Sana Inbound - Standard

ISA*00*          *00*          *30*260302465      *30*82-1990296     *230119*0814*^*00501*004443162*0*P*>~
GS*BE*260302465*82-1990296*20230119*0814*230108191*X*005010X220A1~
ST*834*FPH6IXWEM*005010X220A1~
BGN*00*FPH6IXWEM*20230119*081419*CS***4~
N1*IN*SANA BENEFITS, INC.*FI*82-1990296~
N1*P5*SANA BENEFITS, INC.*FI*82-1990296~
N1*TV*SANA BENEFITS, INC.*FI*82-1990296~

INS*Y*18*030*XN*A***FT~
REF*0F*837498753~
REF*1L*10001*Sales~
DTP*336*D8*20180207~
NM1*IL*1*FAKERTON*CHAD****34*837498753~
PER*IP**HP*8767362273~
N3*1200 W STATE ST~
N4*COLUMBUS*OH*43205~
DMG*D8*19871018*M*R~
HD*030**HLT**EMP~
DTP*348*D8*20211201~
DTP*349*D8*20220131~
REF*1L*11111111-1111-4111-8111-111111111111~

INS*Y*18*030*XN*A***FT~
REF*0F*987378471~
REF*1L*10001~
DTP*336*D8*20120122~
NM1*IL*1*CUSTOMER*DAVID*O***34*987378471~
PER*IP**HP*8762763890~
N3*444 S High Street~
N4*COLUMBUS*OH*43205~
DMG*D8*19850807*M*R~
HD*030**HLT**EMP~
DTP*348*D8*20211201~
DTP*348*D8*20220131~
REF*1L*11111111-1111-4111-A111-333333333333~
HD*030**HLT**ESP~
DTP*348*D8*20220201~
REF*1L*11111111-1111-4111-B111-222222222222~

INS*N*01*030*XN*A~
REF*0F*987378471~
REF*1L*10001~
DTP*336*D8*20190528~
NM1*IL*1*CUSTOMER*JENNA****34*233672876~
PER*IP**HP*8762763890~
N3*444 S High Street~
N4*COLUMBUS*OH*43205~
DMG*D8*19890202*F~
HD*030**HLT**ESP~
DTP*348*D8*20220201~
REF*1L*11111111-1111-4111-a111-222222222222~

SE*47*FPH6IXWEM~
GE*1*230108191~
IEA*1*004443162~

Sample 1

ISA*00*          *00*          *30*260302465      *30*82-1990296     *230119*0814*^*00501*004443162*0*P*>~
GS*BE*260302465*82-1990296*20230119*0814*230108191*X*005010X220A1~
ST*834*FPH6IXWEM*005010X220A1~
BGN*00*FPH6IXWEM*20230119*081419*CS***4~
N1*IN*SANA BENEFITS, INC.*FI*82-1990296~
N1*P5*SANA BENEFITS, INC.*FI*82-1990296~
N1*TV*SANA BENEFITS, INC.*FI*82-1990296~

INS*Y*18*030*XN*A***FT~
REF*0F*837498753~
REF*1L*10001*Sales~
DTP*336*D8*20180207~
NM1*IL*1*FAKERTON*CHAD****34*837498753~
PER*IP**HP*8767362273~
N3*1200 W STATE ST~
N4*COLUMBUS*OH*43205~
DMG*D8*19871018*M*R~
HD*030**HLT**EMP~
DTP*348*D8*20211201~
DTP*349*D8*20220131~
REF*1L*11111111-aefb-4111-8111-111111111111~

INS*Y*18*030*XN*A***FT~
REF*0F*987378471~
REF*1L*10001~
DTP*336*D8*20120122~
NM1*IL*1*Customer*DAVID*O***34*987378471~
PER*IP**WP*8762763890~
N3*444 S High Street~
N4*COLUMBUS*OH*43205~
DMG*D8*19850807*M*R~
HD*030**HLT**EMP~
DTP*348*D8*20211201~
DTP*349*D8*20220131~
REF*1L*11111111-1111-4111-8111-333333333333~
HD*030**HLT**ESP~
DTP*348*D8*20220201~
REF*1L*11111111-abfe-4111-8111-222222222222~

INS*N*01*030*XN*A~
REF*0F*987378471~
REF*1L*10001~
DTP*336*D8*20190528~
NM1*IL*1*CUSTOMER*JENNA****34*233672876~
PER*IP**HP*8762763890~
N3*444 S High Street~
N4*COLUMBUS*OH*43205~
DMG*D8*19890202*F~
HD*030**HLT**ESP~
DTP*348*D8*20220201~
REF*1L*AB111111-A111-4111-a111-222222222222~

SE*47*FPH6IXWEM~
GE*1*230108191~
IEA*1*004443162~

X12 834 Sana Inbound - Standard