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Edi Claim 837 Required Field #11

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nigamabhay671 opened this issue Dec 1, 2018 · 1 comment
Open

Edi Claim 837 Required Field #11

nigamabhay671 opened this issue Dec 1, 2018 · 1 comment

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@nigamabhay671
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Can You Guys tell me how can i test my edi claim 837

My output is

ISA00 01SECRET ZZSUBMITTERS.ID ZZRECEIVERS.ID 0301011253*^005010000009051T*:~
GSHCSENDER CODERECEIVER CODE1999123108021X005010X222~
ST8370021005010X222~
BHT
001900244579200610151023CH~
NM1
412PREMIER BILLING SERVICE46TGJ23~
PER
ICJERRYTE3055552222EX231~
NM1
402KEY INSURANCE COMPANY
4666783JJT~
HL
1201~
PRV
BIPXC203BF0100Y~
NM1852*BEN KILDARE SERVICE
XX9876543210~
N3
234 SEAWAY ST~
N4MIAMIFL33111~
REF
EI587654321~
HL
21221~
SBR
P
2222-SJ
CI~
NM1
IL
1
PANDEY
SMITA
MIJS00111223333~
N3
236 N MAIN ST~
N4
MIAMIFL33413~
DMGD819880110F~
NM1
PR2KEY INSURANCE COMPANYPI999996666~
REF
G2KA6663~
HL
32230~
PAT
19~
NM1QC1PANDEYSMITA~
N3236 N MAIN ST~
N4
MIAMIFL33413~
DMGD819880110M~
CLM
2646377410021:B:1YAYI~
DTP454DB20061003~
REF
D917312345600006351~
HI
BK:0340BF:V7389~
LX
1~
SV1HC:9921340UN1
1~
DTP472D820061003~
LX
2~
SV1HC:9921340UN11~
DTP
472
D8
20061003~
LX3~
SV1
HC:9921340UN11~
DTP
472
D820061003~
LX
4~
SV1HC:9921340UN11~
DTP
472
D8
20061003~
SE420021~
GE11~
IEA1000000905~

@nwlynch
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nwlynch commented Apr 19, 2020

Who is the claim destined to be processed by?

Did you just want the format tested?

There are claims validators that you should be able to find via Google, but they may have a price attached.

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