000TE00000789300568      ###NUMERODESTIN#      99DOCS80#DATC#ES  DR               128                                           
1990009045      000SHH   65                                          DR#DATC#2ES 202001U                                        
2990792566 #ASSURE_NUM_CL##R#20000002810001235070134900001HOSP        00000010 #D+00#000000000 #DTNB#1#D+00##D+04#1500#NUM_AMC_#
2990792566 #ASSURE_NUM_CL##R#200000028S0111111900             00                                               000000000        
2990792566 #ASSURE_NUM_CL#200000028M#NUM_AMC_#                         #NUMERADHERENT#       A#NUMDEBI#                         
2990792566 #ASSURE_NUM_CL#200000028P#NUM_AMC_#990009045#AN_ADM_ID_PF#0100000004701            #NUM_ENGAGEMENT#6 T6#D+05#C                   
3990792566 #ASSURE_NUM_CL##R#20000002803210#D+00##D+00#TJC  001 00100 0000000321000000000000000000000000321000000000    M0032100
3990792566 #ASSURE_NUM_CL##R#200000028S01000000000 00000000000000900000789300568S000000000000000000000000000000000O             
3990792566 #ASSURE_NUM_CL##R#20000002803210#D+00##D+00#FJC  001 00100 0000000020000000000000000000000000020000000000    M0002000
3990792566 #ASSURE_NUM_CL##R#200000028S01000000000 00000000000000900000789300568S000000000000000000000000000000000O             
3990792566 #ASSURE_NUM_CL##R#20000002803210#D+01##D+01#TJC  001 00100 0000000321000000000000000000000000321000000000    M0032100
3990792566 #ASSURE_NUM_CL##R#200000028S01000000000 00000000000000900000789300568S000000000000000000000000000000000O             
3990792566 #ASSURE_NUM_CL##R#20000002803210#D+01##D+01#FJC  001 00100 0000000020000000000000000000000000020000000000    M0002000
3990792566 #ASSURE_NUM_CL##R#200000028S01000000000 00000000000000900000789300568S000000000000000000000000000000000O             
3990792566 #ASSURE_NUM_CL##R#20000002803210#D+02##D+02#TJC  001 00100 0000000321000000000000000000000000321000000000    M0032100
3990792566 #ASSURE_NUM_CL##R#200000028S01000000000 00000000000000900000789300568S000000000000000000000000000000000O             
3990792566 #ASSURE_NUM_CL##R#20000002803210#D+02##D+02#FJC  001 00100 0000000020000000000000000000000000020000000000    M0002000
3990792566 #ASSURE_NUM_CL##R#200000028S01000000000 00000000000000900000789300568S000000000000000000000000000000000O             
3990792566 #ASSURE_NUM_CL##R#20000002803210#D+03##D+03#TJC  001 00100 0000000321000000000000000000000000321000000000    M0032100
3990792566 #ASSURE_NUM_CL##R#200000028S01000000000 00000000000000900000789300568S000000000000000000000000000000000O             
3990792566 #ASSURE_NUM_CL##R#20000002803210#D+03##D+03#FJC  001 00100 0000000020000000000000000000000000020000000000    M0002000
3990792566 #ASSURE_NUM_CL##R#200000028S01000000000 00000000000000900000789300568S000000000000000000000000000000000O             
3990792566 #ASSURE_NUM_CL##R#20000002803210#D+04##D+04#FJA  001 00100 0000000020000000000000000000000000020000000000   NM0002000
3990792566 #ASSURE_NUM_CL##R#200000028S01000000000 00000000000000900000789300568S000000000000000000000000000000000O             
4990792566 #ASSURE_NUM_CL##R#20000002803210123456789T 019907925661001#D+04#PHS  01000100010006620000662006500043030006620 002317
4990792566 #ASSURE_NUM_CL#200000028S01SO0006620S0000009                0000000000000000000000000000 00000000000000000000000M    
4990792566 #ASSURE_NUM_CL#200000028H01                  10000     0006620000662000066200010006620                               
5990792566 #ASSURE_NUM_CL##R#20000002802100000000000000000000662000004303001407170013840000002317                 00138400    T 
699000904500100100004001000145020000004303000140717SHHTD                               000000000                                
999TE00000789300568      ###NUMERODESTIN#      99DOCS8000000030                   001                                           
