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azoner/test834.txt

Last active December 15, 2015 16:09
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pyx12 5010 834 test file
Raw
test834.txt
ISA*00* *00* *ZZ*D00XXX *ZZ*00AA *070305*1832*U*00501*000701336*0*P*:~
GS*BE*D00XXX*00AA*20070305*1832*13360001*X*005010X220A1~
ST*834*0001*005010X220A1~
BGN*00*88880070301 00*20070305*181245****4~
DTP*007*D8*20070301~
N1*P5*PAYER 1*FI*999999999~
N1*IN*KCMHSAS*FI*999999999~
INS*Y*18*030*XN*A*C**FT~
REF*0F*00389999~
REF*1L*000003409999~
REF*3H*K129999A~
DTP*356*D8*20070301~
NM1*IL*1*DOE*JOHN*A***34*999999999~
N3*777 ELM ST~
N4*ALLEGAN*MI*49010**CY*03~
DMG*D8*19670330*M**O~
LUI***ESSPANISH~
HD*030**AK*064703*IND~
DTP*348*D8*20070301~
AMT*P3*45.34~
REF*17*E 1F~
SE*20*0001~
ST*834*0002*005010X220A1~
BGN*00*88880070301 00*20070305*181245****4~
DTP*007*D8*20070301~
N1*P5*PAYER 1*FI*999999999~
N1*IN*KCMHSAS*FI*999999999~
INS*Y*18*030*XN*A*C**FT~
REF*0F*00389999~
REF*1L*000003409999~
REF*3H*K129999A~
DTP*356*D8*20070301~
NM1*IL*1*DOE*JOHN*A***34*999999999~
N3*777 ELM ST~
N4*ALLEGAN*MI*49010**CY*03~
DMG*D8*19670330*M**O~
LUI***ENG~
HD*030**AK*064703*IND~
DTP*348*D8*20070301~
AMT*P3*45.34~
REF*17*E 1F~
SE*20*0002~
GE*2*13360001~
IEA*1*000701336~
Raw
test834.xml
<?xml version="1.0" encoding="utf-8"?>
<x12simple>
<loop id='ISA_LOOP'>
<seg id='ISA'>
<ele id='ISA01'>00</ele>
<ele id='ISA02'> </ele>
<ele id='ISA03'>00</ele>
<ele id='ISA04'> </ele>
<ele id='ISA05'>ZZ</ele>
<ele id='ISA06'>D00XXX </ele>
<ele id='ISA07'>ZZ</ele>
<ele id='ISA08'>00AA </ele>
<ele id='ISA09'>070305</ele>
<ele id='ISA10'>1832</ele>
<ele id='ISA11'>U</ele>
<ele id='ISA12'>00501</ele>
<ele id='ISA13'>000701336</ele>
<ele id='ISA14'>0</ele>
<ele id='ISA15'>P</ele>
<ele id='ISA16'>:</ele>
</seg>
<loop id='GS_LOOP'>
<seg id='GS'>
<ele id='GS01'>BE</ele>
<ele id='GS02'>D00XXX</ele>
<ele id='GS03'>00AA</ele>
<ele id='GS04'>20070305</ele>
<ele id='GS05'>1832</ele>
<ele id='GS06'>13360001</ele>
<ele id='GS07'>X</ele>
<ele id='GS08'>005010X220A1</ele>
</seg>
<loop id='ST_LOOP'>
<seg id='ST'>
<ele id='ST01'>834</ele>
<ele id='ST02'>0001</ele>
<ele id='ST03'>005010X220A1</ele>
</seg>
<loop id='HEADER'>
<seg id='BGN'>
<ele id='BGN01'>00</ele>
<ele id='BGN02'>88880070301 00</ele>
<ele id='BGN03'>20070305</ele>
<ele id='BGN04'>181245</ele>
<ele id='BGN08'>4</ele>
</seg>
<seg id='DTP'>
<ele id='DTP01'>007</ele>
<ele id='DTP02'>D8</ele>
<ele id='DTP03'>20070301</ele>
</seg>
<loop id='1000A'>
<seg id='N1'>
<ele id='N101'>P5</ele>
<ele id='N102'>PAYER 1</ele>
<ele id='N103'>FI</ele>
<ele id='N104'>999999999</ele>
</seg>
</loop>
<loop id='1000B'>
<seg id='N1'>
<ele id='N101'>IN</ele>
<ele id='N102'>KCMHSAS</ele>
<ele id='N103'>FI</ele>
<ele id='N104'>999999999</ele>
</seg>
</loop>
</loop>
<loop id='DETAIL'>
<loop id='2000'>
<seg id='INS'>
<ele id='INS01'>Y</ele>
<ele id='INS02'>18</ele>
<ele id='INS03'>030</ele>
<ele id='INS04'>XN</ele>
<ele id='INS05'>A</ele>
<comp id='INS'>
<subele id='INS06-01'>C</subele>
</comp>
<ele id='INS08'>FT</ele>
</seg>
<seg id='REF'>
<ele id='REF01'>0F</ele>
<ele id='REF02'>00389999</ele>
</seg>
<seg id='REF'>
<ele id='REF01'>1L</ele>
<ele id='REF02'>000003409999</ele>
</seg>
<seg id='REF'>
<ele id='REF01'>3H</ele>
<ele id='REF02'>K129999A</ele>
</seg>
<seg id='DTP'>
<ele id='DTP01'>356</ele>
<ele id='DTP02'>D8</ele>
<ele id='DTP03'>20070301</ele>
</seg>
<loop id='2100A'>
<seg id='NM1'>
<ele id='NM101'>IL</ele>
<ele id='NM102'>1</ele>
<ele id='NM103'>DOE</ele>
<ele id='NM104'>JOHN</ele>
<ele id='NM105'>A</ele>
<ele id='NM108'>34</ele>
<ele id='NM109'>999999999</ele>
</seg>
<seg id='N3'>
<ele id='N301'>777 ELM ST</ele>
</seg>
<seg id='N4'>
<ele id='N401'>ALLEGAN</ele>
<ele id='N402'>MI</ele>
<ele id='N403'>49010</ele>
<ele id='N405'>CY</ele>
<ele id='N406'>03</ele>
</seg>
<seg id='DMG'>
<ele id='DMG01'>D8</ele>
<ele id='DMG02'>19670330</ele>
<ele id='DMG03'>M</ele>
<comp id='DMG'>
<subele id='DMG05-01'>O</subele>
</comp>
</seg>
<seg id='LUI'>
<ele id='LUI03'>ESSPANISH</ele>
</seg>
</loop>
<loop id='2300'>
<seg id='HD'>
<ele id='HD01'>030</ele>
<ele id='HD03'>AK</ele>
<ele id='HD04'>064703</ele>
<ele id='HD05'>IND</ele>
</seg>
<seg id='DTP'>
<ele id='DTP01'>348</ele>
<ele id='DTP02'>D8</ele>
<ele id='DTP03'>20070301</ele>
</seg>
<seg id='AMT'>
<ele id='AMT01'>P3</ele>
<ele id='AMT02'>45.34</ele>
</seg>
<seg id='REF'>
<ele id='REF01'>17</ele>
<ele id='REF02'>E 1F</ele>
</seg>
</loop>
</loop>
</loop>
<seg id='SE'>
<ele id='SE01'>20</ele>
<ele id='SE02'>0001</ele>
</seg>
<seg id='ST'>
<ele id='ST01'>834</ele>
<ele id='ST02'>0002</ele>
<ele id='ST03'>005010X220A1</ele>
</seg>
<loop id='HEADER'>
<seg id='BGN'>
<ele id='BGN01'>00</ele>
<ele id='BGN02'>88880070301 00</ele>
<ele id='BGN03'>20070305</ele>
<ele id='BGN04'>181245</ele>
<ele id='BGN08'>4</ele>
</seg>
<seg id='DTP'>
<ele id='DTP01'>007</ele>
<ele id='DTP02'>D8</ele>
<ele id='DTP03'>20070301</ele>
</seg>
<loop id='1000A'>
<seg id='N1'>
<ele id='N101'>P5</ele>
<ele id='N102'>PAYER 1</ele>
<ele id='N103'>FI</ele>
<ele id='N104'>999999999</ele>
</seg>
</loop>
<loop id='1000B'>
<seg id='N1'>
<ele id='N101'>IN</ele>
<ele id='N102'>KCMHSAS</ele>
<ele id='N103'>FI</ele>
<ele id='N104'>999999999</ele>
</seg>
</loop>
</loop>
<loop id='DETAIL'>
<loop id='2000'>
<seg id='INS'>
<ele id='INS01'>Y</ele>
<ele id='INS02'>18</ele>
<ele id='INS03'>030</ele>
<ele id='INS04'>XN</ele>
<ele id='INS05'>A</ele>
<comp id='INS'>
<subele id='INS06-01'>C</subele>
</comp>
<ele id='INS08'>FT</ele>
</seg>
<seg id='REF'>
<ele id='REF01'>0F</ele>
<ele id='REF02'>00389999</ele>
</seg>
<seg id='REF'>
<ele id='REF01'>1L</ele>
<ele id='REF02'>000003409999</ele>
</seg>
<seg id='REF'>
<ele id='REF01'>3H</ele>
<ele id='REF02'>K129999A</ele>
</seg>
<seg id='DTP'>
<ele id='DTP01'>356</ele>
<ele id='DTP02'>D8</ele>
<ele id='DTP03'>20070301</ele>
</seg>
<loop id='2100A'>
<seg id='NM1'>
<ele id='NM101'>IL</ele>
<ele id='NM102'>1</ele>
<ele id='NM103'>DOE</ele>
<ele id='NM104'>JOHN</ele>
<ele id='NM105'>A</ele>
<ele id='NM108'>34</ele>
<ele id='NM109'>999999999</ele>
</seg>
<seg id='N3'>
<ele id='N301'>777 ELM ST</ele>
</seg>
<seg id='N4'>
<ele id='N401'>ALLEGAN</ele>
<ele id='N402'>MI</ele>
<ele id='N403'>49010</ele>
<ele id='N405'>CY</ele>
<ele id='N406'>03</ele>
</seg>
<seg id='DMG'>
<ele id='DMG01'>D8</ele>
<ele id='DMG02'>19670330</ele>
<ele id='DMG03'>M</ele>
<comp id='DMG'>
<subele id='DMG05-01'>O</subele>
</comp>
</seg>
<seg id='LUI'>
<ele id='LUI03'>ENG</ele>
</seg>
</loop>
<loop id='2300'>
<seg id='HD'>
<ele id='HD01'>030</ele>
<ele id='HD03'>AK</ele>
<ele id='HD04'>064703</ele>
<ele id='HD05'>IND</ele>
</seg>
<seg id='DTP'>
<ele id='DTP01'>348</ele>
<ele id='DTP02'>D8</ele>
<ele id='DTP03'>20070301</ele>
</seg>
<seg id='AMT'>
<ele id='AMT01'>P3</ele>
<ele id='AMT02'>45.34</ele>
</seg>
<seg id='REF'>
<ele id='REF01'>17</ele>
<ele id='REF02'>E 1F</ele>
</seg>
</loop>
</loop>
</loop>
<seg id='SE'>
<ele id='SE01'>20</ele>
<ele id='SE02'>0002</ele>
</seg>
</loop>
<seg id='GE'>
<ele id='GE01'>2</ele>
<ele id='GE02'>13360001</ele>
</seg>
</loop>
<seg id='IEA'>
<ele id='IEA01'>1</ele>
<ele id='IEA02'>000701336</ele>
</seg>
</loop>
</x12simple>
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