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Feb 5th, 2013
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  1. s/ISA\*00\* *\*00\* *\*ZZ\*\([0-9MC]*\) *\*30\*\([0-9]*\) *\*\([0-9]\{6\}\)\*\([0-9]\{4\}\)\*U\*00401\*\([0-9]\{9\}\)\*\([0-9]\)\*\([TP]\)\*:~/<ISA sender="\1" recipient="\2" submission_date_YYMMDD="\3" submission_time="\4" interchange_control_number="\5" acknowledgement_requested="\6" test_or_production="\7">\n/
  2. s/GS\*\(HC\)\*\([0-9MC]*\)\*\([0-9]*\)\*\([0-9]\{8\}\)\*\([0-9]\{4\}\)\*\([0-9]*\)\*X\*\(004010X098A1\)~/ <GS document_type="\1" sender="\2" recipient="\3" submission_date_YYYMMDD="\4" submission_time="\5" group_control_number="\6" x12_version="\7">\n/
  3. s/ST\*\([0-9]*\)\*\([0-9]*\)~/ <ST transaction_set_identifier_code="\1" transaction_control_number="\2">\n/
  4. s/BHT\*\(0019\)\*\(00\)\*\([0-9]*\)\*\([0-9]\{8\}\)\*\([0-9]\{4\}\)\*\(CH\)~/ <BHT heirarchical_structure_code="\1" transaction_set_purpose_code="\2" origionator_application_transaction_header="\3" transaction_set_create_date="\4" transaction_set_create_time="\5" claim_or_encounter_identifier="\6"\/>\n/
  5.  
  6. #
  7. s/REF\*\(87\)\*\(004010X098A1\)~/ <REF reference_identification_qualifier="\1" x12_version="\2"\/>\n/g
  8. s/REF\*\(EI\)\*\([0-9]*\)~/ <REF reference_identification_qualifier="\1" social_security_number="\2"\/>\n/g
  9. s/REF\*\(EI\)\*\(MC[0-9]*\)~/ <REF reference_identification_qualifier="\1" medicaid_identifier="\2"\/>\n/g
  10. s/REF\*\(G1\)\*\([0-9]*\)~/ <REF reference_identification_qualifier="\1" prior_authorization="\2"\/>\n/g
  11. s/REF\*\(1D\)\*\([0-9]*\)~/ <REF reference_identification_qualifier="\1" medicaid_provider_number="\2"\/>\n/g
  12.  
  13. s/NM1\*\([0-9]\{2\}\)\*\([0-9]\)\*\([A-Z, ]*\)\*\*\*\*\*\([0-9X]\{2\}\)\*\([0-9MC]*\)~/ <NM1 entity_identifier_code="\1" entity_type_qualifier="\2" identification_code_qualifier="\4" identification_code="\5">\3<\/NM1>\n/g
  14. s/NM1\*\([IL]\{2\}\)\*\([0-9]\)\*\([A-Z, ]*\)\*\([A-Z ]*\)\*\([A-Z]*\)\*\*\*\([MI]\{2\}\)\*\([0-9]*\)~/ <NM1 entity_identifier_code="\1" entity_type_qualifier="\2" first_name="\4" middle_initial="\5" identification_code_qualifier="\6" identification_code="\7">\3<\/NM1>\n/g
  15. s/NM1\*\([PR]\{2\}\)\*\([0-9]\)\*\([A-Z, ]*\)\*\*\*\*\*\([PI]\{2\}\)\*\([0-9]*\)~/ <NM1 entity_identifier_code="\1" entity_type_qualifier="\2" identification_code_qualifier="\4" identification_code="\5">\3<\/NM1>\n/g
  16. s/NM1\*\([DN]\{2\}\)\*\([0-9]\)\*\([A-Z .]*\)\*\([A-Z ]*\)\*\([A-Z]*\)\*\*\*\([X]\{2\}\)\*\([0-9]*\)~/ <NM1 entity_identifier_code="\1" entity_type_qualifier="\2" first_name="\4" middle_initial="\5" identification_code_qualifier="\6" identification_code="\7">\3<\/NM1>\n/g
  17. s/NM1\*\([FA]\{2\}\)\*\([0-9]\)\*\([A-Z -]*\)\*\*\*\*\*\([X]\{2\}\)\*\([0-9]\{10\}\)~/ <NM1 entity_identifier_code="\1" entity_type_qualifier="\2" identification_code_qualifier="\4" identification_code="\5">\3<\/NM1>\n/g
  18. s/NM1\*\([0-9]\{2\}\)\*\([0-9]\)\*\([A-Z ]*\)\*\([A-Z ]*\)\*\([A-Z]*\)\*\*\*\([X]\{2\}\)\*\([0-9]\{10\}\)~/ <NM1 entity_identifier_code="\1" entity_type_qualifier="\2" first_name="\4" middle_initial="\5" identification_code_qualifier="\6" identification_code="\7">\3<\/NM1>\n/g
  19. s/NM1\*\([0-9]\{2\}\)\*\([0-9]\)\*\([A-Z ]*\)\*\([A-Z ]*\)\*\([A-Z]*\)\*\*\*\([24]\{2\}\)\*\([0-9]\{9\}\)~/ <NM1 entity_identifier_code="\1" entity_type_qualifier="\2" first_name="\4" middle_initial="\5" identification_code_qualifier="\6" identification_code="\7">\3<\/NM1>\n/g
  20.  
  21. s/HL\*\([0-9]\{1,2\}\)\*\*\([0-9]\{2\}\)\*\([0-9]\)~/ <HL heirarchical_unit_id="\1" heirarchical_level_code="\2" heirarchical_child_code="\3"\/>\n/g
  22. s/HL\*\([0-9]\{1,2\}\)\*\([0-9]\)\*\([0-9]\{2\}\)\*\([0-9]\)~/ <HL heirarchical_unit_id="\1" heirarchical_parent_id="\2" heirarchical_level_code="\3" heirarchical_child_code="\4"\/>\n/g
  23.  
  24. s/PRV\*\([BEFIRP]\{2\}\)\*\([ZZ]\{2\}\)\*\([0-9ACDFHMPQSXY]*\)~/ <PRV provider_code="\1" reference_identification_qualifier="\2" reference_identifier="\3"\/>\n/g
  25. s/PRV\*\([BEFIRP]\{2\}\)\*\([ZZ]\{2\}\)\*\([0-9ACDFHMPQSXY]*\)\*\([0-9A-Z]*\)~/ <PRV provider_code="\1" reference_identification_qualifier="\2" reference_identifier="\3" secondary_reference_identifier="\4"\/>\n/g
  26. s/PER\*\([IC]\{2\}\)\*\([A-Z ,]*\)\*\([TE]\{2\}\)\*\([0-9]\{10\}\)~/ <PER contact_function_code="\1" communication_number_qualifier="\3" communication_number="\4">\2<\/PER>\n/g
  27. s/N3\*\([A-Z0-9 \#.]*\)~/ <N3>\1<\/N3>\n/g
  28. s/N4\*\([A-Z ]*\)\*\([A-Z]*\)\*\([0-9]*\)~/ <N4 city="\1" state="\2" zip="\3"\/>\n/g
  29. s/SBR\*\([PST]\)\*\([0-9]\{2\}\)\*\*\*\*\*\*\*\([MC]\{2\}\)~/ <SBR payer_responsibility_sequence_number_code="\1" insured_group_number="\2" claim_filing_indicator_code="\3"\/>\n/g
  30. s/DMG\*\(D8\)\*\([0-9]\{8\}\)\*\([FMU]\)~/ <DMG date_qualifier="\1" birth_date="\2" gender="\3"\/>\n/g
  31. s/CLM\*\([0-9-]*\)*\*\([0-9.]*\)\*\*\*\([0-9]*\)::\([0-9*]\)*\*\([YN]\)\*\([AC]\)\*\([YN]\)\*\([YN]\)\*\([BC]\)~/ <CLM patient_account_number="\1" facility_type_code="\3" claim_frequency_code="\4" provider_signature_on_file="\5" assignment_participation_code="\6" benefit_assignment_certification_indicator="\7" release_of_information_code="\8" patient_signature_source_code="\9">\2<\/CLM>\n/g
  32. s/HI\*\(BK\):\([0-9V]*\)~/ <HI principal_diagnosis_qualifier="\1">\2<\/HI>\n/g
  33. s/HI\*\(BK\):\([0-9V]*\)\*\(BF\):\([0-9V]*\)~/ <HI principal_diagnosis_qualifier="\1" secondary_diagnosis_qualifier="\3" secondary_diagnosis="\4">\2<\/HI>\n/g
  34. s/LX\*\([0-9]\)~/ <LX service_line_number="\1"\/>\n/g
  35. s/SV1\*HC:\([0-9HAU:]*\)\*\([0-9.]*\)\*UN\*\([0-9]\)\*\*\*\([1-8:]\)~/ <SV1 line_item_charge_amount="\2" quantity="\3" diagnosis_pointers="\4">\1<\/SV1>\n/g
  36.  
  37. s/DTP\*\([0-9]\{3\}\)\*D8\*\([0-9]\{8\}\)~/ <DTP date_time_qualifier="\1">\2<\/DTP>\n/g
  38. s/DTP\*\([0-9]\{3\}\)\*RD8\*\([0-9]\{8\}-[0-9]\{8\}\)~/ <DTP date_time_qualifier="\1">\2<\/DTP>\n/g
  39.  
  40. s/SE\*\([0-9]*\)\*\([0-9]*\)~/ <SE number_of_included_segments="\1" transaction_control_number="\2"\/><\/ST>\n/
  41. s/GE\*\([0-9]\)\*\([0-9]*\)~/ <GE number_of_transaction_sets_included="\1" group_control_number="\2"\/><\/GS>\n/
  42. s/IEA\*\([0-9]\)\*\([0-9]*\)~/<IEA number_of_included_functional_groups="\1" group_control_number="\2"\/><\/ISA>\n/
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