271 Mapping Exercise


Download mapping instructions and raw data for this exercise

ISA*00* *00* *14*0499441430000 *01*030240928*140617*0206*^*00501*000000001*0*T*:
GS*HB*0499441430000*R030240928*20140617*020651*1*X*005010X279A1
ST*271*000000001*005010X279A1
BHT*0022*11*1022740382**020651
{Loop 2000A}
HL*1**20*1
{Loop 2100A}
NM1*PR*2*HUMANA*****PI*
{Loop 2000B}
HL*2*1*21*1
{Loop 2100B}
NM1*1P*2******XX*
{Loop 2000C}
HL*3*2*22*0
TRN*2*022740382*3030240928
TRN*1*000000231043580*
{Loop 2100C}
NM1*IL*1**JAMES*L***MI*
N3*18150 IVAN DR
N4*FREDERICKTOWN*OH*430198915
DMG*D8**M
INS*Y*
{Loop 2110C}
EB*1**30*SP*
REF*6P**HUMANA INSURANCE COMPANY
DTP*346*D8*20131201
DTP*472*D8*
MSG*UNKNOWN
{Loop 2110C}
EB*F**30******YY*19
MSG*MAX DEPENDENT AGE
{Loop 2110C}
EB*F**30******YY*25
MSG*MAX STUDENT AGE
{Loop 2110C}
EB*V**1^88
{Loop 2110C}
EB*1**1^MH*SP********Y
MSG*Seq#999
{Loop 2110C}
EB*1**48^88^^^47^33^UC^86^50
{Loop 2110C}
EB*A*IND*48^86^50*SP**23**0****Y
MSG*Seq#003
MSG*ANCILLARIES
{Loop 2110C}
EB*A*IND*50*SP**23**0****Y
MSG*Seq#003
MSG*SURGERY
{Loop 2110C}
EB*A*IND*86*SP**23**0****Y
MSG*Seq#003
MSG*ER
{Loop 2110C}
EB*B*IND*86*SP**26*50*****Y
MSG*Seq#002
MSG*ER
{Loop 2110C}
EB*B*IND*86*SP**26*50*****Y
MSG*Seq#002
MSG*ANCILLARIES
{Loop 2110C}
EB*I**35^MH^98^47^33^AL^UC^86^50^48^1
{Loop 2110C}
EB*I*IND*35*SP********Y
SE*45*000000001
GE*1*1
IEA*1*000000001