Payment Transactions File Field Specification (EDI 835)

File name: [Client ID.]transactions_out.txt

Example File

ISA*00*          *00*          *ZZ*CLEARGAGE      *ZZ*CGABC          *151204*1418*^*00501*000051232*0*P*:~
GS*HP*CLEARGAGE*CGABC*20151204*1418*000051232*X*005010X221A1~
ST*835*0001~
BPR*I*25.00*C*CCC************20151112~
TRN*1*68Q2E000000X45LPA8VM698S6~
DTM*405*20151112~
N1*PR*JOHN DOE~
N3*7028 W WATERS AVE*STE 399~
N4*TAMPA*FL*33634~
PER*CX*CUSTOMER SUPPORT*TE*8885551212~
N1*PE*MY PRACTICE*XX*00000~
LX*1~
CLP*17980*1*25.00*25.00**12*999999999999**~
NM1*QC*1*DOE*JOHN****~
SE*1*0001~
ST*835*0002~
BPR*I*20.00*C*CCC************20151113~
TRN*1*2S9R2GLOX000000UYX9OKJCDM~
DTM*405*20151113~
N1*PR*JANE DOE~
N3*7028 W WATERS AVE*STE 399~
N4*TAMPA*FL*33634~
PER*CX*CUSTOMER SUPPORT*TE*8885551212~
N1*PE*MY PRACTICE*XX*00000~
LX*1~
CLP*25612*1*20.00*20.00**12*999999999999**~
NM1*QC*1*Doe*Jane****~
SE*1*0002~
GE*15*000051232~
IEA*1*000051232~