```json
{ "controlNumber": "123459999", "tradingPartnerServiceId": "TESTEP01", "tradingPartnerName":"unknown", "submitter": { "organizationName": "happy doctors grouppractice", "etin": "1942788757" }, "provider": { "organizationName": "happy doctors group", "npi": "1760854442", "address": { "address1": "123 address1", "city": "city1", "state": "wa", "postalCode": "981010000" }, "phoneNumber": "123456789" }, "subscriber": { "memberId": "0000000001", "firstName": "johnone", "lastName": "doeone" }, "claimInformation": { "patientControlNumber": "12345", "beginClaimServiceDate": "20050513", "endClaimServiceDate": "20050514", "serviceLines": [ { "payerClaimControlNumber": "123456789", "serviceLineDateInformation": { "submissionDate": "20050514" }, "attachmentDetails": { "name": "CustomPayerConfig Design.jpg" } } ] }}
