pdf3.5 KB

Sample Health Plan: Explanation of benefits (PDF)

Explanation of benefits (PDF) 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 DOCX twin in the same directory carries the identical text.

Data import

Rendered preview of Sample Health Plan: Explanation of benefits (PDF)

Rendered preview of the pdf file (3.5 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: reportlab
Pages: 1

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 .pdf file?

PDF (Portable Document Format) is a page-oriented format that fixes layout, fonts, and vector and raster graphics so a page renders identically anywhere. A `%PDF-` header is followed by numbered objects, a cross-reference table mapping each to a byte offset, and a trailer; edits append incremental updates rather than rewrite the file. Page content is a stream of drawing operators, so a PDF holds no words or paragraphs, only positioned glyph runs. Adobe released it in 1993 and gave it to ISO as ISO 32000-1 in 2008.

How to use this file

Use an example PDF to test text extraction, rendering, metadata parsing, AcroForm handling, and OCR pipelines: checking that extraction reconstructs reading order from glyph positions, that a scanned page yields no text, and that an incremental update leaves earlier revisions in the file.

How to use this file for testing

“Sample Health Plan: Explanation of benefits (PDF)” 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: 1 pages. 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

import pdfplumber  # pip install pdfplumber

with pdfplumber.open("explanation-of-benefits-CLM-0006.pdf") as pdf:
    print(len(pdf.pages), "pages")
    print(pdf.pages[0].extract_text())