[X12 HIPAA] 820 Health Insurance Exchange Related Payments (X306)

ISA*00*          *00*          *ZZ*SENDER         *ZZ*RECEIVER       *240221*1259*^*00501*000000001*0*T*>~
GS*RA*SENDERGS*RECEIVERGS*20240221*125918*000000001*X*005010X306~
ST*820*0001*005010X306~
BPR*I*500*C*ACH*CCP*******01*199999999*DA*98765*20240101~
TRN*3*78905~
REF*38*123456~
REF*TV*12565496~
N1*PE*Oscar Health, Inc.*FI*012222222~
N1*RM*Thatch Health, Inc*58*123ABC~
ENT*1~
NM1*IL*1*Doe*John****C1*777222~
REF*POL*1232456~
REF*AZ*12565496~
REF*0F*555666~
RMR*ZZ*PREM**500~
DTM*582****RD8*20240101-20241231~
SE*15*0001~
GE*1*000000001~
IEA*1*000000001~

Sample 1 (Oscar IDs)

ISA*00*          *00*          *ZZ*SENDER         *ZZ*RECEIVER       *240221*1259*^*00501*000000001*0*T*>~
GS*RA*SENDERGS*RECEIVERGS*20240221*125918*000000001*X*005010X306~
ST*820*0001*005010X306~
BPR*I*500*C*ACH*CCP*******01*199999999*DA*98765*20240101~
TRN*3*78905~
N1*PE*Oscar Health, Inc.*FI*012222222~
N1*RM*Thatch Health, Inc*58*123ABC~
ENT*1~
NM1*IL*1*Doe*John****C1*777222~
REF*POL*1232456~
RMR*ZZ*PREM**500~
DTM*582****RD8*20240101-20241231~
SE*11*0001~
GE*1*000000001~
IEA*1*000000001~

X12 820 [X12 HIPAA] 820 Health Insurance Exchange Related Payments (X306)