Sha256: 183fc798a101d703268b58b9c8d09b1a79e6b89b7493997b833dca3b0a7a90bf
Contents?: true
Size: 957 Bytes
Versions: 51
Compression:
Stored size: 957 Bytes
Contents
<?xml version="1.0" encoding="UTF-8"?>
<customer>
<primary-insurance>
<relationship type="integer">1
</relationship>
<company-name>Dude Insurance</company-name>
<policy-number>1234</policy-number>
<group-number>555</group-number>
</primary-insurance>
<diagnosis-code type="array">
<diagnosis-code>
<icd type="integer">9
</icd>
<code>250.00</code>
</diagnosis-code>
</diagnosis-code>
<first-name>dan
</first-name>
<last-name>dude</last-name>
<email>dude@dude.com</email>
<address>my house</address>
<city>dudeville</city>
<state>CA</state>
<zip>90210</zip>
<dob>19801201</dob>
<home-phone>4155551212</home-phone>
<psc type="integer">1752</psc>
<test-types>001453,120295</test-types>
<account-number>05021390
</account-number>
<gender>Male</gender>
<draw-location>PSC</draw-location>
<take-tests-same-day
type="boolean">true
</take-tests-same-day>
</customer>
Version data entries
51 entries across 51 versions & 1 rubygems