Sample Health Plan: Explanation of benefits (DOCX)
Explanation of benefits (DOCX) for Sample Health Plan. The member facing explanation of CLM-0006, matching the 835 remittance line for line. Charged 205.00 USD, 41.00 not covered under adjustment CO 45, 164.00 allowed, 131.20 paid by the plan and 32.80 owed by the member under adjustment PR 2. The document explains in words that the not covered amount can never be billed to the member. The PDF twin in the same directory carries the identical text.
Rendered preview of the docx file (37 KB). Download above for the original.
Specifications
- Document Set
- healthcare
- Industry
- fitness-clinic-administration
- Source Kit
- appointment-capacity
- Entity
- Sample Health Plan
- Synthetic
- true
- As Of
- 2026-09-08
- Claim Id
- CLM-0006
- Charged
- 205.00
- Allowed
- 164.00
- Plan Paid
- 131.20
- Member Owes
- 32.80
- Is Bill
- false
- Renderer
- python-docx
- Paragraphs
- 11
Testing contract
Expected to pass- Scenario
- Reconcile the totals row against the CLP segment for the same claim in remittance-835.edi.
- Expected result
- CLP03 is 205.00, CLP04 is 131.20 and CLP05 is 32.80, which are the charged, plan paid and you owe totals here. Charged less not covered is 164.00, and plan paid plus you owe is the same figure.
What is a .docx file?
DOCX is the default Microsoft Word format, an Office Open XML document packaged as a ZIP archive of XML parts, media, and relationships. It stores structured text, styles, tables, images, and metadata. It is the dominant format for editable word-processing documents.
How to use this file
Use an example DOCX to test Office Open XML parsing, text and style extraction, ZIP-package handling, and converters that render or transform Word documents.
How to use this file for testing
“Sample Health Plan: Explanation of benefits (DOCX)” is a deterministic Novus Examples fixture for Data import. Realistic faker-generated datasets with documented schemas for testing import and ETL flows.
Documented properties for this file: DOCX · 37,879 bytes. 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.
Document fixtures list their internal structure (pages, fields, tracked changes, embedded objects) in the spec table. Test extractors, converters, and OCR against that known structure, and compare searchable↔scanned or format-twin companions when present.
Code examples
from docx import Document # pip install python-docx
doc = Document("explanation-of-benefits-CLM-0006.docx")
for p in doc.paragraphs[:10]:
print(p.text)Related files
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