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X12 837 QUICKLINK PROFESSIONAL FRONT-END VALIDATION ...

X12 837 QUICKLINK PROFESSIONAL FRONT-END VALIDATION ...

X12 837 QUICKLINK PROFESSIONAL FRONT-END VALIDATION ...

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997 SegmentsExample 1This is an example of an <strong>837</strong> Health Care Claim envelope and its related 997Functional Acknowledgment transaction. The example shows how the controlnumbers in the <strong>837</strong> relate to the control numbers in the 997. The controlnumbers are shaded and in boldface for easy readability.<strong>837</strong> TransactionISA*00* *00* *ZZ*123456 *ZZ*WP803*010201*1324*U*00401*299700001*0*P*:~GS*HC*123456*WP803*20010521*1615*1*X*004010X098A1~ST*<strong>837</strong>*29971GE1~--There will be many detail segments in the <strong>837</strong> between the ST and the SESE*443*29971GE1~GE*1*1~IEA*1*299700001~997 TransactionThis is the transaction setcontrol number from the <strong>837</strong>.<strong>837</strong> ST02 value =997 AK202 valueISA*00* *00* *ZZ*WP803 *ZZ*123456 *010920*1349*U*00401*000000423*0*P*>~GS*FA*WP803*123456*20010920*1349*533*X*004010X098A1~ST*997*0533~AK1*HC*1~AK2*<strong>837</strong>*29971GE1~AK3*SBR*21~AK4*9**3**P*~AK3*SBR*304~AK4*9**3**P*~AK4*5**5*SIMPSON~AK4*5**7*SIMPSON~AK5*R*5~AK9*R*1*1*0~SE*12*0533~EMC Front End Validation – Quicklink Commercial Professional 4010A113This is the functionalgroup control numberfrom the <strong>837</strong>.<strong>837</strong> GS06 value =997 AK102 value

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