Sha256: 0ff9369541b33e60b3ee83e35432c208d0fb256dffce470bbdca7beba55bd671
Contents?: true
Size: 1 KB
Versions: 5
Compression:
Stored size: 1 KB
Contents
ISA*03*MOCKINFO *01*MOCKINFO *30*MOCKID *30*RECEIVER *150807*1714*^*00501*000000001*1*T*:~ GS*BE*MOCKID*123LOCAL*20150807*1714*1*X*005010X220A1~ ST*834*0001*005010X220A1~ BGN*00*a4db5c6981cb418eab3401fa36dbf1b6*20150807*1714****2~ N1*P5*ACME INC*FI*123456789~ N1*IN*GET WELL COMPANY*FI*953760001~ INS*Y*18*021*20*A***FT~ REF*0F*777999542~ REF*1L*A64692~ REF*17*Client Reporting Category~ REF*23*Client Number~ REF*3H*Case Number~ REF*4A*Personal Identification Number (PIN)~ REF*6O*Cross Reference Number~ REF*ABB*Personal ID Number~ REF*D3*Prescription Drug Programs Pharmacy Number~ REF*DX*Department/Agency Number~ REF*F6*Health Insurance Claim (HIC) Number~ REF*P5*Position Code~ REF*Q4*Prior Identifier Number~ REF*QQ*Unit Number~ REF*ZZ*Mutually Defined~ DTP*356*D8*20150901~ DTP*336*D8*20150802~ NM1*IL*1*DOE*JOHN****34*777999542~ N3*123 MAIN ST~ N4*CANOGA PARK*CA*91303~ DMG*D8*19851111*M~ HD*021**PPO*1K4C~ DTP*348*D8*20150901~ HD*021**DEN*1QCS~ DTP*348*D8*20150901~ SE*19*0001~ GE*1*1~ IEA*1*000000001~
Version data entries
5 entries across 5 versions & 1 rubygems