Tyler
13 lines
305 B
Plaintext
13 lines
305 B
Plaintext
ISA*00* *00* *ZZ*SUBMITTERID *ZZ*RECEIVERID *240101*1200*^*00501*000000002*0*P*:~
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GS*HC*SUBMITTERID*RECEIVERID*20240101*1200*1*X*005010X222A1~
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ST*999*0002*005010X231A1~
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AK1*HC*0001~
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AK2*837*0001~
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AK3*CLM*12*2300~
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AK4*4***8~
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AK5*R~
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AK9*R*1*0*1~
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SE*7*0002~
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GE*1*1~
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IEA*1*000000002~
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