NoA Response Body

{
    "authorizationId": "c9f68aee-304b-4f1b-a0e9-95c9332d44a6",
    "submission": {
        "x12": "ISA*00*          *00*          *ZZ*OPTUM          *ZZ*TPG30020006    *260203*0854*^*00501*897546880*0*P*:~GS*HI*MTEXE*LRX1210001*20260203*0755*897546880*X*005010X216~ST*278*897546880*005010X216~BHT*0007*53*222438911WEB*20260203*135456~HL*1**20*1~NM1*X3*2*PROHEALTH WAUKESHA MEMORIAL HOSPITAL*****XX*1629056890~HL*2*1*21*1~NM1*X3*2*AETNA*****PI*60054~HL*3*2*22*1~REF*BAF*9876543~NM1*IL*1*LASTNAME*FIRSTNAME*M***MI*12345678901~REF*6P*9876543~DMG*D8*19700101*F~HL*4*3*EV*0~UM*AR*I~SE*14*897546880~GE*1*897546880~IEA*1*897546880~",
        "json": {
            "submitterTransactionIdentifier": "222438911WEB",
            "payerId": "60054",
            "payerName": "AETNA",
            "umClearingHouseId": "LRX1210001",
            "receiverNotificationValidation": null,
            "source": {
                "sourceType": "X3",
                "organizationName": "PROHEALTH WAUKESHA MEMORIAL HOSPITAL",
                "sourceIdentification": {},
                "npi": "1629056890"
            },
            "subscriber": {
                "receiptNumber": "9876543",
                "lastName": "LASTNAME",
                "firstName": "FIRSTNAME",
                "middleName": "M",
                "memberId": "12345678901",
                "dateOfBirth": "19700101",
                "genderCode": "F",
                "supplementalIdentification": {
                    "groupNumber": "9876543"
                }
            },
            "dependent": {
                "supplementalIdentification": {}
            },
            "patientEventDetail": {
                "requestCategoryCode": "AR",
                "certificationTypeCode": "I"
            }
        }
    }
}