Transcription of Sample 835 File.txt - Notepad
1 Sample 835 *00* *00* *ZZ*NVMED *ZZ*99999999 *180613*1230*^*00501*100000300*0*P*:GS*H P*NVMED*99999999*20180613*123021*1000003 00*X*005010X221A1ST*835*0001 BPR*H*0*C*NON**20180615 TRN*1*100004762*1388600002 DTM*405*20180613N1*PR*DIVISON OF HEALTH CARE FINANCING AND POLICYN3*1100 East William Street Suite 101N4*Carson*NV*89701 PER*BL*Nevada 9999NM1*GB*1*BARRY*CARRY**MI*666666666 REF*EA*8888888 DTM*232*20180314 DTM*233*20180317SE*22*0001ST*835*0002 BPR*H*0*C*NON**20180615 TRN*1*100004765*5555555555 DTM*405*20180613N1*PR*DIVISON OF HEALTH CARE FINANCING AND POLICYN3*1100 East William Street Suite 101N4*Carson*NV*89701 PER*BL*Nevada N1*PE*VALLEY*XX*6666666666
2 REF*TJ*530824679LX*1 CLP*77777778*2*3002*0**MC*6666666666667 CAS*OA*176*3002*0NM1*QC*1*BOB*THOMAS**MR *55555555555NM1*74*1*ALAN*JACKSON**C*666 66666666 REF*EA*8888888 DTM*232*20171001 DTM*233*20171002 CLP*77777779*4* *0**MC*6666666666668 CAS*OA*147* *0 CAS*CO*26*31866*0NM1*QC*1*HELD*ALLEN**MR *77777777778NM1*74*1*RYAN*LARRY**C*88888 888889NM1*PR*2*SENIOR**PI* 8888NM1*GB*1*MARY*JANE**MI*777777777 REF*EA*6047740 DTM*232*20180220 DTM*233*20180221SE*29*0002ST*835*0003 BPR*I* *C*CHK**20180727 TRN*1*000012382*5555555555 DTM*405*20180720N1*PR*DIVISON OF HEALTH CARE FINANCING AND POLICYN3*1100 East William Street Suite 101N4*Carson*NV*89701 PER*BL*Nevada N1*PE*SILVER*XX*7777777777 Page 1 Sample 835 *TJ*666666666 PLB*8888888888*20181231*CT:888888888* *CT:888888888* *CS:8888888888887* *CS:8888888888887* *CS:8888888888888*-130*CS:8888888888888* 130SE*12*0003GE*3*100000300 IEA*1*100000301 Page 2
