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Dual~DTM*582****RD8*20260201-20260228~RMR*IK*TESTPLAN-PREGLR-2602200042000P**468.79*5727.65~REF*18*957~REF*ZZ*60;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ADX*-5258.86*53~ENT*22*2J*EI*999999999~NM1*IL*1*LASTNAME35*FIRSTNAME35****N*TESTMBR000000035~RMR*IK*TESTPLAN-PREGLR-2602200042000P**9645.74~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260201-20260228~RMR*IK*TESTPLAN-PREGLR-2602200042000P**559.75*9645.74~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260101-20260131~ADX*-9085.99*53~ENT*23*2J*EI*999999999~NM1*IL*1*LASTNAME36*FIRSTNAME36****N*TESTMBR000000036~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5727.65~REF*18*957~REF*ZZ*60;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260201-20260228~RMR*IK*TESTPLAN-PREGLR-2602200042000P**468.79*5727.65~REF*18*957~REF*ZZ*60;1~REF*ZZ*Primary Capitation 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Medi-Cal Only~DTM*582****RD8*20260201-20260228~RMR*IK*TESTPLAN-PREGLR-2602200042000P**559.75*9645.74~REF*18*957~REF*ZZ*M1;1~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260101-20260131~ADX*-9085.99*53~ENT*27*2J*EI*999999999~NM1*IL*1*LASTNAME40*FIRSTNAME40****N*TESTMBR000000040~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5727.65~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260201-20260228~RMR*IK*TESTPLAN-PREGLR-2602200042000P**468.79*5727.65~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ADX*-5258.86*53~ENT*28*2J*EI*999999999~NM1*IL*1*LASTNAME41*FIRSTNAME41****N*TESTMBR000000041~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5727.65~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260201-20260228~RMR*IK*TESTPLAN-PREGLR-2602200042000P**468.79*5727.65~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation 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Dual~DTM*582****RD8*20260101-20260131~ADX*-5258.86*53~ENT*38*2J*EI*999999999~NM1*IL*1*LASTNAME51*FIRSTNAME51****N*TESTMBR000000051~RMR*IK*TESTPLAN-PREGLR-2602200042000P**9645.74~REF*18*957~REF*ZZ*M3;1~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260201-20260228~ENT*39*2J*EI*999999999~NM1*IL*1*LASTNAME52*FIRSTNAME52****N*TESTMBR000000052~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5727.65~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260201-20260228~RMR*IK*TESTPLAN-PREGLR-2602200042000P**468.79*5727.65~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ADX*-5258.86*53~ENT*40*2J*EI*999999999~NM1*IL*1*LASTNAME53*FIRSTNAME53****N*TESTMBR000000053~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5727.65~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260201-20260228~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5727.65~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ENT*41*2J*EI*999999999~NM1*IL*1*LASTNAME54*FIRSTNAME54****N*TESTMBR000000054~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5727.65~REF*18*957~REF*ZZ*20;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260201-20260228~RMR*IK*TESTPLAN-PREGLR-2602200042000P**468.79*5727.65~REF*18*957~REF*ZZ*20;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ADX*-5258.86*53~ENT*42*2J*EI*999999999~NM1*IL*1*LASTNAME55*FIRSTNAME55****N*TESTMBR000000055~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5727.65~REF*18*957~REF*ZZ*10;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260201-20260228~RMR*IK*TESTPLAN-PREGLR-2602200042000P**468.79*5727.65~REF*18*957~REF*ZZ*10;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ADX*-5258.86*53~ENT*43*2J*EI*999999999~NM1*IL*1*LASTNAME56*FIRSTNAME56****N*TESTMBR000000056~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5727.65~REF*18*957~REF*ZZ*10;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260201-20260228~RMR*IK*TESTPLAN-PREGLR-2602200042000P**468.79*5727.65~REF*18*957~REF*ZZ*10;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ADX*-5258.86*53~ENT*44*2J*EI*999999999~NM1*IL*1*LASTNAME57*FIRSTNAME57****N*TESTMBR000000057~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5727.65~REF*18*957~REF*ZZ*60;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260201-20260228~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5727.65~REF*18*957~REF*ZZ*60;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5258.86~REF*18*957~REF*ZZ*60;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20251201-20251231~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5258.86~REF*18*957~REF*ZZ*60;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20251101-20251130~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5258.86~REF*18*957~REF*ZZ*60;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20251001-20251031~ENT*45*2J*EI*999999999~NM1*IL*1*LASTNAME58*FIRSTNAME58****N*TESTMBR000000058~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5727.65~REF*18*957~REF*ZZ*60;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260201-20260228~RMR*IK*TESTPLAN-PREGLR-2602200042000P**468.79*5727.65~REF*18*957~REF*ZZ*60;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ADX*-5258.86*53~ENT*46*2J*EI*999999999~NM1*IL*1*LASTNAME59*FIRSTNAME59****N*TESTMBR000000059~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5727.65~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260201-20260228~RMR*IK*TESTPLAN-PREGLR-2602200042000P**468.79*5727.65~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ADX*-5258.86*53~ENT*47*2J*EI*999999999~NM1*IL*1*LASTNAME60*FIRSTNAME60****N*TESTMBR000000060~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5727.65~REF*18*957~REF*ZZ*10;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260201-20260228~RMR*IK*TESTPLAN-PREGLR-2602200042000P**468.79*5727.65~REF*18*957~REF*ZZ*10;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ADX*-5258.86*53~ENT*48*2J*EI*999999999~NM1*IL*1*LASTNAME61*FIRSTNAME61****N*TESTMBR000000061~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5727.65~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260201-20260228~RMR*IK*TESTPLAN-PREGLR-2602200042000P**468.79*5727.65~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ADX*-5258.86*53~ENT*49*2J*EI*999999999~NM1*IL*1*LASTNAME62*FIRSTNAME62****N*TESTMBR000000062~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5727.65~REF*18*957~REF*ZZ*10;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260201-20260228~ENT*50*2J*EI*999999999~NM1*IL*1*LASTNAME01*FIRSTNAME01****N*TESTMBR000000001~RMR*IK*TESTPLAN-PREGLR-2602200042000P**343.66~REF*18*957~REF*ZZ*1H;2~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260201-20260228~RMR*IK*TESTPLAN-PREGLR-2602200042000P**185.89*343.66~REF*18*957~REF*ZZ*1H;2~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ADX*-157.77*53~ENT*51*2J*EI*999999999~NM1*IL*1*LASTNAME63*FIRSTNAME63****N*TESTMBR000000063~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5727.65~REF*18*957~REF*ZZ*17;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ENT*52*2J*EI*999999999~NM1*IL*1*LASTNAME64*FIRSTNAME64****N*TESTMBR000000064~RMR*IK*TESTPLAN-PREGLR-2602200042000P**9645.74~REF*18*957~REF*ZZ*M1;1~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260201-20260228~RMR*IK*TESTPLAN-PREGLR-2602200042000P**559.75*9645.74~REF*18*957~REF*ZZ*M1;1~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260101-20260131~ADX*-9085.99*53~ENT*53*2J*EI*999999999~NM1*IL*1*LASTNAME65*FIRSTNAME65****N*TESTMBR000000065~RMR*IK*TESTPLAN-PREGLR-2602200042000P**9645.74~REF*18*957~REF*ZZ*60;1~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260201-20260228~RMR*IK*TESTPLAN-PREGLR-2602200042000P**559.75*9645.74~REF*18*957~REF*ZZ*60;1~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260101-20260131~ADX*-9085.99*53~ENT*54*2J*EI*999999999~NM1*IL*1*LASTNAME66*FIRSTNAME66****N*TESTMBR000000066~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5727.65~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260201-20260228~RMR*IK*TESTPLAN-PREGLR-2602200042000P**468.79*5727.65~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ADX*-5258.86*53~ENT*55*2J*EI*999999999~NM1*IL*1*LASTNAME02*FIRSTNAME02****N*TESTMBR000000002~RMR*IK*TESTPLAN-PREGLR-2602200042000P**2314.98~REF*18*957~REF*ZZ*1H;2~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260201-20260228~RMR*IK*TESTPLAN-PREGLR-2602200042000P**1315.52*2314.98~REF*18*957~REF*ZZ*1H;2~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260101-20260131~ADX*-999.46*53~ENT*56*2J*EI*999999999~NM1*IL*1*LASTNAME67*FIRSTNAME67****N*TESTMBR000000067~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5727.65~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260201-20260228~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5727.65~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5258.86~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20251201-20251231~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5258.86~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20251101-20251130~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5258.86~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20251001-20251031~ENT*57*2J*EI*999999999~NM1*IL*1*LASTNAME68*FIRSTNAME68****N*TESTMBR000000068~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5727.65~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260201-20260228~RMR*IK*TESTPLAN-PREGLR-2602200042000P**468.79*5727.65~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ADX*-5258.86*53~ENT*58*2J*EI*999999999~NM1*IL*1*LASTNAME03*FIRSTNAME03****N*TESTMBR000000003~RMR*IK*TESTPLAN-PREGLR-2602200042000P**2314.98~REF*18*957~REF*ZZ*M1;2~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260201-20260228~RMR*IK*TESTPLAN-PREGLR-2602200042000P**1315.52*2314.98~REF*18*957~REF*ZZ*M1;2~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260101-20260131~ADX*-999.46*53~ENT*59*2J*EI*999999999~NM1*IL*1*LASTNAME13*FIRSTNAME13****N*TESTMBR000000013~RMR*IK*TESTPLAN-PREGLR-2602200042000P**2314.98~REF*18*957~REF*ZZ*1H;2~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260201-20260228~RMR*IK*TESTPLAN-PREGLR-2602200042000P**2314.98~REF*18*957~REF*ZZ*1H;2~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260101-20260131~ENT*60*2J*EI*999999999~NM1*IL*1*LASTNAME69*FIRSTNAME69****N*TESTMBR000000069~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5727.65~REF*18*957~REF*ZZ*17;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ENT*61*2J*EI*999999999~NM1*IL*1*LASTNAME70*FIRSTNAME70****N*TESTMBR000000070~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5727.65~REF*18*957~REF*ZZ*17;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ENT*62*2J*EI*999999999~NM1*IL*1*LASTNAME71*FIRSTNAME71****N*TESTMBR000000071~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5727.65~REF*18*957~REF*ZZ*17;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ENT*63*2J*EI*999999999~NM1*IL*1*LASTNAME72*FIRSTNAME72****N*TESTMBR000000072~RMR*IK*TESTPLAN-PREGLR-2602200042000P**9645.74~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260201-20260228~RMR*IK*TESTPLAN-PREGLR-2602200042000P**559.75*9645.74~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260101-20260131~ADX*-9085.99*53~ENT*64*2J*EI*999999999~NM1*IL*1*LASTNAME73*FIRSTNAME73****N*TESTMBR000000073~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5727.65~REF*18*957~REF*ZZ*17;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ENT*65*2J*EI*999999999~NM1*IL*1*LASTNAME04*FIRSTNAME04****N*TESTMBR000000004~RMR*IK*TESTPLAN-PREGLR-2602200042000P**2314.98~REF*18*957~REF*ZZ*M1;2~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260201-20260228~RMR*IK*TESTPLAN-PREGLR-2602200042000P**1315.52*2314.98~REF*18*957~REF*ZZ*M1;2~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260101-20260131~ADX*-999.46*53~ENT*66*2J*EI*999999999~NM1*IL*1*LASTNAME05*FIRSTNAME05****N*TESTMBR000000005~RMR*IK*TESTPLAN-PREGLR-2602200042000P**2314.98~REF*18*957~REF*ZZ*1H;2~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260201-20260228~RMR*IK*TESTPLAN-PREGLR-2602200042000P**1315.52*2314.98~REF*18*957~REF*ZZ*M1;2~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260101-20260131~ADX*-999.46*53~ENT*67*2J*EI*999999999~NM1*IL*1*LASTNAME06*FIRSTNAME06****N*TESTMBR000000006~RMR*IK*TESTPLAN-PREGLR-2602200042000P**9645.74~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260201-20260228~RMR*IK*TESTPLAN-PREGLR-2602200042000P**-999.46~REF*18*957~REF*ZZ*1H;2~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260101-20260131~RMR*IK*TESTPLAN-PREGLR-2602200042000P**9645.74~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260101-20260131~ENT*68*2J*EI*999999999~NM1*IL*1*LASTNAME07*FIRSTNAME07****N*TESTMBR000000007~RMR*IK*TESTPLAN-PREGLR-2602200042000P**2314.98~REF*18*957~REF*ZZ*M1;2~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260201-20260228~RMR*IK*TESTPLAN-PREGLR-2602200042000P**1315.52*2314.98~REF*18*957~REF*ZZ*M1;2~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260101-20260131~ADX*-999.46*53~ENT*69*2J*EI*999999999~NM1*IL*1*LASTNAME08*FIRSTNAME08****N*TESTMBR000000008~RMR*IK*TESTPLAN-PREGLR-2602200042000P**2314.98~REF*18*957~REF*ZZ*1H;2~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260201-20260228~RMR*IK*TESTPLAN-PREGLR-2602200042000P**1315.52*2314.98~REF*18*957~REF*ZZ*1H;2~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260101-20260131~ADX*-999.46*53~ENT*70*2J*EI*999999999~NM1*IL*1*LASTNAME74*FIRSTNAME74****N*TESTMBR000000074~RMR*IK*TESTPLAN-PREGLR-2602200042000P**9645.74~REF*18*957~REF*ZZ*M1;1~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260201-20260228~RMR*IK*TESTPLAN-PREGLR-2602200042000P**559.75*9645.74~REF*18*957~REF*ZZ*M1;1~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260101-20260131~ADX*-9085.99*53~ENT*71*2J*EI*999999999~NM1*IL*1*LASTNAME75*FIRSTNAME75****N*TESTMBR000000075~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5727.65~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260201-20260228~RMR*IK*TESTPLAN-PREGLR-2602200042000P**468.79*5727.65~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ADX*-5258.86*53~ENT*72*2J*EI*999999999~NM1*IL*1*LASTNAME76*FIRSTNAME76****N*TESTMBR000000076~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5727.65~REF*18*957~REF*ZZ*10;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260201-20260228~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5727.65~REF*18*957~REF*ZZ*10;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5258.86~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20251201-20251231~ENT*73*2J*EI*999999999~NM1*IL*1*LASTNAME09*FIRSTNAME09****N*TESTMBR000000009~RMR*IK*TESTPLAN-PREGLR-2602200042000P**2314.98~REF*18*957~REF*ZZ*1H;2~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260201-20260228~RMR*IK*TESTPLAN-PREGLR-2602200042000P**1315.52*2314.98~REF*18*957~REF*ZZ*1H;2~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260101-20260131~ADX*-999.46*53~ENT*74*2J*EI*999999999~NM1*IL*1*LASTNAME10*FIRSTNAME10****N*TESTMBR000000010~RMR*IK*TESTPLAN-PREGLR-2602200042000P**1315.52*2314.98~REF*18*957~REF*ZZ*1H;2~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260101-20260131~ADX*-999.46*53~ENT*75*2J*EI*999999999~NM1*IL*1*LASTNAME77*FIRSTNAME77****N*TESTMBR000000077~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5727.65~REF*18*957~REF*ZZ*10;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260201-20260228~RMR*IK*TESTPLAN-PREGLR-2602200042000P**468.79*5727.65~REF*18*957~REF*ZZ*10;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ADX*-5258.86*53~ENT*76*2J*EI*999999999~NM1*IL*1*LASTNAME78*FIRSTNAME78****N*TESTMBR000000078~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5727.65~REF*18*957~REF*ZZ*10;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260201-20260228~RMR*IK*TESTPLAN-PREGLR-2602200042000P**468.79*5727.65~REF*18*957~REF*ZZ*10;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ADX*-5258.86*53~ENT*77*2J*EI*999999999~NM1*IL*1*LASTNAME79*FIRSTNAME79****N*TESTMBR000000079~RMR*IK*TESTPLAN-PREGLR-2602200042000P**9645.74~REF*18*957~REF*ZZ*M1;1~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260201-20260228~RMR*IK*TESTPLAN-PREGLR-2602200042000P**559.75*9645.74~REF*18*957~REF*ZZ*M1;1~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260101-20260131~ADX*-9085.99*53~ENT*78*2J*EI*999999999~NM1*IL*1*LASTNAME80*FIRSTNAME80****N*TESTMBR000000080~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5727.65~REF*18*957~REF*ZZ*16;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260201-20260228~RMR*IK*TESTPLAN-PREGLR-2602200042000P**468.79*5727.65~REF*18*957~REF*ZZ*16;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ADX*-5258.86*53~ENT*79*2J*EI*999999999~NM1*IL*1*LASTNAME81*FIRSTNAME81****N*TESTMBR000000081~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5727.65~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260201-20260228~RMR*IK*TESTPLAN-PREGLR-2602200042000P**468.79*5727.65~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ADX*-5258.86*53~ENT*80*2J*EI*999999999~NM1*IL*1*LASTNAME11*FIRSTNAME11****N*TESTMBR000000011~RMR*IK*TESTPLAN-PREGLR-2602200042000P**2314.98~REF*18*957~REF*ZZ*M1;2~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260201-20260228~RMR*IK*TESTPLAN-PREGLR-2602200042000P**1315.52*2314.98~REF*18*957~REF*ZZ*M1;2~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260101-20260131~ADX*-999.46*53~ENT*81*2J*EI*999999999~NM1*IL*1*LASTNAME82*FIRSTNAME82****N*TESTMBR000000082~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5727.65~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260201-20260228~RMR*IK*TESTPLAN-PREGLR-2602200042000P**468.79*5727.65~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ADX*-5258.86*53~ENT*82*2J*EI*999999999~NM1*IL*1*LASTNAME83*FIRSTNAME83****N*TESTMBR000000083~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5727.65~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260201-20260228~ENT*83*2J*EI*999999999~NM1*IL*1*LASTNAME84*FIRSTNAME84****N*TESTMBR000000084~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5727.65~REF*18*957~REF*ZZ*17;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ENT*84*2J*EI*999999999~NM1*IL*1*LASTNAME85*FIRSTNAME85****N*TESTMBR000000085~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5727.65~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260201-20260228~RMR*IK*TESTPLAN-PREGLR-2602200042000P**468.79*5727.65~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ADX*-5258.86*53~ENT*85*2J*EI*999999999~NM1*IL*1*LASTNAME12*FIRSTNAME12****N*TESTMBR000000012~RMR*IK*TESTPLAN-PREGLR-2602200042000P**343.66~REF*18*957~REF*ZZ*17;2~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ENT*86*2J*EI*999999999~NM1*IL*1*LASTNAME86*FIRSTNAME86****N*TESTMBR000000086~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5727.65~REF*18*957~REF*ZZ*17;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ENT*87*2J*EI*999999999~NM1*IL*1*LASTNAME87*FIRSTNAME87****N*TESTMBR000000087~RMR*IK*TESTPLAN-PREGLR-2602200042000P**9645.74~REF*18*957~REF*ZZ*17;1~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260101-20260131~ENT*88*2J*EI*999999999~NM1*IL*1*LASTNAME88*FIRSTNAME88****N*TESTMBR000000088~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5727.65~REF*18*957~REF*ZZ*17;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ENT*89*2J*EI*999999999~NM1*IL*1*LASTNAME89*FIRSTNAME89****N*TESTMBR000000089~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5727.65~REF*18*957~REF*ZZ*17;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ENT*90*2J*EI*999999999~NM1*IL*1*LASTNAME90*FIRSTNAME90****N*TESTMBR000000090~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5727.65~REF*18*957~REF*ZZ*17;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ENT*91*2J*EI*999999999~NM1*IL*1*LASTNAME91*FIRSTNAME91****N*TESTMBR000000091~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5727.65~REF*18*957~REF*ZZ*17;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ENT*92*2J*EI*999999999~NM1*IL*1*LASTNAME92*FIRSTNAME92****N*TESTMBR000000092~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5727.65~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260201-20260228~RMR*IK*TESTPLAN-PREGLR-2602200042000P**468.79*5727.65~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ADX*-5258.86*53~ENT*93*2J*EI*999999999~NM1*IL*1*LASTNAME93*FIRSTNAME93****N*TESTMBR000000093~RMR*IK*TESTPLAN-PREGLR-2602200042000P**5727.65~REF*18*957~REF*ZZ*17;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~SE*1142*0001~GE*1*44272~IEA*1*000059659~
