HIPAA 5010 270 Generic Request Example File
ISA*00* *00* *ZZ*1234567 *ZZ*11111 *170508*1141*^*00501*000000101*1*P*:~ GS*HC*XXXXXXX*XXXXX*20170617*1741*101*X*005010X279A1~ ST*270*1234*005010X279A1~ BHT*0022*13*10001234*20060501*1319~ HL*1**20*1~ NM1*PR*2*ABC COMPANY*****PI*842610001~ HL*2*1*21*1~ NM1*1P*2*BONE AND JOINT CLINIC*****SV*2000035~ HL*3*2*22*0~ TRN*1*93175-012547*9877281234~ NM1*IL*1*SMITH*ROBERT****MI*11122333301~ DMG*D8*19430519~ DTP*291*D8*20060501~ EQ*30~ SE*13*1234~ GE*1*101~ IEA*1*000000101~