ISA*00*..........*01*..........*ZZ*SAMPL_SENDRID..*ZZ*SAMPL_RECVRID..*191116*1439*^*00501*100000063*0*P*>~
GS*BE*SENDR_ID*RECVR_ID*20191116*1439*1*X*005010X220A1~
ST*834*100000001*005010X220A1~
BGN*00*0001*20191116*1439****4~
N1*P5*BUY 1 GET 1 FREE HEALTHCARE*FI*150001009~
N1*IN*LOWEST BIDDER HMO*FI*150001342~
INS*Y*18*030*XN*A*E**AC~
REF*0F*SUB000000017~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*WHEAT*NELSON****34*772010017~
N3*1017 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19521216*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000019~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*SANDWICH*NELSON****34*772010019~
N3*1019 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19890809*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000027~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*PICKLES*YESENIA****34*772010027~
N3*1027 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19811205*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000087~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*MATCHA*LEYLA****34*772010087~
N3*1087 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19800507*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000003~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*HASHBROWNS*ZACHARY****34*772010003~
N3*1003 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19690424*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000009~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*EGG*KRIS****34*772010009~
N3*1009 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19790602*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000005~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*CHOCOLATE*CLAUDIA****34*772010005~
N3*1005 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19560117*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000011~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*BURGER*DEVIN****34*772010011~
N3*1011 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19660323*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000037~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*BACON*SUSAN****34*772010037~
N3*1037 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19730401*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000084~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*PICKLES*VIRGIL****34*772010112~
DMG*D8*19991116*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000083~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*PICKLES*SUSAN****34*772010205~
DMG*D8*19930513*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000082~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*PICKLES*MARTA****34*772010132~
DMG*D8*19911105*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000081~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*PICKLES*DELIA****34*772010160~
DMG*D8*19870228*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000080~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*PICKLES*CARLOS****34*772010105~
DMG*D8*19921205*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000059~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*MATCHA*MICHELLE****34*772010121~
DMG*D8*19940708*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000058~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*MATCHA*JOSEPH****34*772010155~
DMG*D8*19850725*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000057~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*MATCHA*GERMAN****34*772010207~
DMG*D8*19880206*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000056~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*MATCHA*CELIA****34*772010323~
DMG*D8*19850909*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000043~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*HASHBROWNS*SERGIO****34*772010300~
DMG*D8*19981227*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000042~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*HASHBROWNS*MICHAEL****34*772010063~
DMG*D8*19901127*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000041~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*HASHBROWNS*JORGE****34*772010070~
DMG*D8*19850820*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000040~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*HASHBROWNS*ELISE****34*772010236~
DMG*D8*19840401*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000003~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*BACON*SAMON****34*772010127~
DMG*D8*19960212*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000002~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*BACON*MARIO****34*772010212~
DMG*D8*19900909*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000001~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*BACON*CECILIA****34*772010281~
DMG*D8*19920317*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
SE*248*100000001~
ST*834*100000002*005010X220A1~
BGN*00*0001*20191116*1439****4~
N1*P5*CARING COSTS EXTRA HMO*FI*150001675~
N1*IN*BUY 1 GET 1 FREE HEALTHCARE*FI*150001009~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000048~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*WINE*HONG****34*772010048~
N3*1048 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19640826*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000016~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*SAUSAGE*ANA****34*772010016~
N3*1016 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19840106*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000043~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*PIE*EDDY****34*772010043~
N3*1043 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19781105*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*Y*18*030*XN*A*E**AC~
REF*0F*SUB000000055~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*MUNSTER*DAVID****34*772010055~
N3*1055 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19510518*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000004~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*HERRING*CECILIA****34*772010004~
N3*1004 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19870306*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000028~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*FILET*SYLVIA****34*772010028~
N3*1028 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19991116*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000146~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*COD*HEIDI****34*772010146~
N3*1146 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19760407*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*Y*18*030*XN*A*E**AC~
REF*0F*SUB000000035~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*CAKE*MANUEL****34*772010035~
N3*1035 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19540619*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000054~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*BARLEY*NELSON****34*772010054~
N3*1054 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19830608*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000120~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*WINE*VIRGIL****34*772010061~
DMG*D8*19830117*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000119~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*WINE*SONIA****34*772010330~
DMG*D8*19870413*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000118~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*WINE*HARIS****34*772010188~
DMG*D8*19950614*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000117~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*WINE*CHARLES****34*772010186~
DMG*D8*19810921*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000099~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*SAUSAGE*TIFFANY****34*772010089~
DMG*D8*19821216*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000098~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*SAUSAGE*MARCIA****34*772010224~
DMG*D8*19990223*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000097~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*SAUSAGE*KARLA****34*772010172~
DMG*D8*19960714*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000096~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*SAUSAGE*GEORGE****34*772010272~
DMG*D8*19951121*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000087~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*PIE*WEI****34*772010101~
DMG*D8*19900502*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000086~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*PIE*SALLY****34*772010153~
DMG*D8*19970815*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000085~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*PIE*JORGE****34*772010275~
DMG*D8*19830904*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000064~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*MUNSTER*VALENTINA****34*772010167~
DMG*D8*19821121*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000063~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*MUNSTER*PHAN****34*772010329~
DMG*D8*19990602*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000062~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*MUNSTER*LESTER****34*772010194~
DMG*D8*19890306*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000061~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*MUNSTER*FRANK****34*772010143~
DMG*D8*19880301*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000060~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*MUNSTER*EDDY****34*772010233~
DMG*D8*19960619*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000045~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*HERRING*SYLVIA****34*772010078~
DMG*D8*19870323*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000044~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*HERRING*DAWN****34*772010260~
DMG*D8*19870508*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000029~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*FILET*VIRGIL****34*772010175~
DMG*D8*19910407*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000028~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*FILET*LEE****34*772010052~
DMG*D8*19950306*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000027~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*FILET*LAUREN****34*772010117~
DMG*D8*19870926*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000026~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*FILET*KRISTEN****34*772010071~
DMG*D8*19920602*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000025~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*FILET*FRANCISCO****34*772010202~
DMG*D8*19980820*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000017~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*COD*ZHANG****34*772010253~
DMG*D8*19900211*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000016~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*COD*STELLA****34*772010299~
DMG*D8*19910217*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000015~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*COD*JOHN****34*772010257~
DMG*D8*19920915*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000007~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*BARLEY*STEVEN****34*772010099~
DMG*D8*19840719*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000006~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*BARLEY*OSCAR****34*772010241~
DMG*D8*19861105*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000005~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*BARLEY*LEYLA****34*772010144~
DMG*D8*19950111*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000004~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*BARLEY*DEVIN****34*772010199~
DMG*D8*19960117*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
SE*374*100000002~
ST*834*100000003*005010X220A1~
BGN*00*0001*20191116*1439****4~
N1*P5*STITCH-YOU-UP HEALTH*FI*150002008~
N1*IN*CARING COSTS EXTRA HMO*FI*150001675~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000060~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*STEW*EDWIN****34*772010060~
N3*1060 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19561222*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000128~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*PORRIDGE*NELSON****34*772010128~
N3*1128 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19580624*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000083~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*NOODLES*CHARLES****34*772010083~
N3*1083 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19610725*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000001~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*HOAGIE*GARY****34*772010001~
N3*1001 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19820703*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000124~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*GRUYERE*WALTER****34*772010124~
N3*1124 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19900714*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000025~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*COFFEE*SOLOMAN****34*772010025~
N3*1025 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19620223*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000064~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*CEREAL*MATTHEW****34*772010064~
N3*1064 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19741004*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000058~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*BEEF*CECILIA****34*772010058~
N3*1058 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19880111*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000104~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*STEW*YESENIA****34*772010267~
DMG*D8*19880111*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000103~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*STEW*SCOTT****34*772010219~
DMG*D8*19920412*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000102~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*STEW*RANDOLPH****34*772010141~
DMG*D8*19810518*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000101~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*STEW*HEIDI****34*772010174~
DMG*D8*19840624*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000100~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*STEW*EMMA****34*772010215~
DMG*D8*19970720*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000092~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*PORRIDGE*WEI****34*772010264~
DMG*D8*19940418*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000091~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*PORRIDGE*SHANNON****34*772010159~
DMG*D8*19990318*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000090~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*PORRIDGE*SAMON****34*772010130~
DMG*D8*19840122*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000089~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*PORRIDGE*ERICA****34*772010289~
DMG*D8*19941021*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000088~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*PORRIDGE*ADELA****34*772010185~
DMG*D8*19931110*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000069~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*NOODLES*MARCIA****34*772010314~
DMG*D8*19901216*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000068~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*NOODLES*LESTER****34*772010206~
DMG*D8*19810323*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000067~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*NOODLES*KRISTEN****34*772010103~
DMG*D8*19970412*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000066~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*NOODLES*FRANCISCA****34*772010204~
DMG*D8*19860703*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000065~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*NOODLES*DEVIN****34*772010249~
DMG*D8*19950519*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000032~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*GRUYERE*SCOTT****34*772010166~
DMG*D8*19941211*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000031~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*GRUYERE*MANUEL****34*772010286~
DMG*D8*19990128*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000030~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*GRUYERE*CORINA****34*772010187~
DMG*D8*19880803*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000021~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*COFFEE*SCOTT****34*772010126~
DMG*D8*19890401*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000020~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*COFFEE*GERTRUDE****34*772010244~
DMG*D8*19880708*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000019~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*COFFEE*ERNESTO****34*772010288~
DMG*D8*19871110*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000018~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*COFFEE*DAVID****34*772010265~
DMG*D8*19820228*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000011~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*BEEF*KATERYNA****34*772010098~
DMG*D8*19960809*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000010~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*BEEF*EDWIN****34*772010091~
DMG*D8*19891027*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000009~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*BEEF*DELIA****34*772010088~
DMG*D8*19940106*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000008~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*BEEF*CHERYL****34*772010104~
DMG*D8*19850223*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
SE*327*100000003~
ST*834*100000004*005010X220A1~
BGN*00*0001*20191116*1439****4~
N1*P5*FLY BY NIGHT HEALTHCARE*FI*150000343~
N1*IN*STITCH-YOU-UP HEALTH*FI*150002008~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000092~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*STROGANOFF*MATTHEW****34*772010092~
N3*1092 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19980318*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000056~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*RAMEN*THOMAS****34*772010056~
N3*1056 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19690301*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000032~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*PASTA*CLAUDIA****34*772010032~
N3*1032 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19680926*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000080~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*JELLO*FRANCISCA****34*772010080~
N3*1080 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19930815*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000039~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*GYRO*ELISE****34*772010039~
N3*1039 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19910212*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000337~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*COOKIE*HENRIETTA****34*772010337~
N3*1337 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19811110*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000044~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*CHEESE*SANDY****34*772010044~
N3*1044 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19960915*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000008~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*BEER*HONG****34*772010008~
N3*1008 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19610820*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000108~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*STROGANOFF*JULIO****34*772010302~
DMG*D8*19930920*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000107~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*STROGANOFF*HELENE****34*772010276~
DMG*D8*19900814*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000106~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*STROGANOFF*ELI****34*772010178~
DMG*D8*19980217*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000105~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*STROGANOFF*CELIA****34*772010229~
DMG*D8*19820926*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000074~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*PASTA*RICHARD****34*772010211~
DMG*D8*19831027*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000073~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*PASTA*RANDOLPH****34*772010250~
DMG*D8*19830301*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000072~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*PASTA*NELSON****34*772010136~
DMG*D8*19980915*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000071~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*PASTA*MARIO****34*772010243~
DMG*D8*19810826*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000070~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*PASTA*DELIA****34*772010239~
DMG*D8*19980122*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000050~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*JELLO*STEVEN****34*772010279~
DMG*D8*19970625*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000049~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*JELLO*SCOTT****34*772010309~
DMG*D8*19950424*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000048~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*JELLO*MICHAEL****34*772010311~
DMG*D8*19830206*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000047~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*JELLO*LEE****34*772010292~
DMG*D8*19890614*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000046~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*JELLO*KARLA****34*772010228~
DMG*D8*19941116*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000036~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*GYRO*STELLA****34*772010201~
DMG*D8*19911010*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000035~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*GYRO*KRISTEN****34*772010256~
DMG*D8*19851004*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000034~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*GYRO*DAVID****34*772010181~
DMG*D8*19860128*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000033~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*GYRO*ADELA****34*772010217~
DMG*D8*19850602*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
SE*255*100000004~
ST*834*100000005*005010X220A1~
BGN*00*0001*20191116*1439****4~
N1*P5*CHEAPEST EVER HMO*FI*150000676~
N1*IN*FLY BY NIGHT HEALTHCARE*FI*150000343~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000123~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*SUSHI*JOSIAH****34*772010123~
N3*1123 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19710904*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000107~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*ROLL*SAMON****34*772010107~
N3*1107 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19851211*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000007~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*PEACH*SOLOMAN****34*772010007~
N3*1007 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19921010*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000010~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*KEBAB*HARIS****34*772010010~
N3*1010 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19970513*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*Y*18*030*XN*A*E**AC~
REF*0F*SUB000000114~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*HAGGIS*SOLOMAN****34*772010114~
N3*1114 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19531121*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*Y*18*030*XN*A*E**AC~
REF*0F*SUB000000002~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*CORN*SUSAN****34*772010002~
N3*1002 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19510613*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000023~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*CHICKEN*SUSAN****34*772010023~
N3*1023 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19940412*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000018~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*BORSCHT*DANIEL****34*772010018~
N3*1018 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19711027*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000113~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*SUSHI*KARLA****34*772010156~
DMG*D8*19920507*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000112~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*SUSHI*JAMES****34*772010140~
DMG*D8*19930608*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000111~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*SUSHI*EMMA****34*772010301~
DMG*D8*19861010*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000110~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*SUSHI*CECILIA****34*772010280~
DMG*D8*19850407*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000109~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*SUSHI*ALICIA****34*772010148~
DMG*D8*19901004*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000095~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*ROLL*STEVEN****34*772010200~
DMG*D8*19841227*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000094~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*ROLL*LEYLA****34*772010190~
DMG*D8*19830424*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000093~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*ROLL*HELENE****34*772010209~
DMG*D8*19951216*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000054~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*KEBAB*ZHANG****34*772010073~
DMG*D8*19990513*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000053~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*KEBAB*VALERIA****34*772010137~
DMG*D8*19860826*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000052~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*KEBAB*RICHARD****34*772010169~
DMG*D8*19890904*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000051~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*KEBAB*DANIELLE****34*772010255~
DMG*D8*19971222*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000039~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*HAGGIS*RICHARD****34*772010258~
DMG*D8*19990725*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000038~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*HAGGIS*ERNESTO****34*772010145~
DMG*D8*19831222*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000037~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*HAGGIS*ADELA****34*772010238~
DMG*D8*19910312*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000014~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*CHICKEN*NELSON****34*772010046~
DMG*D8*19810613*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000013~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*CHICKEN*MANUEL****34*772010293~
DMG*D8*19960524*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000012~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*CHICKEN*KARLA****34*772010026~
DMG*D8*19930703*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
SE*255*100000005~
ST*834*100000006*005010X220A1~
BGN*00*0001*20191116*1439****4~
N1*P5*LOWEST BIDDER HMO*FI*150001342~
N1*IN*CHEAPEST EVER HMO*FI*150000676~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000033~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*TEA*STELLA****34*772010033~
N3*1033 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19860708*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000006~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*SALMON*SERGIO****34*772010006~
N3*1006 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19741127*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000042~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*PEAS*FRANCISCO****34*772010042~
N3*1042 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19590122*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000162~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*MAIZE*SAMON****34*772010162~
N3*1162 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19950217*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000022~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*HAM*GERMAN****34*772010022~
N3*1022 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19760502*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000183~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*DUMPLING*ZACHARY****34*772010183~
N3*1183 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19630128*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000020~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*CHIPOTLE*ALICIA****34*772010020~
N3*1020 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19570719*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*Y*18*030*XN*A***AC~
REF*0F*SUB000000093~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*BREAD*SHANNON****34*772010093~
N3*1093 FICTION ST~
N4*SAN FRANCISCO*CA*94117~
DMG*D8*19660228*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000116~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*TEA*YESENIA****34*772010242~
DMG*D8*19931015*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000115~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*TEA*MATTHEW****34*772010306~
DMG*D8*19880513*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000114~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*TEA*GERMAN****34*772010295~
DMG*D8*19840307*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000079~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*PEAS*TIFFANY****34*772010049~
DMG*D8*19880424*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000078~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*PEAS*SONIA****34*772010325~
DMG*D8*19920720*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000077~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*PEAS*SCOTT****34*772010225~
DMG*D8*19870105*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000076~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*PEAS*MARCIA****34*772010125~
DMG*D8*19820619*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000075~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*PEAS*LEE****34*772010067~
DMG*D8*19971010*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000055~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*MAIZE*MONICA****34*772010291~
DMG*D8*19820803*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000024~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*DUMPLING*TIFFANY****34*772010303~
DMG*D8*19810703*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000023~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*DUMPLING*SANDRA****34*772010315~
DMG*D8*19971127*F~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
INS*N*19*030*XN*A~
REF*0F*MEM000000022~
REF*1L*POLCY001~
DTP*356*D8*20200101~
NM1*IL*1*DUMPLING*DANIEL****34*772010230~
DMG*D8*19890809*M~
HD*030**HMO~
DTP*348*D8*20200101~
DTP*349*D8*20201231~
SE*201*100000006~
GE*6*1~
IEA*1*100000063~
