143~

hccinfhir/data/sample_837_11.txt

@@ -0,0 +1,29 @@
+ISA*00*          *00*          *ZZ*SUBMITTER ID   *ZZ*RECEIVER ID    *230516*1145*^*00501*000000001*0*P*:~
+GS*HC*SUBMITTER ID*RECEIVER ID*20230516*1145*1*X*005010X222A1~
+ST*837*0001*005010X222A1~
+BHT*0019*00*244579*20230516*1145*CH~
+NM1*41*2*SUBMIT CLINIC*****46*12345~
+PER*IC*CONTACT NAME*TE*5555551234~
+NM1*40*2*RECEIVER NAME*****46*67890~
+HL*1**20*1~
+NM1*85*2*BILLING PROVIDER*****XX*1234567893~
+N3*123 BILLING ST~
+N4*CITY*GA*30001~
+REF*EI*123456789~
+HL*2*1*22*0~
+SBR*P*18*******MC~
+NM1*IL*1*DOE*JOHN****MI*12345678901~
+N3*123 PATIENT ST~
+N4*CITY*GA*30001~
+DMG*D8*19800101*M~
+CLM*12345*150.00***11:B:1*Y*A*Y*Y~
+HI*ABK:I109~
+NM1*82*1*PROVIDER*JANE****XX*9876543210~
+PRV*PE*ZZ*207RC0000X~
+SV1*HC:J1745*150.00*UN*2*11***1~
+DTP*472*D8*20230515~
+LIN**N4*50242004001~
+CTP***2*150.00~
+SE*24*0001~
+GE*1*1~
+IEA*1*000000001~

hccinfhir/data/sample_837_2.txt

@@ -0,0 +1,41 @@
+ISA*00*          *00*          *ZZ*961285082616691*ZZ*AntidoteGoldSaf*241205*2042*U*00401*030077084*0*P*:~
+GS*HC*961285082616691*AntidoteGoldSaf*20241205*2042*1*X*005010X223A2~
+ST*837*1462077*005010X223A2~
+BHT*0019*00*241205204218*20241205*2042*CH~
+NM1*41*2*COMMUNITY BIRTH GROUP*****XX*1942024799~
+PER*IC*ERIKA LEWIS*TE*8003418598~
+NM1*40*2*AntidoteGoldSafeGuard0TopRx*****XX*68445DE003~
+PER*IC*Preston Thomas*TE*5104942499~
+HL*1**20*1~
+NM1*85*2*COMMUNITY BIRTH GROUP*****XX*1942024799~
+N3*216 TOWER RD~
+N4*SAN ANTONIO*TX*78223~
+REF*EI*98-2541777~
+PER*IC*ERIKA LEWIS*TE*8003418598~
+HL*2*1*22*0~
+SBR*P*18*404250129******CI~
+NM1*IL*1*John*Mclaughlin*R***MI*945102930802~
+N3*520 Gray Circle~
+N4*East Dennis*PR*70714~
+CLM*4742333269*180***11:B:1*Y*A*Y*I~
+DTP*434*RD8*20240422-20240430~
+DTP*435*D8*20240809~
+DTP*096*TM*2337~
+HI*ABK:S43396S~
+HI*ABK:S52263J~
+HI*ABK:V0009XD~
+LX*1~
+SV1*HC:77522*27*UN*1***3:1***~
+DTP*472*D8*20180428~
+REF*6R*142671~
+LX*2~
+SV1*HC:86304*3*UN*1***3:2***~
+DTP*472*D8*20180428~
+REF*6R*142671~
+LX*3~
+SV1*HC:43848*150*UN*1***3***~
+DTP*472*D8*20180428~
+REF*6R*142671~
+SE*37*1462077~
+GE*1*1~
+IEA*1*030077084~

hccinfhir/data/sample_837_3.txt

@@ -0,0 +1,40 @@
+ISA*00*          *00*          *ZZ*657631015478465*ZZ*MOLINAHEALTHCAR*241205*2042*U*00401*828442319*0*P*:~
+GS*HC*657631015478465*MOLINAHEALTHCAR*20241205*2042*1*X*005010X223A2~
+ST*837*93687*005010X223A2~
+BHT*0019*00*241205204218*20241205*2042*CH~
+NM1*41*2*MARYVIEW HOSPITAL LLC*****XX*1316313414~
+PER*IC*KIMBERLY RALSTON*TE*4199965119~
+NM1*40*2*MOLINAHEALTHCARE*****XX*64353OH001~
+PER*IC*Micheal Taylor*TE*4236654828~
+HL*1**20*1~
+NM1*85*2*MARYVIEW HOSPITAL LLC*****XX*1316313414~
+N3*8580 MAGELLAN PKWY~
+N4*RICHMOND*VA*23227~
+REF*EI*40-3601447~
+PER*IC*KIMBERLY RALSTON*TE*4199965119~
+HL*2*1*22*0~
+SBR*P*18*520458393******CI~
+NM1*IL*1*Jennifer*Marshall*K***MI*141417738875~
+N3*28982 James Hills~
+N4*North Alexanderview*ME*44607~
+CLM*4742333269*626***11:B:1*Y*A*Y*I~
+DTP*434*RD8*20240422-20240430~
+DTP*435*D8*20240809~
+DTP*096*TM*2337~
+HI*ABK:S25412A~
+HI*ABK:S55209S~
+HI*ABK:H05033~
+HI*ABK:M61529~
+HI*ABK:S12500S~
+HI*ABK:S62661G~
+LX*1~
+SV1*HC:32662*83*UN*1***1:3:2:5***~
+DTP*472*D8*20180428~
+REF*6R*142671~
+LX*2~
+SV1*HC:42509*543*UN*1***6***~
+DTP*472*D8*20180428~
+REF*6R*142671~
+SE*36*93687~
+GE*1*1~
+IEA*1*828442319~

hccinfhir/data/sample_837_4.txt

@@ -0,0 +1,38 @@
+ISA*00*          *00*          *ZZ*816055286149740*ZZ*HighDeductibleH*241205*2042*U*00401*621402678*0*P*:~
+GS*HC*816055286149740*HighDeductibleH*20241205*2042*1*X*005010X223A2~
+ST*837*91529*005010X223A2~
+BHT*0019*00*241205204219*20241205*2042*CH~
+NM1*41*2*HSA ST. JOSEPH, LLC*****XX*1639992514~
+PER*IC*AIMEE GILL*TE*8022333297~
+NM1*40*2*HighDeductibleHealthPlanHSA30*****XX*44197WI008~
+PER*IC*Stephanie Martin*TE*0902765810~
+HL*1**20*1~
+NM1*85*2*HSA ST. JOSEPH, LLC*****XX*1639992514~
+N3*505 N BRAND BLVD STE 1200~
+N4*GLENDALE*CA*91203~
+REF*EI*38-4035437~
+PER*IC*AIMEE GILL*TE*8022333297~
+HL*2*1*22*0~
+SBR*P*18*812162750******CI~
+NM1*IL*1*Brenda*Blackburn*M***MI*475561587648~
+N3*227 Colleen Radial Suite 233~
+N4*Ortizshire*NE*55646~
+CLM*4742333269*836***11:B:1*Y*A*Y*I~
+DTP*434*RD8*20240422-20240430~
+DTP*435*D8*20240809~
+DTP*096*TM*2337~
+HI*ABK:S42453G~
+HI*ABK:M25775~
+HI*ABK:S32421K~
+HI*ABK:V275XXD~
+HI*ABK:X130XXS~
+HI*ABK:T1512XD~
+HI*ABK:M70859~
+HI*ABK:S82454S~
+LX*1~
+SV1*HC:64823*836*UN*1***6:3***~
+DTP*472*D8*20180428~
+REF*6R*142671~
+SE*34*91529~
+GE*1*1~
+IEA*1*621402678~

hccinfhir/data/sample_837_5.txt

@@ -0,0 +1,48 @@
+ISA*00*          *00*          *ZZ*051153619573476*ZZ*BlanketStudentA*241205*2042*U*00401*518159636*0*P*:~
+GS*HC*051153619573476*BlanketStudentA*20241205*2042*1*X*005010X223A2~
+ST*837*46086*005010X223A2~
+BHT*0019*00*241205204219*20241205*2042*CH~
+NM1*41*2*NATIONAL BIRTH CENTERS INC*****XX*1578387320~
+PER*IC*BETHANY BROWN*TE*8003494054~
+NM1*40*2*BlanketStudentAccidentandSicknessUnivofWYPlan1*****XX*49714WY010~
+PER*IC*Krista Cabrera*TE*0061814309~
+HL*1**20*1~
+NM1*85*2*NATIONAL BIRTH CENTERS INC*****XX*1578387320~
+N3*1141 N LOOP 1604 E # 105436~
+N4*SAN ANTONIO*TX*78232~
+REF*EI*58-1127151~
+PER*IC*BETHANY BROWN*TE*8003494054~
+HL*2*1*22*0~
+SBR*P*18*518691181******CI~
+NM1*IL*1*Rachel*Kim*K***MI*252574237057~
+N3*359 Byrd Island Apt. 120~
+N4*Port Michelle*KY*84206~
+CLM*4742333269*157***11:B:1*Y*A*Y*I~
+DTP*434*RD8*20240422-20240430~
+DTP*435*D8*20240809~
+DTP*096*TM*2337~
+HI*ABK:S89219K~
+HI*ABK:S50349S~
+HI*ABK:S81052D~
+HI*ABK:D434~
+HI*ABK:S00451A~
+HI*ABK:T81505D~
+LX*1~
+SV1*HC:0029T*97*UN*1***1:3:6***~
+DTP*472*D8*20180428~
+REF*6R*142671~
+LX*2~
+SV1*HC:86490*6*UN*1***3:4:6:1:5***~
+DTP*472*D8*20180428~
+REF*6R*142671~
+LX*3~
+SV1*HC:57545*21*UN*1***2:3***~
+DTP*472*D8*20180428~
+REF*6R*142671~
+LX*4~
+SV1*HC:62258*33*UN*1***6***~
+DTP*472*D8*20180428~
+REF*6R*142671~
+SE*44*46086~
+GE*1*1~
+IEA*1*518159636~

hccinfhir/data/sample_837_6.txt

@@ -0,0 +1,52 @@
+ISA*00*          *00*          *ZZ*336342583485277*ZZ*EHB2015IPLAELIC*241205*2042*U*00401*115983591*0*P*:~
+GS*HC*336342583485277*EHB2015IPLAELIC*20241205*2042*1*X*005010X223A2~
+ST*837*76134698*005010X223A2~
+BHT*0019*00*241205204220*20241205*2042*CH~
+NM1*41*2*OKEECHOBEE HOSPITAL, INC.*****XX*1215974134~
+PER*IC*JOHN JACOBSON*TE*8637632151~
+NM1*40*2*EHB2015IPLAELIC*****XX*85570LA014~
+PER*IC*Michelle Jackson*TE*8870797280~
+HL*1**20*1~
+NM1*85*2*OKEECHOBEE HOSPITAL, INC.*****XX*1215974134~
+N3*PO BOX 1307~
+N4*OKEECHOBEE*FL*34973~
+REF*EI*47-2705172~
+PER*IC*JOHN JACOBSON*TE*8637632151~
+HL*2*1*22*0~
+SBR*P*18*768417323******CI~
+NM1*IL*1*Carl*Burton*N***MI*037425724179~
+N3*9909 Baker Cliff Suite 974~
+N4*Hortonmouth*MI*61465~
+CLM*4742333269*766***11:B:1*Y*A*Y*I~
+DTP*434*RD8*20240422-20240430~
+DTP*435*D8*20240809~
+DTP*096*TM*2337~
+HI*ABK:F551~
+HI*ABK:S43201D~
+HI*ABK:T6194XA~
+HI*ABK:S92505K~
+HI*ABK:T280XXS~
+HI*ABK:S71011D~
+LX*1~
+SV1*HC:27606*61*UN*1***5:1:4:3:6:2***~
+DTP*472*D8*20180428~
+REF*6R*142671~
+LX*2~
+SV1*HC:44960*371*UN*1***6***~
+DTP*472*D8*20180428~
+REF*6R*142671~
+LX*3~
+SV1*HC:90680*34*UN*1***3***~
+DTP*472*D8*20180428~
+REF*6R*142671~
+LX*4~
+SV1*HC:92551*267*UN*1***3***~
+DTP*472*D8*20180428~
+REF*6R*142671~
+LX*5~
+SV1*HC:31237*33*UN*1***4:1***~
+DTP*472*D8*20180428~
+REF*6R*142671~
+SE*48*76134698~
+GE*1*1~
+IEA*1*115983591~

hccinfhir/data/sample_837_7.txt

@@ -0,0 +1,47 @@
+ISA*00*          *00*          *ZZ*879679616399691*ZZ*HSA2000_10A1189*241205*2042*U*00401*871936722*0*P*:~
+GS*HC*879679616399691*HSA2000_10A1189*20241205*2042*1*X*005010X223A2~
+ST*837*7869171*005010X223A2~
+BHT*0019*00*241205204220*20241205*2042*CH~
+NM1*41*2*ELMHURST MEMORIAL HOSPITAL*****XX*1548306343~
+PER*IC*SHAUN WALDER*TE*6306463702~
+NM1*40*2*HSA2000_10A1*****XX*39424OR071~
+PER*IC*Gail Jenkins*TE*4239717018~
+HL*1**20*1~
+NM1*85*2*ELMHURST MEMORIAL HOSPITAL*****XX*1548306343~
+N3*155 E BRUSH HILL RD~
+N4*ELMHURST*IL*60126~
+REF*EI*78-1631771~
+PER*IC*SHAUN WALDER*TE*6306463702~
+HL*2*1*22*0~
+SBR*P*18*270183084******CI~
+NM1*IL*1*Patricia*Smith*N***MI*553776116883~
+N3*523 Joshua Landing Suite 661~
+N4*Bowenmouth*VI*47156~
+CLM*4742333269*349***11:B:1*Y*A*Y*I~
+DTP*434*RD8*20240422-20240430~
+DTP*435*D8*20240809~
+DTP*096*TM*2337~
+HI*ABK:S00249D~
+HI*ABK:S99131K~
+HI*ABK:S32425K~
+HI*ABK:S52501J~
+HI*ABK:S72114P~
+LX*1~
+SV1*HC:38724*36*UN*1***1:3:5:2:4***~
+DTP*472*D8*20180428~
+REF*6R*142671~
+LX*2~
+SV1*HC:86701*213*UN*1***5:4***~
+DTP*472*D8*20180428~
+REF*6R*142671~
+LX*3~
+SV1*HC:92325*70*UN*1***3:2:4***~
+DTP*472*D8*20180428~
+REF*6R*142671~
+LX*4~
+SV1*HC:89060*30*UN*1***3:4:5***~
+DTP*472*D8*20180428~
+REF*6R*142671~
+SE*43*7869171~
+GE*1*1~
+IEA*1*871936722~

hccinfhir/data/sample_837_8.txt

@@ -0,0 +1,45 @@
+ISA*00*          *00*          *ZZ*719189088449132*ZZ*SimplyBluePPOwi*241205*2042*U*00401*464860572*0*P*:~
+GS*HC*719189088449132*SimplyBluePPOwi*20241205*2042*1*X*005010X223A2~
+ST*837*57975326*005010X223A2~
+BHT*0019*00*241205204221*20241205*2042*CH~
+NM1*41*2*GUTHRIE CORTLAND MEDICAL CENTER*****XX*1740287531~
+PER*IC*LUCIA SAGGIOMO*TE*5708878756~
+NM1*40*2*SimplyBluePPOwithabortioncoverage*****XX*15560MI055~
+PER*IC*Catherine Richmond*TE*5458510852~
+HL*1**20*1~
+NM1*85*2*GUTHRIE CORTLAND MEDICAL CENTER*****XX*1740287531~
+N3*PO BOX 2060~
+N4*CORTLAND*NY*13045~
+REF*EI*92-6992381~
+PER*IC*LUCIA SAGGIOMO*TE*5708878756~
+HL*2*1*22*0~
+SBR*P*18*406068712******CI~
+NM1*IL*1*Kyle*Fowler*W***MI*835223015539~
+N3*158 Gibbs Ferry Apt. 198~
+N4*Christopherchester*MA*66966~
+CLM*4742333269*434***11:B:1*Y*A*Y*I~
+DTP*434*RD8*20240422-20240430~
+DTP*435*D8*20240809~
+DTP*096*TM*2337~
+HI*ABK:S62511K~
+HI*ABK:T578X3S~
+HI*ABK:S72342G~
+LX*1~
+SV1*HC:43280*41*UN*1***1:2***~
+DTP*472*D8*20180428~
+REF*6R*142671~
+LX*2~
+SV1*HC:46250*35*UN*1***2:3***~
+DTP*472*D8*20180428~
+REF*6R*142671~
+LX*3~
+SV1*HC:33305*197*UN*1***3:2***~
+DTP*472*D8*20180428~
+REF*6R*142671~
+LX*4~
+SV1*HC:90947*161*UN*1***1:3:2***~
+DTP*472*D8*20180428~
+REF*6R*142671~
+SE*41*57975326~
+GE*1*1~
+IEA*1*464860572~

hccinfhir/data/sample_837_9.txt

@@ -0,0 +1,50 @@
+ISA*00*          *00*          *ZZ*913673479406110*ZZ*HMOOffExchangeR*241205*2042*U*00401*253034665*0*P*:~
+GS*HC*913673479406110*HMOOffExchangeR*20241205*2042*1*X*005010X223A2~
+ST*837*4763033*005010X223A2~
+BHT*0019*00*241205204221*20241205*2042*CH~
+NM1*41*2*HCA HEALTH SERVICES OF TENNESSEE, INC.*****XX*1265487193~
+PER*IC*DAVID SUMMERS*TE*6153421005~
+NM1*40*2*HMOOffExchangeRegion7*****XX*84014CA002~
+PER*IC*Devon Tran*TE*1808509992~
+HL*1**20*1~
+NM1*85*2*HCA HEALTH SERVICES OF TENNESSEE, INC.*****XX*1265487193~
+N3*313 N MAIN ST~
+N4*ASHLAND CITY*TN*37015~
+REF*EI*99-5971744~
+PER*IC*DAVID SUMMERS*TE*6153421005~
+HL*2*1*22*0~
+SBR*P*18*556791994******CI~
+NM1*IL*1*Jessica*Rodriguez*G***MI*151319361359~
+N3*3226 Andrew Point~
+N4*North Brentville*IA*27129~
+CLM*4742333269*839***11:B:1*Y*A*Y*I~
+DTP*434*RD8*20240422-20240430~
+DTP*435*D8*20240809~
+DTP*096*TM*2337~
+HI*ABK:V9421XS~
+HI*ABK:S35292S~
+HI*ABK:S52272S~
+HI*ABK:H68022~
+HI*ABK:T4144XD~
+HI*ABK:H1030~
+HI*ABK:S82832J~
+HI*ABK:B340~
+LX*1~
+SV1*HC:35650*161*UN*1***7:3:4:5:8***~
+DTP*472*D8*20180428~
+REF*6R*142671~
+LX*2~
+SV1*HC:73200*383*UN*1***5:2:7:4:3:6:8:1***~
+DTP*472*D8*20180428~
+REF*6R*142671~
+LX*3~
+SV1*HC:28262*194*UN*1***7:1:8***~
+DTP*472*D8*20180428~
+REF*6R*142671~
+LX*4~
+SV1*HC:84480*101*UN*1***6:3:1:2***~
+DTP*472*D8*20180428~
+REF*6R*142671~
+SE*46*4763033~
+GE*1*1~
+IEA*1*253034665~