HIPAA 5010 820 Payment Order Example File
ISA*00* *00* *ZZ*1234567 *ZZ*11111 *170508*1141*^*00501*000000101*1*P*:~ GS*HC*XXXXXXX*XXXXX*20170617*1741*101*X*005010X218~ ST*820*0001*005010X218~ BPR*C*19000*C*ACH*CTX*01*999999992*DA*12345678*1030449999**01*199999999*DA*98765*20070516~ TRN*1*12345*1030449999~ REF*14*12345~ N1*PE*DEF HEALTH CARE INC.*FI*012222222~ N1*PR*ABC PLASTICS*FI*123456789~ ENT*1*2L*FI*123456789~ RMR*IK*970501001*PI*16500~ IT1*1~ SLN*1**O*5*IE~ SLN*2**O*75*10~ RMR*IK*970501002*PI*250~ IT1*1~ SLN*1**O*25*IE~ SE*15*0001~ GE*1*101~ IEA*1*000000101~