<ClaimRec System="OP" PayPlan="SS" Version="0.93">
<Header>
<HCODE>10000</HCODE>
<HNAME>çҺ ҧ </HNAME>
<DATETIME>2018-01-01T15:20:35</DATETIME>
<SESSNO>0001</SESSNO>
<RECCOUNT>1</RECCOUNT>
</Header>
<OPServices>
201801010001|201801010003|EC|10000|12345|1234567890111|1|01|1|1||0000|01|2018-01-01T13:10:00|2018-01-01T13:20:00||||400.00|Y||OP1
</OPServices>
<OPDx>
EC|201801010003|1|IT|K279|peptic ulcer disease 
</OPDx >
</ClaimRec>
<?EndNote Checksum="04165195203AC54EE489D1A0ECA0AA16"?>