Segment | Entire Segment |
View | ST*271*000000001*005010X279A1 |
View | BHT*0022*11*7237581e2e400890ee96a51bc62ed0*20200308*1901 |
View | HL*1**20*1 |
View | NM1*PR*2*CMS*****PI*CMS |
View | HL*2*1*21*1 |
View | NM1*1P*2*SINAI HADASSAH MEDICAL ASSOCIATES*****XX*1508165317 |
View | HL*3*2*22*0 |
View | TRN*1*2223255592*99Trizetto |
View | NM1*IL*1*BELMAR*ALBERT*R***MI*9UY4R33KV83 |
View | N3*1029 SALEM AVE |
View | N4*WOODBURY*NJ*080966062 |
View | DMG*D8*19500722*M |
View | DTP*307*RD8*20191230-20191230 |
View | EB*1**88 |
View | EB*1**30^42^45^48^49^69^76^83^A5^A7^AG^BT^BU^BV*MA |
View | DTP*291*D8*20150701 |
View | EB*1**30^2^23^24^25^26^27^28^3^33^36^37^38^39^40^42^50^51^52^53^67^69^73^76^83^86^98^A4^A6^A8^AI^AJ^AK^AL^BT^BU^BV^DM^UC*MB |
View | DTP*291*D8*20150701 |
View | EB*A**30*QM*Medicare Part B*27**0 |
View | DTP*291*RD8*20190101-20191231 |
View | EB*C**30*QM*Medicare Part A*26*0 |
View | DTP*291*RD8*20190101-20191231 |
View | EB*C**30*QM*Medicare Part B*23*0 |
View | DTP*291*RD8*20190101-20191231 |
View | EB*I**41^54 |
View | EB*R***QM*NJ QMB Plan |
View | DTP*290*D8*20170201 |
View | EB*R**88*OT |
View | REF*18*S5601 |
View | REF*N6*008*SilverScript Choice |
View | DTP*292*D8*20170101 |
View | LS*2120 |
View | NM1*PR*2*SILVERSCRIPT INSURANCE COMPANY |
View | N3*445 Great Circle Road |
View | N4*Nashville*TN*37228 |
View | PER*IC**TE*8664430934*UR*www.silverscript.com |
View | LE*2120 |
View | SE*38*000000001 |