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MSH|^~\&|GMRC IF CONSULT|757^B1930^DNS|GMRC IF CONSULT|757^^DNS|20250123175341+0000|CRNR|ORM^O01^ORM_O01|Q5808332894T6790522104|T|2.3|||AL|AL|USA

PID|1||1013570973V041977^^^ICN^VVVID~2110106796^^^EDIPI^EDIPI||PROSTEST^EHR||19760902|M||||||||||129256619|678235672

ORC|NW|15207778763^757^GMRCIFR|||||^^^20250123175300+0000^^R||20250123175331+0000|1578051652^PCP1^ZZ-Physician||1578051652^PCP1^ZZ-Physician|||20250123175341+0000||757

OBR|1|15207778763^757^GMRCIFR||757^PROSTHETICS IFC^757ZZ1235||20250123175300+0000||||||||||1578051652^PCP1^ZZ-Physician|||Implant Usage (PSAS)||||||||^^^20250123175300+0000

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|1|Implant Usage (PSAS)||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|2|Item Number: 00801741016608||||||O 

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|3|     Transaction Date/Time: 01/22/2025 17:45||||||O     <<<< remove “REASON FOR REQUEST:” regardless of number of Item Numbers

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|4|     Station Number: 757||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|5|     Item Description: Plug Surgical 1.3in Groin Monofilament ||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|6|Nonabsorbable Perfix Polypropylene Medium Taper 1.55in Sterile Hernia ||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|7|Repair 0112760||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|8|     Manufacturer: Davol Inc||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|9|     Manufacturer Model Number: 0112760||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|10|     HCPCS: C1781||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|11|     Lot Number: 012220252||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|12|     Expiration Date/Time: 05/22/2025 04:00||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|13|     Serial Number:||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|14|     Source: 757-TrackCore Inv||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|15|     Lot Quantity:           0||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|16|     Lot Waste Quantity:           1||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|17|     Unit Cost:           0.00||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|18|     Total Cost:           0.00||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|19|Item Number: 00888867351288||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|20|     Transaction Date/Time: 01/22/2025 17:45||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|21|     Station Number: 757||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|22|     Item Description: Anchor Suture 2 Swivelock C Closed Eyelet Twist in ||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|23|Knotless 19.1mm Blue AR-2324KBCC||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|24|     Manufacturer: ARTHREX INC||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|25|     Manufacturer Model Number: AR-2324KBCC||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|26|     HCPCS: C1713||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|27|     Lot Number: 012220253||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|28|     Expiration Date/Time: 05/17/2025 04:00||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|29|     Serial Number:||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|30|     Source: 757-TrackCore Inv||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|31|     Lot Quantity:           0||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|32|     Lot Waste Quantity:           1||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|33|     Unit Cost:           0.00||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|34|     Total Cost:           0.00                <<<<<<<<  add carriage return after “Total Cost” if multiple Item Numbers. Note: ||||||O can be deleted

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|35|Item Number:||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|36|     Transaction Date/Time: 01/23/2025 17:43||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|37|     Station Number: 757||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|38|     Item Description: A female part which is inserted into the acrylic ||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|39|overdenture and houses changeable nylon retention inserts.||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|40|     Manufacturer: 0||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|41|     Manufacturer Model Number: MOR RC-1||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|42|     HCPCS:||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|43|     Lot Number: 1||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|44|     Expiration Date/Time:||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|45|     Serial Number:||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|46|     Source: 757-C-DENTAL SEC||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|47|     Lot Quantity:           1||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|48|     Lot Waste Quantity:           0||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|49|     Unit Cost:           0.00||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|50|     Total Cost:           0.00                               CRLF

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|51|Item Number: 00889024015296||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|52|     Transaction Date/Time: 01/23/2025 17:43||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|53|     Station Number: 757||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|54|     Item Description: Abutment Dental 4.5mm 3.5mm Indirect Transfer ||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|55|Tapered Screw-vent Connection Trabecular Metal HLT3/4||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|56|     Manufacturer: Zimvie Inc||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|57|     Manufacturer Model Number: HLT3/4||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|58|     HCPCS:||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|59|     Lot Number:||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|60|     Expiration Date/Time:||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|61|     Serial Number:||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|62|     Source: 757-C-DENTAL SEC||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|63|     Used Quantity:           4||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|64|     Waste Quantity:           0||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|65|     Unit Cost:           0.00||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|66|     Total Cost:           0.00||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|67|Item Number: 00889024015340||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|68|     Transaction Date/Time: 01/23/2025 17:43||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|69|     Station Number: 757||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|70|     Item Description: Abutment Dental Profile 6.5mm 5.7mm Screw-vent ||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|71|Indirect Transfer Retaining Screw Orange HLT56||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|72|     Manufacturer: Zimmer Biomet Inc||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|73|     Manufacturer Model Number: HLT56||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|74|     HCPCS:||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|75|     Lot Number:||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|76|     Expiration Date/Time:||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|77|     Serial Number:||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|78|     Source: 757-C-DENTAL SEC||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|79|     Used Quantity:           1||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|80|     Waste Quantity:           0||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|81|     Unit Cost:           0.00||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|82|     Total Cost:           0.00                CR/LF

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|83|Item Number:||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|84|     Transaction Date/Time: 01/23/2025 17:43||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|85|     Station Number: 757||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|86|     Item Description: Abutment, Gold,  Engaging||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|87|     Manufacturer: Zimmer Biomet Dental||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|88|     Manufacturer Model Number: HLA4G||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|89|     HCPCS:||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|90|     Lot Number: 1||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|91|     Expiration Date/Time:||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|92|     Serial Number:||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|93|     Source: 757-C-DENTAL SEC||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|94|     Lot Quantity:           1||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|95|     Lot Waste Quantity:           0||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|96|     Unit Cost:           0.00||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|97|     Total Cost:           0.00||||||O                        CR/LF

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|98|Item Number: TC024057||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|99|     Transaction Date/Time: 01/23/2025 17:43||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|100|     Station Number: 757||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|101|     Item Description: Abutment, Gold, Engaging CEANP31||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|102|     Manufacturer: Zimmer||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|103|     Manufacturer Model Number: CEANP31||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|104|     HCPCS:||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|105|     Lot Number: 2||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|106|     Expiration Date/Time: 05/31/2025 05:00||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|107|     Serial Number:||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|108|     Source: 757-C-DENTAL SEC||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|109|     Lot Quantity:           1||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|110|     Lot Waste Quantity:           0||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|111|     Unit Cost:           0.00||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|112|     Total Cost:           0.00                             CR/LF

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|113|Item Number: TC024076||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|114|     Transaction Date/Time: 01/23/2025 17:43||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|115|     Station Number: 757||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|116|     Item Description: Abutment, Gold, Engaging HLA3G||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|117|     Manufacturer: Zimmer||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|118|     Manufacturer Model Number: HLA3G||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|119|     HCPCS:||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|120|     Lot Number: 3||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|121|     Expiration Date/Time: 03/28/2025 05:00||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|122|     Serial Number:||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|123|     Source: 757-C-DENTAL SEC||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|124|     Lot Quantity:           1||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|125|     Lot Waste Quantity:           0||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|126|     Unit Cost:           0.00||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|127|     Total Cost:           0.00||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|128|Item Number: 00380650697127||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|129|     Transaction Date/Time: 01/23/2025 16:10||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|130|     Station Number: 757||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|131|     Item Description: Lens SP PmmA 5.25x12.0mm (5) +13.0D||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|132|     Manufacturer: ALCON||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|133|     Manufacturer Model Number: LX10BD 13.0||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|134|     HCPCS:||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|135|     Lot Number: 01232025||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|136|     Expiration Date/Time: 02/28/2025 05:00||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|137|     Serial Number: 01232025||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|138|     Source: 757-TrackCore Inv||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|139|     Used Quantity:           0||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|140|     Waste Quantity:           0||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|141|     Unit Cost:           0.00||||||O

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|142|     Total Cost:           0.00||||||O       <<< last “Total Cost”, DO NOT add CR/LF

OBX|1|TX|2000.02^REASON FOR REQUEST^AS4|143|Special Instructions: ||||||O

OBX|2|CE|^PROVISIONAL DIAGNOSIS|1|R52^Pain, unspecified^I10||||||O

NTE|P|UCID:757_15207778763

 

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