ISA*00*          *00*          *ZZ*TEST-PAYER     *30*TEST-PAYEE     *260217*0936*+*00501*000059431*0*P*:~GS*RA*TEST-PAYER*TEST-PAYEE*20260217*093627*44044*X*005010X218~ST*820*0001*005010X218~BPR*I*499187.57*C*NON******68-0317191******20260212~TRN*3*TESTTRN05000001~REF*14*0000245023~N1*PE*TEST PAYEE ORGANIZATION~N3*123 TEST STREET~N4*TESTCITY*CA*00000~N1*PR*TEST PAYER AGENCY~N3*123 TEST STREET~N4*TESTCITY*CA*00000~ENT*1*2J*EI*999999999~NM1*IL*1*LASTNAME14*FIRSTNAME14****N*TESTMBR000000014~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*60;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ENT*2*2J*EI*999999999~NM1*IL*1*LASTNAME15*FIRSTNAME15****N*TESTMBR000000015~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*60;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ENT*3*2J*EI*999999999~NM1*IL*1*LASTNAME17*FIRSTNAME17****N*TESTMBR000000017~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary 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Dual~DTM*582****RD8*20260101-20260131~ENT*12*2J*EI*999999999~NM1*IL*1*LASTNAME26*FIRSTNAME26****N*TESTMBR000000026~RMR*IK*TESTPLAN-PREGLR-2601080201000P**9085.99~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260101-20260131~ENT*13*2J*EI*999999999~NM1*IL*1*LASTNAME28*FIRSTNAME28****N*TESTMBR000000028~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ENT*14*2J*EI*999999999~NM1*IL*1*LASTNAME29*FIRSTNAME29****N*TESTMBR000000029~RMR*IK*TESTPLAN-PREGLR-2601080201000P**9085.99~REF*18*957~REF*ZZ*M1;1~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260101-20260131~ENT*15*2J*EI*999999999~NM1*IL*1*LASTNAME30*FIRSTNAME30****N*TESTMBR000000030~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ENT*16*2J*EI*999999999~NM1*IL*1*LASTNAME31*FIRSTNAME31****N*TESTMBR000000031~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*60;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*60;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20251201-20251231~ENT*17*2J*EI*999999999~NM1*IL*1*LASTNAME32*FIRSTNAME32****N*TESTMBR000000032~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ENT*18*2J*EI*999999999~NM1*IL*1*LASTNAME33*FIRSTNAME33****N*TESTMBR000000033~RMR*IK*TESTPLAN-PREGLR-2601080201000P**9085.99~REF*18*957~REF*ZZ*20;1~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260101-20260131~ENT*19*2J*EI*999999999~NM1*IL*1*LASTNAME34*FIRSTNAME34****N*TESTMBR000000034~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*60;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ENT*20*2J*EI*999999999~NM1*IL*1*LASTNAME35*FIRSTNAME35****N*TESTMBR000000035~RMR*IK*TESTPLAN-PREGLR-2601080201000P**9085.99~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260101-20260131~ENT*21*2J*EI*999999999~NM1*IL*1*LASTNAME36*FIRSTNAME36****N*TESTMBR000000036~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*60;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ENT*22*2J*EI*999999999~NM1*IL*1*LASTNAME37*FIRSTNAME37****N*TESTMBR000000037~RMR*IK*TESTPLAN-PREGLR-2601080201000P**9085.99~REF*18*957~REF*ZZ*M1;1~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260101-20260131~RMR*IK*TESTPLAN-PREGLR-2601080201000P**9085.99~REF*18*957~REF*ZZ*M1;1~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20251201-20251231~ENT*23*2J*EI*999999999~NM1*IL*1*LASTNAME38*FIRSTNAME38****N*TESTMBR000000038~RMR*IK*TESTPLAN-PREGLR-2601080201000P**9085.99~REF*18*957~REF*ZZ*60;1~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260101-20260131~ENT*24*2J*EI*999999999~NM1*IL*1*LASTNAME39*FIRSTNAME39****N*TESTMBR000000039~RMR*IK*TESTPLAN-PREGLR-2601080201000P**9085.99~REF*18*957~REF*ZZ*M1;1~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260101-20260131~RMR*IK*TESTPLAN-PREGLR-2601080201000P**9085.99~REF*18*957~REF*ZZ*M1;1~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20251201-20251231~ENT*25*2J*EI*999999999~NM1*IL*1*LASTNAME40*FIRSTNAME40****N*TESTMBR000000040~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20251201-20251231~ENT*26*2J*EI*999999999~NM1*IL*1*LASTNAME41*FIRSTNAME41****N*TESTMBR000000041~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ENT*27*2J*EI*999999999~NM1*IL*1*LASTNAME42*FIRSTNAME42****N*TESTMBR000000042~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*10;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ENT*28*2J*EI*999999999~NM1*IL*1*LASTNAME43*FIRSTNAME43****N*TESTMBR000000043~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ENT*29*2J*EI*999999999~NM1*IL*1*LASTNAME45*FIRSTNAME45****N*TESTMBR000000045~RMR*IK*TESTPLAN-PREGLR-2601080201000P**9085.99~REF*18*957~REF*ZZ*60;1~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260101-20260131~ENT*30*2J*EI*999999999~NM1*IL*1*LASTNAME46*FIRSTNAME46****N*TESTMBR000000046~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ENT*31*2J*EI*999999999~NM1*IL*1*LASTNAME47*FIRSTNAME47****N*TESTMBR000000047~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*60;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ENT*32*2J*EI*999999999~NM1*IL*1*LASTNAME48*FIRSTNAME48****N*TESTMBR000000048~RMR*IK*TESTPLAN-PREGLR-2601080201000P**9085.99~REF*18*957~REF*ZZ*60;1~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260101-20260131~ENT*33*2J*EI*999999999~NM1*IL*1*LASTNAME49*FIRSTNAME49****N*TESTMBR000000049~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ENT*34*2J*EI*999999999~NM1*IL*1*LASTNAME50*FIRSTNAME50****N*TESTMBR000000050~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ENT*35*2J*EI*999999999~NM1*IL*1*LASTNAME52*FIRSTNAME52****N*TESTMBR000000052~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ENT*36*2J*EI*999999999~NM1*IL*1*LASTNAME54*FIRSTNAME54****N*TESTMBR000000054~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*20;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ENT*37*2J*EI*999999999~NM1*IL*1*LASTNAME55*FIRSTNAME55****N*TESTMBR000000055~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*10;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ENT*38*2J*EI*999999999~NM1*IL*1*LASTNAME56*FIRSTNAME56****N*TESTMBR000000056~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*10;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ENT*39*2J*EI*999999999~NM1*IL*1*LASTNAME58*FIRSTNAME58****N*TESTMBR000000058~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*60;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ENT*40*2J*EI*999999999~NM1*IL*1*LASTNAME59*FIRSTNAME59****N*TESTMBR000000059~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*17;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20251201-20251231~ENT*41*2J*EI*999999999~NM1*IL*1*LASTNAME60*FIRSTNAME60****N*TESTMBR000000060~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*10;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ENT*42*2J*EI*999999999~NM1*IL*1*LASTNAME61*FIRSTNAME61****N*TESTMBR000000061~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ENT*43*2J*EI*999999999~NM1*IL*1*LASTNAME01*FIRSTNAME01****N*TESTMBR000000001~RMR*IK*TESTPLAN-PREGLR-2601080201000P**157.77~REF*18*957~REF*ZZ*1H;2~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~RMR*IK*TESTPLAN-PREGLR-2601080201000P**157.77~REF*18*957~REF*ZZ*1H;2~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20251201-20251231~RMR*IK*TESTPLAN-PREGLR-2601080201000P**-999.46~REF*18*957~REF*ZZ*1H;2~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20251201-20251231~RMR*IK*TESTPLAN-PREGLR-2601080201000P**157.77~REF*18*957~REF*ZZ*1H;2~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20251101-20251130~RMR*IK*TESTPLAN-PREGLR-2601080201000P**-999.46~REF*18*957~REF*ZZ*1H;2~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20251101-20251130~ENT*44*2J*EI*999999999~NM1*IL*1*LASTNAME63*FIRSTNAME63****N*TESTMBR000000063~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*17;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20251201-20251231~ENT*45*2J*EI*999999999~NM1*IL*1*LASTNAME64*FIRSTNAME64****N*TESTMBR000000064~RMR*IK*TESTPLAN-PREGLR-2601080201000P**9085.99~REF*18*957~REF*ZZ*M1;1~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260101-20260131~ENT*46*2J*EI*999999999~NM1*IL*1*LASTNAME65*FIRSTNAME65****N*TESTMBR000000065~RMR*IK*TESTPLAN-PREGLR-2601080201000P**9085.99~REF*18*957~REF*ZZ*60;1~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260101-20260131~RMR*IK*TESTPLAN-PREGLR-2601080201000P**9085.99~REF*18*957~REF*ZZ*60;1~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20251201-20251231~ENT*47*2J*EI*999999999~NM1*IL*1*LASTNAME66*FIRSTNAME66****N*TESTMBR000000066~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ENT*48*2J*EI*999999999~NM1*IL*1*LASTNAME02*FIRSTNAME02****N*TESTMBR000000002~RMR*IK*TESTPLAN-PREGLR-2601080201000P**999.46~REF*18*957~REF*ZZ*1H;2~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260101-20260131~ENT*49*2J*EI*999999999~NM1*IL*1*LASTNAME68*FIRSTNAME68****N*TESTMBR000000068~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*17;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20251201-20251231~ENT*50*2J*EI*999999999~NM1*IL*1*LASTNAME03*FIRSTNAME03****N*TESTMBR000000003~RMR*IK*TESTPLAN-PREGLR-2601080201000P**999.46~REF*18*957~REF*ZZ*M1;2~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260101-20260131~ENT*51*2J*EI*999999999~NM1*IL*1*LASTNAME69*FIRSTNAME69****N*TESTMBR000000069~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*17;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20251201-20251231~ENT*52*2J*EI*999999999~NM1*IL*1*LASTNAME70*FIRSTNAME70****N*TESTMBR000000070~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*17;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20251201-20251231~ENT*53*2J*EI*999999999~NM1*IL*1*LASTNAME72*FIRSTNAME72****N*TESTMBR000000072~RMR*IK*TESTPLAN-PREGLR-2601080201000P**9085.99~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260101-20260131~ENT*54*2J*EI*999999999~NM1*IL*1*LASTNAME73*FIRSTNAME73****N*TESTMBR000000073~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*17;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20251201-20251231~ENT*55*2J*EI*999999999~NM1*IL*1*LASTNAME04*FIRSTNAME04****N*TESTMBR000000004~RMR*IK*TESTPLAN-PREGLR-2601080201000P**999.46~REF*18*957~REF*ZZ*M1;2~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260101-20260131~ENT*56*2J*EI*999999999~NM1*IL*1*LASTNAME05*FIRSTNAME05****N*TESTMBR000000005~RMR*IK*TESTPLAN-PREGLR-2601080201000P**999.46~REF*18*957~REF*ZZ*M1;2~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260101-20260131~ENT*57*2J*EI*999999999~NM1*IL*1*LASTNAME06*FIRSTNAME06****N*TESTMBR000000006~RMR*IK*TESTPLAN-PREGLR-2601080201000P**999.46~REF*18*957~REF*ZZ*1H;2~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260101-20260131~ENT*58*2J*EI*999999999~NM1*IL*1*LASTNAME07*FIRSTNAME07****N*TESTMBR000000007~RMR*IK*TESTPLAN-PREGLR-2601080201000P**999.46~REF*18*957~REF*ZZ*M1;2~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260101-20260131~ENT*59*2J*EI*999999999~NM1*IL*1*LASTNAME08*FIRSTNAME08****N*TESTMBR000000008~RMR*IK*TESTPLAN-PREGLR-2601080201000P**999.46~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*LASTNAME74*FIRSTNAME74****N*TESTMBR000000074~RMR*IK*TESTPLAN-PREGLR-2601080201000P**9085.99~REF*18*957~REF*ZZ*M1;1~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260101-20260131~ENT*61*2J*EI*999999999~NM1*IL*1*LASTNAME75*FIRSTNAME75****N*TESTMBR000000075~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ENT*62*2J*EI*999999999~NM1*IL*1*LASTNAME09*FIRSTNAME09****N*TESTMBR000000009~RMR*IK*TESTPLAN-PREGLR-2601080201000P**999.46~REF*18*957~REF*ZZ*1H;2~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260101-20260131~ENT*63*2J*EI*999999999~NM1*IL*1*LASTNAME10*FIRSTNAME10****N*TESTMBR000000010~RMR*IK*TESTPLAN-PREGLR-2601080201000P**999.46~REF*18*957~REF*ZZ*1H;2~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260101-20260131~ENT*64*2J*EI*999999999~NM1*IL*1*LASTNAME77*FIRSTNAME77****N*TESTMBR000000077~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*10;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ENT*65*2J*EI*999999999~NM1*IL*1*LASTNAME78*FIRSTNAME78****N*TESTMBR000000078~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*10;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ENT*66*2J*EI*999999999~NM1*IL*1*LASTNAME79*FIRSTNAME79****N*TESTMBR000000079~RMR*IK*TESTPLAN-PREGLR-2601080201000P**9085.99~REF*18*957~REF*ZZ*M1;1~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260101-20260131~RMR*IK*TESTPLAN-PREGLR-2601080201000P**9085.99~REF*18*957~REF*ZZ*M1;1~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20251201-20251231~ENT*67*2J*EI*999999999~NM1*IL*1*LASTNAME80*FIRSTNAME80****N*TESTMBR000000080~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*16;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ENT*68*2J*EI*999999999~NM1*IL*1*LASTNAME81*FIRSTNAME81****N*TESTMBR000000081~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ENT*69*2J*EI*999999999~NM1*IL*1*LASTNAME11*FIRSTNAME11****N*TESTMBR000000011~RMR*IK*TESTPLAN-PREGLR-2601080201000P**999.46~REF*18*957~REF*ZZ*M1;2~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20260101-20260131~ENT*70*2J*EI*999999999~NM1*IL*1*LASTNAME82*FIRSTNAME82****N*TESTMBR000000082~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ENT*71*2J*EI*999999999~NM1*IL*1*LASTNAME84*FIRSTNAME84****N*TESTMBR000000084~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*17;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20251201-20251231~ENT*72*2J*EI*999999999~NM1*IL*1*LASTNAME85*FIRSTNAME85****N*TESTMBR000000085~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ENT*73*2J*EI*999999999~NM1*IL*1*LASTNAME12*FIRSTNAME12****N*TESTMBR000000012~RMR*IK*TESTPLAN-PREGLR-2601080201000P**157.77~REF*18*957~REF*ZZ*17;2~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20251201-20251231~ENT*74*2J*EI*999999999~NM1*IL*1*LASTNAME86*FIRSTNAME86****N*TESTMBR000000086~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*17;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20251201-20251231~ENT*75*2J*EI*999999999~NM1*IL*1*LASTNAME87*FIRSTNAME87****N*TESTMBR000000087~RMR*IK*TESTPLAN-PREGLR-2601080201000P**9085.99~REF*18*957~REF*ZZ*17;1~REF*ZZ*Primary Capitation Medi-Cal Only~DTM*582****RD8*20251201-20251231~ENT*76*2J*EI*999999999~NM1*IL*1*LASTNAME88*FIRSTNAME88****N*TESTMBR000000088~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*17;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20251201-20251231~ENT*77*2J*EI*999999999~NM1*IL*1*LASTNAME89*FIRSTNAME89****N*TESTMBR000000089~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*17;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20251201-20251231~ENT*78*2J*EI*999999999~NM1*IL*1*LASTNAME90*FIRSTNAME90****N*TESTMBR000000090~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*17;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20251201-20251231~ENT*79*2J*EI*999999999~NM1*IL*1*LASTNAME91*FIRSTNAME91****N*TESTMBR000000091~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*17;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20251201-20251231~ENT*80*2J*EI*999999999~NM1*IL*1*LASTNAME92*FIRSTNAME92****N*TESTMBR000000092~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*1H;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20260101-20260131~ENT*81*2J*EI*999999999~NM1*IL*1*LASTNAME93*FIRSTNAME93****N*TESTMBR000000093~RMR*IK*TESTPLAN-PREGLR-2601080201000P**5258.86~REF*18*957~REF*ZZ*17;1~REF*ZZ*Primary Capitation Dual~DTM*582****RD8*20251201-20251231~SE*643*0001~GE*1*44044~IEA*1*000059431~
