############################# ADT Messages #####################################

#############
MSH|^~\&|PA||SimplyfyMD|ALVIN H CLAIR,MD, P.C.|20140721104723||ADT^A08|48541617|
PID|1|9L10671|2863133||NASH^CLIFF^G^||19960525|m||U^Unknown|407 HARBOR LOOP^^PEA
EVN|A08|20140721104723|20140721
P|2.3|
GT1|1|4177338|NASH^GREG^^||407 HARBOR LOOP^^PEACHTREE CITY^GA^30269|(770) 487-13
PV1|1||5558||||0^^|^^|||||||||||||||||||||||||||||||||||||
CHTREECITY^GA^30269||(770)486-9400|||S|||0|||U^Unknown
31| |1964-07-18 00:00:00.0|n|||null
IN1|1|141831|87726|UHC|P
O BOX 30555^^SALT LAKE CITY^UT^84130-0555||(800)357-097
8|901753||||||||NASH^GREG^|Unknown|19640718|407 HARBOR LOOP^^PEACHTREE CITY^GA^3
0269|||||||||||||||||963266474|||||||m
MSH|^~\&|SOWARE|D.M.|EHR|SIMPLIFYMD|201407211457||ADT^A31|201407211457000001|P|2
PID|1|0005934|||Gutierrez^Deyalen^||19860327|F|||2130 Westmeade Dr Sw Apt# 601^^
.3||
Decatur^AL^35603^2||(256)616-5248^^^DEYALEN327@GMAIL.COM|308-1500|ENG^ENGLISH|S|
PV1|1||||||0101^SWAIN,
||604-62-6205|||||||||||N|||||||||||||||||||||(256)616-2530|
IN1|1||048|BLUE
CROSS OFDO^BERNICE^N^^|
ALABAMA|450 RIVERCHASE PARKWAY E^^Birmingham^AL^35298||
|76695||||20130401||||GUTIERREZ^DEYALEN^^^||19860327||||||||||||||||||TGE8000575
36||||||||||||||||
MSH|^~\&|^AVISENA|^AVISENA|^ATHENSBONEJOINT|^ATHENSBONEJOINT|20140722071240||ADT
PID|1|3683611|BEL2161||BELL COLEMAN^SHERRY^A||19720215000000|F||1|310 NORWOOD CI
EVN|A08
^A08|368361172220140|P|2.3
PV1||O|^^^&5715^^^^^ATHENS OFFICE||||1845^BACASTOW^DAVID^^^^^^^^^^^&&UPIN|160808
PD1||||1845^BACASTOW^DAVID
R^^ATHENS^GA^30601||7062541649||1|W||BEL2161|255-23-5768|||2
GT1|1||BELL COLEMAN^SHERRY^A||310 NORWOOD CIR^^ATHENS^GA^30601|||19720215000000|
^MCELHANNON^T^^^^^^^^^^^&H06255&UPIN
IN1|1||4221|GEORGIA MEDICARE PART B|PO BOX 12847^^BIRMINGHAM^AL^35202||877567727
F||18|255-23-5768
1|||||19800101000000|20701231000000||01|BELL COLEMAN^SHERRY|18|19720215000000|31
0 NORWOOD CIR^^ATHENS^GA^30601|||||||||||||||||255235768A|||||||F
IN1|2||8669|GEORGIA
MEDICAID CROSSOVER CLAIMS|PO BOX 105203^^TUCKER^GA^30085||80
07664456|||||19800101000000|20701231000000||0K|BELL COLEMAN^SHERRY|18|1972021500
0000|310 NORWOOD CIR^^ATHENS^GA^30601|||||||||||||||||111033267950|||||||F

########################### SIU Messages #######################################

##############
SCH|11732274||||||F8CAF112-7842-4646-96CE-D920C23C9DED^Visit-E||15|Min|^^^201407
MSH|^~\&|PBM||PCM||20140721112133||SIU^S12|48543665|P|2.3||
22160000|||||7498^Bourque^Dawn||||7923^Ziberna^Judy|||||BOOKED^M^^M^Left Message
|NTE|1||Copay:
PID|1|9L17381|9L17381~~17381|3223538|BALDREE^FLOYD^R||19771107|M|||189
0.00, Pat Bal:
0.00, ENC: 11732274, Comment:|
PLANTATIO
N DRIVE^ ^FAYETTEVILLE^GA^30215|| ^^^^^^^^(678) 615-5476| ^^^^^^^^ |||||0|||||||
PV1|1||5558^^^^^^^^ALVIN H CLAIR,MD, P.C.||||65194^CLAIR^ALVIN^H||||||||||||1173
||||N||
AIP|||65194^CLAIR^ALVIN^H
2274|||||||0.00||||||||||||||||||||0.00|
MSH|^~\&|PBM||PCM||20140721091533||SIU^S15|48539811|P|2.3||Patient||15|Min|^^^20
SCH|11797543||||||2BC50DD9-5EE3-44A4-B9B4-7EC91D297DD7^New
140722154500|||||7498^Bourque^Dawn||||7498^Bourque^Dawn|||||CANCELLED^X^^X^Cance
NTE|1||Copay:
lled|
0.00, Pat Bal:
0.00, ENC: 11797543, Comment:emailed reg for
PID|1|9L17605|9L17605~~17605|3434489|SKEETE^CARLOS||19391028|M|||125 DONEGAL DRI
ms/dcb|
VE^ ^TYRONE^GA^30290||^^^MICHELLE_SKEETE@ATT.NET^^^^^(678) 833-7416|^^^^^^^^ |||
PV1|1||5558^^^^^^^^ALVIN H CLAIR,MD, P.C.||||65194^CLAIR^ALVIN^H||||||||||||1179
||433647306|||||||||||N||
AIP|||65194^CLAIR^ALVIN^H
7543|||||||0.00||||||||||||||||||||0.00|
MSH|^~\&|PBM||PCM||20140722072133||SIU^S12|48554560|P|2.3||
SCH|11847659||||||98E87657-94EF-4F6F-B512-F5657CB89F11^INFUSION||150|Min|^^^2014
0722093000|||||7992^PETERSON^TAMMY||||7992^PETERSON^TAMMY|||||PENDING^P^^P^Pendi
NTE|1||Copay:
ng|
PID|1|BR11188|11188~11188~11188|3085740|ECKSTROM^NANCY||19610103|F|||14
0.00, Pat Bal: 536.63, ENC: 11847659, Comment:|
HILLSIDE
PV1|1||5833^^^^^^^^BRADFORD
AVE^ ^LUDLOW^PA^16333||(814)ONCOLOGY||||||||||||||||11847659|||||||0.00|||||||||
558-7329^^^^^^^^ | ^^^^^^^^ |||||0|||||||||||N||
|||||||||||536.63|

##################################### DFT messages #############################

#####################################

MSH|^~\&|SimplifyMD||PA||20140721044807||DFT^P03|1bcae967-c40d-424f-af37-24b0d6d
PV1|1||5003^TOMPKINS COMMUNITY CHIROPRACTIC PC||||58572^Corey^Randall|^^||||||||
PID|1|||2805453|Denman^Amber^^^^||19900727|F|||^^^^||||||||||||||||
EVN|P03|20140721154500|||
3186d||2.3|||||
FT1|1||20140721205616|20140721||||||1|||||||||839.08^Dislocation multiple cervic
||||||||||||||||||||||||||||||||||
al vertebrae~839.21^Dislocation thoracic vertebra~839.20^Dislocation lumbar vert
ebra~839.42^Dislocation sacrum/sacroilliac|58572^Corey^Randall|58572^Corey^Randa
ll||||98941^CMT 3-4|
FT1|2||20140721205616|20140721||||||1|||||||||847.0^Sprain,
cervical~846.0^Sprai
n, lumbosacral (joint/ligament)~729.1^Myalgia and myositis unspecified|58572^Cor
ey^Randall|58572^Corey^Randall||||97010^Hot/Cold Pack,1 or more
FT1|3||20140721205616|20140721||||||1|||||||||847.0^Sprain,
cervical~846.0^Sprai
areas|
n, lumbosacral (joint/ligament)~729.1^Myalgia and myositis unspecified|58572^Cor
ey^Randall|58572^Corey^Randall||||97014^Electrical Stim (unattended) 1 or more a
reas|
MSH|^~\&|SimplifyMD||PA||20140721040341||DFT^P03|61dad853-9b0c-4347-9b6a-7b8ca6b
PV1|1||5003^TOMPKINS COMMUNITY CHIROPRACTIC PC||||58572^Corey^Randall|^^||||||||
PID|1|||3457497|White^John^^^^||19950514|M|||^^^^||||||||||||||||
EVN|P03|20140721141500|||
aeca1||2.3|||||
FT1|1||20140721201147|20140721||||||1|||||||||847.1^Sprain, thoracic~729.1^Myalg
||||||||||||||||||||||||||||||||||
ia and myositis unspecified~839.08^Dislocation multiple cervical vertebrae~839.2
1^Dislocation thoracic vertebra~839.20^Dislocation lumbar vertebra|58572^Corey^R
FT1|2||20140721201147|20140721||||||1|||||||||839.08^Dislocation multiple cervic
andall|58572^Corey^Randall||||99203^Detailed|
al vertebrae~839.21^Dislocation thoracic vertebra~839.20^Dislocation lumbar vert
ebra|58572^Corey^Randall|58572^Corey^Randall||||98941^CMT 3-4|
FT1|3||20140721201147|20140721||||||1|||||||||847.1^Sprain,
thoracic~729.1^Myalg
ia and myositis unspecified|58572^Corey^Randall|58572^Corey^Randall||||97010^Hot
/Cold Pack,1 or more areas|
FT1|4||20140721201147|20140721||||||1|||||||||847.1^Sprain,
thoracic~729.1^Myalg
ia and myositis unspecified|58572^Corey^Randall|58572^Corey^Randall||||97014^Ele
ctrical Stim (unattended) 1 or more areas|
MSH|^~\&|SimplifyMD||PA||20140718112132||DFT^P03|685b6d43-e58f-4210-9c95-7aeef3a
PV1|1||5003^TOMPKINS COMMUNITY CHIROPRACTIC PC||||58572^Corey^Randall|^^||||||||
PID|1|||2560673|Watter^Maxine^^^^||19430412|F|||^^^^||||||||||||||||
EVN|P03|20140718110000|||
99449||2.3|||||
FT1|1||20140718152920|20140718||||||1|||||||||739.1^Cervical~739.3^Lumbar|58572^
||||||||||||||||||||||||||||||||||
Corey^Randall|58572^Corey^Randall||||98940^CMT 1-2|
FT1|2||20140718152920|20140718||||||1|||||||||721.0^Spondylosis
w/o myelopathy,
cervical~721.3^Spondylosis w/o myelopathy, lumbosacral|58572^Corey^Randall|58572
^Corey^Randall||||97010^Hot/Cold Pack,1 or more areas|
FT1|3||20140718152920|20140718||||||1|||||||||721.0^Spondylosis
w/o myelopathy,
cervical~721.3^Spondylosis w/o myelopathy, lumbosacral|58572^Corey^Randall|58572
^Corey^Randall||||97014^Electrical Stim (unattended) 1 or more areas|