Juniper Fitness and Clinic Administration: X12 835 remittance advice
X12 835 remittance advice for Juniper Fitness and Clinic Administration. One interchange carrying 3 transaction sets, one per payer, because each payer sends its own payment. The three BPR02 amounts sum to 700.80 USD, the payer payment total in encounter-register.csv, and each CLP04 equals the SVC payment amounts below it. The denied claim carries CLP02 of 4 with a zero payment and a CO 97 adjustment for the whole charge, where every other claim carries CLP02 of 1 with a CO 45 contractual adjustment and a PR 2 coinsurance.
edi
application/edi-x12
- Document Set
- healthcare
- Industry
- fitness-clinic-administration
- Source Kit
- appointment-capacity
- Entity
- Juniper Fitness and Clinic Administration
- Synthetic
- true
- As Of
- 2026-09-08
Binary edi: no in-browser preview. Download it above to open in a compatible application.
Specifications
- Document Set
- healthcare
- Industry
- fitness-clinic-administration
- Source Kit
- appointment-capacity
- Entity
- Juniper Fitness and Clinic Administration
- Synthetic
- true
- As Of
- 2026-09-08
- Transaction Set
- 835
- Implementation
- 005010X221A1
- Transaction Sets
- 3
- Claims
- 16
- Paid Total
- 700.80
- Contractual Total
- 304.00
- Patient Responsibility Total
- 175.20
- Denied Claims
- 1
- Line Endings
- CRLF
Testing contract
Expected to pass- Scenario
- Sum BPR02 across the transaction sets and compare with the payer payment total, then check that charge equals payment plus the adjustments on every CLP.
- Expected result
- The 3 BPR02 amounts sum to 700.80. On every claim, CLP03 equals CLP04 plus the CAS amounts: the paid claims split into a CO 45 contractual amount and a PR 2 coinsurance, and the denied claim is entirely CO 97. The CO amounts total 304.00 and the PR amounts 175.20.
What is a .edi file?
EDI (Electronic Data Interchange), in the ANSI X12 family, is a structured plain-text format for exchanging business documents like purchase orders (850) and invoices (810) between trading partners. It is built from segments (ISA, GS, ST, …) separated by delimiters, with tightly specified element positions. It underpins much of B2B supply-chain and retail commerce.
How to use this file
Use an example X12 EDI file to test EDI parsers and translators, segment/element extraction, and mapping from EDI to JSON or XML. The parties and values here are synthetic.
How to use this file for testing
“Juniper Fitness and Clinic Administration: X12 835 remittance advice” is a deterministic Novus Examples fixture for Data import, Schema validation. Realistic faker-generated datasets with documented schemas for testing import and ETL flows.
Documented properties for this file: CRLF. Compare results against paired or grouped companions on this page when present (clean↔damaged, searchable↔scanned, or format twins) so scores stay reproducible across runs.
Download the file once, keep the path stable in CI or local scripts, and treat the spec table as the contract: dimensions, seeds, field lists, and roles are intentional. Corrupt or invalid samples are labelled as such, expect parsers to fail loudly rather than silently accept them.
Data fixtures document their exact quirks (delimiters, encodings, null handling, schema, and row counts) in the spec table. Point your parser or importer at the file and assert it handles the documented edge cases; clean and deliberately-messy siblings make before/after diffs straightforward.
Code examples
from pydifact.segmentcollection import Interchange # EDIFACT
inter = Interchange.from_file("remittance-835.edi")
for seg in inter.segments:
print(seg.tag, seg.elements)Related files
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- jsonAlder Table Bistro: Digital menuDigital menu for Alder Table Bistro. One document holding the whole front of house: 3 printed sections with 4 dishes, 8 drink lines, the set menu, the specials and the 14 entry allergen key. Every dish carries its plate cost and the paths of the two costing files it was read from, so the join back to plate-costs.csv can be checked without guessing.
- jsonldAlder Table Bistro: Menu as schema.org JSON-LDMenu as schema.org JSON-LD for Alder Table Bistro. A schema.org Menu document with 7 MenuSection nodes, 5 of them top level, and 27 MenuItem nodes carrying 27 Offer nodes, each with price as a JSON number and priceCurrency CAD. Modifiers are menuAddOn MenuItems and every declared allergen travels as an additionalProperty PropertyValue. This is the structured data shape a search engine reads, and it is rare as a downloadable fixture.
Generated by generation/industry_documents_two.py. Free for any use, no attribution required, license.