Contents

ST*835*1234~
BPR*I*1922.86*C*CHK************20110108~
TRN*1*02790758*560894904~
REF*F2*LCLA438D~
DTM*405*20110104~
N1*PR*BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA~
N3*P O BOX 2291~
N4*DURHAM*NC*27702~
REF*2U*33333~
PER*CX*TE*8005554844~
N1*PE*XYZ HEALTHCARE CORPORATION*XX*0987654321~
N3*P O BOX XYZ~
N4*CHARLOTTE*NC*28234~
REF*TJ*123456789~
LX*1~
CLP*200200964A52*1*2100*1922.86*142.54*15*94151100100~
NM1*QC*1*Dough*Mary****MI* YPB123456789001~
DTM*050*20110103~
SVC*HC:59430*1210*1057.86**1*HC:59410~
DTM*472*20101231~
CAS*CO*42*34.6~
CAS*PR*2*117.54~
REF*6R*0001~
AMT*B6*1175.4~
SVC*HC:59440*890*865**1*HC:59410~
DTM*472*20101231~
CAS*PR*3*25~
REF*6R*0002~
SVC*HC:59426*742*742**1~
DTM*472*20101231~
REF*6R*0003~
AMT*B6*742~
SE*33*1234~

Version data entries

1 entries across 1 versions & 1 rubygems

Version	Path
era_835_parser-0.1.12	spec/example_3.835