In the ODMH MACSIS PDF "837-professional-claim-guide-v5010.pdf" on
page 3,
they list the number without an X between 005010 and 222.
It is our conclusion the X is required and that the ODMH MACSIS PDF
is in error.
If need be the X can be taken out in the C1.CFG.
ISA*00* *00* *ZZ*000000000012345*ZZ*25B
*11212*0812*U*00501*000000257*0*T*:
GS*HC*12345*25B*20111212*0812*1*X*005010X222
ST*837*000000001*005010X222
BHT*0019*00*258*20111212*0812*CH
NM1*41*2*DO GOOD THINGS*****46*12345
PER*IC*PETE MARAVICH*TE*6142222222
NM1*40*2*FRANKLIN ADAMH*****46*25B
HL*1**20*1
NM1*85*2*DO GOOD THINGS*****XX*1000000003
N3*30 E BROAD STREET
N4*COLUMBUS*OH*43231
REF*1G*000000012345
REF*EI*31-12345678
PER*IC*AGENCY ADMINIS DESK*TE*6145772104
NM1*87*2
N3*400 EAST WEST STREET
N4*COLUMBUS*OH*43313
HL*2*1*22*0
SBR*P*18*******ZZ
NM1*IL*1*KRACOTO*KILE*A**JR*MI*3445555
N3*30 E BROAD STREET
N4*COLUMBUS*OH*44254
DMG*D8*19510127*M
REF*SY*123456789
NM1*PR*2*MACSIS*****PI*MACSIS
CLM*1156478910*40.00***11:B:1*Y*A*Y*Y*C
REF*G1*00000098
HI*BK:3050*BF:29012
SBR*S*18***C1****ZZ
AMT*D*0.00
OI***Y***Y
NM1*IL*1*KRACOTO*MITZY****MI*555656666
NM1*PR*2*AETNA HMO*****PI*AETNA HMO
DTP*573*D*20111129
REF*2U*S
LX*1
SV1*HC:H0004:HE:HR::HX*40.00*UN*1*11**1**N
DTP*472*D8*20030702
REF*6R*BB973AF65341F8B5AA862CEB23B0B1
SE*37*000000001
GE*1*1
IEA*1*000000257