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Edi Claim 837 Required Field #11

@nigamabhay671

Description

@nigamabhay671

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~

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