ERRORS|WARNINGS|sourceSystem|jurisdiction|payer|plan|program|deliverySystem|providerName|providerMedicaidId|providerNPI|providerNPITaxonomy|providerNPIZipCode|providerEin|caregiverFirstName|caregiverLastName|caregiverLicenseNumber|recipientMedicaidId|recipientMemberId|recipientFirstName|recipientLastName|recipientDob|serviceAddress1|serviceAddress2|serviceCity|serviceState|serviceZip|visitId|serviceCode|serviceCodeMod1|serviceCodeMod2|diagnosisCode1|diagnosisCode2|diagnosisCode3|diagnosisCode4|startVerificationType|endVerificationType|scheduledStartDateTime|scheduledEndDateTime|scheduledLatitude|scheduledLongitude|actualStartDateTime|actualEndDateTime|actualStartLatitude|actualStartLongitude|actualEndLatitude|actualEndLongitude|userField1|userField2|userField3|reasonCode1|reasonCode2|reasonCode3|reasonCode4|timeZone|visitNote|endAddress1|endAddress2|endCity|endState|endZip|visitStatus|missedVisitReason|missedVisitActionTaken|invoiceUnits|invoiceAmount|scheduledEndLatitude|scheduledEndLongitude|paidAmount|careDirectionType|tasks|priorAuthorization MRTH SRVC 1070 Invalid ScheduledEndDateTime||TLUS|FL|TLUS|FMSP|PACE|FFFS|LOVE HEALS ALL INC|486655120|1234789690|5000X78900|334410005|156423150|JOHN|DOE|488000000000|6540000000000|8000R35100|MICKEY|MOUSE|1983-09-28|69 TUCCI LANE||BOCA RATON|FL|334320002|V4862560|S9122|HA|HA|G998|F99|K9589|P969|GPS|GPS|2019-08-12 09:00:00|15/12/2019 11:00:00|25.952566|-80.30993|2019-08-12 09:01:00|2019-08-12 11:01:00|25.952565|-80.30994|25.952567|-80.30996|U4562580|U4562590|U4562600|105|110|115|120|NEWY|VISIT NOTE|69 TUCCI LANE||BOCA RATON|FL|334320002|NEWS|||2|30|25.952566|-80.30993|30|PROV|| MRTH SRVC 720 Invalid Jurisdiction||TLUS|F|TLUS|FMSP|PACE|FFFS|LOVE HEALS ALL INC|486655120|1234789690|5000X78900|334410005|156423150|JOHN|DOE|488000000000|6540000000000|8000R35100|MICKEY|MOUSE|1983-09-28|69 TUCCI LANE||BOCA RATON|FL|334320002|V4862561|S9122|HA|HA|G998|F99|K9589|P969|GPS|GPS|2019-08-12 09:00:00|8/12/2019 11:00:00|25.952566|-80.30993|2019-08-12 09:01:00|2019-08-12 11:01:00|25.952565|-80.30994|25.952567|-80.30996|U4562580|U4562590|U4562600|105|110|115|120|NEWY|VISIT NOTE|69 TUCCI LANE||BOCA RATON|FL|334320002|INPR|||2|30|25.952566|-80.30993|30|PROV|| MRTH SRVC 730 Invalid Payer, MRTH SRVC 740 Invalid Plan||TLU%|FL|TLUS|FMSP|PACE|FFFS|LOVE HEALS ALL INC|486655120|1234789690|5000X78900|334410005|156423150|JOHN|DOE|488000000000|6540000000000|8000R35100|MICKEY|MOUSE|1983-09-28|69 TUCCI LANE||BOCA RATON|FL|334320002|V4862562|S9122|HA|HA|G998|F99|K9589|P969|GPS|GPS|2019-08-12 09:00:00|8/12/2019 11:00:00|25.952566|-80.30993|2019-08-12 09:01:00|2019-08-12 11:01:00|25.952565|-80.30994|25.952567|-80.30996|U4562580|U4562590|U4562600|105|110|115|120|NEWY|VISIT NOTE|69 TUCCI LANE||BOCA RATON|FL|334320002|COMP|||2|30|25.952566|-80.30993|30|PROV|| MRTH SRVC 930 Invalid ServiceCity||TLUS|FL|TLUS|FMSP|PACE|FFFS|LOVE HEALS ALL INC|486655120|1234789690|5000X78900|334410005|156423150|JOHN|DOE|488000000000|6540000000000|8000R35100|MICKEY|MOUSE|1983-09-28|69 TUCCI LANE||&*$$%|FL|334320002|V4862563|S9122|HA|HA|G998|F99|K9589|P969|GPS|GPS|2019-08-12 09:00:00|8/12/2019 11:00:00|25.952566|-80.30993|2019-08-12 09:01:00|2019-08-12 11:01:00|25.952565|-80.30994|25.952567|-80.30996|U4562580|U4562590|U4562600|105|110|115|120|NEWY|VISIT NOTE|69 TUCCI LANE||BOCA RATON|FL|334320002|HOLD|||2|30|25.952566|-80.30993|30|PROV|| MRTH SRVC 970 Invalid ServiceCode||TLUS|FL|TLUS|FMSP|PACE|FFFS|LOVE HEALS ALL INC|486655120|1234789690|5000X78900|334410005|156423150|JOHN|DOE|488000000000|6540000000000|8000R35100|MICKEY|MOUSE|1983-09-28|69 TUCCI LANE||BOCA RATON|FL|334320002|V4862564|&|HA|HA|G998|F99|K9589|P969|GPS|GPS|2019-08-12 09:00:00|8/12/2019 11:00:00|25.952566|-80.30993|2019-08-12 09:01:00|2019-08-12 11:01:00|25.952565|-80.30994|25.952567|-80.30996|U4562580|U4562590|U4562600|105|110|115|120|NEWY|VISIT NOTE|69 TUCCI LANE||BOCA RATON|FL|334320002|UNSR|||2|30|25.952566|-80.30993|30|PROV|| MRTH SRVC 820 Invalid ProviderEin||TLUS|FL|TLUS|FMSP|PACE|FFFS|LOVE HEALS ALL INC|486655120|1234789690|5000X78900|334410005|123456|JOHN|DOE|488000000000|6540000000000|8000R35100|MICKEY|MOUSE|1983-09-28|69 TUCCI LANE||BOCA RATON|FL|334320002|V4862565|S9122|HA|HA|G998|F99|K9589|P969|GPS|GPS|2019-08-12 09:00:00|8/12/2019 11:00:00|25.952566|-80.30993|2019-08-12 09:01:00|2019-08-12 11:01:00|25.952565|-80.30994|25.952567|-80.30996|U4562580|U4562590|U4562600|105|110|115|120|NEWY|VISIT NOTE|69 TUCCI LANE||BOCA RATON|FL|334320002|UNBL|||2|30|25.952566|-80.30993|30|PROV||