MSH|^~\&|PATA|01|PATB|01|19930908135031||BAR^PO1|641|P|2.3|000000000000001|<CR>
EVN|P01|1993090813503||<CR>
PID||0008064993|0008064993||0006045681|SMITH^PAT^J^^^|19471007|F||1|1234 FANNIN^^HOUSTON^TX^77030^USA|HAR||||S||6045681<CR>
GT1|001||JOHNSON^SAM^J||8339 MORVEN RD^BALTIMORE^MD^
21234^""||||||193-22-1876<CR>
NK1|001|SMITH^WILLIAM|F|522 MAIN ST^CUMBERLAND^MD
^28765^""|(301)555-2134<CR>
IN1|001|A|A357|BCMD||||| 132987<CR>
A patient has been registered by the ADT system (PATA) and notification is sent to the Patient Billing system (PATB). The patients name is Pat J. Smith, a female Caucasian, born on October 7, 1947. Living at 1234 Fannin, Houston, TX.
Ms. Smiths patient number is 8064993 and her billing number is 6045681. Ms. Smith has provided her father's name and address for next of kin. Ms. Smith is insured under plan ID A357 with an insurance company known to both systems as BCMD.