000TE00000789300568      ###NUMERODESTIN#      99DOCS70#DATC#ES  DR               128                                           
1990009045      000SGG   65                                          DR#DATC#2ES 202001U                                        
2990792566 #ASSURE_NUM_CL##R#20000002710001235060134900001HOSP        00000013 #D+00#000000000 #DTNB#1#D+00##D+04#1500#NUM_AMC_#
2990792566 #ASSURE_NUM_CL##R#200000027S0111111800             00                                               000000000        
2990792566 #ASSURE_NUM_CL#200000027M#NUM_AMC_#                         #NUMERADHERENT#       A#NUMDEBI#                         
2990792566 #ASSURE_NUM_CL#200000027P#NUM_AMC_#990009045#AN_ADM_ID_PF#0100000004601            #NUM_ENGAGEMENT#6 T6#D+05#C                   
3990792566 #ASSURE_NUM_CL##R#20000002703210#D+00##D+00#CPC  001 00100 0000000045000000000000000000000000045000000000    M0004500
3990792566 #ASSURE_NUM_CL##R#200000027S01000000000 00000000000000900000789300568S000000000000000000000000000000000O             
3990792566 #ASSURE_NUM_CL##R#20000002703210#D+01##D+01#CPC  001 00100 0000000045000000000000000000000000045000000000    M0004500
3990792566 #ASSURE_NUM_CL##R#200000027S01000000000 00000000000000900000789300568S000000000000000000000000000000000O             
3990792566 #ASSURE_NUM_CL##R#20000002703210#D+02##D+02#CPC  001 00100 0000000045000000000000000000000000045000000000    M0004500
3990792566 #ASSURE_NUM_CL##R#200000027S01000000000 00000000000000900000789300568S000000000000000000000000000000000O             
3990792566 #ASSURE_NUM_CL##R#20000002703210#D+03##D+03#CPC  001 00100 0000000045000000000000000000000000045000000000    M0004500
3990792566 #ASSURE_NUM_CL##R#200000027S01000000000 00000000000000900000789300568S000000000000000000000000000000000O             
3990792566 #ASSURE_NUM_CL##R#20000002703210#D+04##D+04#CPC  001 00100 0000000045000000000000000000000000045000000000    M0004500
3990792566 #ASSURE_NUM_CL##R#200000027S01000000000 00000000000000900000789300568S000000000000000000000000000000000O             
5990792566 #ASSURE_NUM_CL##R#20000002701000000000000000000000000000000000000225000002250000000000                 00022500    T 
699000904500100050004001000022500000000000000022500SGGTD                               000000000                                
999TE00000789300568      ###NUMERODESTIN#      99DOCS7000000019                   001                                           
