ISA*00*          *00*          *ZZ*77027          *ZZ*44826          *110811*1536*U*00401*253223382*0*P*:~GS*HB*77027*44826*20110811*1536*253223382*X*004010X092A1~ST*271*0001~BHT*0022*11**20110811*1536~HL*1**20*1~NM1*PR*2*STATE OF FLORIDA MEDICAID*****PI*77027~HL*2*1*21*1~NM1*1P*2*RADIOLOGY ASSOCIATES OF HOLLYWOOD*****SV*1659319671~REF*TJ*651075205~HL*3*2*22*0~TRN*1*1122300D5J*1610600439~NM1*IL*1*HERNANDEZ*JULIO~AAA*N**75*C~DMG*D8*19970325*M~DTP*307*D8*20110218~HL*4*2*22*0~TRN*1*1122300D5R*1610600439~NM1*IL*1*BLOOMFIELD*BEVERLY~AAA*N**75*C~DMG*D8*19510927*F~DTP*307*D8*20101110~HL*5*2*22*0~TRN*1*1122300D5T*1610600439~NM1*IL*1*JACKSON*TRAVIS~AAA*N**75*C~DMG*D8*19821222*M~DTP*307*D8*20100922~HL*6*2*22*0~TRN*1*1122300D5Y*1610600439~NM1*IL*1*AHMED*SAMI~AAA*N**75*C~DMG*D8*19510301*M~DTP*307*D8*20110410~HL*7*2*22*0~TRN*1*1122300D61*1610600439~NM1*IL*1*COUNCIL*CYNTHIA~AAA*N**75*C~DMG*D8*19580826*F~DTP*307*D8*20110122~HL*8*2*22*0~TRN*1*1122300D62*1610600439~NM1*IL*1*QUIROZ*RAMON~AAA*N**75*C~DMG*D8*19780330*M~DTP*307*D8*20101112~HL*9*2*22*0~TRN*1*1122300D64*1610600439~NM1*IL*1*AVILES*JORGE~AAA*N**75*C~DMG*D8*19840330*M~DTP*307*D8*20100926~HL*10*2*22*0~TRN*1*1122300D67*1610600439~NM1*IL*1*DEVEAUX*LETECIA~AAA*N**75*C~DMG*D8*19650118*F~DTP*307*D8*20100929~HL*11*2*22*0~TRN*1*1122300D6B*1610600439~NM1*IL*1*CERAPHIN*PIERRE~AAA*N**75*C~DMG*D8*19860614*M~DTP*307*D8*20100928~HL*12*2*22*0~TRN*1*1122300D6D*1610600439~NM1*IL*1*HINSON    JR*RONALD~AAA*N**75*C~DMG*D8*19860827*M~DTP*307*D8*20110509~HL*13*2*22*0~TRN*1*1122300D6H*1610600439~NM1*IL*1*MAYEA*OLGA*M***MI*7937760940~N4*****CY*13~DMG*D8*19560810*F~DTP*307*D8*20110331~EB*6~DTP*307*RD8*20110331-20110331~HL*14*2*22*0~TRN*1*1122300D6M*1610600439~NM1*IL*1*HESS*GEORGE~AAA*N**75*C~DMG*D8*19470708*M~DTP*307*D8*20100930~HL*15*2*22*0~TRN*1*1122300D6W*1610600439~NM1*IL*1*MESA*JENNIFER*B***MI*7337437528~N4*****CY*13~DMG*D8*19791109*F~DTP*307*D8*20110126~EB*6~DTP*307*RD8*20110126-20110126~HL*16*2*22*0~TRN*1*1122300D6Z*1610600439~NM1*IL*1*MESA*JENNIFER*B***MI*7337437528~N4*****CY*13~DMG*D8*19791109*F~DTP*307*D8*20110312~EB*6~DTP*307*RD8*20110312-20110312~HL*17*2*22*0~TRN*1*1122300D72*1610600439~NM1*IL*1*PEON*MARTHA~AAA*N**75*C~DMG*D8*19240105*F~DTP*307*D8*20110205~HL*18*2*22*0~TRN*1*1122300D74*1610600439~NM1*IL*1*ZEVALLOS*XIOMARA~AAA*N**75*C~DMG*D8*20020414*F~DTP*307*D8*20110421~HL*19*2*22*0~TRN*1*1122300D78*1610600439~NM1*IL*1*PAGOLA*STEVEN~AAA*N**75*C~DMG*D8*19510715*M~DTP*307*D8*20110111~HL*20*2*22*0~TRN*1*1122300D79*1610600439~NM1*IL*1*JEAN*ISLANDRE****MI*9459509410~N4*****CY*50~DMG*D8*19860713*F~DTP*307*D8*20110413~EB*6~DTP*307*RD8*20110413-20110413~HL*21*2*22*0~TRN*1*1122300D7H*1610600439~NM1*IL*1*URENA*NOMAR~AAA*N**75*C~DMG*D8*19990826*M~DTP*307*D8*20101223~HL*22*2*22*0~TRN*1*1122300D7P*1610600439~NM1*IL*1*BENNETT*ALLISON*H***MI*9467699753~N4*****CY*06~DMG*D8*19561210*F~DTP*307*D8*20101009~EB*1*IND*30*MC*ML S| Limited to emergency services~DTP*307*RD8*20101009-20101009~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*10~HL*23*2*22*0~TRN*1*1122300D7S*1610600439~NM1*IL*1*BENNETT*ALLISON*H***MI*9467699753~N4*****CY*06~DMG*D8*19561210*F~DTP*307*D8*20110313~EB*6~DTP*307*RD8*20110313-20110313~HL*24*2*22*0~TRN*1*1122300D7W*1610600439~NM1*IL*1*FENELON*TAINA*S***MI*9501241009~N4*****CY*06~DMG*D8*20101011*F~DTP*307*D8*20110120~EB*1*IND*30*MC*MS  | Full Medicaid~DTP*307*RD8*20110120-20110120~EB*1*IND*30*MC*MM I| Full Medicaid~DTP*307*RD8*20110120-20110120~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*25*2*22*0~TRN*1*1122300D81*1610600439~NM1*IL*1*GILOT*MARIE~AAA*N**75*C~DMG*D8*19511209*F~DTP*307*D8*20110320~HL*26*2*22*0~TRN*1*1122300D84*1610600439~NM1*IL*1*WATSON JR*WAYNE*W***MI*8893810395~N4*****CY*06~DMG*D8*20101013*M~DTP*307*D8*20101019~EB*1*IND*30*MC*MS  | Full Medicaid~DTP*307*RD8*20101019-20101019~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~EB*D*IND*68*MC*Last CHCUP Medical Screen~DTP*472*D8*20110713~HL*27*2*22*0~TRN*1*1122300D89*1610600439~NM1*IL*1*CARVAJAL*JAVIER****MI*7707580737~N4*****CY*13~DMG*D8*19721218*M~DTP*307*D8*20101014~EB*6~DTP*307*RD8*20101014-20101014~HL*28*2*22*0~TRN*1*1122300D8G*1610600439~NM1*IL*1*ESPINOZA*ANDRES~AAA*N**75*C~DMG*D8*19850510*M~DTP*307*D8*20101014~HL*29*2*22*0~TRN*1*1122300D8J*1610600439~NM1*IL*1*PIERRELOUIS*GREVY~AAA*N**75*C~DMG*D8*20060227*M~DTP*307*D8*20110321~HL*30*2*22*0~TRN*1*1122300D8M*1610600439~NM1*IL*1*MAYS*NOAH*R***MI*9491018329~N4*****CY*13~DMG*D8*20100624*M~DTP*307*D8*20101015~EB*1*IND*30*MC*MN  | Full Medicaid~DTP*307*RD8*20101015-20101015~EB*L*IND*96*MC*Medicaid HMO~DTP*307*RD8*20101015-20101015~LS*2120~NM1*1P*2*PREFERRED MEDICAL PLAN, INC.~N4*CORAL GABLES*FL*331342400~PER*IC**TE*3054478373~LE*2120~EB*L*IND*96*MC*Prepaid Dental~DTP*307*RD8*20101015-20101015~LS*2120~NM1*1P*2*DENTAQUEST OF FLORIDA, INC~N4*CORAL GABLES*FL*331340000~PER*IC**TE*3054433111~LE*2120~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~EB*D*IND*68*MC*Last CHCUP Medical Screen~DTP*472*D8*20101025~HL*31*2*22*0~TRN*1*1122300D8Z*1610600439~NM1*IL*1*AGUIAR*JASON~AAA*N**75*C~DMG*D8*19791113*M~DTP*307*D8*20110303~HL*32*2*22*0~TRN*1*1122300D93*1610600439~NM1*IL*1*CAJETE*ALBERTO~AAA*N**75*C~DMG*D8*19401115*M~DTP*307*D8*20101021~HL*33*2*22*0~TRN*1*1122300D95*1610600439~NM1*IL*1*JORGE*FELIPE~AAA*N**75*C~DMG*D8*19570318*M~DTP*307*D8*20101017~HL*34*2*22*0~TRN*1*1122300D96*1610600439~NM1*IL*1*ABDULLAH*JAMILA~AAA*N**75*C~DMG*D8*19800928*F~DTP*307*D8*20101018~HL*35*2*22*0~TRN*1*1122300D9C*1610600439~NM1*IL*1*LLOYD*DREMA~AAA*N**75*C~DMG*D8*19471227*F~DTP*307*D8*20101018~HL*36*2*22*0~TRN*1*1122300D9D*1610600439~NM1*IL*1*THEN*GLADYS~AAA*N**75*C~DMG*D8*19561003*F~DTP*307*D8*20101018~HL*37*2*22*0~TRN*1*1122300D9G*1610600439~NM1*IL*1*HUTTON*LEIGHTON*M***MI*7769033489~N4*****CY*13~DMG*D8*19990120*M~DTP*307*D8*20110203~EB*6~DTP*307*RD8*20110203-20110203~HL*38*2*22*0~TRN*1*1122300D9K*1610600439~NM1*IL*1*FERGUSON*YVETTE~AAA*N**75*C~DMG*D8*19671230*F~DTP*307*D8*20101202~HL*39*2*22*0~TRN*1*1122300D9P*1610600439~NM1*IL*1*SANPEDRO*CHRISTOPHER~AAA*N**75*C~DMG*D8*19820321*M~DTP*307*D8*20110416~HL*40*2*22*0~TRN*1*1122300D9Q*1610600439~NM1*IL*1*MURILLO*JUAN~AAA*N**75*C~DMG*D8*19661128*M~DTP*307*D8*20101023~HL*41*2*22*0~TRN*1*1122300D9S*1610600439~NM1*IL*1*DE LA ROSA*THOMAS*A***MI*8132685024~N4*****CY*59~DMG*D8*19841226*M~DTP*307*D8*20101023~EB*6~DTP*307*RD8*20101023-20101023~HL*42*2*22*0~TRN*1*1122300D9V*1610600439~NM1*IL*1*CHIAVERINI*KRISTIN~AAA*N**75*C~DMG*D8*19821222*F~DTP*307*D8*20110105~HL*43*2*22*0~TRN*1*1122300D9Y*1610600439~NM1*IL*1*WELLINGTON*DONNAJEAN*C***MI*7475832490~N4*****CY*13~DMG*D8*19720828*F~DTP*307*D8*20110117~EB*6~DTP*307*RD8*20110117-20110117~HL*44*2*22*0~TRN*1*1122300DB2*1610600439~NM1*IL*1*CRUZ*JOSE~AAA*N**75*C~DMG*D8*19610913*M~DTP*307*D8*20101025~HL*45*2*22*0~TRN*1*1122300DBB*1610600439~NM1*IL*1*JOHNSON*PATRICE****MI*7352976671~N4*****CY*13~DMG*D8*19910505*F~DTP*307*D8*20110201~EB*6~DTP*307*RD8*20110201-20110201~HL*46*2*22*0~TRN*1*1122300DBL*1610600439~NM1*IL*1*STOKES*BOBBY*O***MI*7504933139~N4*****CY*13~DMG*D8*19831203*M~DTP*307*D8*20110502~EB*6~DTP*307*RD8*20110502-20110502~HL*47*2*22*0~TRN*1*1122300DBQ*1610600439~NM1*IL*1*ROZIER*TONYA~AAA*N**75*C~DMG*D8*19710403*F~DTP*307*D8*20110211~HL*48*2*22*0~TRN*1*1122300DBV*1610600439~NM1*IL*1*FISCHER*MARIA****MI*9501814823~N4*****CY*06~DMG*D8*19390510*F~DTP*307*D8*20110127~EB*6~DTP*307*RD8*20110127-20110127~HL*49*2*22*0~TRN*1*1122300DBX*1610600439~NM1*IL*1*CASTRO*MARIO~AAA*N**75*C~DMG*D8*19700305*M~DTP*307*D8*20101101~HL*50*2*22*0~TRN*1*1122300DC1*1610600439~NM1*IL*1*CAHTEN*NOFAR~AAA*N**75*C~DMG*D8*19890719*F~DTP*307*D8*20101031~HL*51*2*22*0~TRN*1*1122300DC2*1610600439~NM1*IL*1*CHIN*BING~AAA*N**75*C~DMG*D8*19520517*M~DTP*307*D8*20101101~HL*52*2*22*0~TRN*1*1122300DC3*1610600439~NM1*IL*1*THOMPSON*SEDRICK~AAA*N**75*C~DMG*D8*19780819*M~DTP*307*D8*20101105~HL*53*2*22*0~TRN*1*1122300DC6*1610600439~NM1*IL*1*THOMPSON*SEDRICK~AAA*N**75*C~DMG*D8*19780819*M~DTP*307*D8*20101107~HL*54*2*22*0~TRN*1*1122300DC8*1610600439~NM1*IL*1*RODRIGUEZ*OSCAR~AAA*N**75*C~DMG*D8*19421007*M~DTP*307*D8*20101219~HL*55*2*22*0~TRN*1*1122300DCF*1610600439~NM1*IL*1*FRANCE*KENILWORTH~AAA*N**75*C~DMG*D8*19420527*M~DTP*307*D8*20110120~HL*56*2*22*0~TRN*1*1122300DCH*1610600439~NM1*IL*1*HYLORWEST*DEIDRE~AAA*N**75*C~DMG*D8*19681026*F~DTP*307*D8*20101103~HL*57*2*22*0~TRN*1*1122300DCK*1610600439~NM1*IL*1*GREEN*CLEVELAND~AAA*N**75*C~DMG*D8*19400514*M~DTP*307*D8*20110118~HL*58*2*22*0~TRN*1*1122300DCM*1610600439~NM1*IL*1*BIDDISCOMBE*JILLIAN~AAA*N**75*C~DMG*D8*19810326*F~DTP*307*D8*20101104~HL*59*2*22*0~TRN*1*1122300DCP*1610600439~NM1*IL*1*SANGSTER*LATAVIA*M***MI*1751048110~N4*****CY*13~DMG*D8*19851208*F~DTP*307*D8*20110327~EB*6~DTP*307*RD8*20110327-20110327~HL*60*2*22*0~TRN*1*1122300DCV*1610600439~NM1*IL*1*NUNES*JENNIFER****MI*7829306435~N4*****CY*13~DMG*D8*19640512*F~DTP*307*D8*20110306~EB*6~DTP*307*RD8*20110306-20110306~HL*61*2*22*0~TRN*1*1122300DCY*1610600439~NM1*IL*1*GARCIA*SAMUEL~AAA*N**75*C~DMG*D8*19671019*M~DTP*307*D8*20110405~HL*62*2*22*0~TRN*1*1122300DD4*1610600439~NM1*IL*1*ROWLES*LUCY~AAA*N**75*C~DMG*D8*19690124*F~DTP*307*D8*20101104~HL*63*2*22*0~TRN*1*1122300DD7*1610600439~NM1*IL*1*QUIJANO*JOSE*B***MI*8123693494~N4*****CY*13~DMG*D8*19540207*M~DTP*307*D8*20101230~EB*6~DTP*307*RD8*20101230-20101230~HL*64*2*22*0~TRN*1*1122300DDB*1610600439~NM1*IL*1*MOSSSOLOMON*JACOB~AAA*N**75*C~DMG*D8*20080404*M~DTP*307*D8*20110202~HL*65*2*22*0~TRN*1*1122300DDC*1610600439~NM1*IL*1*VERGARA*GIOVANNI****MI*3385141117~N4*****CY*13~DMG*D8*19820922*M~DTP*307*D8*20110310~EB*6~DTP*307*RD8*20110310-20110310~HL*66*2*22*0~TRN*1*1122300DDJ*1610600439~NM1*IL*1*DURRANCE*JOHN~AAA*N**75*C~DMG*D8*19471022*M~DTP*307*D8*20101108~HL*67*2*22*0~TRN*1*1122300DDR*1610600439~NM1*IL*1*BRYAN*FLORENCE~AAA*N**75*C~DMG*D8*19700307*F~DTP*307*D8*20110323~HL*68*2*22*0~TRN*1*1122300DDV*1610600439~NM1*IL*1*FLEMING*MICHAEL~AAA*N**75*C~DMG*D8*19690313*M~DTP*307*D8*20101113~HL*69*2*22*0~TRN*1*1122300DDX*1610600439~NM1*IL*1*PHILLIPS*CYNTHIA~AAA*N**75*C~DMG*D8*19610225*F~DTP*307*D8*20101107~HL*70*2*22*0~TRN*1*1122300DF0*1610600439~NM1*IL*1*DIJAK*FRANK~AAA*N**75*C~DMG*D8*19640709*M~DTP*307*D8*20101123~HL*71*2*22*0~TRN*1*1122300DF2*1610600439~NM1*IL*1*LIGHT*BEVERLY~AAA*N**75*C~DMG*D8*19441104*M~DTP*307*D8*20101125~HL*72*2*22*0~TRN*1*1122300DF3*1610600439~NM1*IL*1*GAYNOR*LAYLA~AAA*N**75*C~DMG*D8*20091104*F~DTP*307*D8*20110205~HL*73*2*22*0~TRN*1*1122300DF6*1610600439~NM1*IL*1*FERRELL*JULIE~AAA*N**75*C~DMG*D8*19670430*F~DTP*307*D8*20101111~HL*74*2*22*0~TRN*1*1122300DF8*1610600439~NM1*IL*1*LEAL*CANDICE~AAA*N**75*C~DMG*D8*19840629*F~DTP*307*D8*20101112~HL*75*2*22*0~TRN*1*1122300DFF*1610600439~NM1*IL*1*LAHERA*TANIA~AAA*N**75*C~DMG*D8*19690203*F~DTP*307*D8*20101112~HL*76*2*22*0~TRN*1*1122300DFG*1610600439~NM1*IL*1*COOPER*JOHN~AAA*N**75*C~DMG*D8*19570517*M~DTP*307*D8*20110327~HL*77*2*22*0~TRN*1*1122300DFP*1610600439~NM1*IL*1*HEREDIA*MARIA*V***MI*7347517877~N4*****CY*06~DMG*D8*19580428*F~DTP*307*D8*20110507~EB*6~DTP*307*RD8*20110507-20110507~HL*78*2*22*0~TRN*1*1122300DFS*1610600439~NM1*IL*1*DE SANTIS*MARIANA~AAA*N**75*C~DMG*D8*20060612*F~DTP*307*D8*20101115~HL*79*2*22*0~TRN*1*1122300DFW*1610600439~NM1*IL*1*JALUSI*DUV BER~AAA*N**75*C~DMG*D8*20101116*M~DTP*307*D8*20101128~HL*80*2*22*0~TRN*1*1122300DFY*1610600439~NM1*IL*1*WILLIAMS*JULIE*A***MI*3192692103~N4*****CY*06~DMG*D8*19800729*F~DTP*307*D8*20110314~EB*1*IND*30*MC*EBA| limited to OTC items~DTP*307*RD8*20110314-20110314~EB*F*IND*AL*MC*Last Eyeglasses Date~DTP*472*RD8*19940418-19940418~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*81*2*22*0~TRN*1*1122300DG8*1610600439~NM1*IL*1*GABRIEL*ROBINSON~AAA*N**75*C~DMG*D8*19521218*M~DTP*307*D8*20101117~HL*82*2*22*0~TRN*1*1122300DG9*1610600439~NM1*IL*1*KING*TANYA****MI*7709500498~N4*****CY*06~DMG*D8*19820727*F~DTP*307*D8*20101120~EB*6~DTP*307*RD8*20101120-20101120~HL*83*2*22*0~TRN*1*1122300DGC*1610600439~NM1*IL*1*DELGADO DE SANTANDER*BEATRIZ~AAA*N**75*C~DMG*D8*19230330*F~DTP*307*D8*20101121~HL*84*2*22*0~TRN*1*1122300DGJ*1610600439~NM1*IL*1*GEORGES*KENNETH~AAA*N**75*C~DMG*D8*19540509*M~DTP*307*D8*20101121~HL*85*2*22*0~TRN*1*1122300DGL*1610600439~NM1*IL*1*CLARK*GLADYS*L***MI*7730355493~REF*F6*262264802D~N4*****CY*06~DMG*D8*19241110*F~DTP*307*D8*20101121~EB*1*IND*30*MC*MW A| Full Medicaid~DTP*307*RD8*20101121-20101121~EB*1*IND*30*MA~DTP*307*RD8*20101121-20101121~EB*1*IND*30*MB~DTP*307*RD8*20101121-20101121~EB*L*IND*96*MC*Nursing Home Diversion Waiver~DTP*307*RD8*20101121-20101121~LS*2120~NM1*1P*2*AMERIGROUP~N4*BOCA RATON*FL*334870000~PER*IC**TE*8009507679~LE*2120~EB*R*IND*30*C1*MEDICARE HMO UNLIMITED PHARMACY~REF*1L*262264802D~REF*18*MH1019*CARE PLUS~DTP*307*RD8*20101121-20101121~LS*2120~NM1*IL*1*CLARK*GLADYS~PER*IC**TE*0000000000~LE*2120~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*86*2*22*0~TRN*1*1122300DGY*1610600439~NM1*IL*1*PIERRE*JEAN~AAA*N**75*C~DMG*D8*19630205*M~DTP*307*D8*20110226~HL*87*2*22*0~TRN*1*1122300DH0*1610600439~NM1*IL*1*VINA*MAYNARDIS~AAA*N**75*C~DMG*D8*19721212*F~DTP*307*D8*20101122~HL*88*2*22*0~TRN*1*1122300DH4*1610600439~NM1*IL*1*JONES*KYLIE~AAA*N**75*C~DMG*D8*20101122*F~DTP*307*D8*20101123~HL*89*2*22*0~TRN*1*1122300DH9*1610600439~NM1*IL*1*GARNER*IYSHA*N***MI*7703889491~N4*****CY*13~DMG*D8*19980206*F~DTP*307*D8*20101123~EB*6~DTP*307*RD8*20101123-20101123~HL*90*2*22*0~TRN*1*1122300DHG*1610600439~NM1*IL*1*KENNEDY*JESSICA~AAA*N**75*C~DMG*D8*19790515*F~DTP*307*D8*20110104~HL*91*2*22*0~TRN*1*1122300DHJ*1610600439~NM1*IL*1*ALEXANDER*CHRISTINA~AAA*N**75*C~DMG*D8*19811102*F~DTP*307*D8*20101125~HL*92*2*22*0~TRN*1*1122300DHN*1610600439~NM1*IL*1*KERN*MARYANN~AAA*N**75*C~DMG*D8*19421229*F~DTP*307*D8*20101202~HL*93*2*22*0~TRN*1*1122300DHR*1610600439~NM1*IL*1*STANLEY*HANNAH~AAA*N**75*C~DMG*D8*20000124*F~DTP*307*D8*20101206~HL*94*2*22*0~TRN*1*1122300DHT*1610600439~NM1*IL*1*ASKEW*KALEENA~AAA*N**75*C~DMG*D8*19920115*F~DTP*307*D8*20101128~HL*95*2*22*0~TRN*1*1122300DHV*1610600439~NM1*IL*1*FUNCHESS*SUSAN~AAA*N**75*C~DMG*D8*19480430*F~DTP*307*D8*20110330~HL*96*2*22*0~TRN*1*1122300DHW*1610600439~NM1*IL*1*WILLIAMS*JONES~AAA*N**75*C~DMG*D8*19660215*F~DTP*307*D8*20101130~HL*97*2*22*0~TRN*1*1122300DJ3*1610600439~NM1*IL*1*WILLIS*ALEXIS~AAA*N**75*C~DMG*D8*19710810*F~DTP*307*D8*20110418~HL*98*2*22*0~TRN*1*1122300DJ5*1610600439~NM1*IL*1*FORD*DARREN~AAA*N**75*C~DMG*D8*19680117*M~DTP*307*D8*20110330~HL*99*2*22*0~TRN*1*1122300DJ9*1610600439~NM1*IL*1*DAVIS*GOEMMIER~AAA*N**75*C~DMG*D8*19691212*M~DTP*307*D8*20110207~HL*100*2*22*0~TRN*1*1122300DJH*1610600439~NM1*IL*1*BENSON*MISS~AAA*N**75*C~DMG*D8*20101201*F~DTP*307*D8*20101201~HL*101*2*22*0~TRN*1*1122300DJK*1610600439~NM1*IL*1*BENSON*MISS~AAA*N**75*C~DMG*D8*20101201*F~DTP*307*D8*20101206~HL*102*2*22*0~TRN*1*1122300DJR*1610600439~NM1*IL*1*QUEZADA*JORGE~AAA*N**75*C~DMG*D8*19610815*M~DTP*307*D8*20110125~HL*103*2*22*0~TRN*1*1122300DJV*1610600439~NM1*IL*1*JIMENEZ*GENARO~AAA*N**75*C~DMG*D8*19600510*M~DTP*307*D8*20101228~HL*104*2*22*0~TRN*1*1122300DK0*1610600439~NM1*IL*1*LESAGE*GUY~AAA*N**75*C~DMG*D8*19470826*M~DTP*307*D8*20101201~HL*105*2*22*0~TRN*1*1122300DK2*1610600439~NM1*IL*1*PEREZ*OSCAR~AAA*N**75*C~DMG*D8*19781018*M~DTP*307*D8*20110308~HL*106*2*22*0~TRN*1*1122300DK7*1610600439~NM1*IL*1*CLERVEAU*ANNA~AAA*N**75*C~DMG*D8*19380717*F~DTP*307*D8*20110328~HL*107*2*22*0~TRN*1*1122300DK9*1610600439~NM1*IL*1*FUDERER*OLGA~AAA*N**75*C~DMG*D8*19850715*F~DTP*307*D8*20110217~HL*108*2*22*0~TRN*1*1122300DKD*1610600439~NM1*IL*1*VENGEN*ELAINE****MI*7934187165~REF*F6*139487055A~N4*****CY*06~DMG*D8*19521003*F~DTP*307*D8*20101204~EB*1*IND*30*MC*SLMB| Limited to Medicare Part B premium only~DTP*307*RD8*20101204-20101204~EB*1*IND*30*MA~DTP*307*RD8*20101204-20101204~EB*1*IND*30*MB~DTP*307*RD8*20101204-20101204~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*109*2*22*0~TRN*1*1122300DKJ*1610600439~NM1*IL*1*VENGEN*ELAINE****MI*7934187165~REF*F6*139487055A~N4*****CY*06~DMG*D8*19521003*F~DTP*307*D8*20101206~EB*1*IND*30*MC*SLMB| Limited to Medicare Part B premium only~DTP*307*RD8*20101206-20101206~EB*1*IND*30*MA~DTP*307*RD8*20101206-20101206~EB*1*IND*30*MB~DTP*307*RD8*20101206-20101206~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*110*2*22*0~TRN*1*1122300DKP*1610600439~NM1*IL*1*CHARLES*MIRIAM*E***MI*9503590973~N4*****CY*06~DMG*D8*19431124*F~DTP*307*D8*20101204~EB*6~DTP*307*RD8*20101204-20101204~HL*111*2*22*0~TRN*1*1122300DKT*1610600439~NM1*IL*1*CALDER*ROBERT~AAA*N**75*C~DMG*D8*19490122*M~DTP*307*D8*20110126~HL*112*2*22*0~TRN*1*1122300DKX*1610600439~NM1*IL*1*CALDER*ROBERT~AAA*N**75*C~DMG*D8*19490122*M~DTP*307*D8*20110204~HL*113*2*22*0~TRN*1*1122300DKY*1610600439~NM1*IL*1*PARKER*MARIA~AAA*N**75*C~DMG*D8*19860125*F~DTP*307*D8*20101204~HL*114*2*22*0~TRN*1*1122300DL1*1610600439~NM1*IL*1*ELLIS*JOHN~AAA*N**75*C~DMG*D8*19261216*M~DTP*307*D8*20110210~HL*115*2*22*0~TRN*1*1122300DL3*1610600439~NM1*IL*1*MEDINA*ISABELLA*M***MI*9495068011~N4*****CY*13~DMG*D8*20101007*F~DTP*307*D8*20110222~EB*1*IND*30*MC*MA R| Full Medicaid~DTP*307*RD8*20110222-20110222~EB*L*IND*96*MC*Medicaid HMO~DTP*307*RD8*20110222-20110222~LS*2120~NM1*1P*2*PUBLIC HEALTH TRUST OF MIAMI-DADE C~N4*MIAMI*FL*331360000~PER*IC**TE*3055753700~LE*2120~EB*L*IND*96*MC*Prepaid Dental~DTP*307*RD8*20110222-20110222~LS*2120~NM1*1P*2*DENTAQUEST OF FLORIDA, INC~N4*CORAL GABLES*FL*331340000~PER*IC**TE*3054433111~LE*2120~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*116*2*22*0~TRN*1*1122300DL7*1610600439~NM1*IL*1*DESRUISSEAUX*NADINE****MI*7540950862~REF*F6*589371360A~N4*****CY*06~DMG*D8*19751008*F~DTP*307*D8*20101213~EB*1*IND*30*MC*MM P| Full Medicaid~DTP*307*RD8*20101213-20101213~EB*1*IND*30*MC*SLMB| Limited to Medicare Part B premium only~DTP*307*RD8*20101213-20101213~EB*1*IND*30*MA~DTP*307*RD8*20101213-20101213~EB*1*IND*30*MB~DTP*307*RD8*20101213-20101213~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*117*2*22*0~TRN*1*1122300DL8*1610600439~NM1*IL*1*DESRUISSEAUX*NADINE****MI*7540950862~REF*F6*589371360A~N4*****CY*06~DMG*D8*19751008*F~DTP*307*D8*20101222~EB*1*IND*30*MC*MM P| Full Medicaid~DTP*307*RD8*20101222-20101222~EB*1*IND*30*MC*SLMB| Limited to Medicare Part B premium only~DTP*307*RD8*20101222-20101222~EB*1*IND*30*MA~DTP*307*RD8*20101222-20101222~EB*1*IND*30*MB~DTP*307*RD8*20101222-20101222~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*118*2*22*0~TRN*1*1122300DLC*1610600439~NM1*IL*1*MICHNA*MARGIT~AAA*N**75*C~DMG*D8*19340121*F~DTP*307*D8*20110427~HL*119*2*22*0~TRN*1*1122300DLF*1610600439~NM1*IL*1*HOLTON*JA NAYA~AAA*N**75*C~DMG*D8*19990413*F~DTP*307*D8*20101207~HL*120*2*22*0~TRN*1*1122300DLH*1610600439~NM1*IL*1*GERMAIN*LUCKNER****MI*8251626684~REF*F6*125548404A~N4*****CY*13~DMG*D8*19360521*M~DTP*307*D8*20101208~EB*1*IND*30*MC*MS  | Full Medicaid~DTP*307*RD8*20101208-20101208~EB*1*IND*30*MA~DTP*307*RD8*20101208-20101208~EB*1*IND*30*MB~DTP*307*RD8*20101208-20101208~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*121*2*22*0~TRN*1*1122300DLN*1610600439~NM1*IL*1*MARKO*CHRISTIAN*J***MI*9507284397~N4*****CY*13~DMG*D8*20090401*M~DTP*307*D8*20110107~EB*6~DTP*307*RD8*20110107-20110107~HL*122*2*22*0~TRN*1*1122300DLR*1610600439~NM1*IL*1*TAKACH*PAUL~AAA*N**75*C~DMG*D8*19630827*M~DTP*307*D8*20101208~HL*123*2*22*0~TRN*1*1122300DLV*1610600439~NM1*IL*1*PERSAD*MARISHA~AAA*N**75*C~DMG*D8*19830420*F~DTP*307*D8*20101208~HL*124*2*22*0~TRN*1*1122300DLW*1610600439~NM1*IL*1*FRANCO*CARLOS~AAA*N**75*C~DMG*D8*19601115*M~DTP*307*D8*20101210~HL*125*2*22*0~TRN*1*1122300DM3*1610600439~NM1*IL*1*JARAMILLO*HILDA*M***MI*8895673581~N4*****CY*06~DMG*D8*19520415*F~DTP*307*D8*20110118~EB*6~DTP*307*RD8*20110118-20110118~HL*126*2*22*0~TRN*1*1122300DM6*1610600439~NM1*IL*1*COLQUITT*QUINCY*D***MI*1977338127~N4*****CY*06~DMG*D8*19820630*M~DTP*307*D8*20110223~EB*6~DTP*307*RD8*20110223-20110223~HL*127*2*22*0~TRN*1*1122300DM8*1610600439~NM1*IL*1*BLATCH*MARSHA~AAA*N**75*C~DMG*D8*19531116*F~DTP*307*D8*20101215~HL*128*2*22*0~TRN*1*1122300DMB*1610600439~NM1*IL*1*MORALES*BRENNA*S***MI*9480682338~N4*****CY*29~DMG*D8*20090328*F~DTP*307*D8*20101213~EB*1*IND*30*MC*EBA| limited to OTC items~DTP*307*RD8*20101213-20101213~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~EB*D*IND*68*MC*Last CHCUP Medical Screen~DTP*472*D8*20090515~HL*129*2*22*0~TRN*1*1122300DMN*1610600439~NM1*IL*1*BAKER*LIA~AAA*N**75*C~DMG*D8*19670212*F~DTP*307*D8*20101213~HL*130*2*22*0~TRN*1*1122300DMT*1610600439~NM1*IL*1*IQBAL*SYED~AAA*N**75*C~DMG*D8*19400408*M~DTP*307*D8*20101213~HL*131*2*22*0~TRN*1*1122300DMV*1610600439~NM1*IL*1*IQBAL*SYED~AAA*N**75*C~DMG*D8*19400408*M~DTP*307*D8*20101215~HL*132*2*22*0~TRN*1*1122300DMX*1610600439~NM1*IL*1*JACKSON*JODY~AAA*N**75*C~DMG*D8*19900430*F~DTP*307*D8*20101214~HL*133*2*22*0~TRN*1*1122300DN5*1610600439~NM1*IL*1*BORNO*MASTER~AAA*N**75*C~DMG*D8*20101215*M~DTP*307*D8*20101215~HL*134*2*22*0~TRN*1*1122300DN8*1610600439~NM1*IL*1*BECK*CHRISTINA*M***MI*3039596021~N4*****CY*06~DMG*D8*19620926*F~DTP*307*D8*20101229~EB*6~DTP*307*RD8*20101229-20101229~HL*135*2*22*0~TRN*1*1122300DND*1610600439~NM1*IL*1*RODRIGUEZ*NELLY~AAA*N**75*C~DMG*D8*19500413*F~DTP*307*D8*20110430~HL*136*2*22*0~TRN*1*1122300DNJ*1610600439~NM1*IL*1*SAWOSZCZYK*CHRISTIAN~AAA*N**75*C~DMG*D8*19910118*M~DTP*307*D8*20110324~HL*137*2*22*0~TRN*1*1122300DNL*1610600439~NM1*IL*1*BORRERO*ALICIA~AAA*N**75*C~DMG*D8*19530525*F~DTP*307*D8*20101216~HL*138*2*22*0~TRN*1*1122300DNM*1610600439~NM1*IL*1*BENEBY*ETHEL~AAA*N**75*C~DMG*D8*19330412*F~DTP*307*D8*20101223~HL*139*2*22*0~TRN*1*1122300DNQ*1610600439~NM1*IL*1*CASIMIR*GISSELAIN~AAA*N**75*C~DMG*D8*19460316*F~DTP*307*D8*20101217~HL*140*2*22*0~TRN*1*1122300DNR*1610600439~NM1*IL*1*BOLANOS*GUSTAVO~AAA*N**75*C~DMG*D8*19620217*M~DTP*307*D8*20101218~HL*141*2*22*0~TRN*1*1122300DNS*1610600439~NM1*IL*1*FABICK*ALENA~AAA*N**75*C~DMG*D8*19601026*F~DTP*307*D8*20101229~HL*142*2*22*0~TRN*1*1122300DNT*1610600439~NM1*IL*1*GIBBINGS*EASTLYN~AAA*N**75*C~DMG*D8*19610409*F~DTP*307*D8*20101220~HL*143*2*22*0~TRN*1*1122300DNX*1610600439~NM1*IL*1*STEINBECK*MICHAEL~AAA*N**75*C~DMG*D8*19710220*M~DTP*307*D8*20110111~HL*144*2*22*0~TRN*1*1122300DNZ*1610600439~NM1*IL*1*JOBES*MISS~AAA*N**75*C~DMG*D8*20101221*F~DTP*307*D8*20101222~HL*145*2*22*0~TRN*1*1122300DP0*1610600439~NM1*IL*1*CHARLES*JUDE~AAA*N**75*C~DMG*D8*19490404*M~DTP*307*D8*20101222~HL*146*2*22*0~TRN*1*1122300DP2*1610600439~NM1*IL*1*QUIJANO*CARMEN~AAA*N**75*C~DMG*D8*19181117*F~DTP*307*D8*20101223~HL*147*2*22*0~TRN*1*1122300DP4*1610600439~NM1*IL*1*BETANCUR*ZULEIMA~AAA*N**75*C~DMG*D8*19540909*F~DTP*307*D8*20101224~HL*148*2*22*0~TRN*1*1122300DP5*1610600439~NM1*IL*1*ABERGEL*ROBERT~AAA*N**75*C~DMG*D8*19481201*M~DTP*307*D8*20101227~HL*149*2*22*0~TRN*1*1122300DP7*1610600439~NM1*IL*1*REDDICK*BRITTNAY~AAA*N**75*C~DMG*D8*19891024*F~DTP*307*D8*20101223~HL*150*2*22*0~TRN*1*1122300DP8*1610600439~NM1*IL*1*OSOKOYA*CORNELIUS~AAA*N**75*C~DMG*D8*19500726*M~DTP*307*D8*20110406~HL*151*2*22*0~TRN*1*1122300DPB*1610600439~NM1*IL*1*GLEN*CAROLIN~AAA*N**75*C~DMG*D8*19780831*F~DTP*307*D8*20101225~HL*152*2*22*0~TRN*1*1122300DPD*1610600439~NM1*IL*1*GLEN*MISS~AAA*N**75*C~DMG*D8*20101224*F~DTP*307*D8*20110217~HL*153*2*22*0~TRN*1*1122300DPF*1610600439~NM1*IL*1*NAIME*ROMELIA~AAA*N**75*C~DMG*D8*19490204*F~DTP*307*D8*20110125~HL*154*2*22*0~TRN*1*1122300DPH*1610600439~NM1*IL*1*VELEZ*DANIELLA~AAA*N**75*C~DMG*D8*19970327*F~DTP*307*D8*20110102~HL*155*2*22*0~TRN*1*1122300DPJ*1610600439~NM1*IL*1*VELEZ*DANIELLA~AAA*N**75*C~DMG*D8*19970327*F~DTP*307*D8*20110113~HL*156*2*22*0~TRN*1*1122300DPK*1610600439~NM1*IL*1*SIMMERS*CHAD~AAA*N**75*C~DMG*D8*19510903*M~DTP*307*D8*20101226~HL*157*2*22*0~TRN*1*1122300DPL*1610600439~NM1*IL*1*HERRENO*IADER~AAA*N**75*C~DMG*D8*20100120*M~DTP*307*D8*20101226~HL*158*2*22*0~TRN*1*1122300DPN*1610600439~NM1*IL*1*FLETCHER*SHIRLEY~AAA*N**75*C~DMG*D8*19510326*F~DTP*307*D8*20110224~HL*159*2*22*0~TRN*1*1122300DPP*1610600439~NM1*IL*1*ROBERTSON*JOHN~AAA*N**75*C~DMG*D8*19320229*M~DTP*307*D8*20101229~HL*160*2*22*0~TRN*1*1122300DPS*1610600439~NM1*IL*1*EYL*BONNIE~AAA*N**75*C~DMG*D8*19470620*F~DTP*307*D8*20110131~HL*161*2*22*0~TRN*1*1122300DPV*1610600439~NM1*IL*1*EYL*BONNIE~AAA*N**75*C~DMG*D8*19470620*F~DTP*307*D8*20110303~HL*162*2*22*0~TRN*1*1122300DPX*1610600439~NM1*IL*1*BROWN*CHRISTIAN*A***MI*9502938178~N4*****CY*35~DMG*D8*20100920*M~DTP*307*D8*20101227~EB*6~DTP*307*RD8*20101227-20101227~HL*163*2*22*0~TRN*1*1122300DQ2*1610600439~NM1*IL*1*PEREZ*ESPERANZA****MI*2663150762~REF*F6*266315076M~N4*****CY*13~DMG*D8*19120210*F~DTP*307*D8*20101230~EB*1*IND*30*MC*MS  | Full Medicaid~DTP*307*RD8*20101230-20101230~EB*1*IND*30*MA~DTP*307*RD8*20101230-20101230~EB*1*IND*30*MB~DTP*307*RD8*20101230-20101230~EB*L*IND*96*MC*Frail-Elder~DTP*307*RD8*20101230-20101230~LS*2120~NM1*1P*2*EVERCARE-UNITED-DADE~N4*SUNRISE*FL*33323~PER*IC**TE*8007919233~LE*2120~EB*F*IND*AL*MC*Last Eyeglasses Date~DTP*472*RD8*19991206-19991206~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*181~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*164*2*22*0~TRN*1*1122300DQ6*1610600439~NM1*IL*1*ROJAS*VICKIE~AAA*N**75*C~DMG*D8*19651004*F~DTP*307*D8*20110215~HL*165*2*22*0~TRN*1*1122300DQ8*1610600439~NM1*IL*1*DELOSSANTOS*FATIMA~AAA*N**75*C~DMG*D8*19580612*F~DTP*307*D8*20101228~HL*166*2*22*0~TRN*1*1122300DQ9*1610600439~NM1*IL*1*BEAUDOUIN*MARIO****MI*9496136770~N4*****CY*13~DMG*D8*19710712*M~DTP*307*D8*20101230~EB*6~DTP*307*RD8*20101230-20101230~HL*167*2*22*0~TRN*1*1122300DQC*1610600439~NM1*IL*1*HERRERA*DANIEL****MI*1633621138~N4*****CY*13~DMG*D8*19820815*M~DTP*307*D8*20101229~EB*6~DTP*307*RD8*20101229-20101229~HL*168*2*22*0~TRN*1*1122300DQJ*1610600439~NM1*IL*1*MARVILLI*NORA~AAA*N**75*C~DMG*D8*19600403*F~DTP*307*D8*20101229~HL*169*2*22*0~TRN*1*1122300DQL*1610600439~NM1*IL*1*NIEVES*JESUS~AAA*N**75*C~DMG*D8*19420907*M~DTP*307*D8*20110107~HL*170*2*22*0~TRN*1*1122300DQP*1610600439~NM1*IL*1*NIEVES*JESUS~AAA*N**75*C~DMG*D8*19420907*M~DTP*307*D8*20110130~HL*171*2*22*0~TRN*1*1122300DQQ*1610600439~NM1*IL*1*DALEY*SHAMAR~AAA*N**75*C~DMG*D8*19990615*M~DTP*307*D8*20110101~HL*172*2*22*0~TRN*1*1122300DQR*1610600439~NM1*IL*1*BOTERO*GUILLERMO~AAA*N**75*C~DMG*D8*19681220*M~DTP*307*D8*20110101~HL*173*2*22*0~TRN*1*1122300DQT*1610600439~NM1*IL*1*RIZZO*ERNESTO~AAA*N**75*C~DMG*D8*19910907*M~DTP*307*D8*20101231~HL*174*2*22*0~TRN*1*1122300DQV*1610600439~NM1*IL*1*BAKER*MELVIN~AAA*N**75*C~DMG*D8*19600407*M~DTP*307*D8*20110113~HL*175*2*22*0~TRN*1*1122300DQY*1610600439~NM1*IL*1*BROWN*DAVID~AAA*N**75*C~DMG*D8*19810214*M~DTP*307*D8*20101231~HL*176*2*22*0~TRN*1*1122300DR3*1610600439~NM1*IL*1*AVILA*DOXANNE~AAA*N**75*C~DMG*D8*19650804*F~DTP*307*D8*20110106~HL*177*2*22*0~TRN*1*1122300DR4*1610600439~NM1*IL*1*ALBERIC*JOHNNY****MI*7541075957~N4*****CY*13~DMG*D8*19790509*M~DTP*307*D8*20110101~EB*6~DTP*307*RD8*20110101-20110101~HL*178*2*22*0~TRN*1*1122300DR7*1610600439~NM1*IL*1*STRICKLAND*DONOVAN*D***MI*2140625111~N4*****CY*13~DMG*D8*19850807*M~DTP*307*D8*20110102~EB*6~DTP*307*RD8*20110102-20110102~HL*179*2*22*0~TRN*1*1122300DR9*1610600439~NM1*IL*1*ESPINOZA*JOSEFINA~AAA*N**75*C~DMG*D8*19620907*F~DTP*307*D8*20110102~HL*180*2*22*0~TRN*1*1122300DRC*1610600439~NM1*IL*1*MELTON*JOHN~AAA*N**75*C~DMG*D8*19800622*M~DTP*307*D8*20110102~HL*181*2*22*0~TRN*1*1122300DRG*1610600439~NM1*IL*1*WILLIAMS*WINSTON~AAA*N**75*C~DMG*D8*19591219*M~DTP*307*D8*20110120~HL*182*2*22*0~TRN*1*1122300DRM*1610600439~NM1*IL*1*WILLIAMS*WINSTON~AAA*N**75*C~DMG*D8*19591219*M~DTP*307*D8*20110131~HL*183*2*22*0~TRN*1*1122300DRR*1610600439~NM1*IL*1*WILLIAMS*WINSTON~AAA*N**75*C~DMG*D8*19591219*M~DTP*307*D8*20110222~HL*184*2*22*0~TRN*1*1122300DRW*1610600439~NM1*IL*1*BOODRAM*RAMPERTAP~AAA*N**75*C~DMG*D8*19510421*M~DTP*307*D8*20110224~HL*185*2*22*0~TRN*1*1122300DRX*1610600439~NM1*IL*1*MARSHALL*SHANIEK~AAA*N**75*C~DMG*D8*19910423*F~DTP*307*D8*20110323~HL*186*2*22*0~TRN*1*1122300DRZ*1610600439~NM1*IL*1*OTERO*HILDA****MI*7531848996~N4*****CY*06~DMG*D8*19250513*F~DTP*307*D8*20110105~EB*6~DTP*307*RD8*20110105-20110105~HL*187*2*22*0~TRN*1*1122300DS0*1610600439~NM1*IL*1*SANZ*LUIS****MI*9507078321~N4*****CY*06~DMG*D8*19540506*M~DTP*307*D8*20110303~EB*6~DTP*307*RD8*20110303-20110303~HL*188*2*22*0~TRN*1*1122300DS2*1610600439~NM1*IL*1*SANZ*LUIS****MI*9507078321~N4*****CY*06~DMG*D8*19540506*M~DTP*307*D8*20110310~EB*6~DTP*307*RD8*20110310-20110310~HL*189*2*22*0~TRN*1*1122300DS3*1610600439~NM1*IL*1*SANZ*LUIS****MI*9507078321~N4*****CY*06~DMG*D8*19540506*M~DTP*307*D8*20110323~EB*6~DTP*307*RD8*20110323-20110323~HL*190*2*22*0~TRN*1*1122300DS6*1610600439~NM1*IL*1*HUNTER*DAVID~AAA*N**75*C~DMG*D8*19821107*M~DTP*307*D8*20110105~HL*191*2*22*0~TRN*1*1122300DS9*1610600439~NM1*IL*1*CLARK*JAMES*T***MI*7412111787~N4*****CY*06~DMG*D8*19790920*M~DTP*307*D8*20110104~EB*6~DTP*307*RD8*20110104-20110104~HL*192*2*22*0~TRN*1*1122300DSD*1610600439~NM1*IL*1*TUCKER*TANYA~AAA*N**75*C~DMG*D8*19761217*F~DTP*307*D8*20110112~HL*193*2*22*0~TRN*1*1122300DSF*1610600439~NM1*IL*1*TUCKER*TANYA~AAA*N**75*C~DMG*D8*19761217*F~DTP*307*D8*20110114~HL*194*2*22*0~TRN*1*1122300DSG*1610600439~NM1*IL*1*TUCKER*TANYA~AAA*N**75*C~DMG*D8*19761217*F~DTP*307*D8*20110116~HL*195*2*22*0~TRN*1*1122300DSH*1610600439~NM1*IL*1*CUTLER*JEANNETTE~AAA*N**75*C~DMG*D8*19711208*F~DTP*307*D8*20110105~HL*196*2*22*0~TRN*1*1122300DSJ*1610600439~NM1*IL*1*HILL*MEGAN~AAA*N**75*C~DMG*D8*19900524*F~DTP*307*D8*20110104~HL*197*2*22*0~TRN*1*1122300DSK*1610600439~NM1*IL*1*MEDINA*ALEX~AAA*N**75*C~DMG*D8*19751101*M~DTP*307*D8*20110105~HL*198*2*22*0~TRN*1*1122300DSM*1610600439~NM1*IL*1*CAVALLO*VICTORIA~AAA*N**75*C~DMG*D8*19890513*F~DTP*307*D8*20110105~HL*199*2*22*0~TRN*1*1122300DSQ*1610600439~NM1*IL*1*STEWART*SEAN*A***MI*7820432934~N4*****CY*13~DMG*D8*19950702*M~DTP*307*D8*20110106~EB*1*IND*30*MC*EBA| limited to OTC items~DTP*307*RD8*20110106-20110106~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~EB*D*IND*68*MC*Last CHCUP Dental Screen~DTP*472*D8*20061130~HL*200*2*22*0~TRN*1*1122300DSR*1610600439~NM1*IL*1*YARBRO*CORNELIUS~AAA*N**75*C~DMG*D8*19400815*M~DTP*307*D8*20110105~HL*201*2*22*0~TRN*1*1122300DSS*1610600439~NM1*IL*1*HOFF*JOANN~AAA*N**75*C~DMG*D8*19580325*F~DTP*307*D8*20110107~HL*202*2*22*0~TRN*1*1122300DST*1610600439~NM1*IL*1*HOFF*JOANN~AAA*N**75*C~DMG*D8*19580325*F~DTP*307*D8*20110109~HL*203*2*22*0~TRN*1*1122300DSX*1610600439~NM1*IL*1*NIKROOYEASLI*MOHAMMAD~AAA*N**75*C~DMG*D8*19480130*M~DTP*307*D8*20110112~HL*204*2*22*0~TRN*1*1122300DSY*1610600439~NM1*IL*1*NIKROOYEASLI*MOHAMMAD~AAA*N**75*C~DMG*D8*19480130*M~DTP*307*D8*20110130~HL*205*2*22*0~TRN*1*1122300DSZ*1610600439~NM1*IL*1*SEAWARD*CARTER~AAA*N**75*C~DMG*D8*19710602*F~DTP*307*D8*20110105~HL*206*2*22*0~TRN*1*1122300DT0*1610600439~NM1*IL*1*SPENCER*BRITTANY****MI*7607279466~N4*****CY*06~DMG*D8*19950322*F~DTP*307*D8*20110106~EB*6~DTP*307*RD8*20110106-20110106~HL*207*2*22*0~TRN*1*1122300DT2*1610600439~NM1*IL*1*HAYNES*KENNETH****MI*7346956605~N4*****CY*13~DMG*D8*19730315*M~DTP*307*D8*20110106~EB*6~DTP*307*RD8*20110106-20110106~HL*208*2*22*0~TRN*1*1122300DT7*1610600439~NM1*IL*1*MANDELBAUM*ARLENE~AAA*N**75*C~DMG*D8*19340623*F~DTP*307*D8*20110113~HL*209*2*22*0~TRN*1*1122300DTB*1610600439~NM1*IL*1*LARACUENTE*ANDREA*F***MI*7346882857~N4*****CY*06~DMG*D8*19881026*F~DTP*307*D8*20110107~EB*6~DTP*307*RD8*20110107-20110107~HL*210*2*22*0~TRN*1*1122300DTD*1610600439~NM1*IL*1*CHACON*SUAREZ~AAA*N**75*C~DMG*D8*19710409*M~DTP*307*D8*20110108~HL*211*2*22*0~TRN*1*1122300DTG*1610600439~NM1*IL*1*EMERAN*GUY~AAA*N**75*C~DMG*D8*19741230*M~DTP*307*D8*20110108~HL*212*2*22*0~TRN*1*1122300DTH*1610600439~NM1*IL*1*JEAN GILLES*FRITZNEL~AAA*N**75*C~DMG*D8*19800523*M~DTP*307*D8*20110411~HL*213*2*22*0~TRN*1*1122300DTL*1610600439~NM1*IL*1*ST*GEORGES~AAA*N**75*C~DMG*D8*20101230*M~DTP*307*D8*20110109~HL*214*2*22*0~TRN*1*1122300DTN*1610600439~NM1*IL*1*PEARSON*DAPHNE~AAA*N**75*C~DMG*D8*19651213*F~DTP*307*D8*20110113~HL*215*2*22*0~TRN*1*1122300DTP*1610600439~NM1*IL*1*VENTURA*AUSTIN~AAA*N**75*C~DMG*D8*19950720*M~DTP*307*D8*20110110~HL*216*2*22*0~TRN*1*1122300DTQ*1610600439~NM1*IL*1*ABURMAN*ABRAHAM*S***MI*7592332639~N4*****CY*13~DMG*D8*19711012*M~DTP*307*D8*20110112~EB*6~DTP*307*RD8*20110112-20110112~HL*217*2*22*0~TRN*1*1122300DTS*1610600439~NM1*IL*1*ROSELL*JORDAN~AAA*N**75*C~DMG*D8*19030308*M~DTP*307*D8*20110112~HL*218*2*22*0~TRN*1*1122300DTV*1610600439~NM1*IL*1*TAYLOR*DAVID~AAA*N**75*C~DMG*D8*19650421*M~DTP*307*D8*20110219~HL*219*2*22*0~TRN*1*1122300DTZ*1610600439~NM1*IL*1*MACHADO*XAVIER~AAA*N**75*C~DMG*D8*20090505*M~DTP*307*D8*20110112~HL*220*2*22*0~TRN*1*1122300DV0*1610600439~NM1*IL*1*FELIX*JEAN~AAA*N**75*C~DMG*D8*19471111*M~DTP*307*D8*20110116~HL*221*2*22*0~TRN*1*1122300DV1*1610600439~NM1*IL*1*BRICENO*CHRISTIAN*A***MI*7508977262~N4*****CY*13~DMG*D8*19931017*M~DTP*307*D8*20110118~EB*6~DTP*307*RD8*20110118-20110118~HL*222*2*22*0~TRN*1*1122300DV4*1610600439~NM1*IL*1*RICHARD*ROSE~AAA*N**75*C~DMG*D8*19891224*F~DTP*307*D8*20110303~HL*223*2*22*0~TRN*1*1122300DV7*1610600439~NM1*IL*1*NELSON*JESSICA 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limited to OTC items~DTP*307*RD8*20110125-20110125~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~EB*D*IND*68*MC*Last CHCUP Medical Screen~DTP*472*D8*20110308~EB*D*IND*68*MC*Last CHCUP Blood Lead Test~DTP*472*D8*20110308~HL*258*2*22*0~TRN*1*1122300DXJ*1610600439~NM1*IL*1*CAMPUSJACKSON*OLGA~AAA*N**75*C~DMG*D8*19620326*F~DTP*307*D8*20110120~HL*259*2*22*0~TRN*1*1122300DXL*1610600439~NM1*IL*1*RODRIGUEZ*CARMEN~AAA*N**75*C~DMG*D8*19410616*F~DTP*307*D8*20110201~HL*260*2*22*0~TRN*1*1122300DXT*1610600439~NM1*IL*1*ALCANTARA*SANDRA~AAA*N**75*C~DMG*D8*19830309*F~DTP*307*D8*20110118~HL*261*2*22*0~TRN*1*1122300DXX*1610600439~NM1*IL*1*VARELA*KEVIN*I***MI*7809705245~N4*****CY*06~DMG*D8*20010117*M~DTP*307*D8*20110118~EB*1*IND*30*MC*MA U| Full Medicaid~DTP*307*RD8*20110118-20110118~EB*1*IND*30*MC*EBA| limited to OTC items~DTP*307*RD8*20110118-20110118~EB*L*IND*96*MC*Medicaid Reform HMO~DTP*307*RD8*20110118-20110118~LS*2120~NM1*1P*2*R-SUNSHINE STATE HEALTH PLAN, INC~N4*SUNRISE*FL*333256249~PER*IC**TE*8667960530~LE*2120~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~EB*D*IND*68*MC*Last CHCUP Medical Screen~DTP*472*D8*20100203~EB*D*IND*68*MC*Last CHCUP Dental Screen~DTP*472*D8*20050929~EB*D*IND*68*MC*Last CHCUP Blood Lead Test~DTP*472*D8*20030123~HL*262*2*22*0~TRN*1*1122300DY3*1610600439~NM1*IL*1*NAZARIO*LISA*M***MI*7591681974~N4*****CY*06~DMG*D8*19741001*F~DTP*307*D8*20110208~EB*6~DTP*307*RD8*20110208-20110208~HL*263*2*22*0~TRN*1*1122300DY4*1610600439~NM1*IL*1*FLEURIVAL*SHIRLEY~AAA*N**75*C~DMG*D8*19710313*F~DTP*307*D8*20110119~HL*264*2*22*0~TRN*1*1122300DY5*1610600439~NM1*IL*1*CAMPBELL*MARGARET~AAA*N**75*C~DMG*D8*19340822*F~DTP*307*D8*20110123~HL*265*2*22*0~TRN*1*1122300DY7*1610600439~NM1*IL*1*CAMPBELL*MARGARET~AAA*N**75*C~DMG*D8*19340822*F~DTP*307*D8*20110125~HL*266*2*22*0~TRN*1*1122300DY9*1610600439~NM1*IL*1*OTERO*ADAMINTA~AAA*N**75*C~DMG*D8*19560917*F~DTP*307*D8*20110119~HL*267*2*22*0~TRN*1*1122300DYC*1610600439~NM1*IL*1*LASCAZE*MICHEL~AAA*N**75*C~DMG*D8*19450828*M~DTP*307*D8*20110120~HL*268*2*22*0~TRN*1*1122300DYD*1610600439~NM1*IL*1*MURIEL*MERCADO~AAA*N**75*C~DMG*D8*19790511*F~DTP*307*D8*20110119~HL*269*2*22*0~TRN*1*1122300DYF*1610600439~NM1*IL*1*TOSADO*KARELYS~AAA*N**75*C~DMG*D8*19800430*F~DTP*307*D8*20110406~HL*270*2*22*0~TRN*1*1122300DYH*1610600439~NM1*IL*1*GARCIA*LEYLA*M***MI*7347963630~N4*****CY*13~DMG*D8*19601022*F~DTP*307*D8*20110121~EB*6~DTP*307*RD8*20110121-20110121~HL*271*2*22*0~TRN*1*1122300DYL*1610600439~NM1*IL*1*MOSES*HERNANDEZ~AAA*N**75*C~DMG*D8*19760103*F~DTP*307*D8*20110121~HL*272*2*22*0~TRN*1*1122300DYQ*1610600439~NM1*IL*1*DANIEL*WILLIS*K***MI*8673998531~N4*****CY*13~DMG*D8*19440823*M~DTP*307*D8*20110208~EB*6~DTP*307*RD8*20110208-20110208~HL*273*2*22*0~TRN*1*1122300DYS*1610600439~NM1*IL*1*JEANLOUIS*JOHNNIE~AAA*N**75*C~DMG*D8*19820115*M~DTP*307*D8*20110121~HL*274*2*22*0~TRN*1*1122300DYX*1610600439~NM1*IL*1*SAGER*BRETT~AAA*N**75*C~DMG*D8*19860114*M~DTP*307*D8*20110121~HL*275*2*22*0~TRN*1*1122300DYZ*1610600439~NM1*IL*1*PAPILLON*CECILE~AAA*N**75*C~DMG*D8*19390414*F~DTP*307*D8*20110121~HL*276*2*22*0~TRN*1*1122300DZ0*1610600439~NM1*IL*1*PERES*ADRIANA~AAA*N**75*C~DMG*D8*19680630*F~DTP*307*D8*20110121~HL*277*2*22*0~TRN*1*1122300DZ1*1610600439~NM1*IL*1*BETANCOURT*RAIZA*B***MI*9504940307~N4*****CY*13~DMG*D8*19430813*F~DTP*307*D8*20110308~EB*1*IND*30*MC*ML S| Limited to emergency services~DTP*307*RD8*20110308-20110308~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*278*2*22*0~TRN*1*1122300DZ4*1610600439~NM1*IL*1*TOBAR*CHRIS~AAA*N**75*C~DMG*D8*20000604*M~DTP*307*D8*20110122~HL*279*2*22*0~TRN*1*1122300DZ7*1610600439~NM1*IL*1*KNOX*ZACKIE*J***MI*7340987291~N4*****CY*06~DMG*D8*19770619*M~DTP*307*D8*20110122~EB*6~DTP*307*RD8*20110122-20110122~HL*280*2*22*0~TRN*1*1122300DZ9*1610600439~NM1*IL*1*AGUILAR*MEGHANT*Y***MI*8638504691~N4*****CY*06~DMG*D8*19930104*F~DTP*307*D8*20110122~EB*1*IND*30*MC*EBA| limited to OTC items~DTP*307*RD8*20110122-20110122~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~EB*D*IND*68*MC*Last CHCUP Medical Screen~DTP*472*D8*20090928~EB*D*IND*68*MC*Last CHCUP Dental Screen~DTP*472*D8*20100623~HL*281*2*22*0~TRN*1*1122300DZF*1610600439~NM1*IL*1*FORBES*NYHESHA****MI*7465249295~N4*****CY*13~DMG*D8*19921014*F~DTP*307*D8*20110123~EB*6~DTP*307*RD8*20110123-20110123~HL*282*2*22*0~TRN*1*1122300DZM*1610600439~NM1*IL*1*WATSON*DAUVANTAY~AAA*N**75*C~DMG*D8*19850813*M~DTP*307*D8*20110205~HL*283*2*22*0~TRN*1*1122300DZP*1610600439~NM1*IL*1*BENCOMO*CRYSTAL~AAA*N**75*C~DMG*D8*19920723*F~DTP*307*D8*20110221~HL*284*2*22*0~TRN*1*1122300DZR*1610600439~NM1*IL*1*CELESTIN*KYLE*J***MI*7987043737~N4*****CY*06~DMG*D8*20041220*M~DTP*307*D8*20110123~EB*1*IND*30*MC*EBA| limited to OTC items~DTP*307*RD8*20110123-20110123~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~EB*D*IND*68*MC*Last CHCUP Medical Screen~DTP*472*D8*20070529~EB*D*IND*68*MC*Last CHCUP Blood Lead Test~DTP*472*D8*20060117~HL*285*2*22*0~TRN*1*1122300DZW*1610600439~NM1*IL*1*GIDDINGS BEDASSIE*KIMARA~AAA*N**75*C~DMG*D8*19680815*F~DTP*307*D8*20110117~HL*286*2*22*0~TRN*1*1122300DZY*1610600439~NM1*IL*1*FISHER*LAURETTA~AAA*N**75*C~DMG*D8*19250425*F~DTP*307*D8*20110126~HL*287*2*22*0~TRN*1*1122300DZZ*1610600439~NM1*IL*1*MIRANDA*SERGIO~AAA*N**75*C~DMG*D8*19361014*M~DTP*307*D8*20110124~HL*288*2*22*0~TRN*1*1122300F01*1610600439~NM1*IL*1*RANDOLPH*TRESHUN*L***MI*1358218102~N4*****CY*06~DMG*D8*19750603*F~DTP*307*D8*20110130~EB*6~DTP*307*RD8*20110130-20110130~HL*289*2*22*0~TRN*1*1122300F06*1610600439~NM1*IL*1*RIVERA*ARLEEN~AAA*N**75*C~DMG*D8*19620729*F~DTP*307*D8*20110128~HL*290*2*22*0~TRN*1*1122300F0B*1610600439~NM1*IL*1*NAVARRETE*JADEN*R***MI*9253414952~N4*****CY*06~DMG*D8*20020626*F~DTP*307*D8*20110124~EB*6~DTP*307*RD8*20110124-20110124~HL*291*2*22*0~TRN*1*1122300F0D*1610600439~NM1*IL*1*DUENAS*FABIAN~AAA*N**75*C~DMG*D8*19520323*M~DTP*307*D8*20110125~HL*292*2*22*0~TRN*1*1122300F0G*1610600439~NM1*IL*1*SCRIVENS*LE~AAA*N**75*C~DMG*D8*19860812*F~DTP*307*D8*20110125~HL*293*2*22*0~TRN*1*1122300F0H*1610600439~NM1*IL*1*REYES*DE~AAA*N**75*C~DMG*D8*19700410*F~DTP*307*D8*20110124~HL*294*2*22*0~TRN*1*1122300F0L*1610600439~NM1*IL*1*AIDUCK*AYLA~AAA*N**75*C~DMG*D8*20000720*F~DTP*307*D8*20110125~HL*295*2*22*0~TRN*1*1122300F0N*1610600439~NM1*IL*1*MOODY*ADAM~AAA*N**75*C~DMG*D8*19620417*M~DTP*307*D8*20110316~HL*296*2*22*0~TRN*1*1122300F0Q*1610600439~NM1*IL*1*ARMENTEROS*MARIA~AAA*N**75*C~DMG*D8*19370225*F~DTP*307*D8*20110130~HL*297*2*22*0~TRN*1*1122300F0T*1610600439~NM1*IL*1*LARCHEVEAUX*DYVONIER*S***MI*9251028214~N4*****CY*06~DMG*D8*19990103*F~DTP*307*D8*20110126~EB*6~DTP*307*RD8*20110126-20110126~HL*298*2*22*0~TRN*1*1122300F0X*1610600439~NM1*IL*1*BERMUDEZ*GABRIELA****MI*3800957108~N4*****CY*13~DMG*D8*19910506*F~DTP*307*D8*20110126~EB*6~DTP*307*RD8*20110126-20110126~HL*299*2*22*0~TRN*1*1122300F10*1610600439~NM1*IL*1*LIPNIK*LULI~AAA*N**75*C~DMG*D8*20050418*F~DTP*307*D8*20110126~HL*300*2*22*0~TRN*1*1122300F12*1610600439~NM1*IL*1*SQUIRES*ROGER~AAA*N**75*C~DMG*D8*19630916*M~DTP*307*D8*20110127~HL*301*2*22*0~TRN*1*1122300F14*1610600439~NM1*IL*1*ESCOBAR*JUAN~AAA*N**75*C~DMG*D8*19830312*M~DTP*307*D8*20110127~HL*302*2*22*0~TRN*1*1122300F16*1610600439~NM1*IL*1*MOTOLA*SAMANTHA~AAA*N**75*C~DMG*D8*20071203*F~DTP*307*D8*20110128~HL*303*2*22*0~TRN*1*1122300F18*1610600439~NM1*IL*1*MCKISSICK*ELMA~AAA*N**75*C~DMG*D8*19481008*F~DTP*307*D8*20110129~HL*304*2*22*0~TRN*1*1122300F19*1610600439~NM1*IL*1*MCKISSICK*ELMA~AAA*N**75*C~DMG*D8*19481008*F~DTP*307*D8*20110202~HL*305*2*22*0~TRN*1*1122300F1C*1610600439~NM1*IL*1*MCKISSICK*ELMA~AAA*N**75*C~DMG*D8*19481008*F~DTP*307*D8*20110222~HL*306*2*22*0~TRN*1*1122300F1D*1610600439~NM1*IL*1*MARTIN*HYDIEA*N***MI*7529495194~N4*****CY*13~DMG*D8*19940313*F~DTP*307*D8*20110128~EB*6~DTP*307*RD8*20110128-20110128~HL*307*2*22*0~TRN*1*1122300F1L*1610600439~NM1*IL*1*OLOWODOLA*TEMILADE****MI*3523967023~N4*****CY*13~DMG*D8*19621013*F~DTP*307*D8*20110128~EB*6~DTP*307*RD8*20110128-20110128~HL*308*2*22*0~TRN*1*1122300F1N*1610600439~NM1*IL*1*LERMA*CHRISTIAN~AAA*N**75*C~DMG*D8*19931126*M~DTP*307*D8*20110128~HL*309*2*22*0~TRN*1*1122300F1Q*1610600439~NM1*IL*1*PEREA*CARMEN~AAA*N**75*C~DMG*D8*19391207*F~DTP*307*D8*20110302~HL*310*2*22*0~TRN*1*1122300F1W*1610600439~NM1*IL*1*OPHER*LEVY~AAA*N**75*C~DMG*D8*19650629*M~DTP*307*D8*20110318~HL*311*2*22*0~TRN*1*1122300F1Y*1610600439~NM1*IL*1*LOUISJEUNE*FALIERE~AAA*N**75*C~DMG*D8*19420128*M~DTP*307*D8*20110202~HL*312*2*22*0~TRN*1*1122300F23*1610600439~NM1*IL*1*LOUISJEUNE*FALIERE~AAA*N**75*C~DMG*D8*19420128*M~DTP*307*D8*20110204~HL*313*2*22*0~TRN*1*1122300F25*1610600439~NM1*IL*1*BREEN*ANDREW~AAA*N**75*C~DMG*D8*19530316*M~DTP*307*D8*20110129~HL*314*2*22*0~TRN*1*1122300F26*1610600439~NM1*IL*1*GAINEY*MELISSA~AAA*N**75*C~DMG*D8*19870223*F~DTP*307*D8*20110225~HL*315*2*22*0~TRN*1*1122300F27*1610600439~NM1*IL*1*CAVE*VANESSA****MI*7688207649~N4*****CY*06~DMG*D8*19741001*F~DTP*307*D8*20110130~EB*1*IND*30*MC*EBA| limited to OTC items~DTP*307*RD8*20110130-20110130~EB*F*IND*AL*MC*Last Eyeglasses Date~DTP*472*RD8*19980626-19980626~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*316*2*22*0~TRN*1*1122300F28*1610600439~NM1*IL*1*MITTELBERG*ALAN~AAA*N**75*C~DMG*D8*19650226*M~DTP*307*D8*20110207~HL*317*2*22*0~TRN*1*1122300F2B*1610600439~NM1*IL*1*TOLEDO*YXIAM~AAA*N**75*C~DMG*D8*19730211*F~DTP*307*D8*20110130~HL*318*2*22*0~TRN*1*1122300F2K*1610600439~NM1*IL*1*SPIVEY*WILLIE****MI*8884557569~N4*****CY*13~DMG*D8*19600414*M~DTP*307*D8*20110212~EB*6~DTP*307*RD8*20110212-20110212~HL*319*2*22*0~TRN*1*1122300F2P*1610600439~NM1*IL*1*JOSEPH*ROSEMENE~AAA*N**75*C~DMG*D8*19630322*F~DTP*307*D8*20110211~HL*320*2*22*0~TRN*1*1122300F2R*1610600439~NM1*IL*1*CONTRERAS*RUFINO~AAA*N**75*C~DMG*D8*19430716*M~DTP*307*D8*20110131~HL*321*2*22*0~TRN*1*1122300F2Y*1610600439~NM1*IL*1*QUINONEZ*LILIAN~AAA*N**75*C~DMG*D8*19661006*F~DTP*307*D8*20110131~HL*322*2*22*0~TRN*1*1122300F33*1610600439~NM1*IL*1*QUINONEZ*LILIAN~AAA*N**75*C~DMG*D8*19661006*F~DTP*307*D8*20110208~HL*323*2*22*0~TRN*1*1122300F35*1610600439~NM1*IL*1*FRANCOIS*PAUL~AAA*N**75*C~DMG*D8*19401211*M~DTP*307*D8*20110202~HL*324*2*22*0~TRN*1*1122300F38*1610600439~NM1*IL*1*COLLEY*ISRAEL~AAA*N**75*C~DMG*D8*19710420*M~DTP*307*D8*20110131~HL*325*2*22*0~TRN*1*1122300F3B*1610600439~NM1*IL*1*ST*GILLES~AAA*N**75*C~DMG*D8*19980302*M~DTP*307*D8*20110201~HL*326*2*22*0~TRN*1*1122300F3D*1610600439~NM1*IL*1*CAMARGO*VALDEVIR~AAA*N**75*C~DMG*D8*19760508*M~DTP*307*D8*20110209~HL*327*2*22*0~TRN*1*1122300F3G*1610600439~NM1*IL*1*VIERA*ODALYS****MI*8647789580~N4*****CY*13~DMG*D8*19620322*F~DTP*307*D8*20110201~EB*6~DTP*307*RD8*20110201-20110201~HL*328*2*22*0~TRN*1*1122300F3P*1610600439~NM1*IL*1*GARCIA*DYLAN*A***MI*9261683291~N4*****CY*06~DMG*D8*20060410*M~DTP*307*D8*20110403~EB*6~DTP*307*RD8*20110403-20110403~HL*329*2*22*0~TRN*1*1122300F40*1610600439~NM1*IL*1*PETITJEUNE*TRISTAN~AAA*N**75*C~DMG*D8*20080706*M~DTP*307*D8*20110201~HL*330*2*22*0~TRN*1*1122300F41*1610600439~NM1*IL*1*VELASQUEZ*ANA~AAA*N**75*C~DMG*D8*19760314*F~DTP*307*D8*20110202~HL*331*2*22*0~TRN*1*1122300F43*1610600439~NM1*IL*1*PERSON*ARNOLD~AAA*N**75*C~DMG*D8*19750509*M~DTP*307*D8*20110201~HL*332*2*22*0~TRN*1*1122300F46*1610600439~NM1*IL*1*FILIPPIDES*ANGELA*A***MI*7452721993~N4*****CY*06~DMG*D8*19860529*F~DTP*307*D8*20110202~EB*6~DTP*307*RD8*20110202-20110202~HL*333*2*22*0~TRN*1*1122300F4B*1610600439~NM1*IL*1*WALLACE*REX~AAA*N**75*C~DMG*D8*19500909*M~DTP*307*D8*20110413~HL*334*2*22*0~TRN*1*1122300F4D*1610600439~NM1*IL*1*WALLACE*REX~AAA*N**75*C~DMG*D8*19500909*M~DTP*307*D8*20110414~HL*335*2*22*0~TRN*1*1122300F4G*1610600439~NM1*IL*1*GLENN*JEVON*D***MI*1867061112~N4*****CY*06~DMG*D8*19770531*M~DTP*307*D8*20110204~EB*6~DTP*307*RD8*20110204-20110204~HL*336*2*22*0~TRN*1*1122300F4L*1610600439~NM1*IL*1*DELISFORT*MURIEL~AAA*N**75*C~DMG*D8*19740517*F~DTP*307*D8*20110202~HL*337*2*22*0~TRN*1*1122300F4N*1610600439~NM1*IL*1*BRUCE*DUNCAN~AAA*N**75*C~DMG*D8*19850814*M~DTP*307*D8*20110202~HL*338*2*22*0~TRN*1*1122300F4Y*1610600439~NM1*IL*1*BARRAZA*MANUEL*A***MI*7894597066~N4*****CY*50~DMG*D8*20020609*M~DTP*307*D8*20110203~EB*6~DTP*307*RD8*20110203-20110203~HL*339*2*22*0~TRN*1*1122300F4Z*1610600439~NM1*IL*1*JUNCO*MAGALY~AAA*N**75*C~DMG*D8*19400616*F~DTP*307*D8*20110205~HL*340*2*22*0~TRN*1*1122300F52*1610600439~NM1*IL*1*JUNCO*MAGALY~AAA*N**75*C~DMG*D8*19400616*F~DTP*307*D8*20110207~HL*341*2*22*0~TRN*1*1122300F53*1610600439~NM1*IL*1*VITAL*TAMARA~AAA*N**75*C~DMG*D8*19531006*F~DTP*307*D8*20110203~HL*342*2*22*0~TRN*1*1122300F57*1610600439~NM1*IL*1*STEVENS*ETHLINE~AAA*N**75*C~DMG*D8*19330102*F~DTP*307*D8*20110204~HL*343*2*22*0~TRN*1*1122300F5C*1610600439~NM1*IL*1*LOPEZ*MERLY*C***MI*2434180027~N4*****CY*13~DMG*D8*19700312*F~DTP*307*D8*20110412~EB*6~DTP*307*RD8*20110412-20110412~HL*344*2*22*0~TRN*1*1122300F5K*1610600439~NM1*IL*1*TIGER*JAIMIE*L***MI*7584667082~N4*****CY*06~DMG*D8*19941001*F~DTP*307*D8*20110205~EB*6~DTP*307*RD8*20110205-20110205~HL*345*2*22*0~TRN*1*1122300F5N*1610600439~NM1*IL*1*PEREIRAPEREZ*EDNA~AAA*N**75*C~DMG*D8*19510305*F~DTP*307*D8*20110207~HL*346*2*22*0~TRN*1*1122300F5P*1610600439~NM1*IL*1*PEREIRAPEREZ*EDNA~AAA*N**75*C~DMG*D8*19510305*F~DTP*307*D8*20110421~HL*347*2*22*0~TRN*1*1122300F5Q*1610600439~NM1*IL*1*RODRIGUEZ*HILDA*C***MI*9494422261~N4*****CY*13~DMG*D8*19350406*F~DTP*307*D8*20110207~EB*1*IND*30*MC*ML S| Limited to emergency services~DTP*307*RD8*20110207-20110207~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*43~HL*348*2*22*0~TRN*1*1122300F66*1610600439~NM1*IL*1*URENA*DENICE~AAA*N**75*C~DMG*D8*19731117*F~DTP*307*D8*20110207~HL*349*2*22*0~TRN*1*1122300F67*1610600439~NM1*IL*1*DAOUST*LUCIEN~AAA*N**75*C~DMG*D8*19671220*M~DTP*307*D8*20110204~HL*350*2*22*0~TRN*1*1122300F6B*1610600439~NM1*IL*1*SOLIMENA*FRANK~AAA*N**75*C~DMG*D8*19641009*M~DTP*307*D8*20110206~HL*351*2*22*0~TRN*1*1122300F6D*1610600439~NM1*IL*1*LOPEZ*RICHARD~AAA*N**75*C~DMG*D8*19880713*M~DTP*307*D8*20110206~HL*352*2*22*0~TRN*1*1122300F6J*1610600439~NM1*IL*1*SABATIER*RAMON~AAA*N**75*C~DMG*D8*19620926*M~DTP*307*D8*20110206~HL*353*2*22*0~TRN*1*1122300F6L*1610600439~NM1*IL*1*GONZALEZ*GUSTAVO****MI*1663008108~N4*****CY*32~DMG*D8*19780120*M~DTP*307*D8*20110207~EB*6~DTP*307*RD8*20110207-20110207~HL*354*2*22*0~TRN*1*1122300F6Z*1610600439~NM1*IL*1*WEBSTER*MCKENZIE~AAA*N**75*C~DMG*D8*20051126*F~DTP*307*D8*20110207~HL*355*2*22*0~TRN*1*1122300F72*1610600439~NM1*IL*1*GUERRA*DAYRIN****MI*7782332630~N4*****CY*13~DMG*D8*19871210*F~DTP*307*D8*20110207~EB*6~DTP*307*RD8*20110207-20110207~HL*356*2*22*0~TRN*1*1122300F74*1610600439~NM1*IL*1*MATHEW*JIJO~AAA*N**75*C~DMG*D8*19770803*M~DTP*307*D8*20110207~HL*357*2*22*0~TRN*1*1122300F75*1610600439~NM1*IL*1*ZUCKER*LEON~AAA*N**75*C~DMG*D8*19490220*M~DTP*307*D8*20110215~HL*358*2*22*0~TRN*1*1122300F77*1610600439~NM1*IL*1*HERRERA*SILVIO~AAA*N**75*C~DMG*D8*19590327*M~DTP*307*D8*20110324~HL*359*2*22*0~TRN*1*1122300F7B*1610600439~NM1*IL*1*MARZAN*JOSHUA~AAA*N**75*C~DMG*D8*20010827*M~DTP*307*D8*20110210~HL*360*2*22*0~TRN*1*1122300F7F*1610600439~NM1*IL*1*DALRYMPLE*JEANNETTE~AAA*N**75*C~DMG*D8*19490215*F~DTP*307*D8*20110210~HL*361*2*22*0~TRN*1*1122300F7J*1610600439~NM1*IL*1*PERRY*MAURICE~AAA*N**75*C~DMG*D8*19221210*M~DTP*307*D8*20110208~HL*362*2*22*0~TRN*1*1122300F7P*1610600439~NM1*IL*1*DAVID*ALLAN****MI*7452328167~N4*****CY*06~DMG*D8*19870913*M~DTP*307*D8*20110208~EB*6~DTP*307*RD8*20110208-20110208~HL*363*2*22*0~TRN*1*1122300F7S*1610600439~NM1*IL*1*FEAGIN*DEBRA~AAA*N**75*C~DMG*D8*19590712*F~DTP*307*D8*20110216~HL*364*2*22*0~TRN*1*1122300F7V*1610600439~NM1*IL*1*FEAGIN*DEBRA~AAA*N**75*C~DMG*D8*19590712*F~DTP*307*D8*20110225~HL*365*2*22*0~TRN*1*1122300F7Y*1610600439~NM1*IL*1*STROZIER*KEISHA~AAA*N**75*C~DMG*D8*19790127*F~DTP*307*D8*20110530~HL*366*2*22*0~TRN*1*1122300F81*1610600439~NM1*IL*1*DARIUS*MARIE~AAA*N**75*C~DMG*D8*19630802*F~DTP*307*D8*20110208~HL*367*2*22*0~TRN*1*1122300F82*1610600439~NM1*IL*1*TODMAN*MICHELLE~AAA*N**75*C~DMG*D8*19771226*F~DTP*307*D8*20110209~HL*368*2*22*0~TRN*1*1122300F86*1610600439~NM1*IL*1*STRACHAN*EDWARD*G***MI*1962387119~N4*****CY*06~DMG*D8*19840702*M~DTP*307*D8*20110209~EB*6~DTP*307*RD8*20110209-20110209~HL*369*2*22*0~TRN*1*1122300F88*1610600439~NM1*IL*1*ARCILA*OLGA~AAA*N**75*C~DMG*D8*19651024*F~DTP*307*D8*20110209~HL*370*2*22*0~TRN*1*1122300F8C*1610600439~NM1*IL*1*GONZALEZ*FELIX~AAA*N**75*C~DMG*D8*19710530*M~DTP*307*D8*20110209~HL*371*2*22*0~TRN*1*1122300F8P*1610600439~NM1*IL*1*SOLIS*AIDA****MI*8884503809~REF*F6*263082915A~N4*****CY*13~DMG*D8*19501218*F~DTP*307*D8*20110209~EB*1*IND*30*MC*SLMB| Limited to Medicare Part B premium only~DTP*307*RD8*20110209-20110209~EB*1*IND*30*MA~DTP*307*RD8*20110209-20110209~EB*1*IND*30*MB~DTP*307*RD8*20110209-20110209~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*372*2*22*0~TRN*1*1122300F97*1610600439~NM1*IL*1*GARRIDO*JOSE*A***MI*7869593087~N4*****CY*06~DMG*D8*19650924*M~DTP*307*D8*20110210~EB*6~DTP*307*RD8*20110210-20110210~HL*373*2*22*0~TRN*1*1122300F9D*1610600439~NM1*IL*1*WORKMAN*HANNAH~AAA*N**75*C~DMG*D8*19970619*F~DTP*307*D8*20110210~HL*374*2*22*0~TRN*1*1122300F9G*1610600439~NM1*IL*1*LEGAIR*LASHAWN~AAA*N**75*C~DMG*D8*19761120*F~DTP*307*D8*20110210~HL*375*2*22*0~TRN*1*1122300F9J*1610600439~NM1*IL*1*NGUYEN*SHENEEZA~AAA*N**75*C~DMG*D8*19830725*F~DTP*307*D8*20110209~HL*376*2*22*0~TRN*1*1122300F9L*1610600439~NM1*IL*1*SHEPHERDSOMERS*NIKA~AAA*N**75*C~DMG*D8*19740611*F~DTP*307*D8*20110210~HL*377*2*22*0~TRN*1*1122300F9P*1610600439~NM1*IL*1*PATINO*DORYZANDREA~AAA*N**75*C~DMG*D8*20080202*F~DTP*307*D8*20110210~HL*378*2*22*0~TRN*1*1122300F9Q*1610600439~NM1*IL*1*BUSTOS*JULIO~AAA*N**75*C~DMG*D8*19810109*M~DTP*307*D8*20110315~HL*379*2*22*0~TRN*1*1122300F9T*1610600439~NM1*IL*1*HEELAN*CAITLYN~AAA*N**75*C~DMG*D8*19950110*F~DTP*307*D8*20110211~HL*380*2*22*0~TRN*1*1122300F9W*1610600439~NM1*IL*1*DEROSA*DAVID~AAA*N**75*C~DMG*D8*19600224*M~DTP*307*D8*20110215~HL*381*2*22*0~TRN*1*1122300F9Y*1610600439~NM1*IL*1*OCHOA*NUNES~AAA*N**75*C~DMG*D8*20091223*F~DTP*307*D8*20110211~HL*382*2*22*0~TRN*1*1122300FB1*1610600439~NM1*IL*1*FRIAS*JONATHAN~AAA*N**75*C~DMG*D8*19930106*M~DTP*307*D8*20110212~HL*383*2*22*0~TRN*1*1122300FB5*1610600439~NM1*IL*1*ELM*LAURA*A***MI*7507700950~N4*****CY*06~DMG*D8*19620207*F~DTP*307*D8*20110528~EB*6~DTP*307*RD8*20110528-20110528~HL*384*2*22*0~TRN*1*1122300FB7*1610600439~NM1*IL*1*RUIZ*ALEXANDER~AAA*N**75*C~DMG*D8*19990602*M~DTP*307*D8*20110212~HL*385*2*22*0~TRN*1*1122300FB9*1610600439~NM1*IL*1*FELIX*EDA****MI*3767806029~N4*****CY*13~DMG*D8*19561114*F~DTP*307*D8*20110212~EB*6~DTP*307*RD8*20110212-20110212~HL*386*2*22*0~TRN*1*1122300FBG*1610600439~NM1*IL*1*SAINTFLEUR*ADRIAN~AAA*N**75*C~DMG*D8*20101104*M~DTP*307*D8*20110212~HL*387*2*22*0~TRN*1*1122300FBH*1610600439~NM1*IL*1*RYES RODRIGUEZ*MIGUEL~AAA*N**75*C~DMG*D8*19790330*M~DTP*307*D8*20110407~HL*388*2*22*0~TRN*1*1122300FBJ*1610600439~NM1*IL*1*FONTANEZ*MARCUS*A***MI*7552550261~N4*****CY*06~DMG*D8*19900918*M~DTP*307*D8*20110213~EB*6~DTP*307*RD8*20110213-20110213~HL*389*2*22*0~TRN*1*1122300FBM*1610600439~NM1*IL*1*YERKS*CHARLES****MI*8677410864~N4*****CY*06~DMG*D8*19630209*M~DTP*307*D8*20110214~EB*1*IND*30*MC*EBA| limited to OTC items~DTP*307*RD8*20110214-20110214~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*390*2*22*0~TRN*1*1122300FBQ*1610600439~NM1*IL*1*WHITE*HENRY~AAA*N**75*C~DMG*D8*19640706*M~DTP*307*D8*20110214~HL*391*2*22*0~TRN*1*1122300FBS*1610600439~NM1*IL*1*STEELMAN*DEEANN*M***MI*7417055419~N4*****CY*06~DMG*D8*19740517*F~DTP*307*D8*20110214~EB*1*IND*30*MC*EBA| limited to OTC items~DTP*307*RD8*20110214-20110214~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*392*2*22*0~TRN*1*1122300FBY*1610600439~NM1*IL*1*DENISOV*VALENTIN****MI*9506204233~N4*****CY*06~DMG*D8*19600904*M~DTP*307*D8*20110218~EB*1*IND*30*MC*ML S| Limited to emergency services~DTP*307*RD8*20110218-20110218~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*42~HL*393*2*22*0~TRN*1*1122300FC7*1610600439~NM1*IL*1*MAPP*JAHZARA~AAA*N**75*C~DMG*D8*20091204*F~DTP*307*D8*20110214~HL*394*2*22*0~TRN*1*1122300FCB*1610600439~NM1*IL*1*REYES*KENNETH****MI*7786559663~N4*****CY*06~DMG*D8*19950530*M~DTP*307*D8*20110214~EB*1*IND*30*MC*MM C| Full Medicaid~DTP*307*RD8*20110214-20110214~EB*1*IND*30*MC*EBA| limited to OTC items~DTP*307*RD8*20110214-20110214~EB*L*IND*96*MC*Provider Service Network Reform~DTP*307*RD8*20110214-20110214~LS*2120~NM1*1P*2*R-BETTER HEALTH, LLC~N4*MIAMI*FL*33183~PER*IC**TE*3054085899~LE*2120~EB*L*IND*96*MC*Prepaid RPSN Tran Svcs~DTP*307*RD8*20110214-20110214~LS*2120~NM1*1P*2*R-BETTER HEALTH, LLC~N4*MIAMI*FL*33183~PER*IC**TE*3054085899~LE*2120~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~EB*D*IND*68*MC*Last CHCUP Medical Screen~DTP*472*D8*20091113~EB*D*IND*68*MC*Last CHCUP Dental Screen~DTP*472*D8*20020425~HL*395*2*22*0~TRN*1*1122300FCV*1610600439~NM1*IL*1*ULLOA JUNCO*MATILDE~AAA*N**75*C~DMG*D8*19501014*F~DTP*307*D8*20110218~HL*396*2*22*0~TRN*1*1122300FCW*1610600439~NM1*IL*1*SERTZEN*JORGE*D***MI*9483284333~N4*****CY*13~DMG*D8*19830403*M~DTP*307*D8*20110215~EB*6~DTP*307*RD8*20110215-20110215~HL*397*2*22*0~TRN*1*1122300FCY*1610600439~NM1*IL*1*MARSHALL*ANDREA****MI*7464949374~N4*****CY*06~DMG*D8*19700102*F~DTP*307*D8*20110220~EB*1*IND*30*MC*EBA| limited to OTC items~DTP*307*RD8*20110220-20110220~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days 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| Ltd to Mcare premiums, deductibls and CoIns~DTP*307*RD8*20110221-20110221~EB*1*IND*30*MA~DTP*307*RD8*20110221-20110221~EB*1*IND*30*MB~DTP*307*RD8*20110221-20110221~EB*F*IND*39*MC*Last Lower Denture Date~DTP*472*RD8*20050224-20050224~EB*F*IND*39*MC*Last Upper Denture Date~DTP*472*RD8*20050224-20050224~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*416*2*22*0~TRN*1*1122300FGP*1610600439~NM1*IL*1*EARLE*ANTHONY~AAA*N**75*C~DMG*D8*19630211*M~DTP*307*D8*20110218~HL*417*2*22*0~TRN*1*1122300FGR*1610600439~NM1*IL*1*CASTILLO*VIRGINIA****MI*7593217884~N4*****CY*42~DMG*D8*19640406*F~DTP*307*D8*20110220~EB*6~DTP*307*RD8*20110220-20110220~HL*418*2*22*0~TRN*1*1122300FGX*1610600439~NM1*IL*1*ALONSO*MARIO****MI*7347343461~REF*F6*052467096A~N4*****CY*06~DMG*D8*19430722*M~DTP*307*D8*20110220~EB*1*IND*30*MC*SLMB| Limited to Medicare Part B premium only~DTP*307*RD8*20110220-20110220~EB*1*IND*30*MA~DTP*307*RD8*20110220-20110220~EB*1*IND*30*MB~DTP*307*RD8*20110220-20110220~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*419*2*22*0~TRN*1*1122300FH9*1610600439~NM1*IL*1*TORMO*JASON~AAA*N**75*C~DMG*D8*19580826*M~DTP*307*D8*20110220~HL*420*2*22*0~TRN*1*1122300FHC*1610600439~NM1*IL*1*ROSENBERG*JORDAN~AAA*N**75*C~DMG*D8*19580519*M~DTP*307*D8*20110220~HL*421*2*22*0~TRN*1*1122300FHD*1610600439~NM1*IL*1*STRICKLIN*JAMES~AAA*N**75*C~DMG*D8*19660713*M~DTP*307*D8*20110220~HL*422*2*22*0~TRN*1*1122300FHJ*1610600439~NM1*IL*1*DANIEL*ALAIN****MI*7600799880~N4*****CY*13~DMG*D8*19951013*M~DTP*307*D8*20110219~EB*6~DTP*307*RD8*20110219-20110219~HL*423*2*22*0~TRN*1*1122300FHL*1610600439~NM1*IL*1*GURLEY*GLENN~AAA*N**75*C~DMG*D8*19761007*M~DTP*307*D8*20110221~HL*424*2*22*0~TRN*1*1122300FHN*1610600439~NM1*IL*1*CIFUENTES*MASTER~AAA*N**75*C~DMG*D8*20110221*M~DTP*307*D8*20110225~HL*425*2*22*0~TRN*1*1122300FHP*1610600439~NM1*IL*1*ORTIZ*JUAN*G***MI*7836259641~N4*****CY*13~DMG*D8*19940217*M~DTP*307*D8*20110221~EB*1*IND*30*MC*MM C| Full Medicaid~DTP*307*RD8*20110221-20110221~EB*L*IND*96*MC*MediPass~DTP*307*RD8*20110221-20110221~LS*2120~NM1*1P*1*ALVAREZ*ISRAEL~N4*MIAMI*FL*330150000~PER*IC**TE*3056234444~LE*2120~EB*L*IND*96*MC*Pre-paid Mental Health Plan~DTP*307*RD8*20110221-20110221~LS*2120~NM1*1P*2*PUBLIC HEALTH TRUST OF DADE COUNTY~N4*MIAMI*FL*331361005~PER*IC**TE*8002948642~LE*2120~EB*L*IND*96*MC*Prepaid Dental~DTP*307*RD8*20110221-20110221~LS*2120~NM1*1P*2*DENTAQUEST OF FLORIDA, INC~N4*CORAL GABLES*FL*331340000~PER*IC**TE*3054433111~LE*2120~EB*F*IND*AL*MC*Last Eyeglasses Date~DTP*472*RD8*20110224-20110224~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~EB*D*IND*68*MC*Last CHCUP Medical Screen~DTP*472*D8*20081023~EB*D*IND*68*MC*Last CHCUP Dental Screen~DTP*472*D8*20030109~EB*D*IND*68*MC*Last CHCUP Blood Lead Test~DTP*472*D8*20070713~HL*426*2*22*0~TRN*1*1122300FJ5*1610600439~NM1*IL*1*JOHNSON*SHANICE*A***MI*7964159488~N4*****CY*13~DMG*D8*19930510*F~DTP*307*D8*20110221~EB*6~DTP*307*RD8*20110221-20110221~HL*427*2*22*0~TRN*1*1122300FJF*1610600439~NM1*IL*1*CROSBY*LAMECIA*K***MI*7779049965~N4*****CY*06~DMG*D8*19990825*F~DTP*307*D8*20110221~EB*1*IND*30*MC*MA R| Full Medicaid~DTP*307*RD8*20110221-20110221~EB*1*IND*30*MC*EBA| limited to OTC items~DTP*307*RD8*20110221-20110221~EB*L*IND*96*MC*Provider Service Network Reform~DTP*307*RD8*20110221-20110221~LS*2120~NM1*1P*2*R-SO FL COMM CARE/NBHD~N4*MIAMI*FL*331695142~PER*IC**TE*8668994828~LE*2120~EB*L*IND*96*MC*Prepaid RPSN Tran Svcs~DTP*307*RD8*20110221-20110221~LS*2120~NM1*1P*2*R-SO FL COMM CARE/NBHD~N4*MIAMI*FL*331695142~PER*IC**TE*8668994828~LE*2120~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~EB*D*IND*68*MC*Last CHCUP Dental Screen~DTP*472*D8*20040223~HL*428*2*22*0~TRN*1*1122300FJL*1610600439~NM1*IL*1*JACKSON*KATRINA*L***MI*2014990026~N4*****CY*06~DMG*D8*19690804*F~DTP*307*D8*20110221~EB*1*IND*30*MC*EBA| limited to OTC items~DTP*307*RD8*20110221-20110221~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*429*2*22*0~TRN*1*1122300FJR*1610600439~NM1*IL*1*COOK*MECHELLE*D***MI*7977809664~N4*****CY*06~DMG*D8*19850104*F~DTP*307*D8*20110222~EB*1*IND*30*MC*EBA| limited to OTC items~DTP*307*RD8*20110222-20110222~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*430*2*22*0~TRN*1*1122300FK1*1610600439~NM1*IL*1*GARDNER*ROBERT~AAA*N**75*C~DMG*D8*19501229*M~DTP*307*D8*20110222~HL*431*2*22*0~TRN*1*1122300FK3*1610600439~NM1*IL*1*GONZALEZ*ACOSTA~AAA*N**75*C~DMG*D8*19590317*F~DTP*307*D8*20110222~HL*432*2*22*0~TRN*1*1122300FKB*1610600439~NM1*IL*1*HALE*HOLLYE~AAA*N**75*C~DMG*D8*19761130*F~DTP*307*D8*20110308~HL*433*2*22*0~TRN*1*1122300FKD*1610600439~NM1*IL*1*JACKSON*TRAVIS****MI*7457228543~N4*****CY*13~DMG*D8*19920403*M~DTP*307*D8*20110222~EB*6~DTP*307*RD8*20110222-20110222~HL*434*2*22*0~TRN*1*1122300FKL*1610600439~NM1*IL*1*HAYMER*LINDEN~AAA*N**75*C~DMG*D8*19540127*M~DTP*307*D8*20110223~HL*435*2*22*0~TRN*1*1122300FKN*1610600439~NM1*IL*1*PETRIE*RICARDO~AAA*N**75*C~DMG*D8*19821024*M~DTP*307*D8*20110223~HL*436*2*22*0~TRN*1*1122300FKV*1610600439~NM1*IL*1*RAINES*JAMES~AAA*N**75*C~DMG*D8*19601111*M~DTP*307*D8*20110222~HL*437*2*22*0~TRN*1*1122300FKY*1610600439~NM1*IL*1*RHODES*SHELNITA~AAA*N**75*C~DMG*D8*19730112*F~DTP*307*D8*20110223~HL*438*2*22*0~TRN*1*1122300FL1*1610600439~NM1*IL*1*CEDENO MARQUEZ*VICTOR~AAA*N**75*C~DMG*D8*19720218*M~DTP*307*D8*20110223~HL*439*2*22*0~TRN*1*1122300FL4*1610600439~NM1*IL*1*AVILA*JESUS~AAA*N**75*C~DMG*D8*19540416*M~DTP*307*D8*20110223~HL*440*2*22*0~TRN*1*1122300FL8*1610600439~NM1*IL*1*MARTINEZ*JONATHAN*A***MI*7349085192~N4*****CY*06~DMG*D8*19870913*M~DTP*307*D8*20110222~EB*6~DTP*307*RD8*20110222-20110222~HL*441*2*22*0~TRN*1*1122300FLL*1610600439~NM1*IL*1*CHAN*STEPHEN~AAA*N**75*C~DMG*D8*19481114*M~DTP*307*D8*20110302~HL*442*2*22*0~TRN*1*1122300FLN*1610600439~NM1*IL*1*MIRANDA*LANDESTOY~AAA*N**75*C~DMG*D8*19500729*F~DTP*307*D8*20110223~HL*443*2*22*0~TRN*1*1122300FLR*1610600439~NM1*IL*1*JOSEPH*HEIDI~AAA*N**75*C~DMG*D8*19830613*F~DTP*307*D8*20110318~HL*444*2*22*0~TRN*1*1122300FLV*1610600439~NM1*IL*1*GORDON*SANDRA~AAA*N**75*C~DMG*D8*19551227*F~DTP*307*D8*20110223~HL*445*2*22*0~TRN*1*1122300FLX*1610600439~NM1*IL*1*DOREUS*JIMMI****MI*7708740991~N4*****CY*13~DMG*D8*19790526*M~DTP*307*D8*20110302~EB*6~DTP*307*RD8*20110302-20110302~HL*446*2*22*0~TRN*1*1122300FM1*1610600439~NM1*IL*1*NIEVES*JAVIER*O***MI*7346854608~N4*****CY*13~DMG*D8*19790511*M~DTP*307*D8*20110413~EB*6~DTP*307*RD8*20110413-20110413~HL*447*2*22*0~TRN*1*1122300FM4*1610600439~NM1*IL*1*CRISSIEN*PABLO****MI*7349011881~N4*****CY*13~DMG*D8*19890410*M~DTP*307*D8*20110224~EB*6~DTP*307*RD8*20110224-20110224~HL*448*2*22*0~TRN*1*1122300FM7*1610600439~NM1*IL*1*HAGLER*GUILLERMINA~AAA*N**75*C~DMG*D8*19610817*F~DTP*307*D8*20110308~HL*449*2*22*0~TRN*1*1122300FM8*1610600439~NM1*IL*1*MEJIA*ANA*G***MI*8660148185~N4*****CY*06~DMG*D8*19661224*F~DTP*307*D8*20110223~EB*1*IND*30*MC*MA R| Full Medicaid~DTP*307*RD8*20110223-20110223~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*450*2*22*0~TRN*1*1122300FMH*1610600439~NM1*IL*1*AKHDAR*SIERRA*A***MI*3075144118~N4*****CY*13~DMG*D8*19861209*F~DTP*307*D8*20110223~EB*6~DTP*307*RD8*20110223-20110223~HL*451*2*22*0~TRN*1*1122300FMP*1610600439~NM1*IL*1*HEBERT*SYLVIE~AAA*N**75*C~DMG*D8*19630608*F~DTP*307*D8*20110224~HL*452*2*22*0~TRN*1*1122300FMQ*1610600439~NM1*IL*1*TREJO*RICARDO~AAA*N**75*C~DMG*D8*19650403*M~DTP*307*D8*20110227~HL*453*2*22*0~TRN*1*1122300FMS*1610600439~NM1*IL*1*EBER*CHRISTOPHER~AAA*N**75*C~DMG*D8*19831005*M~DTP*307*D8*20110224~HL*454*2*22*0~TRN*1*1122300FMT*1610600439~NM1*IL*1*BROWN*GREGORY~AAA*N**75*C~DMG*D8*19600422*M~DTP*307*D8*20110224~HL*455*2*22*0~TRN*1*1122300FN0*1610600439~NM1*IL*1*ORTIZ*DIANE~AAA*N**75*C~DMG*D8*19750401*F~DTP*307*D8*20110227~HL*456*2*22*0~TRN*1*1122300FN4*1610600439~NM1*IL*1*BROWN*JAMES~AAA*N**75*C~DMG*D8*19691212*M~DTP*307*D8*20110225~HL*457*2*22*0~TRN*1*1122300FN9*1610600439~NM1*IL*1*AMATO*ASHLEE~AAA*N**75*C~DMG*D8*19861202*F~DTP*307*D8*20110225~HL*458*2*22*0~TRN*1*1122300FND*1610600439~NM1*IL*1*BASCH*REBECCA~AAA*N**75*C~DMG*D8*19950727*F~DTP*307*D8*20110225~HL*459*2*22*0~TRN*1*1122300FNG*1610600439~NM1*IL*1*PRICE*SAMAYAH*L***MI*7813349890~N4*****CY*13~DMG*D8*19961015*F~DTP*307*D8*20110225~EB*6~DTP*307*RD8*20110225-20110225~HL*460*2*22*0~TRN*1*1122300FNP*1610600439~NM1*IL*1*POWELL*MICHAEL~AAA*N**75*C~DMG*D8*19831021*M~DTP*307*D8*20110225~HL*461*2*22*0~TRN*1*1122300FNR*1610600439~NM1*IL*1*JONES*ROGER~AAA*N**75*C~DMG*D8*19751110*M~DTP*307*D8*20110225~HL*462*2*22*0~TRN*1*1122300FNX*1610600439~NM1*IL*1*TRUEBLOOD*CHRISTINA*M***MI*8647738471~N4*****CY*06~DMG*D8*19791124*F~DTP*307*D8*20110225~EB*1*IND*30*MC*EBA| limited to OTC items~DTP*307*RD8*20110225-20110225~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*463*2*22*0~TRN*1*1122300FP4*1610600439~NM1*IL*1*TRUEBLOOD*CHRISTINA*M***MI*8647738471~N4*****CY*06~DMG*D8*19791124*F~DTP*307*D8*20110227~EB*1*IND*30*MC*EBA| limited to OTC items~DTP*307*RD8*20110227-20110227~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*464*2*22*0~TRN*1*1122300FP9*1610600439~NM1*IL*1*PEREIRA*YOLANNY~AAA*N**75*C~DMG*D8*19810928*F~DTP*307*D8*20110224~HL*465*2*22*0~TRN*1*1122300FPC*1610600439~NM1*IL*1*SANCHEZ*HISNARDO~AAA*N**75*C~DMG*D8*19610818*M~DTP*307*D8*20110225~HL*466*2*22*0~TRN*1*1122300FPG*1610600439~NM1*IL*1*BANCKER*BRUCE~AAA*N**75*C~DMG*D8*19480706*M~DTP*307*D8*20110225~HL*467*2*22*0~TRN*1*1122300FPJ*1610600439~NM1*IL*1*ANSARI*DUWA****MI*7862881460~N4*****CY*06~DMG*D8*19920219*F~DTP*307*D8*20110326~EB*6~DTP*307*RD8*20110326-20110326~HL*468*2*22*0~TRN*1*1122300FPN*1610600439~NM1*IL*1*CASTILLO*JEUDY~AAA*N**75*C~DMG*D8*19900803*M~DTP*307*D8*20110226~HL*469*2*22*0~TRN*1*1122300FPP*1610600439~NM1*IL*1*PERRIN*GASTON~AAA*N**75*C~DMG*D8*19300505*M~DTP*307*D8*20110309~HL*470*2*22*0~TRN*1*1122300FPR*1610600439~NM1*IL*1*PEREZ*TERESITA~AAA*N**75*C~DMG*D8*19550517*F~DTP*307*D8*20110226~HL*471*2*22*0~TRN*1*1122300FPY*1610600439~NM1*IL*1*AUGUSTE*LIONEL~AAA*N**75*C~DMG*D8*19540511*M~DTP*307*D8*20110225~HL*472*2*22*0~TRN*1*1122300FQ5*1610600439~NM1*IL*1*ASSARAF*AVRAHAM~AAA*N**75*C~DMG*D8*19790729*M~DTP*307*D8*20110301~HL*473*2*22*0~TRN*1*1122300FQ7*1610600439~NM1*IL*1*ANDRADE*RICARDO~AAA*N**75*C~DMG*D8*19761218*M~DTP*307*D8*20110226~HL*474*2*22*0~TRN*1*1122300FQ9*1610600439~NM1*IL*1*ORTIZ*STEPHEN*C***MI*9505990634~N4*****CY*13~DMG*D8*19930407*M~DTP*307*D8*20110226~EB*1*IND*30*MC*NA R| Not eligible for nursing home and ICF/DD svc~DTP*307*RD8*20110226-20110226~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*475*2*22*0~TRN*1*1122300FQF*1610600439~NM1*IL*1*ESCALONA*LUIS****MI*7715879835~N4*****CY*13~DMG*D8*19910430*M~DTP*307*D8*20110226~EB*1*IND*30*MC*NO Y| Not eligible for nursing home and ICF/DD svc~DTP*307*RD8*20110226-20110226~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~EB*D*IND*68*MC*Last CHCUP Medical Screen~DTP*472*D8*20081112~EB*D*IND*68*MC*Last CHCUP Dental Screen~DTP*472*D8*20020723~HL*476*2*22*0~TRN*1*1122300FQQ*1610600439~NM1*IL*1*CARMONA*LIGIA~AAA*N**75*C~DMG*D8*19540219*F~DTP*307*D8*20110214~HL*477*2*22*0~TRN*1*1122300FQS*1610600439~NM1*IL*1*CARMONA*LIGIA~AAA*N**75*C~DMG*D8*19540219*F~DTP*307*D8*20110303~HL*478*2*22*0~TRN*1*1122300FQT*1610600439~NM1*IL*1*CARMONA*LIGIA~AAA*N**75*C~DMG*D8*19540219*F~DTP*307*D8*20110310~HL*479*2*22*0~TRN*1*1122300FQV*1610600439~NM1*IL*1*VAZQUEZ*ALEJANDRO****MI*7664337577~N4*****CY*06~DMG*D8*19700220*M~DTP*307*D8*20110227~EB*6~DTP*307*RD8*20110227-20110227~HL*480*2*22*0~TRN*1*1122300FQY*1610600439~NM1*IL*1*BUDHAM*ANTHONY~AAA*N**75*C~DMG*D8*19670108*M~DTP*307*D8*20110227~HL*481*2*22*0~TRN*1*1122300FQZ*1610600439~NM1*IL*1*BORDERS*ZSANITA*D***MI*3846108022~N4*****CY*06~DMG*D8*19670614*F~DTP*307*D8*20110406~EB*6~DTP*307*RD8*20110406-20110406~HL*482*2*22*0~TRN*1*1122300FR1*1610600439~NM1*IL*1*MUNROE*FITZROY~AAA*N**75*C~DMG*D8*19610728*M~DTP*307*D8*20110302~HL*483*2*22*0~TRN*1*1122300FR2*1610600439~NM1*IL*1*FERRO*CHARLENE~AAA*N**75*C~DMG*D8*19511012*F~DTP*307*D8*20110227~HL*484*2*22*0~TRN*1*1122300FR7*1610600439~NM1*IL*1*PICHARDO*SAMUEL~AAA*N**75*C~DMG*D8*19880410*M~DTP*307*D8*20110227~HL*485*2*22*0~TRN*1*1122300FRB*1610600439~NM1*IL*1*DAVIDOW*STEPHANIE*M***MI*8131403131~N4*****CY*50~DMG*D8*19650630*F~DTP*307*D8*20110302~EB*1*IND*30*MC*MS  | Full Medicaid~DTP*307*RD8*20110302-20110302~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*486*2*22*0~TRN*1*1122300FRP*1610600439~NM1*IL*1*PROUDLOVE*JAYDA~AAA*N**75*C~DMG*D8*20030826*F~DTP*307*D8*20110227~HL*487*2*22*0~TRN*1*1122300FRQ*1610600439~NM1*IL*1*JOHNSON*DEBBIE~AAA*N**75*C~DMG*D8*19720303*F~DTP*307*D8*20110227~HL*488*2*22*0~TRN*1*1122300FRW*1610600439~NM1*IL*1*FREDERICK*BREANNA~AAA*N**75*C~DMG*D8*19970627*F~DTP*307*D8*20110227~HL*489*2*22*0~TRN*1*1122300FRZ*1610600439~NM1*IL*1*PEREIRA*JADIANNA*A***MI*7879595473~N4*****CY*06~DMG*D8*20020312*F~DTP*307*D8*20110227~EB*6~DTP*307*RD8*20110227-20110227~HL*490*2*22*0~TRN*1*1122300FS6*1610600439~NM1*IL*1*JEAN*SHEKELTON*K***MI*7603406978~N4*****CY*13~DMG*D8*19951029*M~DTP*307*D8*20110228~EB*1*IND*30*MC*NA R| Not eligible for nursing home and ICF/DD svc~DTP*307*RD8*20110228-20110228~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~EB*D*IND*68*MC*Last CHCUP Medical Screen~DTP*472*D8*20051206~EB*D*IND*68*MC*Last CHCUP Dental Screen~DTP*472*D8*20040618~HL*491*2*22*0~TRN*1*1122300FSF*1610600439~NM1*IL*1*PETITBOIS*JUDY~AAA*N**75*C~DMG*D8*19591118*F~DTP*307*D8*20110228~HL*492*2*22*0~TRN*1*1122300FSK*1610600439~NM1*IL*1*DAVIS*BETTY~AAA*N**75*C~DMG*D8*19640302*F~DTP*307*D8*20110228~HL*493*2*22*0~TRN*1*1122300FSQ*1610600439~NM1*IL*1*BARRETO*ROCIO~AAA*N**75*C~DMG*D8*19720828*F~DTP*307*D8*20110301~HL*494*2*22*0~TRN*1*1122300FSS*1610600439~NM1*IL*1*LAMOUREUX*RHONDA~AAA*N**75*C~DMG*D8*19660418*F~DTP*307*D8*20110301~HL*495*2*22*0~TRN*1*1122300FSW*1610600439~NM1*IL*1*DIAZ*ANILEIDYS~AAA*N**75*C~DMG*D8*20030813*F~DTP*307*D8*20110301~HL*496*2*22*0~TRN*1*1122300FSY*1610600439~NM1*IL*1*THELOR*RALPH*J***MI*7643726485~N4*****CY*13~DMG*D8*19960910*M~DTP*307*D8*20110301~EB*6~DTP*307*RD8*20110301-20110301~HL*497*2*22*0~TRN*1*1122300FT0*1610600439~NM1*IL*1*BAILEY*KAREN~AAA*N**75*C~DMG*D8*19580314*F~DTP*307*D8*20110302~HL*498*2*22*0~TRN*1*1122300FT4*1610600439~NM1*IL*1*AGUERO*ANGELA~AAA*N**75*C~DMG*D8*19560301*F~DTP*307*D8*20110301~HL*499*2*22*0~TRN*1*1122300FT5*1610600439~NM1*IL*1*RODRIGUEZ*DANIELA~AAA*N**75*C~DMG*D8*19940215*F~DTP*307*D8*20110301~HL*500*2*22*0~TRN*1*1122300FTH*1610600439~NM1*IL*1*BROSIG*MARCELO~AAA*N**75*C~DMG*D8*19741015*M~DTP*307*D8*20110301~HL*501*2*22*0~TRN*1*1122300FTJ*1610600439~NM1*IL*1*JAMES*SHAWNTAI*R***MI*8659651367~N4*****CY*06~DMG*D8*19961127*F~DTP*307*D8*20110301~EB*6~DTP*307*RD8*20110301-20110301~HL*502*2*22*0~TRN*1*1122300FTR*1610600439~NM1*IL*1*RODRIGUEZ*JAYSA*O***MI*9250878575~N4*****CY*13~DMG*D8*19981021*F~DTP*307*D8*20110328~EB*6~DTP*307*RD8*20110328-20110328~HL*503*2*22*0~TRN*1*1122300FTW*1610600439~NM1*IL*1*DELGADO*CARLOS~AAA*N**75*C~DMG*D8*19711119*M~DTP*307*D8*20110302~HL*504*2*22*0~TRN*1*1122300FTZ*1610600439~NM1*IL*1*CAMPBELL*RUSSELL~AAA*N**75*C~DMG*D8*19911201*M~DTP*307*D8*20110301~HL*505*2*22*0~TRN*1*1122300FV3*1610600439~NM1*IL*1*SAMUELS*DONALD~AAA*N**75*C~DMG*D8*19520919*M~DTP*307*D8*20110303~HL*506*2*22*0~TRN*1*1122300FV5*1610600439~NM1*IL*1*SANTOS*MANUEL****MI*7353494751~N4*****CY*06~DMG*D8*19720822*M~DTP*307*D8*20110302~EB*6~DTP*307*RD8*20110302-20110302~HL*507*2*22*0~TRN*1*1122300FV8*1610600439~NM1*IL*1*DAMISCA*PATSY****MI*7325950071~N4*****CY*13~DMG*D8*19791227*F~DTP*307*D8*20110303~EB*6~DTP*307*RD8*20110303-20110303~HL*508*2*22*0~TRN*1*1122300FV9*1610600439~NM1*IL*1*VELGARA*JANAI*V***MI*7898300360~N4*****CY*06~DMG*D8*20020630*F~DTP*307*D8*20110303~EB*1*IND*30*MC*EBA| limited to OTC items~DTP*307*RD8*20110303-20110303~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~EB*D*IND*68*MC*Last CHCUP Medical Screen~DTP*472*D8*20110706~HL*509*2*22*0~TRN*1*1122300FVL*1610600439~NM1*IL*1*BARNES*JENNIFER~AAA*N**75*C~DMG*D8*19681226*F~DTP*307*D8*20110303~HL*510*2*22*0~TRN*1*1122300FVN*1610600439~NM1*IL*1*VALLADARES*SEBASTIAN****MI*7576287268~N4*****CY*06~DMG*D8*19870531*M~DTP*307*D8*20110303~EB*6~DTP*307*RD8*20110303-20110303~HL*511*2*22*0~TRN*1*1122300FVS*1610600439~NM1*IL*1*LEON*CANDIDA*R***MI*7821835773~N4*****CY*13~DMG*D8*19580904*F~DTP*307*D8*20110303~EB*6~DTP*307*RD8*20110303-20110303~HL*512*2*22*0~TRN*1*1122300FVX*1610600439~NM1*IL*1*RODRIGUEZ*JORGE*L***MI*9456144534~N4*****CY*13~DMG*D8*19870717*M~DTP*307*D8*20110303~EB*6~DTP*307*RD8*20110303-20110303~HL*513*2*22*0~TRN*1*1122300FW6*1610600439~NM1*IL*1*DAVIS*RICARDO~AAA*N**75*C~DMG*D8*19850122*M~DTP*307*D8*20110306~HL*514*2*22*0~TRN*1*1122300FW9*1610600439~NM1*IL*1*IZZO*TERESA~AAA*N**75*C~DMG*D8*19530909*F~DTP*307*D8*20110305~HL*515*2*22*0~TRN*1*1122300FWB*1610600439~NM1*IL*1*PIERRE*MARIE****MI*7939382951~N4*****CY*13~DMG*D8*19790808*F~DTP*307*D8*20110304~EB*6~DTP*307*RD8*20110304-20110304~HL*516*2*22*0~TRN*1*1122300FWH*1610600439~NM1*IL*1*HAWKINS*GABRIELA~AAA*N**75*C~DMG*D8*20101007*F~DTP*307*D8*20110304~HL*517*2*22*0~TRN*1*1122300FWN*1610600439~NM1*IL*1*POSADA*ERIK~AAA*N**75*C~DMG*D8*19791125*M~DTP*307*D8*20110304~HL*518*2*22*0~TRN*1*1122300FWS*1610600439~NM1*IL*1*HOWE*JASON~AAA*N**75*C~DMG*D8*19780517*M~DTP*307*D8*20110304~HL*519*2*22*0~TRN*1*1122300FWW*1610600439~NM1*IL*1*GRAVES*RICHARD~AAA*N**75*C~DMG*D8*19640106*M~DTP*307*D8*20110303~HL*520*2*22*0~TRN*1*1122300FWZ*1610600439~NM1*IL*1*REID*ROGGER*R***MI*7673909049~N4*****CY*06~DMG*D8*19540821*M~DTP*307*D8*20110312~EB*6~DTP*307*RD8*20110312-20110312~HL*521*2*22*0~TRN*1*1122300FX1*1610600439~NM1*IL*1*GUTIERREZ*AIDA~AAA*N**75*C~DMG*D8*19490508*F~DTP*307*D8*20110305~HL*522*2*22*0~TRN*1*1122300FX5*1610600439~NM1*IL*1*WILKERSON*CHRISTOPHER~AAA*N**75*C~DMG*D8*19670124*M~DTP*307*D8*20110305~HL*523*2*22*0~TRN*1*1122300FX7*1610600439~NM1*IL*1*JONES*WILLARD~AAA*N**75*C~DMG*D8*19330321*M~DTP*307*D8*20110305~HL*524*2*22*0~TRN*1*1122300FXF*1610600439~NM1*IL*1*NGUYEN*PHU~AAA*N**75*C~DMG*D8*19781206*M~DTP*307*D8*20110306~HL*525*2*22*0~TRN*1*1122300FXH*1610600439~NM1*IL*1*NGUYEN*PHU~AAA*N**75*C~DMG*D8*19781206*M~DTP*307*D8*20110308~HL*526*2*22*0~TRN*1*1122300FXR*1610600439~NM1*IL*1*JOHNSON*CHANIS*S***MI*3162993105~N4*****CY*13~DMG*D8*19890302*F~DTP*307*D8*20110305~EB*1*IND*30*MC*MA R| Full Medicaid~DTP*307*RD8*20110305-20110305~EB*L*IND*96*MC*Medicaid HMO~DTP*307*RD8*20110305-20110305~LS*2120~NM1*1P*2*PUBLIC HEALTH TRUST OF MIAMI-DADE C~N4*MIAMI*FL*331360000~PER*IC**TE*3055753700~LE*2120~EB*R*IND*30*C1*PHARMACY CARD SERVICE~REF*1L*642519~REF*18*P00125*PAID PRESCRIPTIONS DUPONT~DTP*307*RD8*20110305-20110305~LS*2120~NM1*IL*1*JOHNSON*CHANIS~PER*IC**TE*0000000000~LE*2120~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days 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Test~DTP*472*D8*20021214~HL*531*2*22*0~TRN*1*1122300FYJ*1610600439~NM1*IL*1*MORENO*MARIA~AAA*N**75*C~DMG*D8*19801224*F~DTP*307*D8*20110305~HL*532*2*22*0~TRN*1*1122300FYM*1610600439~NM1*IL*1*WILLIAMS*BRANDON*S***MI*3698879107~N4*****CY*06~DMG*D8*19910518*M~DTP*307*D8*20110306~EB*1*IND*30*MC*EBA| limited to OTC items~DTP*307*RD8*20110306-20110306~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*533*2*22*0~TRN*1*1122300FYV*1610600439~NM1*IL*1*RICO*PICON~AAA*N**75*C~DMG*D8*19670507*F~DTP*307*D8*20110306~HL*534*2*22*0~TRN*1*1122300FYZ*1610600439~NM1*IL*1*LAVINA*JASMINE~AAA*N**75*C~DMG*D8*19750927*F~DTP*307*D8*20110306~HL*535*2*22*0~TRN*1*1122300FZ2*1610600439~NM1*IL*1*BALUJA*GONZALEZ~AAA*N**75*C~DMG*D8*19651111*M~DTP*307*D8*20110306~HL*536*2*22*0~TRN*1*1122300FZ6*1610600439~NM1*IL*1*ATTERBERRY*SARAH~AAA*N**75*C~DMG*D8*19800205*F~DTP*307*D8*20110316~HL*537*2*22*0~TRN*1*1122300FZ8*1610600439~NM1*IL*1*ATTERBERRY*SARAH~AAA*N**75*C~DMG*D8*19800205*F~DTP*307*D8*20110318~HL*538*2*22*0~TRN*1*1122300FZB*1610600439~NM1*IL*1*FELIX*ISABEL*B***MI*7448165356~N4*****CY*06~DMG*D8*19480517*F~DTP*307*D8*20110307~EB*6~DTP*307*RD8*20110307-20110307~HL*539*2*22*0~TRN*1*1122300FZC*1610600439~NM1*IL*1*FORD*JAMIE~AAA*N**75*C~DMG*D8*19780724*F~DTP*307*D8*20110320~HL*540*2*22*0~TRN*1*1122300FZD*1610600439~NM1*IL*1*MARTINEZ*DARLING~AAA*N**75*C~DMG*D8*19811125*F~DTP*307*D8*20110307~HL*541*2*22*0~TRN*1*1122300FZH*1610600439~NM1*IL*1*KRAUSE*DEBORAH~AAA*N**75*C~DMG*D8*19630628*F~DTP*307*D8*20110307~HL*542*2*22*0~TRN*1*1122300FZN*1610600439~NM1*IL*1*LAZARDI*OSBELIA~AAA*N**75*C~DMG*D8*19570603*F~DTP*307*D8*20110307~HL*543*2*22*0~TRN*1*1122300FZQ*1610600439~NM1*IL*1*SAUNDERS*KEITH*A***MI*9464860073~N4*****CY*06~DMG*D8*20071209*M~DTP*307*D8*20110306~EB*1*IND*30*MC*EBA| limited to OTC items~DTP*307*RD8*20110306-20110306~EB*R*IND*30*C1*HEALTH MAINTENANCE ORGANIZATIONS (HMO AND PPO)~REF*1L*U2963587004~REF*18*A00376*CIGNA~DTP*307*RD8*20110306-20110306~LS*2120~NM1*IL*1*SAUNDERS*KEITH~N4*EASTON*PA*18040~PER*IC**TE*(322) 443-3108~LE*2120~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*544*2*22*0~TRN*1*1122300FZX*1610600439~NM1*IL*1*MALLEN*MICHELLE*T***MI*7739904180~N4*****CY*06~DMG*D8*19981119*F~DTP*307*D8*20110307~EB*6~DTP*307*RD8*20110307-20110307~HL*545*2*22*0~TRN*1*1122300FZY*1610600439~NM1*IL*1*BRAILSFORD*MORRIS~AAA*N**75*C~DMG*D8*19490723*M~DTP*307*D8*20110308~HL*546*2*22*0~TRN*1*1122300FZZ*1610600439~NM1*IL*1*MALDONADO*CRESPO~AAA*N**75*C~DMG*D8*19660611*F~DTP*307*D8*20110308~HL*547*2*22*0~TRN*1*1122300G03*1610600439~NM1*IL*1*SEMELFORT*JOSEPH~AAA*N**75*C~DMG*D8*19580913*M~DTP*307*D8*20110307~HL*548*2*22*0~TRN*1*1122300G06*1610600439~NM1*IL*1*SOTO*JOYCE****MI*7859426048~N4*****CY*51~DMG*D8*19770515*F~DTP*307*D8*20110308~EB*6~DTP*307*RD8*20110308-20110308~HL*549*2*22*0~TRN*1*1122300G0G*1610600439~NM1*IL*1*ABRAHAM*KISHAWNER~AAA*N**75*C~DMG*D8*19921227*F~DTP*307*D8*20110308~HL*550*2*22*0~TRN*1*1122300G0L*1610600439~NM1*IL*1*MALTEZ*CARLOS*D***MI*9507200975~N4*****CY*13~DMG*D8*20100925*M~DTP*307*D8*20110309~EB*6~DTP*307*RD8*20110309-20110309~HL*551*2*22*0~TRN*1*1122300G0N*1610600439~NM1*IL*1*BREWSTER*ORLANDO~AAA*N**75*C~DMG*D8*19480522*M~DTP*307*D8*20110308~HL*552*2*22*0~TRN*1*1122300G0R*1610600439~NM1*IL*1*ANDERSON*ALEX*L***MI*7625486176~N4*****CY*13~DMG*D8*19710928*M~DTP*307*D8*20110309~EB*6~DTP*307*RD8*20110309-20110309~HL*553*2*22*0~TRN*1*1122300G10*1610600439~NM1*IL*1*TELFORT*MARIE~AAA*N**75*C~DMG*D8*19500209*F~DTP*307*D8*20110311~HL*554*2*22*0~TRN*1*1122300G12*1610600439~NM1*IL*1*CARRE*KATIANA~AAA*N**75*C~DMG*D8*19880805*F~DTP*307*D8*20110309~HL*555*2*22*0~TRN*1*1122300G16*1610600439~NM1*IL*1*KURE*HAYED*A***MI*7871750151~N4*****CY*06~DMG*D8*19960816*F~DTP*307*D8*20110309~EB*6~DTP*307*RD8*20110309-20110309~HL*556*2*22*0~TRN*1*1122300G1D*1610600439~NM1*IL*1*HARVEY*TERESA~AAA*N**75*C~DMG*D8*19910117*F~DTP*307*D8*20110309~HL*557*2*22*0~TRN*1*1122300G1F*1610600439~NM1*IL*1*CASTILLO*LUCIL~AAA*N**75*C~DMG*D8*19880121*F~DTP*307*D8*20110309~HL*558*2*22*0~TRN*1*1122300G1G*1610600439~NM1*IL*1*KAPLAN*RITA~AAA*N**75*C~DMG*D8*19810417*F~DTP*307*D8*20110309~HL*559*2*22*0~TRN*1*1122300G1K*1610600439~NM1*IL*1*PARKER*CAROL~AAA*N**75*C~DMG*D8*19510823*F~DTP*307*D8*20110311~HL*560*2*22*0~TRN*1*1122300G1L*1610600439~NM1*IL*1*PIERRELOUIS*BARRYSON****MI*8679889890~N4*****CY*13~DMG*D8*19920721*M~DTP*307*D8*20110309~EB*6~DTP*307*RD8*20110309-20110309~HL*561*2*22*0~TRN*1*1122300G1P*1610600439~NM1*IL*1*KNIGHTON*PHOENIX*J***MI*9494221842~N4*****CY*06~DMG*D8*20100424*F~DTP*307*D8*20110310~EB*1*IND*30*MC*MN  | Full Medicaid~DTP*307*RD8*20110310-20110310~EB*1*IND*30*MC*EBA| limited to OTC items~DTP*307*RD8*20110310-20110310~EB*L*IND*96*MC*Medicaid Reform HMO~DTP*307*RD8*20110310-20110310~LS*2120~NM1*1P*2*R-PREFFERED CARE PARTNERS, INC~N4*MIAMI*FL*331567838~PER*IC**TE*8775667914~LE*2120~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~EB*D*IND*68*MC*Last CHCUP Medical Screen~DTP*472*D8*20110124~HL*562*2*22*0~TRN*1*1122300G1S*1610600439~NM1*IL*1*VAZQUEZ*LOURDES****MI*9401408742~N4*****CY*13~DMG*D8*19770128*F~DTP*307*D8*20110310~EB*1*IND*30*MC*MM P| Full Medicaid~DTP*307*RD8*20110310-20110310~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*563*2*22*0~TRN*1*1122300G1X*1610600439~NM1*IL*1*GOLDENBERG*MICHAEL~AAA*N**75*C~DMG*D8*19530403*M~DTP*307*D8*20110310~HL*564*2*22*0~TRN*1*1122300G20*1610600439~NM1*IL*1*JACKSON*ZAKKIYA~AAA*N**75*C~DMG*D8*19891211*F~DTP*307*D8*20110322~HL*565*2*22*0~TRN*1*1122300G25*1610600439~NM1*IL*1*DUZ*BORA~AAA*N**75*C~DMG*D8*20041115*M~DTP*307*D8*20110311~HL*566*2*22*0~TRN*1*1122300G28*1610600439~NM1*IL*1*OSORIO*JUSTIN*J***MI*7942763668~N4*****CY*06~DMG*D8*19890527*M~DTP*307*D8*20110310~EB*6~DTP*307*RD8*20110310-20110310~HL*567*2*22*0~TRN*1*1122300G2K*1610600439~NM1*IL*1*GARCIA*SARAH~AAA*N**75*C~DMG*D8*19860912*F~DTP*307*D8*20110311~HL*568*2*22*0~TRN*1*1122300G2Q*1610600439~NM1*IL*1*AGUILAR*ARIEL~AAA*N**75*C~DMG*D8*19650515*M~DTP*307*D8*20110311~HL*569*2*22*0~TRN*1*1122300G2S*1610600439~NM1*IL*1*JONES*ANTHONY~AAA*N**75*C~DMG*D8*19570311*M~DTP*307*D8*20110414~HL*570*2*22*0~TRN*1*1122300G2W*1610600439~NM1*IL*1*CINEUS*MATILDE~AAA*N**75*C~DMG*D8*19830929*F~DTP*307*D8*20110311~HL*571*2*22*0~TRN*1*1122300G2Z*1610600439~NM1*IL*1*JACKSON*LAWRENCE****MI*7348023321~N4*****CY*13~DMG*D8*19610307*M~DTP*307*D8*20110312~EB*6~DTP*307*RD8*20110312-20110312~HL*572*2*22*0~TRN*1*1122300G35*1610600439~NM1*IL*1*VALERIO*JUNICE~AAA*N**75*C~DMG*D8*19740923*F~DTP*307*D8*20110312~HL*573*2*22*0~TRN*1*1122300G38*1610600439~NM1*IL*1*GRIFFITH*DEVON~AAA*N**75*C~DMG*D8*19860528*M~DTP*307*D8*20110312~HL*574*2*22*0~TRN*1*1122300G39*1610600439~NM1*IL*1*BROOKINS*HEATHER~AAA*N**75*C~DMG*D8*19750128*F~DTP*307*D8*20110312~HL*575*2*22*0~TRN*1*1122300G3C*1610600439~NM1*IL*1*PARES*MARCELA~AAA*N**75*C~DMG*D8*19720307*F~DTP*307*D8*20110323~HL*576*2*22*0~TRN*1*1122300G3H*1610600439~NM1*IL*1*MARTIN*DEMETRIUS~AAA*N**75*C~DMG*D8*19981015*M~DTP*307*D8*20110312~HL*577*2*22*0~TRN*1*1122300G3N*1610600439~NM1*IL*1*KLEIN*THERESA~AAA*N**75*C~DMG*D8*19650929*F~DTP*307*D8*20110312~HL*578*2*22*0~TRN*1*1122300G3X*1610600439~NM1*IL*1*STEPHENSON*SHARLEAN*L***MI*3644162026~N4*****CY*06~DMG*D8*19600808*F~DTP*307*D8*20110328~EB*6~DTP*307*RD8*20110328-20110328~HL*579*2*22*0~TRN*1*1122300G43*1610600439~NM1*IL*1*MARRIOTT*DELROY~AAA*N**75*C~DMG*D8*19661121*M~DTP*307*D8*20110313~HL*580*2*22*0~TRN*1*1122300G45*1610600439~NM1*IL*1*VIDAL*CRUZ~AAA*N**75*C~DMG*D8*19831211*M~DTP*307*D8*20110314~HL*581*2*22*0~TRN*1*1122300G48*1610600439~NM1*IL*1*VIDAL*CRUZ~AAA*N**75*C~DMG*D8*19831211*M~DTP*307*D8*20110316~HL*582*2*22*0~TRN*1*1122300G4C*1610600439~NM1*IL*1*ESTEVEZ*TANYA~AAA*N**75*C~DMG*D8*19660331*F~DTP*307*D8*20110313~HL*583*2*22*0~TRN*1*1122300G4G*1610600439~NM1*IL*1*PORTELLA*JUAN~AAA*N**75*C~DMG*D8*19690704*M~DTP*307*D8*20110313~HL*584*2*22*0~TRN*1*1122300G4H*1610600439~NM1*IL*1*FLEURME*GIORVANIE****MI*7550091765~N4*****CY*13~DMG*D8*19840222*F~DTP*307*D8*20110313~EB*6~DTP*307*RD8*20110313-20110313~HL*585*2*22*0~TRN*1*1122300G4M*1610600439~NM1*IL*1*JOBSON*RYAN~AAA*N**75*C~DMG*D8*19961005*M~DTP*307*D8*20110312~HL*586*2*22*0~TRN*1*1122300G4N*1610600439~NM1*IL*1*COOK*JEFFERY~AAA*N**75*C~DMG*D8*19640612*M~DTP*307*D8*20110313~HL*587*2*22*0~TRN*1*1122300G4R*1610600439~NM1*IL*1*ALEXIS*AMAYA~AAA*N**75*C~DMG*D8*20090506*M~DTP*307*D8*20110313~HL*588*2*22*0~TRN*1*1122300G4V*1610600439~NM1*IL*1*BODNAR*ZSOLT~AAA*N**75*C~DMG*D8*19450426*M~DTP*307*D8*20110313~HL*589*2*22*0~TRN*1*1122300G4W*1610600439~NM1*IL*1*DIAZ*EVIN~AAA*N**75*C~DMG*D8*20081128*M~DTP*307*D8*20110314~HL*590*2*22*0~TRN*1*1122300G51*1610600439~NM1*IL*1*TRIZAN*DELAINE~AAA*N**75*C~DMG*D8*20110130*M~DTP*307*D8*20110314~HL*591*2*22*0~TRN*1*1122300G53*1610600439~NM1*IL*1*CAFFIE*KRISTINA*T***MI*9439080761~N4*****CY*06~DMG*D8*19851005*F~DTP*307*D8*20110314~EB*6~DTP*307*RD8*20110314-20110314~HL*592*2*22*0~TRN*1*1122300G57*1610600439~NM1*IL*1*JANKOWIAK*STEPHEN~AAA*N**75*C~DMG*D8*19740908*M~DTP*307*D8*20110314~HL*593*2*22*0~TRN*1*1122300G5B*1610600439~NM1*IL*1*WILDER*DOMANI****MI*9494413261~N4*****CY*13~DMG*D8*20100614*M~DTP*307*D8*20110314~EB*6~DTP*307*RD8*20110314-20110314~HL*594*2*22*0~TRN*1*1122300G5M*1610600439~NM1*IL*1*VALLE*ISRAEL~AAA*N**75*C~DMG*D8*19591126*M~DTP*307*D8*20110313~HL*595*2*22*0~TRN*1*1122300G5Q*1610600439~NM1*IL*1*BARNES*NYKIIA*A***MI*7595566649~N4*****CY*06~DMG*D8*19930718*F~DTP*307*D8*20110314~EB*6~DTP*307*RD8*20110314-20110314~HL*596*2*22*0~TRN*1*1122300G5S*1610600439~NM1*IL*1*TRUONG*DUYET*M***MI*7968457050~N4*****CY*13~DMG*D8*19670410*M~DTP*307*D8*20110314~EB*1*IND*30*MC*NA U| Not eligible for nursing home and ICF/DD svc~DTP*307*RD8*20110314-20110314~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*597*2*22*0~TRN*1*1122300G5W*1610600439~NM1*IL*1*BARRUOS DE GONZALEZ*MARIA~AAA*N**75*C~DMG*D8*19600720*F~DTP*307*D8*20110317~HL*598*2*22*0~TRN*1*1122300G5Z*1610600439~NM1*IL*1*RICARDO*MARCO~AAA*N**75*C~DMG*D8*19930705*M~DTP*307*D8*20110314~HL*599*2*22*0~TRN*1*1122300G66*1610600439~NM1*IL*1*SHUMAN*DUNIA****MI*7735977271~N4*****CY*06~DMG*D8*19931201*F~DTP*307*D8*20110203~EB*1*IND*30*MC*MM C| Full Medicaid~DTP*307*RD8*20110203-20110203~EB*1*IND*30*MC*EBA| limited to OTC items~DTP*307*RD8*20110203-20110203~EB*L*IND*96*MC*Provider Service Network Reform~DTP*307*RD8*20110203-20110203~LS*2120~NM1*1P*2*R-SO FL COMM CARE/MHS~N4*MIAMI*FL*331695142~PER*IC**TE*8662021132~LE*2120~EB*L*IND*96*MC*Prepaid RPSN Tran 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Remaining****DY*45~HL*681*2*22*0~TRN*1*1122300GGB*1610600439~NM1*IL*1*COGUA-LOPEZ*FELIPE~AAA*N**75*C~DMG*D8*20110324*M~DTP*307*D8*20110408~HL*682*2*22*0~TRN*1*1122300GGD*1610600439~NM1*IL*1*MACAS*JORGE~AAA*N**75*C~DMG*D8*19720829*M~DTP*307*D8*20110323~HL*683*2*22*0~TRN*1*1122300GGH*1610600439~NM1*IL*1*JIMENEZ*JORGE****MI*7570846648~N4*****CY*06~DMG*D8*19871109*M~DTP*307*D8*20110323~EB*6~DTP*307*RD8*20110323-20110323~HL*684*2*22*0~TRN*1*1122300GGP*1610600439~NM1*IL*1*ZURITA*ANGELA*J***MI*3864692113~N4*****CY*13~DMG*D8*19810803*F~DTP*307*D8*20110323~EB*6~DTP*307*RD8*20110323-20110323~HL*685*2*22*0~TRN*1*1122300GGV*1610600439~NM1*IL*1*ESPRIT*KJUAN~AAA*N**75*C~DMG*D8*19971103*M~DTP*307*D8*20110323~HL*686*2*22*0~TRN*1*1122300GGZ*1610600439~NM1*IL*1*CHERY*PETER~AAA*N**75*C~DMG*D8*19810806*M~DTP*307*D8*20110324~HL*687*2*22*0~TRN*1*1122300GH0*1610600439~NM1*IL*1*CHAPMAN*DEVON*M***MI*8663452438~N4*****CY*06~DMG*D8*20000224*M~DTP*307*D8*20110325~EB*1*IND*30*MC*MM C| Full Medicaid~DTP*307*RD8*20110325-20110325~EB*1*IND*30*MC*EBA| limited to OTC items~DTP*307*RD8*20110325-20110325~EB*R*IND*30*C1*HEALTH MAINTENANCE ORGANIZATIONS (HMO AND PPO)~REF*1L*0524338984~REF*18*A00001*THIS IS NOT AN INSURANCE CARRIER~DTP*307*RD8*20110325-20110325~LS*2120~NM1*IL*1*CHAPMAN*LESLIE~PER*IC**TE*0000000000~LE*2120~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*688*2*22*0~TRN*1*1122300GHK*1610600439~NM1*IL*1*MARZAN*JACQUELINE~AAA*N**75*C~DMG*D8*19620817*F~DTP*307*D8*20110325~HL*689*2*22*0~TRN*1*1122300GHN*1610600439~NM1*IL*1*GARCIA*ROCIO****MI*7443752091~N4*****CY*06~DMG*D8*19890902*F~DTP*307*D8*20110325~EB*6~DTP*307*RD8*20110325-20110325~HL*690*2*22*0~TRN*1*1122300GJ1*1610600439~NM1*IL*1*PARIVAR*ZAHRA~AAA*N**75*C~DMG*D8*19550121*F~DTP*307*D8*20110325~HL*691*2*22*0~TRN*1*1122300GJ5*1610600439~NM1*IL*1*OROZCO*TATIANA*M***MI*7830131384~N4*****CY*06~DMG*D8*20010217*F~DTP*307*D8*20110325~EB*1*IND*30*MC*MM C| Full Medicaid~DTP*307*RD8*20110325-20110325~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~EB*D*IND*68*MC*Last CHCUP Medical Screen~DTP*472*D8*20060421~EB*D*IND*68*MC*Last CHCUP Blood Lead Test~DTP*472*D8*20060425~HL*692*2*22*0~TRN*1*1122300GJF*1610600439~NM1*IL*1*DE LA VEGA*YRAIMYTH~AAA*N**75*C~DMG*D8*19790426*F~DTP*307*D8*20110324~HL*693*2*22*0~TRN*1*1122300GJH*1610600439~NM1*IL*1*CASTILLO*MARIA~AAA*N**75*C~DMG*D8*19620531*F~DTP*307*D8*20110324~HL*694*2*22*0~TRN*1*1122300GJM*1610600439~NM1*IL*1*EDWARD*ALOYSIA~AAA*N**75*C~DMG*D8*19670629*F~DTP*307*D8*20110326~HL*695*2*22*0~TRN*1*1122300GJQ*1610600439~NM1*IL*1*SPANO*DENISE~AAA*N**75*C~DMG*D8*19601223*F~DTP*307*D8*20110325~HL*696*2*22*0~TRN*1*1122300GJS*1610600439~NM1*IL*1*FITZGERALD*TYRONE~AAA*N**75*C~DMG*D8*19670129*M~DTP*307*D8*20110326~HL*697*2*22*0~TRN*1*1122300GJT*1610600439~NM1*IL*1*PHILLIPS*JAMES****MI*3434929100~N4*****CY*13~DMG*D8*19770722*M~DTP*307*D8*20110326~EB*6~DTP*307*RD8*20110326-20110326~HL*698*2*22*0~TRN*1*1122300GJZ*1610600439~NM1*IL*1*LICOR-BLANCO*JENNY~AAA*N**75*C~DMG*D8*19830318*F~DTP*307*D8*20110325~HL*699*2*22*0~TRN*1*1122300GK2*1610600439~NM1*IL*1*ALBORJA*AGUILA~AAA*N**75*C~DMG*D8*19450608*F~DTP*307*D8*20110329~HL*700*2*22*0~TRN*1*1122300GK5*1610600439~NM1*IL*1*MAITLAND*DENESHA~AAA*N**75*C~DMG*D8*19801214*F~DTP*307*D8*20110326~HL*701*2*22*0~TRN*1*1122300GK8*1610600439~NM1*IL*1*CASTELLON*MAITE****MI*3718676028~N4*****CY*13~DMG*D8*19741205*F~DTP*307*D8*20110327~EB*6~DTP*307*RD8*20110327-20110327~HL*702*2*22*0~TRN*1*1122300GKH*1610600439~NM1*IL*1*COKER*KELLI~AAA*N**75*C~DMG*D8*19801222*F~DTP*307*D8*20110326~HL*703*2*22*0~TRN*1*1122300GKK*1610600439~NM1*IL*1*SAMPSON*JAHNJAY~AAA*N**75*C~DMG*D8*20040513*M~DTP*307*D8*20110327~HL*704*2*22*0~TRN*1*1122300GKL*1610600439~NM1*IL*1*RODRIGUEZ*SANTIAGO****MI*7704209167~N4*****CY*13~DMG*D8*19640117*M~DTP*307*D8*20110329~EB*6~DTP*307*RD8*20110329-20110329~HL*705*2*22*0~TRN*1*1122300GKW*1610600439~NM1*IL*1*SOMARRIBA*ELIZABETH~AAA*N**75*C~DMG*D8*19610425*F~DTP*307*D8*20110327~HL*706*2*22*0~TRN*1*1122300GL1*1610600439~NM1*IL*1*HERNANDEZ*CHRISTIAN~AAA*N**75*C~DMG*D8*19840317*M~DTP*307*D8*20110327~HL*707*2*22*0~TRN*1*1122300GLB*1610600439~NM1*IL*1*HICKS*THUREAN~AAA*N**75*C~DMG*D8*19820525*M~DTP*307*D8*20110327~HL*708*2*22*0~TRN*1*1122300GLD*1610600439~NM1*IL*1*REICHMAN*JOSHUA****MI*7770308402~N4*****CY*05~DMG*D8*19730305*M~DTP*307*D8*20110327~EB*6~DTP*307*RD8*20110327-20110327~HL*709*2*22*0~TRN*1*1122300GLH*1610600439~NM1*IL*1*ANDRADE*DAVID~AAA*N**75*C~DMG*D8*19730525*M~DTP*307*D8*20110328~HL*710*2*22*0~TRN*1*1122300GLL*1610600439~NM1*IL*1*BERMUDEZ*LESLIE~AAA*N**75*C~DMG*D8*19870131*F~DTP*307*D8*20110328~HL*711*2*22*0~TRN*1*1122300GLN*1610600439~NM1*IL*1*COLOSIMO*DOROTHY****MI*3586968108~N4*****CY*06~DMG*D8*19850516*F~DTP*307*D8*20110328~EB*6~DTP*307*RD8*20110328-20110328~HL*712*2*22*0~TRN*1*1122300GLS*1610600439~NM1*IL*1*YUPANQUI*ROGER****MI*7778380234~N4*****CY*13~DMG*D8*19720917*M~DTP*307*D8*20110328~EB*6~DTP*307*RD8*20110328-20110328~HL*713*2*22*0~TRN*1*1122300GLY*1610600439~NM1*IL*1*ASPRILLA*ANDRES****MI*7725211578~N4*****CY*06~DMG*D8*19921212*M~DTP*307*D8*20110328~EB*6~DTP*307*RD8*20110328-20110328~HL*714*2*22*0~TRN*1*1122300GLZ*1610600439~NM1*IL*1*ROLDAN*MAYRA~AAA*N**75*C~DMG*D8*19610325*F~DTP*307*D8*20110330~HL*715*2*22*0~TRN*1*1122300GM1*1610600439~NM1*IL*1*TEITELMAN*HAILEE~AAA*N**75*C~DMG*D8*19880810*F~DTP*307*D8*20110329~HL*716*2*22*0~TRN*1*1122300GM3*1610600439~NM1*IL*1*TENNIS*GEORGE****MI*9494686594~N4*****CY*06~DMG*D8*19460918*M~DTP*307*D8*20110330~EB*1*IND*30*MC*MM S| Full Medicaid~DTP*307*RD8*20110330-20110330~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*717*2*22*0~TRN*1*1122300GM7*1610600439~NM1*IL*1*VALLEY*FRANCINE~AAA*N**75*C~DMG*D8*19541028*F~DTP*307*D8*20110329~HL*718*2*22*0~TRN*1*1122300GM9*1610600439~NM1*IL*1*DIAZ PEREZ*IYENS~AAA*N**75*C~DMG*D8*19670726*F~DTP*307*D8*20110328~HL*719*2*22*0~TRN*1*1122300GMD*1610600439~NM1*IL*1*ALEXANDER*ULYSSES*D***MI*7890248881~N4*****CY*13~DMG*D8*19870517*M~DTP*307*D8*20110329~EB*6~DTP*307*RD8*20110329-20110329~HL*720*2*22*0~TRN*1*1122300GMJ*1610600439~NM1*IL*1*PANCIONE*VANESSA*A***MI*7414422666~N4*****CY*06~DMG*D8*19900828*F~DTP*307*D8*20110329~EB*1*IND*30*MC*NO Y| Not eligible for nursing home and ICF/DD svc~DTP*307*RD8*20110329-20110329~EB*1*IND*30*MC*EBA| limited to OTC items~DTP*307*RD8*20110329-20110329~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*721*2*22*0~TRN*1*1122300GMS*1610600439~NM1*IL*1*KOLLMER*DOMINIC*J***MI*9506559074~N4*****CY*06~DMG*D8*20100201*M~DTP*307*D8*20110330~EB*6~DTP*307*RD8*20110330-20110330~HL*722*2*22*0~TRN*1*1122300GMV*1610600439~NM1*IL*1*SROUR*SARAH~AAA*N**75*C~DMG*D8*20040309*F~DTP*307*D8*20110330~HL*723*2*22*0~TRN*1*1122300GMY*1610600439~NM1*IL*1*ALVARADO*CARLOS~AAA*N**75*C~DMG*D8*19810105*M~DTP*307*D8*20110330~HL*724*2*22*0~TRN*1*1122300GN1*1610600439~NM1*IL*1*ROLLE*RICHARD~AAA*N**75*C~DMG*D8*19530424*M~DTP*307*D8*20110330~HL*725*2*22*0~TRN*1*1122300GN2*1610600439~NM1*IL*1*CARBALLO*JR~AAA*N**75*C~DMG*D8*19890714*M~DTP*307*D8*20110330~HL*726*2*22*0~TRN*1*1122300GN5*1610600439~NM1*IL*1*DAVIS*BARRY~AAA*N**75*C~DMG*D8*19631029*M~DTP*307*D8*20110330~HL*727*2*22*0~TRN*1*1122300GNB*1610600439~NM1*IL*1*ITELINE*MARIE~AAA*N**75*C~DMG*D8*19440726*F~DTP*307*D8*20110330~HL*728*2*22*0~TRN*1*1122300GND*1610600439~NM1*IL*1*HENRYS*MICHELLE~AAA*N**75*C~DMG*D8*19970923*F~DTP*307*D8*20110330~HL*729*2*22*0~TRN*1*1122300GNH*1610600439~NM1*IL*1*EVANS*JAYDEN*U***MI*9508362855~N4*****CY*13~DMG*D8*20110330*M~DTP*307*D8*20110330~EB*6~DTP*307*RD8*20110330-20110330~HL*730*2*22*0~TRN*1*1122300GNM*1610600439~NM1*IL*1*PAEZ*GERALDINE*C***MI*3460728027~N4*****CY*13~DMG*D8*19740503*F~DTP*307*D8*20110330~EB*6~DTP*307*RD8*20110330-20110330~HL*731*2*22*0~TRN*1*1122300GNQ*1610600439~NM1*IL*1*MEIKLE*TAVOUN~AAA*N**75*C~DMG*D8*19980306*M~DTP*307*D8*20110331~HL*732*2*22*0~TRN*1*1122300GNT*1610600439~NM1*IL*1*SANCHEZ*YUSARA~AAA*N**75*C~DMG*D8*19740123*F~DTP*307*D8*20110330~HL*733*2*22*0~TRN*1*1122300GNW*1610600439~NM1*IL*1*VEGA*MARIA~AAA*N**75*C~DMG*D8*19631010*F~DTP*307*D8*20110331~HL*734*2*22*0~TRN*1*1122300GNY*1610600439~NM1*IL*1*GONZALEZ*JOSE~AAA*N**75*C~DMG*D8*19550623*M~DTP*307*D8*20110330~HL*735*2*22*0~TRN*1*1122300GP2*1610600439~NM1*IL*1*LOPEZ*EDWARD~AAA*N**75*C~DMG*D8*19591218*M~DTP*307*D8*20110331~HL*736*2*22*0~TRN*1*1122300GP6*1610600439~NM1*IL*1*ETIENNE*MARIE~AAA*N**75*C~DMG*D8*19550105*F~DTP*307*D8*20110331~HL*737*2*22*0~TRN*1*1122300GP8*1610600439~NM1*IL*1*GOUSSEHALL*YASMINE~AAA*N**75*C~DMG*D8*19690717*F~DTP*307*D8*20110401~HL*738*2*22*0~TRN*1*1122300GP9*1610600439~NM1*IL*1*FRANCOIS*DELY~AAA*N**75*C~DMG*D8*19700912*M~DTP*307*D8*20110401~HL*739*2*22*0~TRN*1*1122300GPC*1610600439~NM1*IL*1*SANDRES*MICHAEL****MI*7434102781~N4*****CY*13~DMG*D8*19920312*M~DTP*307*D8*20110401~EB*6~DTP*307*RD8*20110401-20110401~HL*740*2*22*0~TRN*1*1122300GPG*1610600439~NM1*IL*1*CICHOWSKI*EDWARD~AAA*N**75*C~DMG*D8*19541015*M~DTP*307*D8*20110401~HL*741*2*22*0~TRN*1*1122300GPK*1610600439~NM1*IL*1*GREENSLADE*ATLEE****MI*9497918801~N4*****CY*06~DMG*D8*20101024*M~DTP*307*D8*20110401~EB*1*IND*30*MC*MM I| Full Medicaid~DTP*307*RD8*20110401-20110401~EB*1*IND*30*MC*EBA| limited to OTC items~DTP*307*RD8*20110401-20110401~EB*L*IND*96*MC*Medicaid Reform HMO~DTP*307*RD8*20110401-20110401~LS*2120~NM1*1P*2*R-PREFFERED CARE PARTNERS, INC~N4*MIAMI*FL*331567838~PER*IC**TE*8775667914~LE*2120~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~EB*D*IND*68*MC*Last CHCUP Medical Screen~DTP*472*D8*20110513~HL*742*2*22*0~TRN*1*1122300GPQ*1610600439~NM1*IL*1*DRECKETT*JACQUELINE*A***MI*8896082366~N4*****CY*06~DMG*D8*19610224*F~DTP*307*D8*20110402~EB*6~DTP*307*RD8*20110402-20110402~HL*743*2*22*0~TRN*1*1122300GPT*1610600439~NM1*IL*1*STLOUIS*MITCHLEY~AAA*N**75*C~DMG*D8*19940507*F~DTP*307*D8*20110402~HL*744*2*22*0~TRN*1*1122300GPY*1610600439~NM1*IL*1*VILLEDROUIN*MARIE*J***MI*9469284836~N4*****CY*06~DMG*D8*19280506*F~DTP*307*D8*20110405~EB*1*IND*30*MC*ML S| Limited to emergency services~DTP*307*RD8*20110405-20110405~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*745*2*22*0~TRN*1*1122300GQ3*1610600439~NM1*IL*1*DIMATTINA*RICHARD~AAA*N**75*C~DMG*D8*19910115*M~DTP*307*D8*20110402~HL*746*2*22*0~TRN*1*1122300GQ5*1610600439~NM1*IL*1*MADDIX*JADEIAN~AAA*N**75*C~DMG*D8*19851211*F~DTP*307*D8*20110402~HL*747*2*22*0~TRN*1*1122300GQ7*1610600439~NM1*IL*1*HOMS*REY*D***MI*7653514596~N4*****CY*06~DMG*D8*19920718*M~DTP*307*D8*20110402~EB*6~DTP*307*RD8*20110402-20110402~HL*748*2*22*0~TRN*1*1122300GQ9*1610600439~NM1*IL*1*MARTINEZ*LUCELIS****MI*7669538538~N4*****CY*13~DMG*D8*19970415*F~DTP*307*D8*20110402~EB*1*IND*30*MC*MM C| Full Medicaid~DTP*307*RD8*20110402-20110402~EB*L*IND*96*MC*Prepaid Dental~DTP*307*RD8*20110402-20110402~LS*2120~NM1*1P*2*DENTAQUEST OF FLORIDA, INC~N4*CORAL GABLES*FL*331340000~PER*IC**TE*3054433111~LE*2120~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~EB*D*IND*68*MC*Last CHCUP Medical Screen~DTP*472*D8*20110317~EB*D*IND*68*MC*Last CHCUP Dental Screen~DTP*472*D8*20021030~HL*749*2*22*0~TRN*1*1122300GR0*1610600439~NM1*IL*1*WISE*JESSICA~AAA*N**75*C~DMG*D8*19710424*F~DTP*307*D8*20110402~HL*750*2*22*0~TRN*1*1122300GR4*1610600439~NM1*IL*1*HUNTER*DARIAN~AAA*N**75*C~DMG*D8*19740812*M~DTP*307*D8*20110402~HL*751*2*22*0~TRN*1*1122300GR7*1610600439~NM1*IL*1*PAGAN*JAIME~AAA*N**75*C~DMG*D8*19840924*M~DTP*307*D8*20110403~HL*752*2*22*0~TRN*1*1122300GR9*1610600439~NM1*IL*1*BOHORQUEZ DE 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limited to OTC items~DTP*307*RD8*20110405-20110405~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*774*2*22*0~TRN*1*1122300GV6*1610600439~NM1*IL*1*BILLMYER*JOHN*M***MI*1527540111~N4*****CY*06~DMG*D8*19830313*M~DTP*307*D8*20110406~EB*6~DTP*307*RD8*20110406-20110406~HL*775*2*22*0~TRN*1*1122300GV9*1610600439~NM1*IL*1*DOMINGUEZ*JULIA****MI*7607687068~N4*****CY*06~DMG*D8*19640407*F~DTP*307*D8*20110406~EB*6~DTP*307*RD8*20110406-20110406~HL*776*2*22*0~TRN*1*1122300GVG*1610600439~NM1*IL*1*RIANO SUAREZ*ALEJANDRO~AAA*N**75*C~DMG*D8*19780531*M~DTP*307*D8*20110405~HL*777*2*22*0~TRN*1*1122300GVL*1610600439~NM1*IL*1*CLARK*LOLETA~AAA*N**75*C~DMG*D8*19510730*F~DTP*307*D8*20110405~HL*778*2*22*0~TRN*1*1122300GVQ*1610600439~NM1*IL*1*VALDES*MARIBEL****MI*7623245082~N4*****CY*13~DMG*D8*19560325*F~DTP*307*D8*20110405~EB*6~DTP*307*RD8*20110405-20110405~HL*779*2*22*0~TRN*1*1122300GVV*1610600439~NM1*IL*1*COSTA*MILLER****MI*9468230104~N4*****CY*06~DMG*D8*20080211*M~DTP*307*D8*20110406~EB*1*IND*30*MC*EBA| limited to OTC items~DTP*307*RD8*20110406-20110406~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~EB*D*IND*68*MC*Last CHCUP Medical Screen~DTP*472*D8*20100311~EB*D*IND*68*MC*Last CHCUP Blood Lead 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NORTH AMERICA~N4*FORT LAUDERDALE*FL*333092338~PER*IC**TE*9547307131~LE*2120~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*804*2*22*0~TRN*1*1122300GYP*1610600439~NM1*IL*1*ORIMOLADE*VICTOR~AAA*N**75*C~DMG*D8*19881205*M~DTP*307*D8*20110409~HL*805*2*22*0~TRN*1*1122300GYR*1610600439~NM1*IL*1*JIMENEZ*JULIETT*A***MI*9407970086~N4*****CY*06~DMG*D8*19790804*F~DTP*307*D8*20110410~EB*6~DTP*307*RD8*20110410-20110410~HL*806*2*22*0~TRN*1*1122300GYT*1610600439~NM1*IL*1*LEDESMA*JONATHAN****MI*7348328598~N4*****CY*06~DMG*D8*19901130*M~DTP*307*D8*20110410~EB*1*IND*30*MC*EBA| limited to OTC items~DTP*307*RD8*20110410-20110410~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days 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Remaining****DY*45~EB*D*IND*68*MC*Last CHCUP Medical Screen~DTP*472*D8*20080821~HL*815*2*22*0~TRN*1*1122300H0L*1610600439~NM1*IL*1*COLLADO*ELVIS~AAA*N**75*C~DMG*D8*19830221*M~DTP*307*D8*20110411~HL*816*2*22*0~TRN*1*1122300H0S*1610600439~NM1*IL*1*LINARESREEVE*ANNE~AAA*N**75*C~DMG*D8*19510218*F~DTP*307*D8*20110411~HL*817*2*22*0~TRN*1*1122300H0W*1610600439~NM1*IL*1*HOWARD*TRAVIS~AAA*N**75*C~DMG*D8*19760108*M~DTP*307*D8*20110411~HL*818*2*22*0~TRN*1*1122300H0Z*1610600439~NM1*IL*1*LESCAILLES*LEANDRO*R***MI*7932582954~N4*****CY*13~DMG*D8*19920117*M~DTP*307*D8*20110411~EB*1*IND*30*MC*NO Y| Not eligible for nursing home and ICF/DD svc~DTP*307*RD8*20110411-20110411~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~EB*D*IND*68*MC*Last CHCUP Medical Screen~DTP*472*D8*20100721~EB*D*IND*68*MC*Last CHCUP Dental Screen~DTP*472*D8*20100810~HL*819*2*22*0~TRN*1*1122300H18*1610600439~NM1*IL*1*MAYARD*CHRISTY*L***MI*9499312285~N4*****CY*06~DMG*D8*19760812*F~DTP*307*D8*20110412~EB*1*IND*30*MC*MM P| Full Medicaid~DTP*307*RD8*20110412-20110412~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1437.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*820*2*22*0~TRN*1*1122300H1J*1610600439~NM1*IL*1*JOHNSON*DOUGLAS~AAA*N**75*C~DMG*D8*19660101*M~DTP*307*D8*20110412~HL*821*2*22*0~TRN*1*1122300H1T*1610600439~NM1*IL*1*LEWIS*JONATHAN*K***MI*9506576386~N4*****CY*06~DMG*D8*20070211*M~DTP*307*D8*20110412~EB*6~DTP*307*RD8*20110412-20110412~HL*822*2*22*0~TRN*1*1122300H1X*1610600439~NM1*IL*1*BURNETT*KENISHA*P***MI*3250410101~N4*****CY*06~DMG*D8*19770911*F~DTP*307*D8*20110412~EB*1*IND*30*MC*NA R| Not eligible for nursing home and ICF/DD svc~DTP*307*RD8*20110412-20110412~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*823*2*22*0~TRN*1*1122300H27*1610600439~NM1*IL*1*NOGUERA*MARIA~AAA*N**75*C~DMG*D8*19951207*F~DTP*307*D8*20110412~HL*824*2*22*0~TRN*1*1122300H2B*1610600439~NM1*IL*1*STRONG*MYA****MI*8631135135~N4*****CY*06~DMG*D8*20010813*F~DTP*307*D8*20110412~EB*1*IND*30*MC*MM C| Full Medicaid~DTP*307*RD8*20110412-20110412~EB*1*IND*30*MC*EBA| limited to OTC items~DTP*307*RD8*20110412-20110412~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~EB*D*IND*68*MC*Last CHCUP Medical Screen~DTP*472*D8*20100812~EB*D*IND*68*MC*Last CHCUP Dental Screen~DTP*472*D8*20051011~EB*D*IND*68*MC*Last CHCUP Blood Lead Test~DTP*472*D8*20050429~HL*825*2*22*0~TRN*1*1122300H2P*1610600439~NM1*IL*1*METAYER*JAMES~AAA*N**75*C~DMG*D8*19880703*M~DTP*307*D8*20110413~HL*826*2*22*0~TRN*1*1122300H2S*1610600439~NM1*IL*1*DAVE*RAJESHKUMAR~AAA*N**75*C~DMG*D8*19590423*M~DTP*307*D8*20110413~HL*827*2*22*0~TRN*1*1122300H2W*1610600439~NM1*IL*1*DAVE*RAJESHKUMAR~AAA*N**75*C~DMG*D8*19590423*M~DTP*307*D8*20110415~HL*828*2*22*0~TRN*1*1122300H2Y*1610600439~NM1*IL*1*DAVE*RAJESHKUMAR~AAA*N**75*C~DMG*D8*19590423*M~DTP*307*D8*20110420~HL*829*2*22*0~TRN*1*1122300H2Z*1610600439~NM1*IL*1*YERRAMANENI*TANMAYEE****MI*9506094535~N4*****CY*06~DMG*D8*20110223*F~DTP*307*D8*20110413~EB*1*IND*30*MC*MA U| Full Medicaid~DTP*307*RD8*20110413-20110413~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*830*2*22*0~TRN*1*1122300H34*1610600439~NM1*IL*1*SANTANA*MUNOZ~AAA*N**75*C~DMG*D8*19820612*F~DTP*307*D8*20110413~HL*831*2*22*0~TRN*1*1122300H38*1610600439~NM1*IL*1*URREGO*ALCIRA****MI*7678607661~N4*****CY*06~DMG*D8*19740617*F~DTP*307*D8*20110412~EB*6~DTP*307*RD8*20110412-20110412~HL*832*2*22*0~TRN*1*1122300H3F*1610600439~NM1*IL*1*JOHNSON*DAVID****MI*7683673650~N4*****CY*52~DMG*D8*19860105*M~DTP*307*D8*20110413~EB*6~DTP*307*RD8*20110413-20110413~HL*833*2*22*0~TRN*1*1122300H3M*1610600439~NM1*IL*1*DE*LEON~AAA*N**75*C~DMG*D8*19750825*M~DTP*307*D8*20110412~HL*834*2*22*0~TRN*1*1122300H3P*1610600439~NM1*IL*1*SAWKO*THERESA~AAA*N**75*C~DMG*D8*19560213*F~DTP*307*D8*20110413~HL*835*2*22*0~TRN*1*1122300H3Q*1610600439~NM1*IL*1*ALMANDOZ*DALE~AAA*N**75*C~DMG*D8*19791023*M~DTP*307*D8*20110415~HL*836*2*22*0~TRN*1*1122300H3T*1610600439~NM1*IL*1*REED*RIHKANNA~AAA*N**75*C~DMG*D8*20110227*F~DTP*307*D8*20110414~HL*837*2*22*0~TRN*1*1122300H3V*1610600439~NM1*IL*1*GARCIA*CHRISTOPHER*A***MI*2120662100~N4*****CY*06~DMG*D8*19850510*M~DTP*307*D8*20110414~EB*6~DTP*307*RD8*20110414-20110414~HL*838*2*22*0~TRN*1*1122300H42*1610600439~NM1*IL*1*PADILLA*NESTOR~AAA*N**75*C~DMG*D8*19741031*M~DTP*307*D8*20110414~HL*839*2*22*0~TRN*1*1122300H45*1610600439~NM1*IL*1*BARKER*JESSICA****MI*7449942950~N4*****CY*59~DMG*D8*19901229*F~DTP*307*D8*20110414~EB*6~DTP*307*RD8*20110414-20110414~HL*840*2*22*0~TRN*1*1122300H4B*1610600439~NM1*IL*1*VARGAS*BLANCA~AAA*N**75*C~DMG*D8*19330119*F~DTP*307*D8*20110414~HL*841*2*22*0~TRN*1*1122300H4D*1610600439~NM1*IL*1*GRANT*BRIANNA~AAA*N**75*C~DMG*D8*19921108*F~DTP*307*D8*20110413~HL*842*2*22*0~TRN*1*1122300H4H*1610600439~NM1*IL*1*PEREZ*GONZALEZ~AAA*N**75*C~DMG*D8*19780705*M~DTP*307*D8*20110413~HL*843*2*22*0~TRN*1*1122300H4P*1610600439~NM1*IL*1*PEREZ*JAVIER~AAA*N**75*C~DMG*D8*19800529*M~DTP*307*D8*20110413~HL*844*2*22*0~TRN*1*1122300H4T*1610600439~NM1*IL*1*ELIEN*ISAAC~AAA*N**75*C~DMG*D8*19890301*M~DTP*307*D8*20110414~HL*845*2*22*0~TRN*1*1122300H4Y*1610600439~NM1*IL*1*CELEBI*MINE*J***MI*8895549180~REF*F6*362021315A~N4*****CY*06~DMG*D8*19760507*F~DTP*307*D8*20110414~EB*1*IND*30*MC*MS  | Full Medicaid~DTP*307*RD8*20110414-20110414~EB*1*IND*30*MA~DTP*307*RD8*20110414-20110414~EB*1*IND*30*MB~DTP*307*RD8*20110414-20110414~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*846*2*22*0~TRN*1*1122300H57*1610600439~NM1*IL*1*LOUIJUSTE*LOUCHEMANA~AAA*N**75*C~DMG*D8*19940112*F~DTP*307*D8*20110414~HL*847*2*22*0~TRN*1*1122300H58*1610600439~NM1*IL*1*LEGISTE*MARAH~AAA*N**75*C~DMG*D8*20101110*F~DTP*307*D8*20110414~HL*848*2*22*0~TRN*1*1122300H5B*1610600439~NM1*IL*1*GEORGES*JEFFREY*W***MI*9455563282~N4*****CY*13~DMG*D8*20070128*M~DTP*307*D8*20110415~EB*1*IND*30*MC*MM C| Full Medicaid~DTP*307*RD8*20110415-20110415~EB*L*IND*96*MC*Medicaid HMO~DTP*307*RD8*20110415-20110415~LS*2120~NM1*1P*2*STAYWELL/WELLCARE OF FLORIDA, INC~N4*TAMPA*FL*336225735~PER*IC**TE*8132906200~LE*2120~EB*L*IND*96*MC*Prepaid Dental~DTP*307*RD8*20110415-20110415~LS*2120~NM1*1P*2*DENTAQUEST OF FLORIDA, INC~N4*CORAL GABLES*FL*331340000~PER*IC**TE*3054433111~LE*2120~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~EB*D*IND*68*MC*Last CHCUP Medical Screen~DTP*472*D8*20100624~EB*D*IND*68*MC*Last CHCUP Blood Lead Test~DTP*472*D8*20100629~HL*849*2*22*0~TRN*1*1122300H5H*1610600439~NM1*IL*1*MIMRAN*ERIC~AAA*N**75*C~DMG*D8*19481221*M~DTP*307*D8*20110415~HL*850*2*22*0~TRN*1*1122300H5L*1610600439~NM1*IL*1*JARQUIN*LIGIA~AAA*N**75*C~DMG*D8*19810321*F~DTP*307*D8*20110415~HL*851*2*22*0~TRN*1*1122300H5Q*1610600439~NM1*IL*1*FENELON*PIERRE~AAA*N**75*C~DMG*D8*19701119*M~DTP*307*D8*20110415~HL*852*2*22*0~TRN*1*1122300H5S*1610600439~NM1*IL*1*MORALES*FRED****MI*3186803101~N4*****CY*13~DMG*D8*19770413*M~DTP*307*D8*20110414~EB*6~DTP*307*RD8*20110414-20110414~HL*853*2*22*0~TRN*1*1122300H5Z*1610600439~NM1*IL*1*GARCIA*BARBARA~AAA*N**75*C~DMG*D8*19650720*F~DTP*307*D8*20110415~HL*854*2*22*0~TRN*1*1122300H6B*1610600439~NM1*IL*1*VENTURA*ELIZABETH~AAA*N**75*C~DMG*D8*19530309*F~DTP*307*D8*20110414~HL*855*2*22*0~TRN*1*1122300H6D*1610600439~NM1*IL*1*JOLLY*JENNIFER~AAA*N**75*C~DMG*D8*19750107*F~DTP*307*D8*20110415~HL*856*2*22*0~TRN*1*1122300H6J*1610600439~NM1*IL*1*GALLOITH*MONIQUE~AAA*N**75*C~DMG*D8*19781029*F~DTP*307*D8*20110415~HL*857*2*22*0~TRN*1*1122300H6L*1610600439~NM1*IL*1*GIBBS*VILETTA~AAA*N**75*C~DMG*D8*19671005*F~DTP*307*D8*20110416~HL*858*2*22*0~TRN*1*1122300H6P*1610600439~NM1*IL*1*KOPOULOS*ADAM~AAA*N**75*C~DMG*D8*19891029*M~DTP*307*D8*20110416~HL*859*2*22*0~TRN*1*1122300H6S*1610600439~NM1*IL*1*ALEXIS*MELIDA****MI*9508653345~N4*****CY*06~DMG*D8*19691003*F~DTP*307*D8*20110416~EB*6~DTP*307*RD8*20110416-20110416~HL*860*2*22*0~TRN*1*1122300H6Y*1610600439~NM1*IL*1*GARCIA*CARLOS~AAA*N**75*C~DMG*D8*19670728*M~DTP*307*D8*20110416~HL*861*2*22*0~TRN*1*1122300H72*1610600439~NM1*IL*1*MEDINA*PEDRO~AAA*N**75*C~DMG*D8*19540702*M~DTP*307*D8*20110416~HL*862*2*22*0~TRN*1*1122300H74*1610600439~NM1*IL*1*GUIRLIN*JEAN~AAA*N**75*C~DMG*D8*19620331*M~DTP*307*D8*20110417~HL*863*2*22*0~TRN*1*1122300H76*1610600439~NM1*IL*1*JONES*KEITH~AAA*N**75*C~DMG*D8*19640820*M~DTP*307*D8*20110417~HL*864*2*22*0~TRN*1*1122300H7B*1610600439~NM1*IL*1*HALL*SADA~AAA*N**75*C~DMG*D8*19881030*F~DTP*307*D8*20110417~HL*865*2*22*0~TRN*1*1122300H7H*1610600439~NM1*IL*1*HALL*SADA~AAA*N**75*C~DMG*D8*19881030*F~DTP*307*D8*20110630~HL*866*2*22*0~TRN*1*1122300H7P*1610600439~NM1*IL*1*HEPBURN*JAKERI~AAA*N**75*C~DMG*D8*19901103*M~DTP*307*D8*20110418~HL*867*2*22*0~TRN*1*1122300H7S*1610600439~NM1*IL*1*GERVASI*ANTONIO~AAA*N**75*C~DMG*D8*19850102*M~DTP*307*D8*20110418~HL*868*2*22*0~TRN*1*1122300H7W*1610600439~NM1*IL*1*ROMERORENDERO*JOSE~AAA*N**75*C~DMG*D8*19900327*M~DTP*307*D8*20110418~HL*869*2*22*0~TRN*1*1122300H80*1610600439~NM1*IL*1*PLANT*DEBBIE~AAA*N**75*C~DMG*D8*19680807*F~DTP*307*D8*20110418~HL*870*2*22*0~TRN*1*1122300H84*1610600439~NM1*IL*1*BOWEN*MISS~AAA*N**75*C~DMG*D8*20110418*F~DTP*307*D8*20110420~HL*871*2*22*0~TRN*1*1122300H85*1610600439~NM1*IL*1*BURRAGE*MICHAEL~AAA*N**75*C~DMG*D8*19670116*M~DTP*307*D8*20110418~HL*872*2*22*0~TRN*1*1122300H86*1610600439~NM1*IL*1*RABARGE*RAYMOND~AAA*N**75*C~DMG*D8*19410803*M~DTP*307*D8*20110419~HL*873*2*22*0~TRN*1*1122300H88*1610600439~NM1*IL*1*COOPER*DAISY~AAA*N**75*C~DMG*D8*19880215*F~DTP*307*D8*20110419~HL*874*2*22*0~TRN*1*1122300H8C*1610600439~NM1*IL*1*SMITH*ANTWAN~AAA*N**75*C~DMG*D8*19860228*M~DTP*307*D8*20110419~HL*875*2*22*0~TRN*1*1122300H8N*1610600439~NM1*IL*1*LOUIGE*SHANIQUA*J***MI*7642793669~N4*****CY*13~DMG*D8*19960901*F~DTP*307*D8*20110420~EB*6~DTP*307*RD8*20110420-20110420~HL*876*2*22*0~TRN*1*1122300H8Q*1610600439~NM1*IL*1*MCGILL*BARBARA~AAA*N**75*C~DMG*D8*19581126*F~DTP*307*D8*20110420~HL*877*2*22*0~TRN*1*1122300H8S*1610600439~NM1*IL*1*TROTTER*ROCIO~AAA*N**75*C~DMG*D8*19750614*F~DTP*307*D8*20110420~HL*878*2*22*0~TRN*1*1122300H8V*1610600439~NM1*IL*1*BALSAMICO*MICHAEL~AAA*N**75*C~DMG*D8*19650502*M~DTP*307*D8*20110420~HL*879*2*22*0~TRN*1*1122300H8X*1610600439~NM1*IL*1*BALSAMICO*MICHAEL~AAA*N**75*C~DMG*D8*19650502*M~DTP*307*D8*20110425~HL*880*2*22*0~TRN*1*1122300H90*1610600439~NM1*IL*1*BALSAMICO*MICHAEL~AAA*N**75*C~DMG*D8*19650502*M~DTP*307*D8*20110427~HL*881*2*22*0~TRN*1*1122300H93*1610600439~NM1*IL*1*AREILA*MARIBEL~AAA*N**75*C~DMG*D8*19651212*F~DTP*307*D8*20110420~HL*882*2*22*0~TRN*1*1122300H95*1610600439~NM1*IL*1*VAJDA*JULIUS~AAA*N**75*C~DMG*D8*19661205*M~DTP*307*D8*20110420~HL*883*2*22*0~TRN*1*1122300H98*1610600439~NM1*IL*1*BETTOR*THOMAS****MI*7941851962~N4*****CY*06~DMG*D8*19970929*M~DTP*307*D8*20110420~EB*6~DTP*307*RD8*20110420-20110420~HL*884*2*22*0~TRN*1*1122300H9F*1610600439~NM1*IL*1*DE LA CRUZ PACHE*LILLIANA~AAA*N**75*C~DMG*D8*19860602*F~DTP*307*D8*20110423~HL*885*2*22*0~TRN*1*1122300H9H*1610600439~NM1*IL*1*DE LA CRUZ PACHE*LILLIANA~AAA*N**75*C~DMG*D8*19860602*F~DTP*307*D8*20110424~HL*886*2*22*0~TRN*1*1122300H9J*1610600439~NM1*IL*1*ZEIGLER*ROBERT****MI*7330320315~N4*****CY*13~DMG*D8*19831026*M~DTP*307*D8*20110421~EB*6~DTP*307*RD8*20110421-20110421~HL*887*2*22*0~TRN*1*1122300H9K*1610600439~NM1*IL*1*SANDFORD*LARRY~AAA*N**75*C~DMG*D8*19590917*M~DTP*307*D8*20110421~HL*888*2*22*0~TRN*1*1122300H9M*1610600439~NM1*IL*1*BAWANY*MOHAMMED~AAA*N**75*C~DMG*D8*19541019*M~DTP*307*D8*20110421~HL*889*2*22*0~TRN*1*1122300H9Q*1610600439~NM1*IL*1*GARCIA*GISSEL~AAA*N**75*C~DMG*D8*19791201*F~DTP*307*D8*20110422~HL*890*2*22*0~TRN*1*1122300H9X*1610600439~NM1*IL*1*DINGLE*TANGELINA*C***MI*1415426104~N4*****CY*13~DMG*D8*19751129*F~DTP*307*D8*20110422~EB*1*IND*30*MC*NA R| Not eligible for nursing home and ICF/DD svc~DTP*307*RD8*20110422-20110422~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*891*2*22*0~TRN*1*1122300HB5*1610600439~NM1*IL*1*DELANCY*BETTY~AAA*N**75*C~DMG*D8*19460318*F~DTP*307*D8*20110426~HL*892*2*22*0~TRN*1*1122300HB7*1610600439~NM1*IL*1*BRACAMONTE*VICTOR****MI*9484869858~N4*****CY*13~DMG*D8*19550914*M~DTP*307*D8*20110422~EB*1*IND*30*MC*NA U| Not eligible for nursing home and ICF/DD svc~DTP*307*RD8*20110422-20110422~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*893*2*22*0~TRN*1*1122300HBF*1610600439~NM1*IL*1*JOSEPH*ROBERT~AAA*N**75*C~DMG*D8*19791003*M~DTP*307*D8*20110422~HL*894*2*22*0~TRN*1*1122300HBJ*1610600439~NM1*IL*1*QUEZADA*SIMON~AAA*N**75*C~DMG*D8*19880606*M~DTP*307*D8*20110423~HL*895*2*22*0~TRN*1*1122300HBM*1610600439~NM1*IL*1*YANEZ*JUAN*A***MI*3136561112~N4*****CY*13~DMG*D8*19891101*M~DTP*307*D8*20110423~EB*6~DTP*307*RD8*20110423-20110423~HL*896*2*22*0~TRN*1*1122300HBR*1610600439~NM1*IL*1*CAICEDO*NICOLAS~AAA*N**75*C~DMG*D8*19990810*M~DTP*307*D8*20110423~HL*897*2*22*0~TRN*1*1122300HBW*1610600439~NM1*IL*1*LEATH*MALIYA****MI*7735128967~N4*****CY*13~DMG*D8*19950606*F~DTP*307*D8*20110424~EB*6~DTP*307*RD8*20110424-20110424~HL*898*2*22*0~TRN*1*1122300HC0*1610600439~NM1*IL*1*MONTOYA*BONERO~AAA*N**75*C~DMG*D8*19640628*M~DTP*307*D8*20110424~HL*899*2*22*0~TRN*1*1122300HC1*1610600439~NM1*IL*1*DIAZ*JAVIER*F***MI*7725663070~N4*****CY*13~DMG*D8*19601127*M~DTP*307*D8*20110425~EB*6~DTP*307*RD8*20110425-20110425~HL*900*2*22*0~TRN*1*1122300HC5*1610600439~NM1*IL*1*CLEMENTE*YOVANNY~AAA*N**75*C~DMG*D8*19761230*M~DTP*307*D8*20110424~HL*901*2*22*0~TRN*1*1122300HC8*1610600439~NM1*IL*1*JEAN*ANGELO*W***MI*7786292691~N4*****CY*13~DMG*D8*19621231*M~DTP*307*D8*20110424~EB*6~DTP*307*RD8*20110424-20110424~HL*902*2*22*0~TRN*1*1122300HCF*1610600439~NM1*IL*1*AGNEWSHURNS*THALIA~AAA*N**75*C~DMG*D8*19821206*F~DTP*307*D8*20110424~HL*903*2*22*0~TRN*1*1122300HCJ*1610600439~NM1*IL*1*SANCHEZ*EDUARDO~AAA*N**75*C~DMG*D8*19611207*M~DTP*307*D8*20110425~HL*904*2*22*0~TRN*1*1122300HCR*1610600439~NM1*IL*1*BERNIER*JAVIER~AAA*N**75*C~DMG*D8*19720815*M~DTP*307*D8*20110425~HL*905*2*22*0~TRN*1*1122300HCT*1610600439~NM1*IL*1*VALDES*ISABEL~AAA*N**75*C~DMG*D8*19520827*F~DTP*307*D8*20110425~HL*906*2*22*0~TRN*1*1122300HCY*1610600439~NM1*IL*1*GIL*DE~AAA*N**75*C~DMG*D8*19670812*F~DTP*307*D8*20110425~HL*907*2*22*0~TRN*1*1122300HD2*1610600439~NM1*IL*1*LORENZO*CHRISTINA*M***MI*7468664269~N4*****CY*06~DMG*D8*19771116*F~DTP*307*D8*20110426~EB*6~DTP*307*RD8*20110426-20110426~HL*908*2*22*0~TRN*1*1122300HD9*1610600439~NM1*IL*1*DIAZ*ANGELA~AAA*N**75*C~DMG*D8*19941016*F~DTP*307*D8*20110425~HL*909*2*22*0~TRN*1*1122300HDG*1610600439~NM1*IL*1*HINES*KEVIN~AAA*N**75*C~DMG*D8*19860707*M~DTP*307*D8*20110426~HL*910*2*22*0~TRN*1*1122300HDH*1610600439~NM1*IL*1*MAYODODD*TERRSHERIA~AAA*N**75*C~DMG*D8*19790921*F~DTP*307*D8*20110426~HL*911*2*22*0~TRN*1*1122300HDJ*1610600439~NM1*IL*1*RILEY*YASHEKA~AAA*N**75*C~DMG*D8*19820909*F~DTP*307*D8*20110426~HL*912*2*22*0~TRN*1*1122300HDS*1610600439~NM1*IL*1*GOMEZ*AZUCENA~AAA*N**75*C~DMG*D8*19770106*F~DTP*307*D8*20110426~HL*913*2*22*0~TRN*1*1122300HDV*1610600439~NM1*IL*1*ENGLISH*ANTHONY*M***MI*7513644934~N4*****CY*06~DMG*D8*19881121*M~DTP*307*D8*20110426~EB*6~DTP*307*RD8*20110426-20110426~HL*914*2*22*0~TRN*1*1122300HDY*1610600439~NM1*IL*1*BARRIENTOS*ERNESTO*A***MI*9485589107~N4*****CY*13~DMG*D8*19961120*M~DTP*307*D8*20110426~EB*6~DTP*307*RD8*20110426-20110426~HL*915*2*22*0~TRN*1*1122300HF1*1610600439~NM1*IL*1*STANLEY*LEE~AAA*N**75*C~DMG*D8*19540613*F~DTP*307*D8*20110426~HL*916*2*22*0~TRN*1*1122300HF2*1610600439~NM1*IL*1*BOWMAN*YSHANDRA~AAA*N**75*C~DMG*D8*19920519*F~DTP*307*D8*20110426~HL*917*2*22*0~TRN*1*1122300HF5*1610600439~NM1*IL*1*WILLIAMS*TRENISE****MI*8677523278~N4*****CY*13~DMG*D8*19860615*F~DTP*307*D8*20110427~EB*6~DTP*307*RD8*20110427-20110427~HL*918*2*22*0~TRN*1*1122300HFJ*1610600439~NM1*IL*1*KELLY*KAITLIN~AAA*N**75*C~DMG*D8*19890724*F~DTP*307*D8*20110429~HL*919*2*22*0~TRN*1*1122300HFM*1610600439~NM1*IL*1*HICKS*KIMYONNA*L***MI*1525181106~N4*****CY*13~DMG*D8*19790223*F~DTP*307*D8*20110429~EB*1*IND*30*MC*ME I| Full Medicaid~DTP*307*RD8*20110429-20110429~EB*L*IND*96*MC*Medicaid HMO~DTP*307*RD8*20110429-20110429~LS*2120~NM1*1P*2*STAYWELL/WELLCARE OF FLORIDA, INC~N4*TAMPA*FL*336225735~PER*IC**TE*8132906200~LE*2120~EB*F*IND*AL*MC*Last Eyeglasses Date~DTP*472*RD8*19941125-19941125~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*920*2*22*0~TRN*1*1122300HFW*1610600439~NM1*IL*1*GOMEZ*REBECA****MI*7533180437~N4*****CY*13~DMG*D8*19920526*F~DTP*307*D8*20110429~EB*1*IND*30*MC*MM P| Full Medicaid~DTP*307*RD8*20110429-20110429~EB*L*IND*96*MC*Prepaid Dental~DTP*307*RD8*20110429-20110429~LS*2120~NM1*1P*2*DENTAQUEST OF FLORIDA, INC~N4*CORAL GABLES*FL*331340000~PER*IC**TE*3054433111~LE*2120~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*921*2*22*0~TRN*1*1122300HG4*1610600439~NM1*IL*1*CESPEDES*ABARCA~AAA*N**75*C~DMG*D8*19880829*M~DTP*307*D8*20110429~HL*922*2*22*0~TRN*1*1122300HG8*1610600439~NM1*IL*1*MUNGAI*ANDREW*M***MI*3600991132~N4*****CY*06~DMG*D8*19820228*M~DTP*307*D8*20110429~EB*6~DTP*307*RD8*20110429-20110429~HL*923*2*22*0~TRN*1*1122300HGD*1610600439~NM1*IL*1*KERA*ALI~AAA*N**75*C~DMG*D8*19731120*M~DTP*307*D8*20110429~HL*924*2*22*0~TRN*1*1122300HGH*1610600439~NM1*IL*1*HIGGS*MORRIS*L***MI*7330927490~N4*****CY*13~DMG*D8*19890104*M~DTP*307*D8*20110429~EB*6~DTP*307*RD8*20110429-20110429~HL*925*2*22*0~TRN*1*1122300HGP*1610600439~NM1*IL*1*PETROVIC*SLAVICA~AAA*N**75*C~DMG*D8*19620811*F~DTP*307*D8*20110428~HL*926*2*22*0~TRN*1*1122300HGR*1610600439~NM1*IL*1*PUPO*ASHLEY*C***MI*7780823962~N4*****CY*13~DMG*D8*19991104*F~DTP*307*D8*20110429~EB*6~DTP*307*RD8*20110429-20110429~HL*927*2*22*0~TRN*1*1122300HGX*1610600439~NM1*IL*1*HAY*TOMARICK****MI*7461469053~N4*****CY*06~DMG*D8*19770418*M~DTP*307*D8*20110430~EB*6~DTP*307*RD8*20110430-20110430~HL*928*2*22*0~TRN*1*1122300HGZ*1610600439~NM1*IL*1*KINSEY*TONNORRIS~AAA*N**75*C~DMG*D8*19870219*M~DTP*307*D8*20110430~HL*929*2*22*0~TRN*1*1122300HH3*1610600439~NM1*IL*1*BAKER*DARRYLE****MI*7627565634~N4*****CY*06~DMG*D8*19960226*M~DTP*307*D8*20110430~EB*1*IND*30*MC*EBA| limited to OTC items~DTP*307*RD8*20110430-20110430~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~EB*D*IND*68*MC*Last CHCUP Medical Screen~DTP*472*D8*20070911~HL*930*2*22*0~TRN*1*1122300HH7*1610600439~NM1*IL*1*BAKHAREV*PETER~AAA*N**75*C~DMG*D8*19640413*M~DTP*307*D8*20110430~HL*931*2*22*0~TRN*1*1122300HH8*1610600439~NM1*IL*1*COSTACHE*DANIEL~AAA*N**75*C~DMG*D8*19800228*M~DTP*307*D8*20110430~HL*932*2*22*0~TRN*1*1122300HH9*1610600439~NM1*IL*1*TORRES*MANUEL~AAA*N**75*C~DMG*D8*19590523*M~DTP*307*D8*20110501~HL*933*2*22*0~TRN*1*1122300HHF*1610600439~NM1*IL*1*BATISTA*PAUL~AAA*N**75*C~DMG*D8*19780920*M~DTP*307*D8*20110501~HL*934*2*22*0~TRN*1*1122300HHH*1610600439~NM1*IL*1*ARREDONDO*ANGELA~AAA*N**75*C~DMG*D8*19650130*F~DTP*307*D8*20110430~HL*935*2*22*0~TRN*1*1122300HHP*1610600439~NM1*IL*1*RIVAS*JIMMY~AAA*N**75*C~DMG*D8*19891227*M~DTP*307*D8*20110501~HL*936*2*22*0~TRN*1*1122300HHS*1610600439~NM1*IL*1*ORTIZ*ROBERT~AAA*N**75*C~DMG*D8*19731222*M~DTP*307*D8*20110505~HL*937*2*22*0~TRN*1*1122300HHW*1610600439~NM1*IL*1*FLOWERS*ROBERT~AAA*N**75*C~DMG*D8*19700904*M~DTP*307*D8*20110503~HL*938*2*22*0~TRN*1*1122300HHY*1610600439~NM1*IL*1*ALVAREZ*ALEXIS*M***MI*7934263899~N4*****CY*13~DMG*D8*20030310*F~DTP*307*D8*20110503~EB*1*IND*30*MC*MA R| Full Medicaid~DTP*307*RD8*20110503-20110503~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~EB*D*IND*68*MC*Last CHCUP Medical Screen~DTP*472*D8*20110319~EB*D*IND*68*MC*Last CHCUP Dental Screen~DTP*472*D8*20101015~HL*939*2*22*0~TRN*1*1122300HJF*1610600439~NM1*IL*1*SHEFFIELD*LEROY~AAA*N**75*C~DMG*D8*19741129*M~DTP*307*D8*20110513~HL*940*2*22*0~TRN*1*1122300HJG*1610600439~NM1*IL*1*PUENTES*LEONARDO****MI*9437201587~N4*****CY*13~DMG*D8*19951110*M~DTP*307*D8*20110507~EB*6~DTP*307*RD8*20110507-20110507~HL*941*2*22*0~TRN*1*1122300HJK*1610600439~NM1*IL*1*FAISON*JEFFREY~AAA*N**75*C~DMG*D8*19590506*M~DTP*307*D8*20110511~HL*942*2*22*0~TRN*1*1122300HJM*1610600439~NM1*IL*1*JOHNSON*TERRI~AAA*N**75*C~DMG*D8*19640228*F~DTP*307*D8*20110519~HL*943*2*22*0~TRN*1*1122300HJV*1610600439~NM1*IL*1*SAENZ*RODRIGUEZ~AAA*N**75*C~DMG*D8*19670925*M~DTP*307*D8*20110611~HL*944*2*22*0~TRN*1*1122300HJZ*1610600439~NM1*IL*1*SEIDLIN*FRANK~AAA*N**75*C~DMG*D8*19461222*M~DTP*307*D8*20110615~HL*945*2*22*0~TRN*1*1122300HK1*1610600439~NM1*IL*1*PADILLA*TRACEY****MI*7486086336~REF*F6*594249583A~N4*****CY*06~DMG*D8*19680113*F~DTP*307*D8*20110214~EB*1*IND*30*MC*EBA| limited to OTC items~DTP*307*RD8*20110214-20110214~EB*1*IND*30*MA~DTP*307*RD8*20110214-20110214~EB*1*IND*30*MB~DTP*307*RD8*20110214-20110214~EB*F*IND*AL*MC*Last Eyeglasses Date~DTP*472*RD8*20070927-20070927~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*946*2*22*0~TRN*1*1122300HKL*1610600439~NM1*IL*1*VEGH*AMANDA~AAA*N**75*C~DMG*D8*19500319*F~DTP*307*D8*20110210~HL*947*2*22*0~TRN*1*1122300HKN*1610600439~NM1*IL*1*ESQUIVEL*CESAR~AAA*N**75*C~DMG*D8*19500216*M~DTP*307*D8*20110119~HL*948*2*22*0~TRN*1*1122300HKS*1610600439~NM1*IL*1*DABEL*HEATHER*M***MI*1045307131~N4*****CY*06~DMG*D8*19840324*F~DTP*307*D8*20110415~EB*6~DTP*307*RD8*20110415-20110415~HL*949*2*22*0~TRN*1*1122300HKV*1610600439~NM1*IL*1*DABEL*HEATHER*M***MI*1045307131~N4*****CY*06~DMG*D8*19840324*F~DTP*307*D8*20110503~EB*6~DTP*307*RD8*20110503-20110503~HL*950*2*22*0~TRN*1*1122300HKX*1610600439~NM1*IL*1*ROGERS*SANDRA~AAA*N**75*C~DMG*D8*19600224*F~DTP*307*D8*20110121~HL*951*2*22*0~TRN*1*1122300HKZ*1610600439~NM1*IL*1*WHEATLEY*CRYSTAL*A***MI*2465906127~N4*****CY*06~DMG*D8*19860707*F~DTP*307*D8*20110204~EB*1*IND*30*MC*EBA| limited to OTC items~DTP*307*RD8*20110204-20110204~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*42~HL*952*2*22*0~TRN*1*1122300HL5*1610600439~NM1*IL*1*NARDELLI*LOUIS*W***MI*9466647385~REF*F6*364586293A~N4*****CY*06~DMG*D8*19520727*M~DTP*307*D8*20101208~EB*1*IND*30*MC*EBA| limited to OTC items~DTP*307*RD8*20101208-20101208~EB*1*IND*30*MA~DTP*307*RD8*20101208-20101208~EB*1*IND*30*MB~DTP*307*RD8*20101208-20101208~EB*F*IND*AL*MC*Last Eyeglasses Date~DTP*472*RD8*20090513-20090513~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*953*2*22*0~TRN*1*1122300HLG*1610600439~NM1*IL*1*GODERICH*MARIO****MI*8643353094~N4*****CY*06~DMG*D8*19670504*M~DTP*307*D8*20110131~EB*6~DTP*307*RD8*20110131-20110131~HL*954*2*22*0~TRN*1*1122300HLK*1610600439~NM1*IL*1*UTLEY*VALORIE~AAA*N**75*C~DMG*D8*19500602*F~DTP*307*D8*20110215~HL*955*2*22*0~TRN*1*1122300HLL*1610600439~NM1*IL*1*WARREN*CINDY~AAA*N**75*C~DMG*D8*19580104*F~DTP*307*D8*20101211~HL*956*2*22*0~TRN*1*1122300HLN*1610600439~NM1*IL*1*DAVIS*ERROL~AAA*N**75*C~DMG*D8*19561015*M~DTP*307*D8*20110403~HL*957*2*22*0~TRN*1*1122300HLT*1610600439~NM1*IL*1*DAVIS*ERROL~AAA*N**75*C~DMG*D8*19561015*M~DTP*307*D8*20110406~HL*958*2*22*0~TRN*1*1122300HLY*1610600439~NM1*IL*1*ROGERS*QUINDLYN*D***MI*2147497100~N4*****CY*06~DMG*D8*19840202*F~DTP*307*D8*20110317~EB*1*IND*30*MC*EBA| limited to OTC items~DTP*307*RD8*20110317-20110317~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*959*2*22*0~TRN*1*1122300HM4*1610600439~NM1*IL*1*JAMES*STEPHANIE~AAA*N**62*C~DMG*D8*19671113*F~DTP*307*D8*20090413~HL*960*2*22*0~TRN*1*1122300HMB*1610600439~NM1*IL*1*RAMDIAL*CHARLES~AAA*N**75*C~DMG*D8*19600817*M~DTP*307*D8*20110320~HL*961*2*22*0~TRN*1*1122300HMC*1610600439~NM1*IL*1*FERREIRO*JOIE~AAA*N**75*C~DMG*D8*19820815*F~DTP*307*D8*20110429~HL*962*2*22*0~TRN*1*1122300HMH*1610600439~NM1*IL*1*FARFAN*BLANCA*M***MI*7639169275~REF*F6*264572417A~N4*****CY*06~DMG*D8*19300826*F~DTP*307*D8*20110116~EB*1*IND*30*QM*QMB | Ltd to Mcare premiums, deductibls and CoIns~DTP*307*RD8*20110116-20110116~EB*1*IND*30*MA~DTP*307*RD8*20110116-20110116~EB*1*IND*30*MB~DTP*307*RD8*20110116-20110116~EB*F*IND*AL*MC*Last Eyeglasses Date~DTP*472*RD8*20030517-20030517~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*963*2*22*0~TRN*1*1122300HMV*1610600439~NM1*IL*1*MOR*JULIETTE*C***MI*9455830621~N4*****CY*13~DMG*D8*19900121*F~DTP*307*D8*20110428~EB*6~DTP*307*RD8*20110428-20110428~HL*964*2*22*0~TRN*1*1122300HMZ*1610600439~NM1*IL*1*THOMPSON*OSWALD~AAA*N**75*C~DMG*D8*19470813*M~DTP*307*D8*20110405~HL*965*2*22*0~TRN*1*1122300HN3*1610600439~NM1*IL*1*PITT*HOWARD~AAA*N**75*C~DMG*D8*19521024*M~DTP*307*D8*20110324~HL*966*2*22*0~TRN*1*1122300HN7*1610600439~NM1*IL*1*SHAMIS*MICHELLE~AAA*N**75*C~DMG*D8*20050509*F~DTP*307*D8*20110202~HL*967*2*22*0~TRN*1*1122300HN9*1610600439~NM1*IL*1*RODRIGUEZ*ROBERTO****MI*7614445686~N4*****CY*13~DMG*D8*19860101*M~DTP*307*D8*20110221~EB*6~DTP*307*RD8*20110221-20110221~HL*968*2*22*0~TRN*1*1122300HNK*1610600439~NM1*IL*1*SOSA*MILAGROS~AAA*N**75*C~DMG*D8*19650714*F~DTP*307*D8*20110214~HL*969*2*22*0~TRN*1*1122300HNP*1610600439~NM1*IL*1*HOWARD*HERMAN~AAA*N**75*C~DMG*D8*19421221*M~DTP*307*D8*20101220~HL*970*2*22*0~TRN*1*1122300HNV*1610600439~NM1*IL*1*SHARPE*GENEVA~AAA*N**75*C~DMG*D8*19541101*F~DTP*307*D8*20110322~HL*971*2*22*0~TRN*1*1122300HNX*1610600439~NM1*IL*1*PETERSON*VINCENT****MI*2194596119~N4*****CY*13~DMG*D8*19870813*M~DTP*307*D8*20110220~EB*6~DTP*307*RD8*20110220-20110220~HL*972*2*22*0~TRN*1*1122300HNZ*1610600439~NM1*IL*1*GARCIA*ILEANA****MI*7448774336~N4*****CY*06~DMG*D8*19650126*F~DTP*307*D8*20110120~EB*1*IND*30*MC*EBA| limited to OTC items~DTP*307*RD8*20110120-20110120~EB*R*IND*30*C1*BASIC HOSPITAL/MEDICAL/SURGICAL~REF*1L*XOF838487212~REF*18*A00001*THIS IS NOT AN INSURANCE CARRIER~DTP*307*RD8*20110120-20110120~LS*2120~NM1*IL*1*GARCIA*ILEANA~N4*HOLLYWOOD*FL*330214420~PER*IC**TE*9543673710~LE*2120~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*973*2*22*0~TRN*1*1122300HP7*1610600439~NM1*IL*1*JOHNSON*VERONICA~AAA*N**75*C~DMG*D8*19571212*F~DTP*307*D8*20110412~HL*974*2*22*0~TRN*1*1122300HPF*1610600439~NM1*IL*1*MULUMBA*BADIMANYI*D***MI*8301960060~REF*F6*567887231A~N4*****CY*06~DMG*D8*19451227*M~DTP*307*D8*20101205~EB*1*IND*30*MC*MI I| Full Medicaid~DTP*307*RD8*20101205-20101205~EB*1*IND*30*MC*QI1 | Limited to Medicare Part B premium only~DTP*307*RD8*20101205-20101205~EB*1*IND*30*MC*EBA| limited to OTC items~DTP*307*RD8*20101205-20101205~EB*1*IND*30*MA~DTP*307*RD8*20101205-20101205~EB*1*IND*30*MB~DTP*307*RD8*20101205-20101205~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*34~HL*975*2*22*0~TRN*1*1122300HPJ*1610600439~NM1*IL*1*ARCHBOLD*GARRY~AAA*N**75*C~DMG*D8*19670416*M~DTP*307*D8*20110325~HL*976*2*22*0~TRN*1*1122300HPL*1610600439~NM1*IL*1*KIMBRELLAGUIAR*DENISE~AAA*N**75*C~DMG*D8*19600131*F~DTP*307*D8*20110324~HL*977*2*22*0~TRN*1*1122300HPP*1610600439~NM1*IL*1*SIRAGUSA*ALLAN*D***MI*7461483269~N4*****CY*13~DMG*D8*19620317*M~DTP*307*D8*20110114~EB*6~DTP*307*RD8*20110114-20110114~HL*978*2*22*0~TRN*1*1122300HPQ*1610600439~NM1*IL*1*GALES*SHANTARA*L***MI*1962008118~N4*****CY*13~DMG*D8*19840606*F~DTP*307*D8*20110309~EB*6~DTP*307*RD8*20110309-20110309~HL*979*2*22*0~TRN*1*1122300HPS*1610600439~NM1*IL*1*LOPEZ*JULIO~AAA*N**75*C~DMG*D8*19711122*M~DTP*307*D8*20101017~HL*980*2*22*0~TRN*1*1122300HPY*1610600439~NM1*IL*1*HUMES*PRINCETTA*L***MI*2113359022~N4*****CY*06~DMG*D8*19670101*F~DTP*307*D8*20110409~EB*1*IND*30*MC*EBA| limited to OTC items~DTP*307*RD8*20110409-20110409~EB*F*IND*44*MC*Home Health Visits Remaining****VS*60~EB*F*IND*45*MC*Hospice Days Remaining****DY*210~EB*F*IND*50*MC*Outpatient Dollars Remaining*29*1500.00~EB*F*IND*71*MC*Inpatient Days Remaining****DY*45~HL*981*2*22*0~TRN*1*1122300HQ7*1610600439~NM1*IL*1*ALMANZAR*AUDIS****MI*7440314263~N4*****CY*13~DMG*D8*19640609*M~DTP*307*D8*20110103~EB*6~DTP*307*RD8*20110103-20110103~HL*982*2*22*0~TRN*1*1122300HQB*1610600439~NM1*IL*1*WILLIAMS*LOUIS~AAA*N**75*C~DMG*D8*19330518*M~DTP*307*D8*20110426~HL*983*2*22*0~TRN*1*1122300HQM*1610600439~NM1*IL*1*BUTCHER*BETTY~AAA*N**75*C~DMG*D8*19461022*F~DTP*307*D8*20100930~HL*984*2*22*0~TRN*1*1122300HQQ*1610600439~NM1*IL*1*ZAPATADAVENPOR*MARIA~AAA*N**75*C~DMG*D8*19550601*F~DTP*307*D8*20110207~HL*985*2*22*0~TRN*1*1122300HQT*1610600439~NM1*IL*1*VAZQUEZ*JAMES~AAA*N**75*C~DMG*D8*19610709*M~DTP*307*D8*20101209~HL*986*2*22*0~TRN*1*1122300HQW*1610600439~NM1*IL*1*ALLEN*TURKESSA~AAA*N**75*C~DMG*D8*19810526*F~DTP*307*D8*20110111~HL*987*2*22*0~TRN*1*1122300HQZ*1610600439~NM1*IL*1*ALLEN*SUMMER****MI*7653041230~N4*****CY*06~DMG*D8*19951018*F~DTP*307*D8*20110328~EB*6~DTP*307*RD8*20110328-20110328~HL*988*2*22*0~TRN*1*1122300HR4*1610600439~NM1*IL*1*BATTLE*ROSSIE*M***MI*8636938180~N4*****CY*13~DMG*D8*19870112*F~DTP*307*D8*20110201~EB*6~DTP*307*RD8*20110201-20110201~HL*989*2*22*0~TRN*1*1122300HRB*1610600439~NM1*IL*1*ULFFE*JAVIER~AAA*N**75*C~DMG*D8*19660104*M~DTP*307*D8*20110324~HL*990*2*22*0~TRN*1*1122300HRC*1610600439~NM1*IL*1*GREY*MARLENE~AAA*N**75*C~DMG*D8*19640913*F~DTP*307*D8*20110223~HL*991*2*22*0~TRN*1*1122300HRF*1610600439~NM1*IL*1*DUFOUR*MARIE~AAA*N**75*C~DMG*D8*19831022*F~DTP*307*D8*20110203~HL*992*2*22*0~TRN*1*1122300HRJ*1610600439~NM1*IL*1*CAPELLAN*CLAUDIA~AAA*N**75*C~DMG*D8*19650201*F~DTP*307*D8*20110125~HL*993*2*22*0~TRN*1*1122300HRL*1610600439~NM1*IL*1*GUZMAN*DIANA*M***MI*2180419023~N4*****CY*06~DMG*D8*19560108*F~DTP*307*D8*20110402~EB*6~DTP*307*RD8*20110402-20110402~HL*994*2*22*0~TRN*1*1122300HRQ*1610600439~NM1*IL*1*MATHIS*CAROLYN*A***MI*1163150029~N4*****CY*06~DMG*D8*19590619*F~DTP*307*D8*20110224~EB*6~DTP*307*RD8*20110224-20110224~HL*995*2*22*0~TRN*1*1122300HRR*1610600439~NM1*IL*1*TRUJILLO*ALEIDA~AAA*N**75*C~DMG*D8*19540611*F~DTP*307*D8*20110407~HL*996*2*22*0~TRN*1*1122300HRT*1610600439~NM1*IL*1*MUNDY*WILLIAM~AAA*N**75*C~DMG*D8*19601005*M~DTP*307*D8*20110115~HL*997*2*22*0~TRN*1*1122300HRX*1610600439~NM1*IL*1*HOLTZMAN*BETTE~AAA*N**75*C~DMG*D8*19550515*F~DTP*307*D8*20110128~HL*998*2*22*0~TRN*1*1122300HS0*1610600439~NM1*IL*1*WEST*JAMES~AAA*N**75*C~DMG*D8*19601101*M~DTP*307*D8*20110308~HL*999*2*22*0~TRN*1*1122300HS6*1610600439~NM1*IL*1*SAVAS*LYDIA****MI*2103542029~N4*****CY*06~DMG*D8*19650523*F~DTP*307*D8*20110409~EB*6~DTP*307*RD8*20110409-20110409~HL*1000*2*22*0~TRN*1*1122300HSF*1610600439~NM1*IL*1*CRESPO*ILEANA~AAA*N**75*C~DMG*D8*19610228*F~DTP*307*D8*20110228~HL*1001*2*22*0~TRN*1*1122300HSH*1610600439~NM1*IL*1*SCOTTI*SANDRA~AAA*N**75*C~DMG*D8*19400125*F~DTP*307*D8*20110223~HL*1002*2*22*0~TRN*1*1122300HSK*1610600439~NM1*IL*1*FIADINI*RONALD~AAA*N**75*C~DMG*D8*19500215*M~DTP*307*D8*20110404~SE*7390*0001~GE*1*253223382~IEA*1*253223382~