Acknowledging an EDI X12 EDI file with a 997 Functional Acknowledgment
A sample EDI X12 837 4010X091 EDI file
ISA*00* *00* *12*Sender *12*ReceiverID *010821*1548*U*00401*000000020*0*T*:~GS*HP*SenderDept*ReceiverDept*20010821*1548*000001*X*004010X091~ST*835*00001~BPR*C*150000*C*ACH*CTX*01*999999992*DA*123456*512345678**01*999988880*DA*98765*19960913~TRN*1*123456*512345678~DTM*405*19960913~N1*PR*Insurance Company of Timbucktu~N3*1 Main Street~N4*Timbucktu*AK*89111~REF*2U*999~N1*PE*Cybil Mental Hospital*XX*6543210903~LX*961221~TS3*6543210903*11*19961231*1*211366.97*138018.40***138018.40**73348.57~TS2*2178.45*1919.71**56.82*197.69*4.23~CLP*666123*1*211366.97*138018.40**MA*1999999444444*11*1~CAS*CO*A2*73348.57~NM1*QC*1*Shepard*Sam*O***HN*666666666A~MIA*0***138018.40~DTM*232*96229081~DTM*233*19960824~QTY*CA*8~LX*961213~TS3*6543210903*13*19961231*15000*15000*11980.33***138018.40**3019.67~CLP*777777*1*15000*11980.33**MB*1999999444445*13*1~CAS*CO*A2*3019.67~NM1*QC*1*Borden*Liz*E***HN*996669999B~MOA***MA02~DTM*232*19960512~PLB*6543210903*19961231*CV:CP*1.27~SE*28*00001~GE*1*000001~IEA*1*000000020~
997 and TA1 EDI file
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