834 Mapping Exercise

Download mapping instructions and raw data for this exercise

ISA*00* *00* *ZZ*067999979 *01*076334622*000821*0915*^*00501*000000745*0*P*>
GS*BE*C1591*076334622*20020821*0916*2304*X*005010X220A1
ST*834*1804*005010X220A1
BGN*00**20150731*0014****
REF*38*
{Loop 1000A} SPONSOR NAME
N1*P5**FI*
{Loop 1000B} TPA/BROKER NAME
N1*IN**FI*
{Loop 1000C} TPA/BROKER NAME
N1*TV**FI*
{Loop 2000} MEMBER LEVEL DETAIL
INS******D**TE
REF**032341684
REF*F6*
DTP**D8*
{Loop 2100A} MEMBER NAME
NM1*IL*1**JANICE*D***34*
N3*2713 VALLEY COURT
N4*MANDEVILLE*LA*704488476
DMG*D8**F*R
{Loop 2300} HEALTH COVERAGE
HD****Humana Medicare Advantage*IND
DTP**D8*
{Loop 2000} MEMBER LEVEL DETAIL
INS*Y*18*030*XN*A*D**TE
REF*0F*042309855
REF*F6*042309855A
DTP*300*D8*20071221
{Loop 2100A} MEMBER NAME
NM1*IL*1*CONNOLLY*JOHN*M***34*042309855
N3*39744 Gayle Rd
N4*Ponchatoula*LA*70454
DMG*D8*19370928*M*M
{Loop 2300} HEALTH COVERAGE
HD*030**HMO*Humana Medicare Advantage*E5D
DTP*348*D8*20150101
{Loop 2000} MEMBER LEVEL DETAIL
INS*N**030*XN*A*D***********1
REF*0F*
REF*F6*
DTP**D8*20081204
{Loop 2100A} MEMBER NAME
NM1*IL*1*CONNOLLY*CAROLYN*****042309856
N3*39744 Gayle Rd
N4*Ponchatoula*LA*70454
DMG*D8*19440310*F
{Loop 2300}
HD*030***Humana Medicare Advantage
DTP**D8*20150101
SE*37*1804
GE*1*2304
IEA*1*000000745