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2024-02-23 07:30:03
--================18dd4df09dd
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multipart/form-data; boundary=================188cf2cbb18 |
36588 |
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10.10.11.1 |
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2023-06-18 16:33:11
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36588 |
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2023-06-18 16:26:02
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2023-06-18 16:16:03
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--================188cf13c984--
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multipart/form-data; boundary=================188cf13c984 |
36588 |
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10.10.11.1 |
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2023-06-18 16:07:06
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--================188cf052514--
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multipart/form-data; boundary=================188cf052514 |
36588 |
/subscriber/update_subscribers_xml
|
10.10.11.1 |
|
|
2023-06-18 15:43:08
--================188cef5a744
Content-Disposition: form-data; name="Limra_Test"; filename="LDExBEM_XML_Report.xml"
Content-Type: application/xml
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2023-06-18 15:22:03
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</bem:Transmission>
--================188cee2652f--
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multipart/form-data; boundary=================188cee2652f |
36588 |
/subscriber/update_subscribers_xml
|
10.10.11.1 |
|
|
2023-06-18 14:56:06
--================188cecaa091
Content-Disposition: form-data; name="Limra_Test"; filename="LDExBEM_XML_Report.xml"
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10.100.23.22 |
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2023-02-21 04:18:10
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N3*1228 Cadwell*#51~
N4*Zephyr*TX*37489~
DMG*D8*19580815*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20130703~
INS*Y*18*030*XN*A~
REF*0F*999237495~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20080325~
NM1*IL*1*Smitch*Toni*T****999237495~
N3*6 E MONROE ST~
N4*Woodstock*AL*37495~
DMG*D8*19630812*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20100818~
INS*Y*18*030*XN*A~
REF*0F*999237496~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20021120~
NM1*IL*1*Blanco0109*Amy*A****999237496~
N3*403 1/2 South Lake Street~
N4*Woodstock*AL*37496~
DMG*D8*19591009*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20120503~
INS*Y*18*030*XN*A~
REF*0F*999237497~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20061121~
DTP*337*D8*20150101~
NM1*IL*1*Christakis*Peggy*P****999237497~
N3*3821 S. Lowe~
N4*Zumbrota*VA*37497~
DMG*D8*19541027*F~
INS*N*01*030*XN*A~
REF*0F*999237497~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Christakis*Archie*A****99937212~
N3*3821 S. Lowe~
N4*Zumbrota*VA*37497~
DMG*D8*19500701*M~
INS*Y*18*030*XN*A~
REF*0F*999237498~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20031117~
NM1*IL*1*Fayyaz*Teresa*T****999237498~
N3*1129 Cayuse Circle SE~
N4*Zephyr*TX*37498~
DMG*D8*19760225*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20100225~
INS*Y*18*030*XN*A~
REF*0F*999237499~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20061120~
NM1*IL*1*Lorke*Lisa*L****999237499~
N3*4402 Shady Elm Drive~
N4*Zebulon*VA*37499~
DMG*D8*19691008*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20101018~
INS*Y*18*030*XN*A~
REF*0F*999237500~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20071126~
NM1*IL*1*Sedgley*Yolanda*Y****999237500~
N3*7932 Oakview Ln~
N4*Zephyr*AL*37500~
DMG*D8*19620804*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20100314~
INS*Y*18*030*XN*A~
REF*0F*999237502~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20081124~
NM1*IL*1*Davis*Lana*L****999237502~
N3*30 Sayre Drive*Apartment 5~
N4*Zillah*WA*37502~
DMG*D8*19831104*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20110519~
INS*Y*18*030*XN*A~
REF*0F*999237506~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*19791113~
NM1*IL*1*Mousty*Wanda*W****999237506~
N3*1150 Lampwick Lane~
N4*Yerington*OH*37506~
DMG*D8*19590730*F~
HD*030**HLT*Med11*E1D~
DTP*348*D8*20130925~
INS*N*19*030*XN*A~
REF*0F*999237506~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Mousty*Allen*A****99937215~
N3*1150 Lampwick Lane~
N4*Yerington*OH*37506~
DMG*D8*19970321*M~
HD*030**HLT*Med11~
DTP*348*D8*20130704~
INS*Y*18*030*XN*A~
REF*0F*999237510~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20061026~
NM1*IL*1*Tilma*Emma*E****999237510~
N3*P O BOX 8436~
N4*Wytheville*VA*37510~
DMG*D8*19570201*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20120908~
INS*Y*18*030*XN*A~
REF*0F*999237511~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20061025~
NM1*IL*1*Campbell*Crystal*C****999237511~
N3*315 VELVETEEN PLACE~
N4*Zephyr*VA*37511~
DMG*D8*19840831*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20121207~
INS*Y*18*030*XN*A~
REF*0F*999237512~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20051101~
NM1*IL*1*Nieskes*Emma*E****999237512~
N3*156 Gild Ct~
N4*Zephyr*TX*37512~
DMG*D8*19580519*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20100524~
INS*Y*18*030*XN*A~
REF*0F*999237516~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20051024~
NM1*IL*1*Fany*Lewis*L****999237516~
N3*6749 Burbage Lake Circke~
N4*Shady Side*MD*37516~
DMG*D8*19710313*M~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20121004~
INS*Y*18*030*XN*A~
REF*0F*999237517~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20071029~
NM1*IL*1*Hempy*Shantell*S****999237517~
N3*110 W 155th St~
N4*Zephyr*TX*37517~
DMG*D8*19890614*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20121203~
INS*Y*18*030*XN*A~
REF*0F*999237518~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20051024~
NM1*IL*1*Whee*Roma*R****999237518~
N3*315 MAGNOLIA DR*Space 327~
N4*Zurich*AL*37518~
DMG*D8*19730717*M~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20120819~
DTP*349*D8*20170101~
HD*030**DEN*Den11*EMP~
DTP*348*D8*20110515~
DTP*349*D8*20170101~
HD*030**VIS*Vis11*EMP~
DTP*348*D8*20120311~
DTP*349*D8*20170101~
INS*N*19*030*XN*A~
REF*0F*999237518~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Whee*Neeley*N****99937219~
N3*315 MAGNOLIA DR*Space 327~
N4*Zurich*AL*37518~
DMG*D8*19980416*F~
HD*030**HLT*Med11~
DTP*348*D8*20110219~
HD*030**DEN*Den11~
DTP*348*D8*20120615~
HD*030**VIS*Vis11~
DTP*348*D8*20111111~
INS*N*01*030*XN*A~
REF*0F*999237518~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Whee*Patricia*P****99937220~
N3*315 MAGNOLIA DR*Space 327~
N4*Zurich*AL*37518~
DMG*D8*19691003*F~
HD*030**HLT*Med11~
DTP*348*D8*20131225~
HD*030**DEN*Den11~
DTP*348*D8*20131102~
HD*030**VIS*Vis11~
DTP*348*D8*20120616~
INS*N*19*030*XN*A~
REF*0F*999237518~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Whee*Robert*R****99937221~
N3*315 MAGNOLIA DR*Space 327~
N4*Zurich*AL*37518~
DMG*D8*20020718*M~
HD*030**HLT*Med11~
DTP*348*D8*20100722~
HD*030**DEN*Den11~
DTP*348*D8*20101109~
HD*030**VIS*Vis11~
DTP*348*D8*20100902~
INS*N*19*030*XN*A~
REF*0F*999237518~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Whee*Sara*S****99937222~
N3*315 MAGNOLIA DR*Space 327~
N4*Zurich*AL*37518~
DMG*D8*19970127*F~
HD*030**HLT*Med11~
DTP*348*D8*20121128~
HD*030**DEN*Den11~
DTP*348*D8*20100822~
HD*030**VIS*Vis11~
DTP*348*D8*20100321~
SE*2130*002064694~
ST*834*002064694*005010X220A1~
BGN*00*002064694*20220708*0349*UT***4~
REF*38*56781234~
DTP*303*D8*20220708~
QTY*TO*183~
QTY*ET*122~
QTY*DT*61~
N1*P5*BestDeal*FI*3**Retail 11~
N1*IN*Aetna*FI*45-576979~
N1*BO*PAYCOR*FI*43-975675~
INS*Y*18*030*XN*A~
REF*0F*999237568~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20060629~
NM1*IL*1*Sheamer*Lula*L****999237568~
N3*449 Mackenzie Way~
N4*Zephyr*TX*37568~
DMG*D8*19511120*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20101117~
INS*Y*18*030*XN*A~
REF*0F*999237569~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20000705~
NM1*IL*1*Palazolo*Irene*I****999237569~
N3*31 OAK ST~
N4*Zephyr*TX*37569~
DMG*D8*19460709*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20101002~
INS*N*01*030*XN*A~
REF*0F*999237569~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Palazolo*James*J****99941526~
N3*31 OAK ST~
N4*Zephyr*TX*37569~
DMG*D8*19451228*M~
HD*030**HLT*Med13~
DTP*348*D8*20120625~
INS*Y*18*030*XN*A~
REF*0F*999237571~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20100613~
NM1*IL*1*Plusch*Ashley*A****999237571~
N3*370 Cr 221~
N4*Zephyr*TX*37571~
DMG*D8*19850228*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20131105~
INS*Y*18*030*XN*A~
REF*0F*999237573~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20020617~
NM1*IL*1*Putin*Victoria*B****999237573~
N3*12963 Cristallo Pl~
N4*Zephyr*TX*37573~
DMG*D8*19610319*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120209~
INS*N*19*030*XN*A~
REF*0F*999237573~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Putin*Kyle*K****99937216~
N3*12963 Cristallo Pl~
N4*Zephyr*TX*37573~
DMG*D8*19850924*M~
HD*030**HLT*Med13~
DTP*348*D8*20130913~
INS*N*19*030*XN*A~
REF*0F*999237573~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Putin*Lance*L****99937217~
N3*12963 Cristallo Pl~
N4*Zephyr*TX*37573~
DMG*D8*19900130*M~
HD*030**HLT*Med13~
DTP*348*D8*20100916~
INS*N*01*030*XN*A~
REF*0F*999237573~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Putin*Vovan*S****99937218~
N3*12963 Cristallo Pl~
N4*Zephyr*TX*37573~
DMG*D8*19610418*F~
HD*030**HLT*Med13~
DTP*348*D8*20130126~
INS*Y*18*030*XN*A~
REF*0F*999237574~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20080616~
NM1*IL*1*Moseng*Stephanie*S****999237574~
N3*24983 SOUTHERN OAKS DR~
N4*Zephyr*TX*37574~
DMG*D8*19730119*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100127~
INS*Y*18*030*XN*A~
REF*0F*999237575~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20010607~
NM1*IL*1*Zarlinga*Tim*T****999237575~
N3*844 Panorama Dr Apt 313~
N4*SLC*UT*37575~
DMG*D8*19760329*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100106~
INS*Y*18*030*XN*A~
REF*0F*999237576~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20040629~
NM1*IL*1*Burross*Jessie Bell*J****999237576~
N3*65 OAKVIEW AVE*Apt.# 5H~
N4*Zephyr*NC*37576~
DMG*D8*19490716*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130304~
INS*Y*18*030*XN*A~
REF*0F*999237577~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20070612~
NM1*IL*1*Cortijo*Sheila*S****999237577~
N3*1215 N Ashbrooke Dr~
N4*Upper Marlboro*MD*37577~
DMG*D8*19630418*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20110810~
INS*N*19*030*XN*A~
REF*0F*999237577~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Cortijo*Sarah*S****99937199~
N3*1215 N Ashbrooke Dr~
N4*Upper Marlboro*MD*37577~
DMG*D8*19890123*F~
HD*030**HLT*Med13~
DTP*348*D8*20110208~
INS*Y*18*030*XN*A~
REF*0F*999237579~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20050606~
NM1*IL*1*Kaminecki*Ernest*E****999237579~
N3*216 WOODLANDS RD~
N4*Wytheville*NH*37579~
DMG*D8*19480907*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20110822~
INS*Y*18*030*XN*A~
REF*0F*999237580~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20070530~
NM1*IL*1*Deres*Lashunda*L****999237580~
N3*2250 Allentown Road~
N4*Zephyr*TX*37580~
DMG*D8*19790726*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120205~
INS*Y*18*030*XN*A~
REF*0F*999237584~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20070528~
NM1*IL*1*Adrio*Phillip*P****999237584~
N3*618 MAURY AVE~
N4*Zephyr*TX*37584~
DMG*D8*19890421*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100806~
INS*Y*18*030*XN*A~
REF*0F*999237586~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20060515~
NM1*IL*1*Danna*Jennifer*J****999237586~
N3*112 Wellington Dr~
N4*Zephyr*TX*37586~
DMG*D8*19830322*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20121110~
INS*Y*18*030*XN*A~
REF*0F*999237588~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20030423~
NM1*IL*1*Deolinda*Astra*A****999237588~
N3*114 Meredith Court~
N4*Yuba*TX*37588~
DMG*D8*19791202*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20131005~
INS*N*19*030*XN*A~
REF*0F*999237588~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Deolinda*Charles*C****99941527~
N3*114 Meredith Court~
N4*Yuba*TX*37588~
DMG*D8*20000817*M~
HD*030**HLT*Med13~
DTP*348*D8*20101001~
INS*Y*18*030*XN*A~
REF*0F*999237590~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20050426~
NM1*IL*1*Kimberley*Antonio*A****999237590~
N3*454 Hoyt Avenue~
N4*Zephyr*TX*37590~
DMG*D8*19821124*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20111022~
INS*Y*18*030*XN*A~
REF*0F*999237592~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20070423~
NM1*IL*1*Schepens*Linda*L****999237592~
N3*10207 Green Tree Road*Apt.# 35C~
N4*Zurich*AL*37592~
DMG*D8*19520723*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20120921~
INS*N*01*030*XN*A~
REF*0F*999237592~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Schepens*Donald*D****99941521~
N3*10207 Green Tree Road*Apt.# 35C~
N4*Zurich*AL*37592~
DMG*D8*19520906*M~
HD*030**HLT*Med13~
DTP*348*D8*20130104~
DTP*349*D8*20140604~
INS*Y*18*030*XN*A~
REF*0F*999237593~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20070502~
NM1*IL*1*Siddig*Alice*A****999237593~
N3*9631 Stonecrest Blvd.~
N4*Zebulon*VA*37593~
DMG*D8*19600620*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120405~
INS*Y*18*030*XN*A~
REF*0F*999237595~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20030408~
NM1*IL*1*Kayes*Victoria*V****999237595~
N3*22010 Singing Spurs Drive~
N4*Zephyr*TX*37595~
DMG*D8*19701102*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20121107~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100827~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130724~
INS*N*19*030*XN*A~
REF*0F*999237595~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Kayes*Willie*W****99945219~
N3*22010 Singing Spurs Drive~
N4*Zephyr*TX*37595~
DMG*D8*19911019*M~
HD*030**HLT*Med13~
DTP*348*D8*20130718~
INS*N*19*030*XN*A~
REF*0F*999237595~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Kayes*Michael*M****99945220~
N3*22010 Singing Spurs Drive~
N4*Zephyr*TX*37595~
DMG*D8*19921221*M~
HD*030**HLT*Med13~
DTP*348*D8*20120903~
INS*Y*18*030*XN*A~
REF*0F*999237596~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19980416~
NM1*IL*1*Concha*Bernice*B****999237596~
N3*13832 Legend Trail Ln~
N4*Yerington*OH*37596~
DMG*D8*19600420*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100507~
INS*Y*18*030*XN*A~
REF*0F*999237599~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20070402~
NM1*IL*1*Bascos*Lorraine*L****999237599~
N3*270 AKALOA~
N4*Woodsville*NH*37599~
DMG*D8*19810709*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20101104~
INS*Y*18*030*XN*A~
REF*0F*999237600~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19990405~
NM1*IL*1*Shaevel*Linda*L****999237600~
N3*54 CHESTNUT AVENUE~
N4*Zephyr*TX*37600~
DMG*D8*19490609*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20110701~
INS*Y*18*030*XN*A~
REF*0F*999237601~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20060328~
NM1*IL*1*Hrynewych*Melvin*M****999237601~
N3*4875 Hasty Pond Road~
N4*Zephyr*TX*37601~
DMG*D8*19640715*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20111112~
INS*Y*18*030*XN*A~
REF*0F*999237605~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20030313~
NM1*IL*1*Bhungane*Patricia*P****999237605~
N3*Seattle, Wa.~
N4*Zurich*PA*37605~
DMG*D8*19560107*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20131014~
INS*Y*18*030*XN*A~
REF*0F*999237610~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19960115~
NM1*IL*1*Pascual*Zabeth*Z****999237610~
N3*P O Box 38161*No 5114~
N4*Wyatt*NY*37610~
DMG*D8*19710616*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130727~
INS*Y*18*030*XN*A~
REF*0F*999237611~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19960101~
NM1*IL*1*Dyatel*Carol*C****999237611~
N3*5434 S Egofske Rd~
N4*Zanesville*MD*37611~
DMG*D8*19460907*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20101118~
INS*N*01*030*XN*A~
REF*0F*999237611~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Dyatel*Mitchell*M****99937230~
N3*5434 S Egofske Rd~
N4*Zanesville*MD*37611~
DMG*D8*19380817*M~
HD*030**HLT*Med13~
DTP*348*D8*20100620~
INS*Y*18*030*XN*A~
REF*0F*999237617~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19900723~
NM1*IL*1*Osstifin*Danny*D****999237617~
N3*18300 Myrtle Court~
N4*Yucca Valley*PA*37617~
DMG*D8*19641109*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100904~
INS*Y*18*030*XN*A~
REF*0F*999237618~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20010605~
NM1*IL*1*Pfaab*Angela*A****999237618~
N3*1358 W Barry Ave~
N4*Wrentham*AL*37618~
DMG*D8*19730317*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130919~
INS*Y*18*030*XN*A~
REF*0F*999237619~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20040621~
NM1*IL*1*Westerhof*Janice*J****999237619~
N3*91 Hi Vu Dr~
N4*Wytheville*VA*37619~
DMG*D8*19560811*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100120~
INS*Y*18*030*XN*A~
REF*0F*999237620~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19770503~
NM1*IL*1*Antil*Faye*F****999237620~
N3*3201 Ashland~
N4*Zephyr*TX*37620~
DMG*D8*19530307*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120428~
INS*Y*18*030*XN*A~
REF*0F*999237621~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19730606~
NM1*IL*1*Tharachai*Keith*K****999237621~
N3*3948 Lorien Way NW~
N4*Wyckoff*CO*37621~
DMG*D8*19590319*M~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20130903~
INS*N*01*030*XN*A~
REF*0F*999237621~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Tharachai*Cynthia*C****99937194~
N3*3948 Lorien Way NW~
N4*Wyckoff*CO*37621~
DMG*D8*19610514*F~
HD*030**HLT*Med13~
DTP*348*D8*20100724~
INS*Y*18*030*XN*A~
REF*0F*999237622~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19980209~
NM1*IL*1*Hefestay*Richard*R****999237622~
N3*1765 DYER DR.~
N4*Melvindale*MI*37622~
DMG*D8*19461021*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20121110~
INS*Y*18*030*XN*A~
REF*0F*999237626~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19801125~
NM1*IL*1*Ritzheimer*Patricia*P****999237626~
N3*652 COLLEEN DR~
N4*Youngstown*NY*37626~
DMG*D8*19550103*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130725~
INS*Y*18*030*XN*A~
REF*0F*999237629~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19881107~
NM1*IL*1*Deldeo*Nancy*N****999237629~
N3*105 Silvercreek Drive~
N4*Youngstown*NY*37629~
DMG*D8*19450408*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100504~
INS*Y*18*030*XN*A~
REF*0F*999237632~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19951005~
NM1*IL*1*Oung*Roger*R****999237632~
N3*8422 AMANDA PLACE~
N4*New York*NY*37632~
DMG*D8*19601103*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130507~
INS*Y*18*030*XN*A~
REF*0F*999239408~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20001025~
NM1*IL*1*Bracher*Melissa*M****999239408~
N3*2514 S BRISTOL~
N4*New York*NY*39408~
DMG*D8*19761017*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120628~
INS*Y*18*030*XN*A~
REF*0F*999239410~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20070403~
NM1*IL*1*Knibloe*Dora*D****999239410~
N3*3015 N 1800 Ave~
N4*New York*NY*39410~
DMG*D8*19621031*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20130425~
INS*N*19*030*XN*A~
REF*0F*999239410~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Knibloe*Terri*T****19214845~
N3*3015 N 1800 Ave~
N4*New York*NY*39410~
DMG*D8*20090206*F~
HD*030**HLT*Med13~
DTP*348*D8*20130520~
INS*Y*18*030*XN*A~
REF*0F*999250291~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19930422~
NM1*IL*1*Rauens*Gloria*G****999250291~
N3*887 PLANK RD~
N4*Youngstown*NY*50291~
DMG*D8*19640213*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20120912~
INS*N*19*030*XN*A~
REF*0F*999250291~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Rauens*Ayesha*A****99954297~
N3*887 PLANK RD~
N4*Youngstown*NY*50291~
DMG*D8*19960309*F~
HD*030**HLT*Med13~
DTP*348*D8*20120228~
INS*Y*18*030*XN*A~
REF*0F*999250292~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19790827~
NM1*IL*1*Alouf*Lynn*L****999250292~
N3*6431 Pirtlewood Circle~
N4*Youngstown*NY*50292~
DMG*D8*19540831*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20101121~
INS*Y*18*030*XN*A~
REF*0F*999250293~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20030826~
NM1*IL*1*Nagavel*Angela*A****999250293~
N3*12219 Greenleaf Ave~
N4*Wyckoff*NJ*50293~
DMG*D8*19691020*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100811~
INS*Y*18*030*XN*A~
REF*0F*999250295~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19980124~
NM1*IL*1*Muuka*Monique*M****999250295~
N3*809 RT. 105~
N4*Youngstown*NY*50295~
DMG*D8*19680811*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20100322~
INS*N*19*030*XN*A~
REF*0F*999250295~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Muuka*Porsha*P****99945303~
N3*809 RT. 105~
N4*Youngstown*NY*50295~
DMG*D8*19910703*F~
HD*030**HLT*Med13~
DTP*348*D8*20100506~
INS*Y*18*030*XN*A~
REF*0F*999250298~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20010730~
NM1*IL*1*Sperstad*Karlita*K****999250298~
N3*3914 Brookdale Ave~
N4*New York*NY*50298~
DMG*D8*19740105*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20110607~
INS*Y*18*030*XN*A~
REF*0F*999374741~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090429~
NM1*IL*1*Beauclair*Rosalyn*R****999374741~
N3*152 S MAIN ST*Lane~
N4*New York*NY*74741~
DMG*D8*19750909*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20120201~
DTP*349*D8*20170101~
INS*N*01*030*XN*A~
REF*0F*999374741~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Beauclair*John*J****19216939~
N3*152 S MAIN ST*Lane~
N4*New York*NY*74741~
DMG*D8*19650518*M~
HD*030**HLT*Med13~
DTP*348*D8*20120421~
INS*Y*18*030*XN*A~
REF*0F*999394036~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090429~
NM1*IL*1*Iwach*Maggie*M****999394036~
N3*20535 Barlow~
N4*Youngstown*NY*94036~
DMG*D8*19500702*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20101015~
INS*Y*18*030*XN*A~
REF*0F*999448146~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090623~
NM1*IL*1*Grisbee*Tina*T****999448146~
N3*19585 Black Road~
N4*New York*NY*48146~
DMG*D8*19820223*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130308~
HD*030**DEN*Den13*EMP~
DTP*348*D8*20130215~
HD*030**VIS*Vis13*EMP~
DTP*348*D8*20130124~
INS*N*01*030*XN*A~
REF*0F*999448146~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Grisbee*Joshua*J****99956363~
N3*19585 Black Road~
N4*New York*NY*48146~
DMG*D8*19780411*M~
HD*030**HLT*Med13~
DTP*348*D8*20110526~
DTP*349*D8*20150202~
HD*030**DEN*Den13~
DTP*348*D8*20110213~
DTP*349*D8*20150202~
HD*030**VIS*Vis13~
DTP*348*D8*20120409~
DTP*349*D8*20150202~
INS*N*19*030*XN*A~
REF*0F*999448146~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Grisbee*Alexis*A****99956365~
N3*19585 Black Road~
N4*New York*NY*48146~
DMG*D8*20030501*F~
HD*030**HLT*Med13~
DTP*348*D8*20130219~
DTP*349*D8*20150202~
HD*030**DEN*Den13~
DTP*348*D8*20111210~
DTP*349*D8*20150202~
HD*030**VIS*Vis13~
DTP*348*D8*20111025~
DTP*349*D8*20150202~
INS*N*19*030*XN*A~
REF*0F*999448146~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Grisbee*Carson*C****99956366~
N3*19585 Black Road~
N4*New York*NY*48146~
DMG*D8*20060218*M~
HD*030**HLT*Med13~
DTP*348*D8*20120301~
DTP*349*D8*20150202~
HD*030**DEN*Den13~
DTP*348*D8*20130727~
DTP*349*D8*20150202~
HD*030**VIS*Vis13~
DTP*348*D8*20130702~
DTP*349*D8*20150202~
INS*Y*18*030*XN*A~
REF*0F*999448719~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090624~
DTP*337*D8*20150101~
NM1*IL*1*Searcy*Ruby*R****999448719~
N3*52353 TRIPOLI WAY~
N4*New York*NY*48719~
DMG*D8*19510916*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20110422~
DTP*349*D8*20170101~
INS*Y*18*030*XN*A~
REF*0F*999448736~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090604~
NM1*IL*1*Pleyel*Tangee*T****999448736~
N3*280 Uvalde #271~
N4*York*RI*48736~
DMG*D8*19640806*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20110917~
INS*Y*18*030*XN*A~
REF*0F*999449800~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090602~
NM1*IL*1*Ghiya*Linda*L****999449800~
N3*1404 S Houston St~
N4*Youngstown*NY*49800~
DMG*D8*19481202*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20110607~
INS*N*01*030*XN*A~
REF*0F*999449800~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Ghiya*Ray*R****99956519~
N3*1404 S Houston St~
N4*Youngstown*NY*49800~
DMG*D8*19480616*M~
HD*030**HLT*Med13~
DTP*348*D8*20100617~
INS*Y*18*030*XN*A~
REF*0F*999500132~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090713~
NM1*IL*1*Coquis*Alda*A****999500132~
N3*1600 S. Indiana Avenue~
N4*Youngstown*NY*50292~
DMG*D8*19600413*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20110303~
INS*Y*18*030*XN*A~
REF*0F*999518266~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090921~
NM1*IL*1*Wiig*WyDonna*W****999518266~
N3*7-29 HEGEMAN AVE #14H~
N4*Yucca Valley*NY*18266~
DMG*D8*19691116*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120318~
INS*N*19*030*XN*A~
REF*0F*999518266~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Wiig*Shayla*S****99975372~
N3*7-29 HEGEMAN AVE #14H~
N4*Yucca Valley*NY*18266~
DMG*D8*19901002*F~
HD*030**HLT*Med13~
DTP*348*D8*20130117~
INS*N*19*030*XN*A~
REF*0F*999518266~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Wiig*Destery*D****99975373~
N3*7-29 HEGEMAN AVE #14H~
N4*Yucca Valley*NY*18266~
DMG*D8*19920321*M~
HD*030**HLT*Med13~
DTP*348*D8*20130910~
INS*Y*18*030*XN*A~
REF*0F*999591705~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090823~
NM1*IL*1*Mannix*Joe*J****999591705~
N3*1927 MANILA~
N4*New York*NY*91705~
DMG*D8*19610725*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130522~
INS*Y*18*030*XN*A~
REF*0F*999672656~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20091116~
NM1*IL*1*Leoncavallo*Ronald*R****999672656~
N3*810 Eagle Hills Way~
N4*New York*NY*72656~
DMG*D8*19630204*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20110204~
INS*N*01*030*XN*A~
REF*0F*999672656~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Leoncavallo*Diane*D****19108896~
N3*810 Eagle Hills Way~
N4*New York*NY*72656~
DMG*D8*19591223*F~
HD*030**HLT*Med13~
DTP*348*D8*20101116~
INS*N*19*030*XN*A~
REF*0F*999672656~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Leoncavallo*Seth*S****19108897~
N3*810 Eagle Hills Way~
N4*New York*NY*72656~
DMG*D8*19950518*M~
HD*030**HLT*Med13~
DTP*348*D8*20130303~
INS*N*19*030*XN*A~
REF*0F*999672656~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Leoncavallo*Logan*L****19108898~
N3*810 Eagle Hills Way~
N4*New York*NY*72656~
DMG*D8*19971018*M~
HD*030**HLT*Med13~
DTP*348*D8*20101206~
INS*Y*18*030*XN*A~
REF*0F*999680917~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20091106~
NM1*IL*1*Kasotia*Doris Dottie*D****999680917~
N3*9235 S Wabash~
N4*New York*NY*80917~
DMG*D8*19740824*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120202~
HD*030**DEN*Den13*EMP~
DTP*348*D8*20100128~
HD*030**VIS*Vis13*EMP~
DTP*348*D8*20131004~
INS*N*19*030*XN*A~
REF*0F*999680917~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Kasotia*Riley*R****19110273~
N3*9235 S Wabash~
N4*New York*NY*80917~
DMG*D8*20000610*M~
HD*030**HLT*Med13~
DTP*348*D8*20130328~
HD*030**DEN*Den13~
DTP*348*D8*20100125~
HD*030**VIS*Vis13~
DTP*348*D8*20110627~
INS*N*19*030*XN*A~
REF*0F*999680917~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Kasotia*Ethan*E****19110275~
N3*9235 S Wabash~
N4*New York*NY*80917~
DMG*D8*20050419*M~
HD*030**HLT*Med13~
DTP*348*D8*20100709~
HD*030**DEN*Den13~
DTP*348*D8*20131213~
HD*030**VIS*Vis13~
DTP*348*D8*20120105~
INS*N*19*030*XN*A~
REF*0F*999680917~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Kasotia*Anna*A****19110276~
N3*9235 S Wabash~
N4*New York*NY*80917~
DMG*D8*20050419*F~
HD*030**HLT*Med13~
DTP*348*D8*20100924~
DTP*349*D8*20140510~
HD*030**DEN*Den13~
DTP*348*D8*20120518~
DTP*349*D8*20140510~
HD*030**VIS*Vis13~
DTP*348*D8*20120718~
DTP*349*D8*20140510~
INS*N*01*030*XN*A~
REF*0F*999680917~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Kasotia*Stanley*S****19110277~
N3*9235 S Wabash~
N4*New York*NY*80917~
DMG*D8*19701118*M~
HD*030**HLT*Med13~
DTP*348*D8*20120224~
HD*030**DEN*Den13~
DTP*348*D8*20131026~
HD*030**VIS*Vis13~
DTP*348*D8*20120105~
INS*Y*18*030*XN*A~
REF*0F*999876691~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20091217~
NM1*IL*1*Armant*Okiemute*O****999876691~
N3*7943 Guild Ct~
N4*New York*NY*76691~
DMG*D8*19760617*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130419~
INS*Y*18*030*XN*A~
REF*0F*999934103~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20091201~
NM1*IL*1*Sprunger*Tabitha*T****999934103~
N3*440 Oder Ave~
N4*Youngstown*NY*34103~
DMG*D8*19850711*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120901~
INS*Y*18*030*XN*A~
REF*0F*999935029~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20091215~
NM1*IL*1*Barsegian*Andrea*A****999935029~
N3*260 N Centruy Dr*Apt.# 1823~
N4*Youngstown*NY*35029~
DMG*D8*19820822*F~
HD*030**HLT*Med13*ESP~
DTP*348*D8*20121114~
INS*N*01*030*XN*A~
REF*0F*999935029~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Barsegian*Ricardo*R****19212434~
N3*260 N Centruy Dr*Apt.# 1823~
N4*Youngstown*NY*35029~
DMG*D8*19840305*M~
HD*030**HLT*Med13~
DTP*348*D8*20120328~
INS*Y*18*030*XN*A~
REF*0F*999976025~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20100120~
NM1*IL*1*Wensec*Christopher*C****999976025~
N3*403 Oakland Ave~
N4*Tenafly*NJ*76025~
DMG*D8*19770609*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100523~
INS*Y*18*030*XN*A~
REF*0F*191134132~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090914~
NM1*IL*1*Nagavel*James*J****191134132~
N3*369 Montezuma Avenue #159~
N4*Woodsville*NY*13413~
DMG*D8*19580627*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20110824~
INS*Y*18*030*XN*A~
REF*0F*191214820~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20100413~
NM1*IL*1*Dingerson*Joseph*J****191214820~
N3*306 Clear Lake Ln~
N4*Wyckoff*NJ*21482~
DMG*D8*19861202*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120828~
INS*Y*18*030*XN*A~
REF*0F*191215578~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20100224~
NM1*IL*1*Otterberg*Tiffany*T****191215578~
N3*560 SELLS LANE~
N4*Zebulon*NJ*21557~
DMG*D8*19880714*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100302~
INS*Y*18*030*XN*A~
REF*0F*191216484~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20100602~
NM1*IL*1*Quindel*Nikyia*N****191216484~
N3*4906 S. KOLIN*Apt.# B1001~
N4*Youngstown*NY*21648~
DMG*D8*19771127*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100217~
SE*2130*002064694~
ST*834*002064694*005010X220A1~
BGN*00*002064694*20220708*0349*UT***4~
REF*38*56781234~
DTP*303*D8*20220708~
QTY*TO*183~
QTY*ET*122~
QTY*DT*61~
N1*P5*Imerys*FI*2**Manufacture~
N1*IN*Aetna*FI*45-576979~
N1*BO*PAYCOR*FI*43-975675~
INS*Y*18*030*XN*A~
REF*0F*999237519~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20061030~
NM1*IL*1*Svelmoe*Pierce*P****999237519~
N3*8727 Huebner Rd Apt #713~
N4*Zephyr*TX*37519~
DMG*D8*19550710*M~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20110918~
INS*Y*18*030*XN*A~
REF*0F*999237528~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20080929~
NM1*IL*1*Cutcliffe*Kimberly*K****999237528~
N3*55 Langdon St*Apt 1207~
N4*Woodlawn*MD*37528~
DMG*D8*19800907*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20120403~
INS*Y*18*030*XN*A~
REF*0F*999237531~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20060911~
NM1*IL*1*Rinke*Brandi*B****999237531~
N3*156 Gild Ct~
N4*Wytheville*VA*37531~
DMG*D8*19820426*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20120411~
INS*N*19*030*XN*A~
REF*0F*999237531~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Rinke*Zaquan*Z****99956009~
N3*156 Gild Ct~
N4*Wytheville*VA*37531~
DMG*D8*19981026*M~
HD*030**HLT*Med22~
DTP*348*D8*20130211~
INS*N*19*030*XN*A~
REF*0F*999237531~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Rinke*Nadia*N****99956010~
N3*156 Gild Ct~
N4*Wytheville*VA*37531~
DMG*D8*20040720*F~
HD*030**HLT*Med22~
DTP*348*D8*20130602~
INS*N*19*030*XN*A~
REF*0F*999237531~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Rinke*Bryson*B****19153288~
N3*156 Gild Ct~
N4*Wytheville*VA*37531~
DMG*D8*20100416*M~
HD*030**HLT*Med22~
DTP*348*D8*20110309~
INS*Y*18*030*XN*A~
REF*0F*999237532~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20070326~
NM1*IL*1*Mussel*Amanda*A****999237532~
N3*12914 40th Ave E~
N4*Mansville*TX*37532~
DMG*D8*19730716*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20120113~
INS*Y*18*030*XN*A~
REF*0F*999237533~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*19930104~
DTP*337*D8*20141015~
NM1*IL*1*Wolfer*David*D****999237533~
N3*119 MAGNOLIA STREET APT 1*#4~
N4*Zephyr*TX*37533~
DMG*D8*19710412*M~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20100413~
DTP*349*D8*20170101~
HD*030**DEN*Den22*EMP~
DTP*348*D8*20131109~
DTP*349*D8*20170101~
HD*030**VIS*Vis22*EMP~
DTP*348*D8*20130427~
DTP*349*D8*20170101~
INS*N*19*030*XN*A~
REF*0F*999237533~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Wolfer*Abigail*A****99937184~
N3*119 MAGNOLIA STREET APT 1*#4~
N4*Zephyr*TX*37533~
DMG*D8*19970211*F~
HD*030**HLT*Med22~
DTP*348*D8*20110825~
DTP*349*D8*20141015~
HD*030**DEN*Den22~
DTP*348*D8*20101001~
DTP*349*D8*20141015~
HD*030**VIS*Vis22~
DTP*348*D8*20121226~
DTP*349*D8*20141015~
INS*N*19*030*XN*A~
REF*0F*999237533~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Wolfer*Benjamin*B****99937185~
N3*119 MAGNOLIA STREET APT 1*#4~
N4*Zephyr*TX*37533~
DMG*D8*20020813*M~
HD*030**HLT*Med22~
DTP*348*D8*20130516~
DTP*349*D8*20141015~
HD*030**DEN*Den22~
DTP*348*D8*20101019~
DTP*349*D8*20141015~
HD*030**VIS*Vis22~
DTP*348*D8*20101211~
DTP*349*D8*20141015~
INS*N*19*030*XN*A~
REF*0F*999237533~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Wolfer*William*W****99937187~
N3*119 MAGNOLIA STREET APT 1*#4~
N4*Zephyr*TX*37533~
DMG*D8*19990331*M~
HD*030**HLT*Med22~
DTP*348*D8*20110722~
DTP*349*D8*20141015~
HD*030**DEN*Den22~
DTP*348*D8*20120213~
DTP*349*D8*20141015~
HD*030**VIS*Vis22~
DTP*348*D8*20101214~
DTP*349*D8*20141015~
INS*N*01*030*XN*A~
REF*0F*999237533~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Wolfer*Kelly*K****99954296~
N3*119 MAGNOLIA STREET APT 1*#4~
N4*Zephyr*TX*37533~
DMG*D8*19700510*F~
HD*030**HLT*Med22~
DTP*348*D8*20131106~
HD*030**DEN*Den22~
DTP*348*D8*20111214~
HD*030**VIS*Vis22~
DTP*348*D8*20100113~
INS*Y*18*030*XN*A~
REF*0F*999237534~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20070918~
NM1*IL*1*Rel*David*D****999237534~
N3*102 Clifford Drive~
N4*Zephyr*TX*37534~
DMG*D8*19850215*M~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20120502~
INS*Y*18*030*XN*A~
REF*0F*999237535~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20050516~
NM1*IL*1*Cicic*Jerry*J****999237535~
N3*1049 Wood Duck Ave*P.O. Box 304~
N4*Zephyr*TX*37535~
DMG*D8*19450425*M~
HD*030**HLT*Med22*E1D~
DTP*348*D8*20130213~
DTP*349*D8*20170101~
INS*N*01*030*XN*A~
REF*0F*999237535~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Cicic*Nellie*N****99937209~
N3*1049 Wood Duck Ave*P.O. Box 304~
N4*Zephyr*TX*37535~
DMG*D8*19441121*F~
HD*030**HLT*Med22~
DTP*348*D8*20120824~
INS*Y*18*030*XN*A~
REF*0F*999237537~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20060918~
NM1*IL*1*Sakauye*Kayla*K****999237537~
N3*7 Cinder Hill Road~
N4*Zephyr*TX*37537~
DMG*D8*19880905*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20110911~
INS*Y*18*030*XN*A~
REF*0F*999237539~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20070824~
NM1*IL*1*Viccaro*David*D****999237539~
N3*7299 S. Sundown Circle~
N4*Zurich*AL*37539~
DMG*D8*19860812*M~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20110615~
INS*Y*18*030*XN*A~
REF*0F*999237540~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20010824~
NM1*IL*1*Felonk*Tammy*T****999237540~
N3*9565 Elk Mountain Cir~
N4*Zephyr*TX*37540~
DMG*D8*19630207*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20100521~
INS*Y*18*030*XN*A~
REF*0F*999237541~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20030825~
NM1*IL*1*Tyreman*Barbara*B****999237541~
N3*10 FITZRANDOLPH RD~
N4*Zephyr*VA*37541~
DMG*D8*19710410*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20130419~
INS*Y*18*030*XN*A~
REF*0F*999237542~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20020904~
NM1*IL*1*Thomas*Tonya*T****999237542~
N3*233 Via Villena~
N4*Wytheville*VA*37542~
DMG*D8*19810210*F~
HD*030**HLT*Med22*E1D~
DTP*348*D8*20111209~
INS*N*19*030*XN*A~
REF*0F*999237542~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Thomas*Roy*R****99937226~
N3*233 Via Villena~
N4*Wytheville*VA*37542~
DMG*D8*19800519*M~
HD*030**HLT*Med22~
DTP*348*D8*20131116~
INS*Y*18*030*XN*A~
REF*0F*999237543~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20050901~
NM1*IL*1*McGowens*Janie*J****999237543~
N3*14807 BLUES CREEK ROAD~
N4*Zumbrota*VA*37543~
DMG*D8*19590202*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20120319~
INS*Y*18*030*XN*A~
REF*0F*999237544~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20070821~
NM1*IL*1*Stroemer*Sara Ellen*S****999237544~
N3*6135 Hegerman Street~
N4*Zephyr*TX*37544~
DMG*D8*19850310*F~
HD*030**HLT*Med22*E1D~
DTP*348*D8*20100311~
INS*N*01*030*XN*A~
REF*0F*999237544~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Stroemer*Randolph*R****99955981~
N3*6135 Hegerman Street~
N4*Zephyr*TX*37544~
DMG*D8*19850815*M~
HD*030**HLT*Med22~
DTP*348*D8*20110725~
INS*Y*18*030*XN*A~
REF*0F*999237547~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*19980810~
NM1*IL*1*Sanjeevi*Mary Jane*M****999237547~
N3*4680 Old Pond Drive~
N4*Yorkville*VA*37547~
DMG*D8*19501009*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20131015~
INS*Y*18*030*XN*A~
REF*0F*999237548~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20050815~
NM1*IL*1*Cavitch*Mary Ann*M****999237548~
N3*11101 Reiger Rd #826~
N4*Point of Rocks*MD*37548~
DMG*D8*19700502*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20110416~
INS*Y*18*030*XN*A~
REF*0F*999237551~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20090727~
NM1*IL*1*Sawczuk*Erin*E****999237551~
N3*3128 S Fernwood Ave~
N4*Wytheville*VA*37551~
DMG*D8*19870904*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20100820~
INS*Y*18*030*XN*A~
REF*0F*999237552~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20010731~
NM1*IL*1*Slusarchuk*Mary*M****999237552~
N3*1343 East BrickYard~
N4*Wyckoff*OH*37552~
DMG*D8*19510325*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20111127~
INS*Y*18*030*XN*A~
REF*0F*999237553~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20000308~
NM1*IL*1*Davee*Kimberly*K****999237553~
N3*20251 Elk Creek Dr W~
N4*Zephyr*TX*37553~
DMG*D8*19770404*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20120914~
INS*Y*18*030*XN*A~
REF*0F*999237555~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20080804~
NM1*IL*1*Kosling*Barbara*B****999237555~
N3*4811 N Lamb Dr~
N4*Zephyr*TX*37555~
DMG*D8*19431101*F~
HD*030**HLT*Med22*E1D~
DTP*348*D8*20110205~
INS*N*01*030*XN*A~
REF*0F*999237555~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Kosling*James*J****99937198~
N3*4811 N Lamb Dr~
N4*Zephyr*TX*37555~
DMG*D8*19380908*M~
HD*030**HLT*Med22~
DTP*348*D8*20110618~
INS*Y*18*030*XN*A~
REF*0F*999237558~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20040719~
NM1*IL*1*McClemmy*Robin*R****999237558~
N3*1126 Moccasin Dr.~
N4*Zephyr*TX*37558~
DMG*D8*19680106*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20131023~
HD*030**DEN*Den22*EMP~
DTP*348*D8*20110726~
HD*030**VIS*Vis22*EMP~
DTP*348*D8*20100326~
INS*N*19*030*XN*A~
REF*0F*999237558~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*McClemmy*Brandon*B****99937205~
N3*1126 Moccasin Dr.~
N4*Zephyr*TX*37558~
DMG*D8*19920910*M~
HD*030**HLT*Med22~
DTP*348*D8*20121007~
HD*030**DEN*Den22~
DTP*348*D8*20130701~
HD*030**VIS*Vis22~
DTP*348*D8*20120410~
INS*N*19*030*XN*A~
REF*0F*999237558~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*McClemmy*Charles*C****99937206~
N3*1126 Moccasin Dr.~
N4*Zephyr*TX*37558~
DMG*D8*20000802*M~
HD*030**HLT*Med22~
DTP*348*D8*20121222~
HD*030**DEN*Den22~
DTP*348*D8*20110602~
HD*030**VIS*Vis22~
DTP*348*D8*20130307~
INS*N*01*030*XN*A~
REF*0F*999237558~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*McClemmy*Larry*L****99937207~
N3*1126 Moccasin Dr.~
N4*Zephyr*TX*37558~
DMG*D8*19680324*M~
HD*030**HLT*Med22~
DTP*348*D8*20130121~
DTP*349*D8*20140507~
HD*030**DEN*Den22~
DTP*348*D8*20121111~
DTP*349*D8*20140507~
HD*030**VIS*Vis22~
DTP*348*D8*20130208~
DTP*349*D8*20140507~
INS*N*19*030*XN*A~
REF*0F*999237558~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*McClemmy*Robert*R****99937208~
N3*1126 Moccasin Dr.~
N4*Zephyr*TX*37558~
DMG*D8*19941026*M~
HD*030**HLT*Med22~
DTP*348*D8*20111012~
HD*030**DEN*Den22~
DTP*348*D8*20131120~
HD*030**VIS*Vis22~
DTP*348*D8*20100515~
INS*Y*18*030*XN*A~
REF*0F*999237560~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20070717~
NM1*IL*1*Bugg*Shatika*S****999237560~
N3*36501 Haley~
N4*Zephyr*TX*37560~
DMG*D8*19780109*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20110219~
INS*Y*18*030*XN*A~
REF*0F*999237563~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20050711~
NM1*IL*1*Bascos*Melissa*M****999237563~
N3*8533 Holmes Rd*Velasco~
N4*Zephyr*TX*37563~
DMG*D8*19650319*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20100527~
INS*Y*18*030*XN*A~
REF*0F*999237565~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*19970707~
NM1*IL*1*Strem*Barbara*B****999237565~
N3*4612 Braxton Court~
N4*Zephyr*TX*37565~
DMG*D8*19600723*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20130814~
HD*030**DEN*Den22*EMP~
DTP*348*D8*20101010~
HD*030**VIS*Vis22*EMP~
DTP*348*D8*20100620~
INS*N*01*030*XN*A~
REF*0F*999237565~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Strem*Charles*C****99937190~
N3*4612 Braxton Court~
N4*Zephyr*TX*37565~
DMG*D8*19571224*M~
HD*030**HLT*Med22~
DTP*348*D8*20120806~
SE*2130*002064694~
ST*834*002064694*005010X220A1~
BGN*00*002064694*20220708*0349*UT***4~
REF*38*56781234~
DTP*303*D8*20220708~
QTY*TO*183~
QTY*ET*122~
QTY*DT*61~
N1*P5*Brooks*FI*4**Manufacture~
N1*IN*Aetna*FI*45-576979~
N1*BO*PAYCOR*FI*43-975675~
INS*Y*18*030*XN*A~
REF*0F*191239146~
REF*1L*Brooks~
REF*DX*Brooks~
DTP*336*D8*20100405~
NM1*IL*1*Sjurset*Chanthanard*C****191239146~
N3*83 Glann Rd~
N4*New York*NY*23914~
DMG*D8*19881202*F~
HD*030**HLT*Med24*EMP~
DTP*348*D8*20130627~
INS*Y*18*030*XN*A~
REF*0F*191464614~
REF*1L*Brooks~
REF*DX*Brooks~
DTP*336*D8*20090820~
NM1*IL*1*Ticatch*Ashley*A****191464614~
N3*1905 Wayne Dr~
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10.10.11.12 |
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|
2023-02-21 04:18:10
{
"Transaction": [
{
"TransmissionGUID": "BenAdminTransactionID",
"SenderName": "BenAdminName",
"SenderPlatformName": "ClientName",
"ReceiverName": "Guardian",
"CreationDateTime": "2020-02-25 20:44:12",
"TestProductionCode": "Test",
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{
"CarrierID": "",
"CarrierName": ""
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],
"Employer": [
{
"EmployerPartyID": "Employer ID",
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"CarrierMasterAgreementNumber": [
{
"CarrierMasterAgreementNumberID": "string",
"MasterAgreementNumber": "string",
"CarrierID": "string"
}
],
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{
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"EmployeeSocialSecurityNumber": "string",
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}
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}
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"CoverageRiderRecordQuantity": 0
}
}
]
}
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application/json; charset=UTF-8 |
10590 |
/product/soh/echo
|
10.100.22.22 |
|
|
2023-02-21 04:18:10
{
"Transaction": [
{
"TransmissionGUID": "BenAdminTransactionID",
"SenderName": "BenAdminName",
"SenderPlatformName": "ClientName",
"ReceiverName": "Guardian",
"CreationDateTime": "2020-02-21 18:47:56",
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{
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],
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{
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{
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application/json; charset=UTF-8 |
10595 |
/product/soh/echo
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10.100.23.22 |
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2023-02-21 04:18:10
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DTP*348*D8*20110706~
INS*Y*18*030*XN*A~
REF*0F*999237470~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20041213~
NM1*IL*1*Tven*Dave*D****999237470~
N3*313 N CENTER~
N4*Wytheville*VA*37470~
DMG*D8*19710726*M~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20100709~
INS*N*01*030*XN*A~
REF*0F*999237470~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Tven*Andrea*A****99937224~
N3*313 N CENTER~
N4*Wytheville*VA*37470~
DMG*D8*19721226*U~
HD*030**HLT*Med11~
DTP*348*D8*20121203~
INS*N*19*030*XN*A~
REF*0F*999237470~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Tven*Aubrey*A****99937225~
N3*313 N CENTER~
N4*Wytheville*VA*37470~
DMG*D8*20030612*F~
HD*030**HLT*Med11~
DTP*348*D8*20120727~
INS*N*19*030*XN*A~
REF*0F*999237470~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Tven*Amelia*A****99937242~
N3*313 N CENTER~
N4*Wytheville*VA*37470~
DMG*D8*20050830*M~
INS*N*19*030*XN*A~
REF*0F*999237470~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Tven*Charles*C****99948575~
N3*313 N CENTER~
N4*Wytheville*VA*37470~
DMG*D8*20090727*M~
HD*030**HLT*Med11~
DTP*348*D8*20100819~
INS*Y*18*030*XN*A~
REF*0F*999237473~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20090209~
NM1*IL*1*Li*Ann*A****999237473~
N3*2081 DARROW LAKE DR~
N4*Zephyr*TX*37473~
DMG*D8*19610324*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20101012~
INS*N*19*030*XN*A~
REF*0F*999237473~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Li*Maison*M****99937239~
N3*2081 DARROW LAKE DR~
N4*Zephyr*TX*37473~
DMG*D8*20011106*F~
HD*030**HLT*Med11~
DTP*348*D8*20111219~
INS*N*19*030*XN*A~
REF*0F*999237473~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Li*Chase*C****99943090~
N3*2081 DARROW LAKE DR~
N4*Zephyr*TX*37473~
DMG*D8*19901229*M~
HD*030**HLT*Med11~
DTP*348*D8*20120924~
INS*Y*18*030*XN*A~
REF*0F*999237474~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20040206~
NM1*IL*1*Von*Crystal*C****999237474~
N3*Unit 56*P.o. Box 495~
N4*Zurich*AL*37474~
DMG*D8*19660122*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20110425~
INS*Y*18*030*XN*A~
REF*0F*999237476~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20060130~
NM1*IL*1*Henrick*Elizabeth*E****999237476~
N3*966 E 1420 N~
N4*Wyckoff*OH*37476~
DMG*D8*19780810*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20100607~
INS*Y*18*030*XN*A~
REF*0F*999237477~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20080128~
NM1*IL*1*Mur*Boby*B****999237477~
N3*P.O. Box 292~
N4*Wyckoff*OH*37477~
DMG*D8*19900716*M~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20120507~
INS*Y*18*030*XN*A~
REF*0F*999237479~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20070116~
NM1*IL*1*Soier*Steve*S****999237479~
N3*120 Santos Ct~
N4*Zanesville*OH*37479~
DMG*D8*19820730*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20101218~
INS*Y*18*030*XN*A~
REF*0F*999237480~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20050112~
NM1*IL*1*Scott*Pavel*P****999237480~
N3*32 CREEKSIDE DRIVE*Unit 129~
N4*Zephyr*TX*37480~
DMG*D8*19601110*M~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20110903~
INS*Y*18*030*XN*A~
REF*0F*999237481~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20060124~
NM1*IL*1*Ali*Jim*J****999237481~
N3*6265 RIVERSHORE PARKWAY~
N4*Harvest*AL*37481~
DMG*D8*19710718*M~
INS*N*19*030*XN*A~
REF*0F*999237481~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Ali*Joseph*J****99937223~
N3*6265 RIVERSHORE PARKWAY~
N4*Harvest*AL*37481~
DMG*D8*19610418*M~
INS*N*01*030*XN*A~
REF*0F*999237481~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Ali*Kelley*K****99955485~
N3*6265 RIVERSHORE PARKWAY~
N4*Harvest*AL*37481~
DMG*D8*19730727*F~
HD*030**HLT*Med11~
DTP*348*D8*20100715~
INS*N*19*030*XN*A~
REF*0F*999237481~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Ali*Lily*L****99955491~
N3*6265 RIVERSHORE PARKWAY~
N4*Harvest*AL*37481~
DMG*D8*20060624*F~
HD*030**HLT*Med11~
DTP*348*D8*20110111~
INS*Y*18*030*XN*A~
REF*0F*999237483~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20080814~
NM1*IL*1*Craig*Joan*J****999237483~
N3*25891 South 621 Road~
N4*Yuba*TX*37483~
DMG*D8*19790802*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20101122~
INS*Y*18*030*XN*A~
REF*0F*999237484~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*19940108~
NM1*IL*1*Red*Felicia*F****999237484~
N3*2703 Binghamton Lane~
N4*Wytheville*VA*37484~
DMG*D8*19541128*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20120604~
INS*Y*18*030*XN*A~
REF*0F*999237485~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20080107~
NM1*IL*1*Vu*Barbara*B****999237485~
N3*52 Ketcham Rd~
N4*Youngstown*NY*37485~
DMG*D8*19770529*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20110617~
INS*Y*18*030*XN*A~
REF*0F*999237486~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20060107~
NM1*IL*1*Niilos*Ann*A****999237486~
N3*3 Deal Lane~
N4*Yuba*TX*37486~
DMG*D8*19631121*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20131011~
INS*Y*18*030*XN*A~
REF*0F*999237487~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20050106~
NM1*IL*1*Dosch*Lana*L****999237487~
N3*121 N Park Rd~
N4*Zephyr*TX*37487~
DMG*D8*19820920*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20100419~
INS*Y*18*030*XN*A~
REF*0F*999237489~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20051214~
NM1*IL*1*Kuslaka*Anna*A****999237489~
N3*1228 Cadwell*#51~
N4*Zephyr*TX*37489~
DMG*D8*19580815*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20130703~
INS*Y*18*030*XN*A~
REF*0F*999237495~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20080325~
NM1*IL*1*Smitch*Toni*T****999237495~
N3*6 E MONROE ST~
N4*Woodstock*AL*37495~
DMG*D8*19630812*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20100818~
INS*Y*18*030*XN*A~
REF*0F*999237496~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20021120~
NM1*IL*1*Blanco0109*Amy*A****999237496~
N3*403 1/2 South Lake Street~
N4*Woodstock*AL*37496~
DMG*D8*19591009*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20120503~
INS*Y*18*030*XN*A~
REF*0F*999237497~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20061121~
DTP*337*D8*20150101~
NM1*IL*1*Christakis*Peggy*P****999237497~
N3*3821 S. Lowe~
N4*Zumbrota*VA*37497~
DMG*D8*19541027*F~
INS*N*01*030*XN*A~
REF*0F*999237497~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Christakis*Archie*A****99937212~
N3*3821 S. Lowe~
N4*Zumbrota*VA*37497~
DMG*D8*19500701*M~
INS*Y*18*030*XN*A~
REF*0F*999237498~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20031117~
NM1*IL*1*Fayyaz*Teresa*T****999237498~
N3*1129 Cayuse Circle SE~
N4*Zephyr*TX*37498~
DMG*D8*19760225*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20100225~
INS*Y*18*030*XN*A~
REF*0F*999237499~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20061120~
NM1*IL*1*Lorke*Lisa*L****999237499~
N3*4402 Shady Elm Drive~
N4*Zebulon*VA*37499~
DMG*D8*19691008*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20101018~
INS*Y*18*030*XN*A~
REF*0F*999237500~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20071126~
NM1*IL*1*Sedgley*Yolanda*Y****999237500~
N3*7932 Oakview Ln~
N4*Zephyr*AL*37500~
DMG*D8*19620804*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20100314~
INS*Y*18*030*XN*A~
REF*0F*999237502~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20081124~
NM1*IL*1*Davis*Lana*L****999237502~
N3*30 Sayre Drive*Apartment 5~
N4*Zillah*WA*37502~
DMG*D8*19831104*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20110519~
INS*Y*18*030*XN*A~
REF*0F*999237506~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*19791113~
NM1*IL*1*Mousty*Wanda*W****999237506~
N3*1150 Lampwick Lane~
N4*Yerington*OH*37506~
DMG*D8*19590730*F~
HD*030**HLT*Med11*E1D~
DTP*348*D8*20130925~
INS*N*19*030*XN*A~
REF*0F*999237506~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Mousty*Allen*A****99937215~
N3*1150 Lampwick Lane~
N4*Yerington*OH*37506~
DMG*D8*19970321*M~
HD*030**HLT*Med11~
DTP*348*D8*20130704~
INS*Y*18*030*XN*A~
REF*0F*999237510~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20061026~
NM1*IL*1*Tilma*Emma*E****999237510~
N3*P O BOX 8436~
N4*Wytheville*VA*37510~
DMG*D8*19570201*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20120908~
INS*Y*18*030*XN*A~
REF*0F*999237511~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20061025~
NM1*IL*1*Campbell*Crystal*C****999237511~
N3*315 VELVETEEN PLACE~
N4*Zephyr*VA*37511~
DMG*D8*19840831*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20121207~
INS*Y*18*030*XN*A~
REF*0F*999237512~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20051101~
NM1*IL*1*Nieskes*Emma*E****999237512~
N3*156 Gild Ct~
N4*Zephyr*TX*37512~
DMG*D8*19580519*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20100524~
INS*Y*18*030*XN*A~
REF*0F*999237516~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20051024~
NM1*IL*1*Fany*Lewis*L****999237516~
N3*6749 Burbage Lake Circke~
N4*Shady Side*MD*37516~
DMG*D8*19710313*M~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20121004~
INS*Y*18*030*XN*A~
REF*0F*999237517~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20071029~
NM1*IL*1*Hempy*Shantell*S****999237517~
N3*110 W 155th St~
N4*Zephyr*TX*37517~
DMG*D8*19890614*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20121203~
INS*Y*18*030*XN*A~
REF*0F*999237518~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20051024~
NM1*IL*1*Whee*Roma*R****999237518~
N3*315 MAGNOLIA DR*Space 327~
N4*Zurich*AL*37518~
DMG*D8*19730717*M~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20120819~
DTP*349*D8*20170101~
HD*030**DEN*Den11*EMP~
DTP*348*D8*20110515~
DTP*349*D8*20170101~
HD*030**VIS*Vis11*EMP~
DTP*348*D8*20120311~
DTP*349*D8*20170101~
INS*N*19*030*XN*A~
REF*0F*999237518~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Whee*Neeley*N****99937219~
N3*315 MAGNOLIA DR*Space 327~
N4*Zurich*AL*37518~
DMG*D8*19980416*F~
HD*030**HLT*Med11~
DTP*348*D8*20110219~
HD*030**DEN*Den11~
DTP*348*D8*20120615~
HD*030**VIS*Vis11~
DTP*348*D8*20111111~
INS*N*01*030*XN*A~
REF*0F*999237518~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Whee*Patricia*P****99937220~
N3*315 MAGNOLIA DR*Space 327~
N4*Zurich*AL*37518~
DMG*D8*19691003*F~
HD*030**HLT*Med11~
DTP*348*D8*20131225~
HD*030**DEN*Den11~
DTP*348*D8*20131102~
HD*030**VIS*Vis11~
DTP*348*D8*20120616~
INS*N*19*030*XN*A~
REF*0F*999237518~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Whee*Robert*R****99937221~
N3*315 MAGNOLIA DR*Space 327~
N4*Zurich*AL*37518~
DMG*D8*20020718*M~
HD*030**HLT*Med11~
DTP*348*D8*20100722~
HD*030**DEN*Den11~
DTP*348*D8*20101109~
HD*030**VIS*Vis11~
DTP*348*D8*20100902~
INS*N*19*030*XN*A~
REF*0F*999237518~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Whee*Sara*S****99937222~
N3*315 MAGNOLIA DR*Space 327~
N4*Zurich*AL*37518~
DMG*D8*19970127*F~
HD*030**HLT*Med11~
DTP*348*D8*20121128~
HD*030**DEN*Den11~
DTP*348*D8*20100822~
HD*030**VIS*Vis11~
DTP*348*D8*20100321~
SE*2130*002064795~
ST*834*002064795*005010X220A1~
BGN*00*002064795*20220713*0651*UT***4~
REF*38*56781234~
DTP*303*D8*20220713~
QTY*TO*183~
QTY*ET*122~
QTY*DT*61~
N1*P5*BestDeal*FI*3**Retail 11~
N1*IN*Aetna*FI*45-576979~
N1*BO*PAYCOR*FI*43-975675~
INS*Y*18*030*XN*A~
REF*0F*999237568~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20060629~
NM1*IL*1*Sheamer*Lula*L****999237568~
N3*449 Mackenzie Way~
N4*Zephyr*TX*37568~
DMG*D8*19511120*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20101117~
INS*Y*18*030*XN*A~
REF*0F*999237569~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20000705~
NM1*IL*1*Palazolo*Irene*I****999237569~
N3*31 OAK ST~
N4*Zephyr*TX*37569~
DMG*D8*19460709*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20101002~
INS*N*01*030*XN*A~
REF*0F*999237569~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Palazolo*James*J****99941526~
N3*31 OAK ST~
N4*Zephyr*TX*37569~
DMG*D8*19451228*M~
HD*030**HLT*Med13~
DTP*348*D8*20120625~
INS*Y*18*030*XN*A~
REF*0F*999237571~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20100613~
NM1*IL*1*Plusch*Ashley*A****999237571~
N3*370 Cr 221~
N4*Zephyr*TX*37571~
DMG*D8*19850228*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20131105~
INS*Y*18*030*XN*A~
REF*0F*999237573~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20020617~
NM1*IL*1*Putin*Victoria*B****999237573~
N3*12963 Cristallo Pl~
N4*Zephyr*TX*37573~
DMG*D8*19610319*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120209~
INS*N*19*030*XN*A~
REF*0F*999237573~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Putin*Kyle*K****99937216~
N3*12963 Cristallo Pl~
N4*Zephyr*TX*37573~
DMG*D8*19850924*M~
HD*030**HLT*Med13~
DTP*348*D8*20130913~
INS*N*19*030*XN*A~
REF*0F*999237573~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Putin*Lance*L****99937217~
N3*12963 Cristallo Pl~
N4*Zephyr*TX*37573~
DMG*D8*19900130*M~
HD*030**HLT*Med13~
DTP*348*D8*20100916~
INS*N*01*030*XN*A~
REF*0F*999237573~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Putin*Vovan*S****99937218~
N3*12963 Cristallo Pl~
N4*Zephyr*TX*37573~
DMG*D8*19610418*F~
HD*030**HLT*Med13~
DTP*348*D8*20130126~
INS*Y*18*030*XN*A~
REF*0F*999237574~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20080616~
NM1*IL*1*Moseng*Stephanie*S****999237574~
N3*24983 SOUTHERN OAKS DR~
N4*Zephyr*TX*37574~
DMG*D8*19730119*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100127~
INS*Y*18*030*XN*A~
REF*0F*999237575~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20010607~
NM1*IL*1*Zarlinga*Tim*T****999237575~
N3*844 Panorama Dr Apt 313~
N4*SLC*UT*37575~
DMG*D8*19760329*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100106~
INS*Y*18*030*XN*A~
REF*0F*999237576~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20040629~
NM1*IL*1*Burross*Jessie Bell*J****999237576~
N3*65 OAKVIEW AVE*Apt.# 5H~
N4*Zephyr*NC*37576~
DMG*D8*19490716*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130304~
INS*Y*18*030*XN*A~
REF*0F*999237577~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20070612~
NM1*IL*1*Cortijo*Sheila*S****999237577~
N3*1215 N Ashbrooke Dr~
N4*Upper Marlboro*MD*37577~
DMG*D8*19630418*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20110810~
INS*N*19*030*XN*A~
REF*0F*999237577~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Cortijo*Sarah*S****99937199~
N3*1215 N Ashbrooke Dr~
N4*Upper Marlboro*MD*37577~
DMG*D8*19890123*F~
HD*030**HLT*Med13~
DTP*348*D8*20110208~
INS*Y*18*030*XN*A~
REF*0F*999237579~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20050606~
NM1*IL*1*Kaminecki*Ernest*E****999237579~
N3*216 WOODLANDS RD~
N4*Wytheville*NH*37579~
DMG*D8*19480907*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20110822~
INS*Y*18*030*XN*A~
REF*0F*999237580~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20070530~
NM1*IL*1*Deres*Lashunda*L****999237580~
N3*2250 Allentown Road~
N4*Zephyr*TX*37580~
DMG*D8*19790726*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120205~
INS*Y*18*030*XN*A~
REF*0F*999237584~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20070528~
NM1*IL*1*Adrio*Phillip*P****999237584~
N3*618 MAURY AVE~
N4*Zephyr*TX*37584~
DMG*D8*19890421*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100806~
INS*Y*18*030*XN*A~
REF*0F*999237586~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20060515~
NM1*IL*1*Danna*Jennifer*J****999237586~
N3*112 Wellington Dr~
N4*Zephyr*TX*37586~
DMG*D8*19830322*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20121110~
INS*Y*18*030*XN*A~
REF*0F*999237588~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20030423~
NM1*IL*1*Deolinda*Astra*A****999237588~
N3*114 Meredith Court~
N4*Yuba*TX*37588~
DMG*D8*19791202*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20131005~
INS*N*19*030*XN*A~
REF*0F*999237588~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Deolinda*Charles*C****99941527~
N3*114 Meredith Court~
N4*Yuba*TX*37588~
DMG*D8*20000817*M~
HD*030**HLT*Med13~
DTP*348*D8*20101001~
INS*Y*18*030*XN*A~
REF*0F*999237590~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20050426~
NM1*IL*1*Kimberley*Antonio*A****999237590~
N3*454 Hoyt Avenue~
N4*Zephyr*TX*37590~
DMG*D8*19821124*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20111022~
INS*Y*18*030*XN*A~
REF*0F*999237592~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20070423~
NM1*IL*1*Schepens*Linda*L****999237592~
N3*10207 Green Tree Road*Apt.# 35C~
N4*Zurich*AL*37592~
DMG*D8*19520723*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20120921~
INS*N*01*030*XN*A~
REF*0F*999237592~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Schepens*Donald*D****99941521~
N3*10207 Green Tree Road*Apt.# 35C~
N4*Zurich*AL*37592~
DMG*D8*19520906*M~
HD*030**HLT*Med13~
DTP*348*D8*20130104~
DTP*349*D8*20140604~
INS*Y*18*030*XN*A~
REF*0F*999237593~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20070502~
NM1*IL*1*Siddig*Alice*A****999237593~
N3*9631 Stonecrest Blvd.~
N4*Zebulon*VA*37593~
DMG*D8*19600620*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120405~
INS*Y*18*030*XN*A~
REF*0F*999237595~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20030408~
NM1*IL*1*Kayes*Victoria*V****999237595~
N3*22010 Singing Spurs Drive~
N4*Zephyr*TX*37595~
DMG*D8*19701102*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20121107~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100827~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130724~
INS*N*19*030*XN*A~
REF*0F*999237595~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Kayes*Willie*W****99945219~
N3*22010 Singing Spurs Drive~
N4*Zephyr*TX*37595~
DMG*D8*19911019*M~
HD*030**HLT*Med13~
DTP*348*D8*20130718~
INS*N*19*030*XN*A~
REF*0F*999237595~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Kayes*Michael*M****99945220~
N3*22010 Singing Spurs Drive~
N4*Zephyr*TX*37595~
DMG*D8*19921221*M~
HD*030**HLT*Med13~
DTP*348*D8*20120903~
INS*Y*18*030*XN*A~
REF*0F*999237596~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19980416~
NM1*IL*1*Concha*Bernice*B****999237596~
N3*13832 Legend Trail Ln~
N4*Yerington*OH*37596~
DMG*D8*19600420*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100507~
INS*Y*18*030*XN*A~
REF*0F*999237599~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20070402~
NM1*IL*1*Bascos*Lorraine*L****999237599~
N3*270 AKALOA~
N4*Woodsville*NH*37599~
DMG*D8*19810709*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20101104~
INS*Y*18*030*XN*A~
REF*0F*999237600~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19990405~
NM1*IL*1*Shaevel*Linda*L****999237600~
N3*54 CHESTNUT AVENUE~
N4*Zephyr*TX*37600~
DMG*D8*19490609*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20110701~
INS*Y*18*030*XN*A~
REF*0F*999237601~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20060328~
NM1*IL*1*Hrynewych*Melvin*M****999237601~
N3*4875 Hasty Pond Road~
N4*Zephyr*TX*37601~
DMG*D8*19640715*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20111112~
INS*Y*18*030*XN*A~
REF*0F*999237605~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20030313~
NM1*IL*1*Bhungane*Patricia*P****999237605~
N3*Seattle, Wa.~
N4*Zurich*PA*37605~
DMG*D8*19560107*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20131014~
INS*Y*18*030*XN*A~
REF*0F*999237610~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19960115~
NM1*IL*1*Pascual*Zabeth*Z****999237610~
N3*P O Box 38161*No 5114~
N4*Wyatt*NY*37610~
DMG*D8*19710616*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130727~
INS*Y*18*030*XN*A~
REF*0F*999237611~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19960101~
NM1*IL*1*Dyatel*Carol*C****999237611~
N3*5434 S Egofske Rd~
N4*Zanesville*MD*37611~
DMG*D8*19460907*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20101118~
INS*N*01*030*XN*A~
REF*0F*999237611~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Dyatel*Mitchell*M****99937230~
N3*5434 S Egofske Rd~
N4*Zanesville*MD*37611~
DMG*D8*19380817*M~
HD*030**HLT*Med13~
DTP*348*D8*20100620~
INS*Y*18*030*XN*A~
REF*0F*999237617~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19900723~
NM1*IL*1*Osstifin*Danny*D****999237617~
N3*18300 Myrtle Court~
N4*Yucca Valley*PA*37617~
DMG*D8*19641109*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100904~
INS*Y*18*030*XN*A~
REF*0F*999237618~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20010605~
NM1*IL*1*Pfaab*Angela*A****999237618~
N3*1358 W Barry Ave~
N4*Wrentham*AL*37618~
DMG*D8*19730317*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130919~
INS*Y*18*030*XN*A~
REF*0F*999237619~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20040621~
NM1*IL*1*Westerhof*Janice*J****999237619~
N3*91 Hi Vu Dr~
N4*Wytheville*VA*37619~
DMG*D8*19560811*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100120~
INS*Y*18*030*XN*A~
REF*0F*999237620~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19770503~
NM1*IL*1*Antil*Faye*F****999237620~
N3*3201 Ashland~
N4*Zephyr*TX*37620~
DMG*D8*19530307*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120428~
INS*Y*18*030*XN*A~
REF*0F*999237621~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19730606~
NM1*IL*1*Tharachai*Keith*K****999237621~
N3*3948 Lorien Way NW~
N4*Wyckoff*CO*37621~
DMG*D8*19590319*M~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20130903~
INS*N*01*030*XN*A~
REF*0F*999237621~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Tharachai*Cynthia*C****99937194~
N3*3948 Lorien Way NW~
N4*Wyckoff*CO*37621~
DMG*D8*19610514*F~
HD*030**HLT*Med13~
DTP*348*D8*20100724~
INS*Y*18*030*XN*A~
REF*0F*999237622~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19980209~
NM1*IL*1*Hefestay*Richard*R****999237622~
N3*1765 DYER DR.~
N4*Melvindale*MI*37622~
DMG*D8*19461021*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20121110~
INS*Y*18*030*XN*A~
REF*0F*999237626~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19801125~
NM1*IL*1*Ritzheimer*Patricia*P****999237626~
N3*652 COLLEEN DR~
N4*Youngstown*NY*37626~
DMG*D8*19550103*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130725~
INS*Y*18*030*XN*A~
REF*0F*999237629~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19881107~
NM1*IL*1*Deldeo*Nancy*N****999237629~
N3*105 Silvercreek Drive~
N4*Youngstown*NY*37629~
DMG*D8*19450408*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100504~
INS*Y*18*030*XN*A~
REF*0F*999237632~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19951005~
NM1*IL*1*Oung*Roger*R****999237632~
N3*8422 AMANDA PLACE~
N4*New York*NY*37632~
DMG*D8*19601103*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130507~
INS*Y*18*030*XN*A~
REF*0F*999239408~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20001025~
NM1*IL*1*Bracher*Melissa*M****999239408~
N3*2514 S BRISTOL~
N4*New York*NY*39408~
DMG*D8*19761017*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120628~
INS*Y*18*030*XN*A~
REF*0F*999239410~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20070403~
NM1*IL*1*Knibloe*Dora*D****999239410~
N3*3015 N 1800 Ave~
N4*New York*NY*39410~
DMG*D8*19621031*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20130425~
INS*N*19*030*XN*A~
REF*0F*999239410~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Knibloe*Terri*T****19214845~
N3*3015 N 1800 Ave~
N4*New York*NY*39410~
DMG*D8*20090206*F~
HD*030**HLT*Med13~
DTP*348*D8*20130520~
INS*Y*18*030*XN*A~
REF*0F*999250291~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19930422~
NM1*IL*1*Rauens*Gloria*G****999250291~
N3*887 PLANK RD~
N4*Youngstown*NY*50291~
DMG*D8*19640213*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20120912~
INS*N*19*030*XN*A~
REF*0F*999250291~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Rauens*Ayesha*A****99954297~
N3*887 PLANK RD~
N4*Youngstown*NY*50291~
DMG*D8*19960309*F~
HD*030**HLT*Med13~
DTP*348*D8*20120228~
INS*Y*18*030*XN*A~
REF*0F*999250292~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19790827~
NM1*IL*1*Alouf*Lynn*L****999250292~
N3*6431 Pirtlewood Circle~
N4*Youngstown*NY*50292~
DMG*D8*19540831*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20101121~
INS*Y*18*030*XN*A~
REF*0F*999250293~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20030826~
NM1*IL*1*Nagavel*Angela*A****999250293~
N3*12219 Greenleaf Ave~
N4*Wyckoff*NJ*50293~
DMG*D8*19691020*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100811~
INS*Y*18*030*XN*A~
REF*0F*999250295~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19980124~
NM1*IL*1*Muuka*Monique*M****999250295~
N3*809 RT. 105~
N4*Youngstown*NY*50295~
DMG*D8*19680811*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20100322~
INS*N*19*030*XN*A~
REF*0F*999250295~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Muuka*Porsha*P****99945303~
N3*809 RT. 105~
N4*Youngstown*NY*50295~
DMG*D8*19910703*F~
HD*030**HLT*Med13~
DTP*348*D8*20100506~
INS*Y*18*030*XN*A~
REF*0F*999250298~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20010730~
NM1*IL*1*Sperstad*Karlita*K****999250298~
N3*3914 Brookdale Ave~
N4*New York*NY*50298~
DMG*D8*19740105*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20110607~
INS*Y*18*030*XN*A~
REF*0F*999374741~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090429~
NM1*IL*1*Beauclair*Rosalyn*R****999374741~
N3*152 S MAIN ST*Lane~
N4*New York*NY*74741~
DMG*D8*19750909*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20120201~
DTP*349*D8*20170101~
INS*N*01*030*XN*A~
REF*0F*999374741~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Beauclair*John*J****19216939~
N3*152 S MAIN ST*Lane~
N4*New York*NY*74741~
DMG*D8*19650518*M~
HD*030**HLT*Med13~
DTP*348*D8*20120421~
INS*Y*18*030*XN*A~
REF*0F*999394036~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090429~
NM1*IL*1*Iwach*Maggie*M****999394036~
N3*20535 Barlow~
N4*Youngstown*NY*94036~
DMG*D8*19500702*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20101015~
INS*Y*18*030*XN*A~
REF*0F*999448146~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090623~
NM1*IL*1*Grisbee*Tina*T****999448146~
N3*19585 Black Road~
N4*New York*NY*48146~
DMG*D8*19820223*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130308~
HD*030**DEN*Den13*EMP~
DTP*348*D8*20130215~
HD*030**VIS*Vis13*EMP~
DTP*348*D8*20130124~
INS*N*01*030*XN*A~
REF*0F*999448146~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Grisbee*Joshua*J****99956363~
N3*19585 Black Road~
N4*New York*NY*48146~
DMG*D8*19780411*M~
HD*030**HLT*Med13~
DTP*348*D8*20110526~
DTP*349*D8*20150202~
HD*030**DEN*Den13~
DTP*348*D8*20110213~
DTP*349*D8*20150202~
HD*030**VIS*Vis13~
DTP*348*D8*20120409~
DTP*349*D8*20150202~
INS*N*19*030*XN*A~
REF*0F*999448146~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Grisbee*Alexis*A****99956365~
N3*19585 Black Road~
N4*New York*NY*48146~
DMG*D8*20030501*F~
HD*030**HLT*Med13~
DTP*348*D8*20130219~
DTP*349*D8*20150202~
HD*030**DEN*Den13~
DTP*348*D8*20111210~
DTP*349*D8*20150202~
HD*030**VIS*Vis13~
DTP*348*D8*20111025~
DTP*349*D8*20150202~
INS*N*19*030*XN*A~
REF*0F*999448146~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Grisbee*Carson*C****99956366~
N3*19585 Black Road~
N4*New York*NY*48146~
DMG*D8*20060218*M~
HD*030**HLT*Med13~
DTP*348*D8*20120301~
DTP*349*D8*20150202~
HD*030**DEN*Den13~
DTP*348*D8*20130727~
DTP*349*D8*20150202~
HD*030**VIS*Vis13~
DTP*348*D8*20130702~
DTP*349*D8*20150202~
INS*Y*18*030*XN*A~
REF*0F*999448719~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090624~
DTP*337*D8*20150101~
NM1*IL*1*Searcy*Ruby*R****999448719~
N3*52353 TRIPOLI WAY~
N4*New York*NY*48719~
DMG*D8*19510916*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20110422~
DTP*349*D8*20170101~
INS*Y*18*030*XN*A~
REF*0F*999448736~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090604~
NM1*IL*1*Pleyel*Tangee*T****999448736~
N3*280 Uvalde #271~
N4*York*RI*48736~
DMG*D8*19640806*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20110917~
INS*Y*18*030*XN*A~
REF*0F*999449800~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090602~
NM1*IL*1*Ghiya*Linda*L****999449800~
N3*1404 S Houston St~
N4*Youngstown*NY*49800~
DMG*D8*19481202*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20110607~
INS*N*01*030*XN*A~
REF*0F*999449800~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Ghiya*Ray*R****99956519~
N3*1404 S Houston St~
N4*Youngstown*NY*49800~
DMG*D8*19480616*M~
HD*030**HLT*Med13~
DTP*348*D8*20100617~
INS*Y*18*030*XN*A~
REF*0F*999500132~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090713~
NM1*IL*1*Coquis*Alda*A****999500132~
N3*1600 S. Indiana Avenue~
N4*Youngstown*NY*50292~
DMG*D8*19600413*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20110303~
INS*Y*18*030*XN*A~
REF*0F*999518266~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090921~
NM1*IL*1*Wiig*WyDonna*W****999518266~
N3*7-29 HEGEMAN AVE #14H~
N4*Yucca Valley*NY*18266~
DMG*D8*19691116*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120318~
INS*N*19*030*XN*A~
REF*0F*999518266~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Wiig*Shayla*S****99975372~
N3*7-29 HEGEMAN AVE #14H~
N4*Yucca Valley*NY*18266~
DMG*D8*19901002*F~
HD*030**HLT*Med13~
DTP*348*D8*20130117~
INS*N*19*030*XN*A~
REF*0F*999518266~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Wiig*Destery*D****99975373~
N3*7-29 HEGEMAN AVE #14H~
N4*Yucca Valley*NY*18266~
DMG*D8*19920321*M~
HD*030**HLT*Med13~
DTP*348*D8*20130910~
INS*Y*18*030*XN*A~
REF*0F*999591705~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090823~
NM1*IL*1*Mannix*Joe*J****999591705~
N3*1927 MANILA~
N4*New York*NY*91705~
DMG*D8*19610725*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130522~
INS*Y*18*030*XN*A~
REF*0F*999672656~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20091116~
NM1*IL*1*Leoncavallo*Ronald*R****999672656~
N3*810 Eagle Hills Way~
N4*New York*NY*72656~
DMG*D8*19630204*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20110204~
INS*N*01*030*XN*A~
REF*0F*999672656~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Leoncavallo*Diane*D****19108896~
N3*810 Eagle Hills Way~
N4*New York*NY*72656~
DMG*D8*19591223*F~
HD*030**HLT*Med13~
DTP*348*D8*20101116~
INS*N*19*030*XN*A~
REF*0F*999672656~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Leoncavallo*Seth*S****19108897~
N3*810 Eagle Hills Way~
N4*New York*NY*72656~
DMG*D8*19950518*M~
HD*030**HLT*Med13~
DTP*348*D8*20130303~
INS*N*19*030*XN*A~
REF*0F*999672656~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Leoncavallo*Logan*L****19108898~
N3*810 Eagle Hills Way~
N4*New York*NY*72656~
DMG*D8*19971018*M~
HD*030**HLT*Med13~
DTP*348*D8*20101206~
INS*Y*18*030*XN*A~
REF*0F*999680917~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20091106~
NM1*IL*1*Kasotia*Doris Dottie*D****999680917~
N3*9235 S Wabash~
N4*New York*NY*80917~
DMG*D8*19740824*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120202~
HD*030**DEN*Den13*EMP~
DTP*348*D8*20100128~
HD*030**VIS*Vis13*EMP~
DTP*348*D8*20131004~
INS*N*19*030*XN*A~
REF*0F*999680917~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Kasotia*Riley*R****19110273~
N3*9235 S Wabash~
N4*New York*NY*80917~
DMG*D8*20000610*M~
HD*030**HLT*Med13~
DTP*348*D8*20130328~
HD*030**DEN*Den13~
DTP*348*D8*20100125~
HD*030**VIS*Vis13~
DTP*348*D8*20110627~
INS*N*19*030*XN*A~
REF*0F*999680917~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Kasotia*Ethan*E****19110275~
N3*9235 S Wabash~
N4*New York*NY*80917~
DMG*D8*20050419*M~
HD*030**HLT*Med13~
DTP*348*D8*20100709~
HD*030**DEN*Den13~
DTP*348*D8*20131213~
HD*030**VIS*Vis13~
DTP*348*D8*20120105~
INS*N*19*030*XN*A~
REF*0F*999680917~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Kasotia*Anna*A****19110276~
N3*9235 S Wabash~
N4*New York*NY*80917~
DMG*D8*20050419*F~
HD*030**HLT*Med13~
DTP*348*D8*20100924~
DTP*349*D8*20140510~
HD*030**DEN*Den13~
DTP*348*D8*20120518~
DTP*349*D8*20140510~
HD*030**VIS*Vis13~
DTP*348*D8*20120718~
DTP*349*D8*20140510~
INS*N*01*030*XN*A~
REF*0F*999680917~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Kasotia*Stanley*S****19110277~
N3*9235 S Wabash~
N4*New York*NY*80917~
DMG*D8*19701118*M~
HD*030**HLT*Med13~
DTP*348*D8*20120224~
HD*030**DEN*Den13~
DTP*348*D8*20131026~
HD*030**VIS*Vis13~
DTP*348*D8*20120105~
INS*Y*18*030*XN*A~
REF*0F*999876691~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20091217~
NM1*IL*1*Armant*Okiemute*O****999876691~
N3*7943 Guild Ct~
N4*New York*NY*76691~
DMG*D8*19760617*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130419~
INS*Y*18*030*XN*A~
REF*0F*999934103~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20091201~
NM1*IL*1*Sprunger*Tabitha*T****999934103~
N3*440 Oder Ave~
N4*Youngstown*NY*34103~
DMG*D8*19850711*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120901~
INS*Y*18*030*XN*A~
REF*0F*999935029~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20091215~
NM1*IL*1*Barsegian*Andrea*A****999935029~
N3*260 N Centruy Dr*Apt.# 1823~
N4*Youngstown*NY*35029~
DMG*D8*19820822*F~
HD*030**HLT*Med13*ESP~
DTP*348*D8*20121114~
INS*N*01*030*XN*A~
REF*0F*999935029~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Barsegian*Ricardo*R****19212434~
N3*260 N Centruy Dr*Apt.# 1823~
N4*Youngstown*NY*35029~
DMG*D8*19840305*M~
HD*030**HLT*Med13~
DTP*348*D8*20120328~
INS*Y*18*030*XN*A~
REF*0F*999976025~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20100120~
NM1*IL*1*Wensec*Christopher*C****999976025~
N3*403 Oakland Ave~
N4*Tenafly*NJ*76025~
DMG*D8*19770609*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100523~
INS*Y*18*030*XN*A~
REF*0F*191134132~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090914~
NM1*IL*1*Nagavel*James*J****191134132~
N3*369 Montezuma Avenue #159~
N4*Woodsville*NY*13413~
DMG*D8*19580627*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20110824~
INS*Y*18*030*XN*A~
REF*0F*191214820~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20100413~
NM1*IL*1*Dingerson*Joseph*J****191214820~
N3*306 Clear Lake Ln~
N4*Wyckoff*NJ*21482~
DMG*D8*19861202*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120828~
INS*Y*18*030*XN*A~
REF*0F*191215578~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20100224~
NM1*IL*1*Otterberg*Tiffany*T****191215578~
N3*560 SELLS LANE~
N4*Zebulon*NJ*21557~
DMG*D8*19880714*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100302~
INS*Y*18*030*XN*A~
REF*0F*191216484~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20100602~
NM1*IL*1*Quindel*Nikyia*N****191216484~
N3*4906 S. KOLIN*Apt.# B1001~
N4*Youngstown*NY*21648~
DMG*D8*19771127*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100217~
SE*2130*002064795~
ST*834*002064795*005010X220A1~
BGN*00*002064795*20220713*0651*UT***4~
REF*38*56781234~
DTP*303*D8*20220713~
QTY*TO*183~
QTY*ET*122~
QTY*DT*61~
N1*P5*Imerys*FI*2**Manufacture~
N1*IN*Aetna*FI*45-576979~
N1*BO*PAYCOR*FI*43-975675~
INS*Y*18*030*XN*A~
REF*0F*999237519~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20061030~
NM1*IL*1*Svelmoe*Pierce*P****999237519~
N3*8727 Huebner Rd Apt #713~
N4*Zephyr*TX*37519~
DMG*D8*19550710*M~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20110918~
INS*Y*18*030*XN*A~
REF*0F*999237528~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20080929~
NM1*IL*1*Cutcliffe*Kimberly*K****999237528~
N3*55 Langdon St*Apt 1207~
N4*Woodlawn*MD*37528~
DMG*D8*19800907*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20120403~
INS*Y*18*030*XN*A~
REF*0F*999237531~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20060911~
NM1*IL*1*Rinke*Brandi*B****999237531~
N3*156 Gild Ct~
N4*Wytheville*VA*37531~
DMG*D8*19820426*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20120411~
INS*N*19*030*XN*A~
REF*0F*999237531~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Rinke*Zaquan*Z****99956009~
N3*156 Gild Ct~
N4*Wytheville*VA*37531~
DMG*D8*19981026*M~
HD*030**HLT*Med22~
DTP*348*D8*20130211~
INS*N*19*030*XN*A~
REF*0F*999237531~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Rinke*Nadia*N****99956010~
N3*156 Gild Ct~
N4*Wytheville*VA*37531~
DMG*D8*20040720*F~
HD*030**HLT*Med22~
DTP*348*D8*20130602~
INS*N*19*030*XN*A~
REF*0F*999237531~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Rinke*Bryson*B****19153288~
N3*156 Gild Ct~
N4*Wytheville*VA*37531~
DMG*D8*20100416*M~
HD*030**HLT*Med22~
DTP*348*D8*20110309~
INS*Y*18*030*XN*A~
REF*0F*999237532~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20070326~
NM1*IL*1*Mussel*Amanda*A****999237532~
N3*12914 40th Ave E~
N4*Mansville*TX*37532~
DMG*D8*19730716*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20120113~
INS*Y*18*030*XN*A~
REF*0F*999237533~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*19930104~
DTP*337*D8*20141015~
NM1*IL*1*Wolfer*David*D****999237533~
N3*119 MAGNOLIA STREET APT 1*#4~
N4*Zephyr*TX*37533~
DMG*D8*19710412*M~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20100413~
DTP*349*D8*20170101~
HD*030**DEN*Den22*EMP~
DTP*348*D8*20131109~
DTP*349*D8*20170101~
HD*030**VIS*Vis22*EMP~
DTP*348*D8*20130427~
DTP*349*D8*20170101~
INS*N*19*030*XN*A~
REF*0F*999237533~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Wolfer*Abigail*A****99937184~
N3*119 MAGNOLIA STREET APT 1*#4~
N4*Zephyr*TX*37533~
DMG*D8*19970211*F~
HD*030**HLT*Med22~
DTP*348*D8*20110825~
DTP*349*D8*20141015~
HD*030**DEN*Den22~
DTP*348*D8*20101001~
DTP*349*D8*20141015~
HD*030**VIS*Vis22~
DTP*348*D8*20121226~
DTP*349*D8*20141015~
INS*N*19*030*XN*A~
REF*0F*999237533~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Wolfer*Benjamin*B****99937185~
N3*119 MAGNOLIA STREET APT 1*#4~
N4*Zephyr*TX*37533~
DMG*D8*20020813*M~
HD*030**HLT*Med22~
DTP*348*D8*20130516~
DTP*349*D8*20141015~
HD*030**DEN*Den22~
DTP*348*D8*20101019~
DTP*349*D8*20141015~
HD*030**VIS*Vis22~
DTP*348*D8*20101211~
DTP*349*D8*20141015~
INS*N*19*030*XN*A~
REF*0F*999237533~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Wolfer*William*W****99937187~
N3*119 MAGNOLIA STREET APT 1*#4~
N4*Zephyr*TX*37533~
DMG*D8*19990331*M~
HD*030**HLT*Med22~
DTP*348*D8*20110722~
DTP*349*D8*20141015~
HD*030**DEN*Den22~
DTP*348*D8*20120213~
DTP*349*D8*20141015~
HD*030**VIS*Vis22~
DTP*348*D8*20101214~
DTP*349*D8*20141015~
INS*N*01*030*XN*A~
REF*0F*999237533~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Wolfer*Kelly*K****99954296~
N3*119 MAGNOLIA STREET APT 1*#4~
N4*Zephyr*TX*37533~
DMG*D8*19700510*F~
HD*030**HLT*Med22~
DTP*348*D8*20131106~
HD*030**DEN*Den22~
DTP*348*D8*20111214~
HD*030**VIS*Vis22~
DTP*348*D8*20100113~
INS*Y*18*030*XN*A~
REF*0F*999237534~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20070918~
NM1*IL*1*Rel*David*D****999237534~
N3*102 Clifford Drive~
N4*Zephyr*TX*37534~
DMG*D8*19850215*M~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20120502~
INS*Y*18*030*XN*A~
REF*0F*999237535~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20050516~
NM1*IL*1*Cicic*Jerry*J****999237535~
N3*1049 Wood Duck Ave*P.O. Box 304~
N4*Zephyr*TX*37535~
DMG*D8*19450425*M~
HD*030**HLT*Med22*E1D~
DTP*348*D8*20130213~
DTP*349*D8*20170101~
INS*N*01*030*XN*A~
REF*0F*999237535~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Cicic*Nellie*N****99937209~
N3*1049 Wood Duck Ave*P.O. Box 304~
N4*Zephyr*TX*37535~
DMG*D8*19441121*F~
HD*030**HLT*Med22~
DTP*348*D8*20120824~
INS*Y*18*030*XN*A~
REF*0F*999237537~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20060918~
NM1*IL*1*Sakauye*Kayla*K****999237537~
N3*7 Cinder Hill Road~
N4*Zephyr*TX*37537~
DMG*D8*19880905*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20110911~
INS*Y*18*030*XN*A~
REF*0F*999237539~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20070824~
NM1*IL*1*Viccaro*David*D****999237539~
N3*7299 S. Sundown Circle~
N4*Zurich*AL*37539~
DMG*D8*19860812*M~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20110615~
INS*Y*18*030*XN*A~
REF*0F*999237540~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20010824~
NM1*IL*1*Felonk*Tammy*T****999237540~
N3*9565 Elk Mountain Cir~
N4*Zephyr*TX*37540~
DMG*D8*19630207*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20100521~
INS*Y*18*030*XN*A~
REF*0F*999237541~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20030825~
NM1*IL*1*Tyreman*Barbara*B****999237541~
N3*10 FITZRANDOLPH RD~
N4*Zephyr*VA*37541~
DMG*D8*19710410*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20130419~
INS*Y*18*030*XN*A~
REF*0F*999237542~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20020904~
NM1*IL*1*Thomas*Tonya*T****999237542~
N3*233 Via Villena~
N4*Wytheville*VA*37542~
DMG*D8*19810210*F~
HD*030**HLT*Med22*E1D~
DTP*348*D8*20111209~
INS*N*19*030*XN*A~
REF*0F*999237542~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Thomas*Roy*R****99937226~
N3*233 Via Villena~
N4*Wytheville*VA*37542~
DMG*D8*19800519*M~
HD*030**HLT*Med22~
DTP*348*D8*20131116~
INS*Y*18*030*XN*A~
REF*0F*999237543~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20050901~
NM1*IL*1*McGowens*Janie*J****999237543~
N3*14807 BLUES CREEK ROAD~
N4*Zumbrota*VA*37543~
DMG*D8*19590202*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20120319~
INS*Y*18*030*XN*A~
REF*0F*999237544~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20070821~
NM1*IL*1*Stroemer*Sara Ellen*S****999237544~
N3*6135 Hegerman Street~
N4*Zephyr*TX*37544~
DMG*D8*19850310*F~
HD*030**HLT*Med22*E1D~
DTP*348*D8*20100311~
INS*N*01*030*XN*A~
REF*0F*999237544~
REF*1L*Imerys~
REF*17*Imerys~
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--================181f8afda8c--
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multipart/form-data; boundary=================181f8afda8c |
48110 |
/subscriber/update_subscribers_xml
|
10.10.11.12 |
|
|
2023-02-21 04:18:10
{
"TransmissionGUID": "BenAdminTransactionID",
"SenderName": "BenAdminName",
"SenderPlatformName": "ClientName",
"ReceiverName": "Guardian",
"CreationDateTime": "2020-02-20 19:55:56",
"TestProductionCode": "Test",
"TransmissionTypeCode": "FullFile",
"SchemaVersionIdentifier": "1.0.0",
"Carrier": [
{
"CarrierID": "",
"CarrierName": ""
}
],
"Employer": [
{
"EmployerPartyID": "Employer ID",
"FederalEmployerIdentificationNumber": "string",
"CarrierMasterAgreementNumber": [
{
"CarrierMasterAgreementNumberID": "string",
"MasterAgreementNumber": "string",
"CarrierID": "string"
}
],
"EmployerName": "Employer Name",
"EmployerAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"Employee": [
{
"EmployeePartyID": "string",
"EmployeeSocialSecurityNumber": "string",
"EmployeeIdentifier": "string",
"EmployeeName": {
"PrefixCode": "Ms",
"FirstName": "John",
"MiddleName": "M",
"LastName": "Doe",
"SuffixCode": "Jr"
},
"EmployeeGenderCode": "Female",
"EmployeeBirthDate": "string",
"MaritalStatusCode": "Divorced",
"EmployeeTobaccoUseCode": "Y",
"EmployeeHomePhone": "string",
"EmployeeWorkPhone": "string",
"EmployeeMobilePhone": "string",
"EmployeeMailingAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
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"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
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"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"EmployeeEmail": "user@example.com",
"EmployeeAlternateEmail": "user@example.com",
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"MostRecentHireDate": "string",
"AdjustedServiceDate": "string",
"ExemptCode": "Exempt",
"EmploymentTypeCode": "FullTime",
"EmploymentStatusCode": "Active",
"TerminationDate": "string",
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"JobTitleText": "string",
"OccupationText": "string",
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"PayrollDeductionFrequencyCode": "AnnualSalary",
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"SupervisorEmailAddress": "string",
"HumanResourcePartnerEmailAddress": "string",
"UnionIndicator": true,
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"UnionLocalNumber": "string",
"UnionMemberNumber": "string",
"EmploymentIncome": [
{
"IncomeTypeCode": "Salary",
"IncomeAmount": 0,
"IncomeModeCode": "Hourly",
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}
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"CategoryValueString": "string"
}
]
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{
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"EnrollmentMethodCode": "OneOnOne",
"ComprehensiveHealthBenefitIndicator": true,
"EmployeeEnrollmentLocationAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
}
}
],
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{
"EventID": "string",
"EventTypeCode": "Coverage",
"EventTypeReasonCode": "AdministrativeCorrection",
"EventDate": "string",
"TransactionDate": "string",
"EnrollmentInformationID": [
"string"
]
}
],
"EmployeeEventID": [
"string"
],
"BeneficiaryGroup": [
{
"BeneficiaryGroupID": "BenGroupID",
"Beneficiary": [
{
"BeneficiaryPartyID": "BenPartyID",
"BeneficiaryPartyTypeCode": "Employee",
"BeneficiaryPercent": "string",
"BeneficiaryTypeCode": "Primary"
}
]
}
],
"EmployeeQuestion": [
{
"QuestionID": "QuestionID",
"QuestionIdentifier": "Question"
}
],
"Producer": [
{
"ProducerPartyID": "string",
"ProducerFirstName": "string",
"ProducerLastName": "string",
"CarrierProducerNumber": [
{
"CarrierProducerNumberID": "string",
"CarrierID": "string",
"CarrierProducerNumber": "string"
}
]
}
],
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{
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"GroupPolicyNumber": "string",
"IndividualPolicyNumber": "string",
"ProductTypeCode": "Accident",
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"CoverageEffectiveDate": "string",
"CoverageTerminationDate": "string",
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"BenefitFactor": 0,
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"TobaccoUseIndicator": true,
"TakeOverCoverageIndicator": true,
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"BeneficiaryGroupID": "string",
"CarrierID": "string",
"ElectedCoverage": {
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"ElectedBenefitCalculationMethodCode": "FlatAmount",
"ElectedBenefitAmount": 0,
"ElectedBenefitFactor": 0,
"ElectedEmployeeContributionCode": "EmployeePaid",
"ElectedEmployeePremiumContributionAmount": 10,
"ElectedEmployerPremiumContributionAmount": 5,
"ElectedTotalPlanPremiumAmount": 15,
"ElectedCoverageInsured": [
{
"PrimaryInsuredIndicator": true,
"TobaccoUseIndicator": true,
"InsuredCoverageEffectiveDate": "string",
"InsuredCoverageTerminationDate": "string",
"Provider": {
"ProviderIdentificationNumberText": "123-45-6789",
"ExistingPatientIndicator": true,
"ProviderName": "ProviderName"
}
}
],
"ElectedCoverageRider": [
{
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"RiderIdentifier": "string",
"RiderName": "string",
"CoverageTierCode": "Employee",
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"PreTaxCode": "PostTax",
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"EmployerPremiumContributionAmount": 0
}
]
},
"CoverageInsured": [
{
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"TobaccoUseIndicator": true,
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"InsuredCoverageTerminationDate": "string",
"Provider": {
"ProviderIdentificationNumberText": "123-45-6789",
"ExistingPatientIndicator": true,
"ProviderName": "ProviderName"
}
}
],
"CoverageEventID": [
"string"
],
"CoverageQuestionAnswer": [
{
"AnswerIndicator": true,
"AnswerText": "string",
"QuestionID": "string"
}
],
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{
"DeductionTypeCode": "Medical",
"DeductionAmount": 0,
"DeductionFrequencyCode": "AnnualSalary"
}
],
"CoverageRider": [
{
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"RiderName": "string",
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"PreTaxCode": "PostTax",
"EmployeePremiumContributionAmount": 0,
"EmployerPremiumContributionAmount": 0
}
],
"CoverageCommissionSplit": [
{
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"CompensationSplitPercent": 0
}
]
}
]
}
]
}
],
"Audit": {
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"EmployerRecordQuantity": 0,
"EmployeeRecordQuantity": 0,
"DependentRecordQuantity": 0,
"OtherPartyRecordQuantity": 0,
"BeneficiaryGroupRecordQuantity": 0,
"EventRecordQuantity": 0,
"CoverageRecordQuantity": 0,
"CoverageRiderRecordQuantity": 0
}
}
|
application/xml; charset=UTF-8 |
9907 |
/product/soh/updatePendingSoh
|
10.100.23.22 |
|
|
2023-02-21 04:18:10
{
"TransmissionGUID": "BenAdminTransactionID",
"SenderName": "BenAdminName",
"SenderPlatformName": "ClientName",
"ReceiverName": "Guardian",
"CreationDateTime": "2020-02-20 20:35:15",
"TestProductionCode": "Test",
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],
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{
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{
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}
],
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"CountryCode": "USA"
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},
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"ThirdLineAddress": "Care of Guardian",
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"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
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"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
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},
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],
"EmployeeEventID": [
"string"
],
"BeneficiaryGroup": [
{
"BeneficiaryGroupID": "BenGroupID",
"Beneficiary": [
{
"BeneficiaryPartyID": "BenPartyID",
"BeneficiaryPartyTypeCode": "Employee",
"BeneficiaryPercent": "string",
"BeneficiaryTypeCode": "Primary"
}
]
}
],
"EmployeeQuestion": [
{
"QuestionID": "QuestionID",
"QuestionIdentifier": "Question"
}
],
"Producer": [
{
"ProducerPartyID": "string",
"ProducerFirstName": "string",
"ProducerLastName": "string",
"CarrierProducerNumber": [
{
"CarrierProducerNumberID": "string",
"CarrierID": "string",
"CarrierProducerNumber": "string"
}
]
}
],
"Coverage": [
{
"CoverageID": "string",
"GroupPolicyNumber": "string",
"IndividualPolicyNumber": "string",
"ProductTypeCode": "Accident",
"BenefitPlanIdentifier": "string",
"BenefitClassIdentifier": "string",
"BenefitSubClassIdentifier": "string",
"BillGroupIdentifier": "string",
"BillSubGroupIdentifier": "string",
"ClaimGroupIdentifier": "string",
"ClaimSubGroupIdentifier": "string",
"OriginalCoverageEffectiveDate": "string",
"CoverageEffectiveDate": "string",
"CoverageTerminationDate": "string",
"CoverageTierCode": "Employee",
"BenefitCalculationMethodCode": "FlatAmount",
"BenefitAmount": 0,
"BenefitFactor": 0,
"EmployeeContributionCode": "EmployeePaid",
"EmployeePremiumContributionAmount": 0,
"EmployerPremiumContributionAmount": 0,
"TotalPlanPremiumAmount": 0,
"BenefitEarningsAmount": 0,
"BenefitEarningsEffectiveDate": "string",
"BenefitModeQuantity": "string",
"PaymentMethodCode": "PayrollDeduction",
"PremiumModeQuantity": 0,
"PreTaxCode": "PostTax",
"IssueAgeQuantity": 0,
"TobaccoUseIndicator": true,
"TakeOverCoverageIndicator": true,
"EnrollerProducerPartyID": "string",
"BeneficiaryGroupID": "string",
"CarrierID": "string",
"ElectedCoverage": {
"ElectedCoverageTierCode": "Employee",
"ElectedBenefitCalculationMethodCode": "FlatAmount",
"ElectedBenefitAmount": 0,
"ElectedBenefitFactor": 0,
"ElectedEmployeeContributionCode": "EmployeePaid",
"ElectedEmployeePremiumContributionAmount": 10,
"ElectedEmployerPremiumContributionAmount": 5,
"ElectedTotalPlanPremiumAmount": 15,
"ElectedCoverageInsured": [
{
"PrimaryInsuredIndicator": true,
"TobaccoUseIndicator": true,
"InsuredCoverageEffectiveDate": "string",
"InsuredCoverageTerminationDate": "string",
"Provider": {
"ProviderIdentificationNumberText": "123-45-6789",
"ExistingPatientIndicator": true,
"ProviderName": "ProviderName"
}
}
],
"ElectedCoverageRider": [
{
"CoverageRiderID": "string",
"RiderIdentifier": "string",
"RiderName": "string",
"CoverageTierCode": "Employee",
"BenefitAmount": 0,
"RiderUnitQuantity": 0,
"RiderOptionIdentifier": "string",
"PreTaxCode": "PostTax",
"EmployeePremiumContributionAmount": 0,
"EmployerPremiumContributionAmount": 0
}
]
},
"CoverageInsured": [
{
"PrimaryInsuredIndicator": true,
"TobaccoUseIndicator": true,
"InsuredCoverageEffectiveDate": "string",
"InsuredCoverageTerminationDate": "string",
"Provider": {
"ProviderIdentificationNumberText": "123-45-6789",
"ExistingPatientIndicator": true,
"ProviderName": "ProviderName"
}
}
],
"CoverageEventID": [
"string"
],
"CoverageQuestionAnswer": [
{
"AnswerIndicator": true,
"AnswerText": "string",
"QuestionID": "string"
}
],
"CoverageDeduction": [
{
"DeductionTypeCode": "Medical",
"DeductionAmount": 0,
"DeductionFrequencyCode": "AnnualSalary"
}
],
"CoverageRider": [
{
"CoverageRiderID": "string",
"RiderIdentifier": "string",
"RiderName": "string",
"CoverageTierCode": "Employee",
"BenefitAmount": 0,
"RiderUnitQuantity": 0,
"RiderOptionIdentifier": "string",
"PreTaxCode": "PostTax",
"EmployeePremiumContributionAmount": 0,
"EmployerPremiumContributionAmount": 0
}
],
"CoverageCommissionSplit": [
{
"CarrierProducerNumberID": "string",
"CompensationSplitPercent": 0
}
]
}
]
}
]
}
],
"Audit": {
"AuditID": "string",
"CarrierQuantity": 0,
"EmployerRecordQuantity": 0,
"EmployeeRecordQuantity": 0,
"DependentRecordQuantity": 0,
"OtherPartyRecordQuantity": 0,
"BeneficiaryGroupRecordQuantity": 0,
"EventRecordQuantity": 0,
"CoverageRecordQuantity": 0,
"CoverageRiderRecordQuantity": 0
}
}
|
application/xml; charset=UTF-8 |
9907 |
/product/soh/updatePendingSoh
|
10.100.23.22 |
|
|
2023-02-21 04:18:10
<?xml version="1.0" encoding="UTF-8"?>
|
application/xml; charset=UTF-8 |
38 |
/product/soh/echo
|
10.100.22.10 |
|
|
2023-02-21 04:18:10
<?xml version="1.0" encoding="UTF-8"?>
|
application/xml; charset=UTF-8 |
38 |
/product/soh/echo
|
10.100.22.10 |
|
|
2023-02-21 04:18:10
{
"TransmissionGUID": "BenAdminTransactionID",
"SenderName": "BenAdminName",
"SenderPlatformName": "ClientName",
"ReceiverName": "Guardian",
"CreationDateTime": "2020-02-21 18:32:25",
"TestProductionCode": "Test",
"TransmissionTypeCode": "FullFile",
"SchemaVersionIdentifier": "1.0.0",
"Carrier": [
{
"CarrierID": "",
"CarrierName": ""
}
],
"Employer": [
{
"EmployerPartyID": "Employer ID",
"FederalEmployerIdentificationNumber": "string",
"CarrierMasterAgreementNumber": [
{
"CarrierMasterAgreementNumberID": "string",
"MasterAgreementNumber": "string",
"CarrierID": "string"
}
],
"EmployerName": "Employer Name",
"EmployerAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"Employee": [
{
"EmployeePartyID": "string",
"EmployeeSocialSecurityNumber": "string",
"EmployeeIdentifier": "string",
"EmployeeName": {
"PrefixCode": "Ms",
"FirstName": "John",
"MiddleName": "M",
"LastName": "Doe",
"SuffixCode": "Jr"
},
"EmployeeGenderCode": "Female",
"EmployeeBirthDate": "string",
"MaritalStatusCode": "Divorced",
"EmployeeTobaccoUseCode": "Y",
"EmployeeHomePhone": "string",
"EmployeeWorkPhone": "string",
"EmployeeMobilePhone": "string",
"EmployeeMailingAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"EmployeeHomeAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"EmployeeWorkAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"EmployeeEmail": "user@example.com",
"EmployeeAlternateEmail": "user@example.com",
"EmploymentInformation": {
"OriginalHireDate": "string",
"MostRecentHireDate": "string",
"AdjustedServiceDate": "string",
"ExemptCode": "Exempt",
"EmploymentTypeCode": "FullTime",
"EmploymentStatusCode": "Active",
"TerminationDate": "string",
"TerminationReasonCode": "Termination",
"JobTitleText": "string",
"OccupationText": "string",
"WorkHoursQuantity": 0,
"WorkHoursFrequencyCode": "Weekly",
"WorkLocationText": "string",
"PayrollDeductionFrequencyCode": "AnnualSalary",
"PayrollFrequencyQuantity": 0,
"SupervisorFullName": "string",
"SupervisorEmailAddress": "string",
"HumanResourcePartnerEmailAddress": "string",
"UnionIndicator": true,
"UnionLocalName": "string",
"UnionLocalNumber": "string",
"UnionMemberNumber": "string",
"EmploymentIncome": [
{
"IncomeTypeCode": "Salary",
"IncomeAmount": 0,
"IncomeModeCode": "Hourly",
"IncomeEffectiveDate": "string"
}
],
"AnnualBenefitSalaryAmount": 0,
"EmploymentInformationUserDefinedCategory": [
{
"CategoryName": "string",
"CategoryValueString": "string"
}
]
},
"EnrollmentInformation": [
{
"EnrollmentInformationID": "string",
"EnrollmentMethodCode": "OneOnOne",
"ComprehensiveHealthBenefitIndicator": true,
"EmployeeEnrollmentLocationAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
}
}
],
"Event": [
{
"EventID": "string",
"EventTypeCode": "Coverage",
"EventTypeReasonCode": "AdministrativeCorrection",
"EventDate": "string",
"TransactionDate": "string",
"EnrollmentInformationID": [
"string"
]
}
],
"EmployeeEventID": [
"string"
],
"BeneficiaryGroup": [
{
"BeneficiaryGroupID": "BenGroupID",
"Beneficiary": [
{
"BeneficiaryPartyID": "BenPartyID",
"BeneficiaryPartyTypeCode": "Employee",
"BeneficiaryPercent": "string",
"BeneficiaryTypeCode": "Primary"
}
]
}
],
"EmployeeQuestion": [
{
"QuestionID": "QuestionID",
"QuestionIdentifier": "Question"
}
],
"Producer": [
{
"ProducerPartyID": "string",
"ProducerFirstName": "string",
"ProducerLastName": "string",
"CarrierProducerNumber": [
{
"CarrierProducerNumberID": "string",
"CarrierID": "string",
"CarrierProducerNumber": "string"
}
]
}
],
"Coverage": [
{
"CoverageID": "string",
"GroupPolicyNumber": "string",
"IndividualPolicyNumber": "string",
"ProductTypeCode": "Accident",
"BenefitPlanIdentifier": "string",
"BenefitClassIdentifier": "string",
"BenefitSubClassIdentifier": "string",
"BillGroupIdentifier": "string",
"BillSubGroupIdentifier": "string",
"ClaimGroupIdentifier": "string",
"ClaimSubGroupIdentifier": "string",
"OriginalCoverageEffectiveDate": "string",
"CoverageEffectiveDate": "string",
"CoverageTerminationDate": "string",
"CoverageTierCode": "Employee",
"BenefitCalculationMethodCode": "FlatAmount",
"BenefitAmount": 0,
"BenefitFactor": 0,
"EmployeeContributionCode": "EmployeePaid",
"EmployeePremiumContributionAmount": 0,
"EmployerPremiumContributionAmount": 0,
"TotalPlanPremiumAmount": 0,
"BenefitEarningsAmount": 0,
"BenefitEarningsEffectiveDate": "string",
"BenefitModeQuantity": "string",
"PaymentMethodCode": "PayrollDeduction",
"PremiumModeQuantity": 0,
"PreTaxCode": "PostTax",
"IssueAgeQuantity": 0,
"TobaccoUseIndicator": true,
"TakeOverCoverageIndicator": true,
"EnrollerProducerPartyID": "string",
"BeneficiaryGroupID": "string",
"CarrierID": "string",
"ElectedCoverage": {
"ElectedCoverageTierCode": "Employee",
"ElectedBenefitCalculationMethodCode": "FlatAmount",
"ElectedBenefitAmount": 0,
"ElectedBenefitFactor": 0,
"ElectedEmployeeContributionCode": "EmployeePaid",
"ElectedEmployeePremiumContributionAmount": 10,
"ElectedEmployerPremiumContributionAmount": 5,
"ElectedTotalPlanPremiumAmount": 15,
"ElectedCoverageInsured": [
{
"PrimaryInsuredIndicator": true,
"TobaccoUseIndicator": true,
"InsuredCoverageEffectiveDate": "string",
"InsuredCoverageTerminationDate": "string",
"Provider": {
"ProviderIdentificationNumberText": "123-45-6789",
"ExistingPatientIndicator": true,
"ProviderName": "ProviderName"
}
}
],
"ElectedCoverageRider": [
{
"CoverageRiderID": "string",
"RiderIdentifier": "string",
"RiderName": "string",
"CoverageTierCode": "Employee",
"BenefitAmount": 0,
"RiderUnitQuantity": 0,
"RiderOptionIdentifier": "string",
"PreTaxCode": "PostTax",
"EmployeePremiumContributionAmount": 0,
"EmployerPremiumContributionAmount": 0
}
]
},
"CoverageInsured": [
{
"PrimaryInsuredIndicator": true,
"TobaccoUseIndicator": true,
"InsuredCoverageEffectiveDate": "string",
"InsuredCoverageTerminationDate": "string",
"Provider": {
"ProviderIdentificationNumberText": "123-45-6789",
"ExistingPatientIndicator": true,
"ProviderName": "ProviderName"
}
}
],
"CoverageEventID": [
"string"
],
"CoverageQuestionAnswer": [
{
"AnswerIndicator": true,
"AnswerText": "string",
"QuestionID": "string"
}
],
"CoverageDeduction": [
{
"DeductionTypeCode": "Medical",
"DeductionAmount": 0,
"DeductionFrequencyCode": "AnnualSalary"
}
],
"CoverageRider": [
{
"CoverageRiderID": "string",
"RiderIdentifier": "string",
"RiderName": "string",
"CoverageTierCode": "Employee",
"BenefitAmount": 0,
"RiderUnitQuantity": 0,
"RiderOptionIdentifier": "string",
"PreTaxCode": "PostTax",
"EmployeePremiumContributionAmount": 0,
"EmployerPremiumContributionAmount": 0
}
],
"CoverageCommissionSplit": [
{
"CarrierProducerNumberID": "string",
"CompensationSplitPercent": 0
}
]
}
]
}
]
}
],
"Audit": {
"AuditID": "string",
"CarrierQuantity": 0,
"EmployerRecordQuantity": 0,
"EmployeeRecordQuantity": 0,
"DependentRecordQuantity": 0,
"OtherPartyRecordQuantity": 0,
"BeneficiaryGroupRecordQuantity": 0,
"EventRecordQuantity": 0,
"CoverageRecordQuantity": 0,
"CoverageRiderRecordQuantity": 0
}
}
|
application/xml; charset=UTF-8 |
9907 |
/product/soh/updatePendingSoh
|
10.100.23.22 |
|
|
2023-02-21 04:18:10
<?xml version="1.0" encoding="UTF-8"?>
|
application/xml; charset=UTF-8 |
38 |
/product/soh/echo
|
10.100.23.38 |
|
|
2023-02-21 04:18:10
{
"TransmissionGUID": "BenAdminTransactionID",
"SenderName": "BenAdminName",
"SenderPlatformName": "ClientName",
"ReceiverName": "Guardian",
"CreationDateTime": "2020-02-21 18:31:05",
"TestProductionCode": "Test",
"TransmissionTypeCode": "FullFile",
"SchemaVersionIdentifier": "1.0.0",
"Carrier": [
{
"CarrierID": "",
"CarrierName": ""
}
],
"Employer": [
{
"EmployerPartyID": "Employer ID",
"FederalEmployerIdentificationNumber": "string",
"CarrierMasterAgreementNumber": [
{
"CarrierMasterAgreementNumberID": "string",
"MasterAgreementNumber": "string",
"CarrierID": "string"
}
],
"EmployerName": "Employer Name",
"EmployerAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"Employee": [
{
"EmployeePartyID": "string",
"EmployeeSocialSecurityNumber": "string",
"EmployeeIdentifier": "string",
"EmployeeName": {
"PrefixCode": "Ms",
"FirstName": "John",
"MiddleName": "M",
"LastName": "Doe",
"SuffixCode": "Jr"
},
"EmployeeGenderCode": "Female",
"EmployeeBirthDate": "string",
"MaritalStatusCode": "Divorced",
"EmployeeTobaccoUseCode": "Y",
"EmployeeHomePhone": "string",
"EmployeeWorkPhone": "string",
"EmployeeMobilePhone": "string",
"EmployeeMailingAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"EmployeeHomeAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"EmployeeWorkAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"EmployeeEmail": "user@example.com",
"EmployeeAlternateEmail": "user@example.com",
"EmploymentInformation": {
"OriginalHireDate": "string",
"MostRecentHireDate": "string",
"AdjustedServiceDate": "string",
"ExemptCode": "Exempt",
"EmploymentTypeCode": "FullTime",
"EmploymentStatusCode": "Active",
"TerminationDate": "string",
"TerminationReasonCode": "Termination",
"JobTitleText": "string",
"OccupationText": "string",
"WorkHoursQuantity": 0,
"WorkHoursFrequencyCode": "Weekly",
"WorkLocationText": "string",
"PayrollDeductionFrequencyCode": "AnnualSalary",
"PayrollFrequencyQuantity": 0,
"SupervisorFullName": "string",
"SupervisorEmailAddress": "string",
"HumanResourcePartnerEmailAddress": "string",
"UnionIndicator": true,
"UnionLocalName": "string",
"UnionLocalNumber": "string",
"UnionMemberNumber": "string",
"EmploymentIncome": [
{
"IncomeTypeCode": "Salary",
"IncomeAmount": 0,
"IncomeModeCode": "Hourly",
"IncomeEffectiveDate": "string"
}
],
"AnnualBenefitSalaryAmount": 0,
"EmploymentInformationUserDefinedCategory": [
{
"CategoryName": "string",
"CategoryValueString": "string"
}
]
},
"EnrollmentInformation": [
{
"EnrollmentInformationID": "string",
"EnrollmentMethodCode": "OneOnOne",
"ComprehensiveHealthBenefitIndicator": true,
"EmployeeEnrollmentLocationAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
}
}
],
"Event": [
{
"EventID": "string",
"EventTypeCode": "Coverage",
"EventTypeReasonCode": "AdministrativeCorrection",
"EventDate": "string",
"TransactionDate": "string",
"EnrollmentInformationID": [
"string"
]
}
],
"EmployeeEventID": [
"string"
],
"BeneficiaryGroup": [
{
"BeneficiaryGroupID": "BenGroupID",
"Beneficiary": [
{
"BeneficiaryPartyID": "BenPartyID",
"BeneficiaryPartyTypeCode": "Employee",
"BeneficiaryPercent": "string",
"BeneficiaryTypeCode": "Primary"
}
]
}
],
"EmployeeQuestion": [
{
"QuestionID": "QuestionID",
"QuestionIdentifier": "Question"
}
],
"Producer": [
{
"ProducerPartyID": "string",
"ProducerFirstName": "string",
"ProducerLastName": "string",
"CarrierProducerNumber": [
{
"CarrierProducerNumberID": "string",
"CarrierID": "string",
"CarrierProducerNumber": "string"
}
]
}
],
"Coverage": [
{
"CoverageID": "string",
"GroupPolicyNumber": "string",
"IndividualPolicyNumber": "string",
"ProductTypeCode": "Accident",
"BenefitPlanIdentifier": "string",
"BenefitClassIdentifier": "string",
"BenefitSubClassIdentifier": "string",
"BillGroupIdentifier": "string",
"BillSubGroupIdentifier": "string",
"ClaimGroupIdentifier": "string",
"ClaimSubGroupIdentifier": "string",
"OriginalCoverageEffectiveDate": "string",
"CoverageEffectiveDate": "string",
"CoverageTerminationDate": "string",
"CoverageTierCode": "Employee",
"BenefitCalculationMethodCode": "FlatAmount",
"BenefitAmount": 0,
"BenefitFactor": 0,
"EmployeeContributionCode": "EmployeePaid",
"EmployeePremiumContributionAmount": 0,
"EmployerPremiumContributionAmount": 0,
"TotalPlanPremiumAmount": 0,
"BenefitEarningsAmount": 0,
"BenefitEarningsEffectiveDate": "string",
"BenefitModeQuantity": "string",
"PaymentMethodCode": "PayrollDeduction",
"PremiumModeQuantity": 0,
"PreTaxCode": "PostTax",
"IssueAgeQuantity": 0,
"TobaccoUseIndicator": true,
"TakeOverCoverageIndicator": true,
"EnrollerProducerPartyID": "string",
"BeneficiaryGroupID": "string",
"CarrierID": "string",
"ElectedCoverage": {
"ElectedCoverageTierCode": "Employee",
"ElectedBenefitCalculationMethodCode": "FlatAmount",
"ElectedBenefitAmount": 0,
"ElectedBenefitFactor": 0,
"ElectedEmployeeContributionCode": "EmployeePaid",
"ElectedEmployeePremiumContributionAmount": 10,
"ElectedEmployerPremiumContributionAmount": 5,
"ElectedTotalPlanPremiumAmount": 15,
"ElectedCoverageInsured": [
{
"PrimaryInsuredIndicator": true,
"TobaccoUseIndicator": true,
"InsuredCoverageEffectiveDate": "string",
"InsuredCoverageTerminationDate": "string",
"Provider": {
"ProviderIdentificationNumberText": "123-45-6789",
"ExistingPatientIndicator": true,
"ProviderName": "ProviderName"
}
}
],
"ElectedCoverageRider": [
{
"CoverageRiderID": "string",
"RiderIdentifier": "string",
"RiderName": "string",
"CoverageTierCode": "Employee",
"BenefitAmount": 0,
"RiderUnitQuantity": 0,
"RiderOptionIdentifier": "string",
"PreTaxCode": "PostTax",
"EmployeePremiumContributionAmount": 0,
"EmployerPremiumContributionAmount": 0
}
]
},
"CoverageInsured": [
{
"PrimaryInsuredIndicator": true,
"TobaccoUseIndicator": true,
"InsuredCoverageEffectiveDate": "string",
"InsuredCoverageTerminationDate": "string",
"Provider": {
"ProviderIdentificationNumberText": "123-45-6789",
"ExistingPatientIndicator": true,
"ProviderName": "ProviderName"
}
}
],
"CoverageEventID": [
"string"
],
"CoverageQuestionAnswer": [
{
"AnswerIndicator": true,
"AnswerText": "string",
"QuestionID": "string"
}
],
"CoverageDeduction": [
{
"DeductionTypeCode": "Medical",
"DeductionAmount": 0,
"DeductionFrequencyCode": "AnnualSalary"
}
],
"CoverageRider": [
{
"CoverageRiderID": "string",
"RiderIdentifier": "string",
"RiderName": "string",
"CoverageTierCode": "Employee",
"BenefitAmount": 0,
"RiderUnitQuantity": 0,
"RiderOptionIdentifier": "string",
"PreTaxCode": "PostTax",
"EmployeePremiumContributionAmount": 0,
"EmployerPremiumContributionAmount": 0
}
],
"CoverageCommissionSplit": [
{
"CarrierProducerNumberID": "string",
"CompensationSplitPercent": 0
}
]
}
]
}
]
}
],
"Audit": {
"AuditID": "string",
"CarrierQuantity": 0,
"EmployerRecordQuantity": 0,
"EmployeeRecordQuantity": 0,
"DependentRecordQuantity": 0,
"OtherPartyRecordQuantity": 0,
"BeneficiaryGroupRecordQuantity": 0,
"EventRecordQuantity": 0,
"CoverageRecordQuantity": 0,
"CoverageRiderRecordQuantity": 0
}
}
|
application/xml; charset=UTF-8 |
9907 |
/product/soh/updatePendingSoh
|
10.100.23.22 |
|
|
2023-02-21 04:18:10
{
"TransmissionGUID": "BenAdminTransactionID",
"SenderName": "BenAdminName",
"SenderPlatformName": "ClientName",
"ReceiverName": "Guardian",
"CreationDateTime": "2020-02-20 19:57:03",
"TestProductionCode": "Test",
"TransmissionTypeCode": "FullFile",
"SchemaVersionIdentifier": "1.0.0",
"Carrier": [
{
"CarrierID": "",
"CarrierName": ""
}
],
"Employer": [
{
"EmployerPartyID": "Employer ID",
"FederalEmployerIdentificationNumber": "string",
"CarrierMasterAgreementNumber": [
{
"CarrierMasterAgreementNumberID": "string",
"MasterAgreementNumber": "string",
"CarrierID": "string"
}
],
"EmployerName": "Employer Name",
"EmployerAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"Employee": [
{
"EmployeePartyID": "string",
"EmployeeSocialSecurityNumber": "string",
"EmployeeIdentifier": "string",
"EmployeeName": {
"PrefixCode": "Ms",
"FirstName": "John",
"MiddleName": "M",
"LastName": "Doe",
"SuffixCode": "Jr"
},
"EmployeeGenderCode": "Female",
"EmployeeBirthDate": "string",
"MaritalStatusCode": "Divorced",
"EmployeeTobaccoUseCode": "Y",
"EmployeeHomePhone": "string",
"EmployeeWorkPhone": "string",
"EmployeeMobilePhone": "string",
"EmployeeMailingAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"EmployeeHomeAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"EmployeeWorkAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"EmployeeEmail": "user@example.com",
"EmployeeAlternateEmail": "user@example.com",
"EmploymentInformation": {
"OriginalHireDate": "string",
"MostRecentHireDate": "string",
"AdjustedServiceDate": "string",
"ExemptCode": "Exempt",
"EmploymentTypeCode": "FullTime",
"EmploymentStatusCode": "Active",
"TerminationDate": "string",
"TerminationReasonCode": "Termination",
"JobTitleText": "string",
"OccupationText": "string",
"WorkHoursQuantity": 0,
"WorkHoursFrequencyCode": "Weekly",
"WorkLocationText": "string",
"PayrollDeductionFrequencyCode": "AnnualSalary",
"PayrollFrequencyQuantity": 0,
"SupervisorFullName": "string",
"SupervisorEmailAddress": "string",
"HumanResourcePartnerEmailAddress": "string",
"UnionIndicator": true,
"UnionLocalName": "string",
"UnionLocalNumber": "string",
"UnionMemberNumber": "string",
"EmploymentIncome": [
{
"IncomeTypeCode": "Salary",
"IncomeAmount": 0,
"IncomeModeCode": "Hourly",
"IncomeEffectiveDate": "string"
}
],
"AnnualBenefitSalaryAmount": 0,
"EmploymentInformationUserDefinedCategory": [
{
"CategoryName": "string",
"CategoryValueString": "string"
}
]
},
"EnrollmentInformation": [
{
"EnrollmentInformationID": "string",
"EnrollmentMethodCode": "OneOnOne",
"ComprehensiveHealthBenefitIndicator": true,
"EmployeeEnrollmentLocationAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
}
}
],
"Event": [
{
"EventID": "string",
"EventTypeCode": "Coverage",
"EventTypeReasonCode": "AdministrativeCorrection",
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"TransactionDate": "string",
"EnrollmentInformationID": [
"string"
]
}
],
"EmployeeEventID": [
"string"
],
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{
"BeneficiaryGroupID": "BenGroupID",
"Beneficiary": [
{
"BeneficiaryPartyID": "BenPartyID",
"BeneficiaryPartyTypeCode": "Employee",
"BeneficiaryPercent": "string",
"BeneficiaryTypeCode": "Primary"
}
]
}
],
"EmployeeQuestion": [
{
"QuestionID": "QuestionID",
"QuestionIdentifier": "Question"
}
],
"Producer": [
{
"ProducerPartyID": "string",
"ProducerFirstName": "string",
"ProducerLastName": "string",
"CarrierProducerNumber": [
{
"CarrierProducerNumberID": "string",
"CarrierID": "string",
"CarrierProducerNumber": "string"
}
]
}
],
"Coverage": [
{
"CoverageID": "string",
"GroupPolicyNumber": "string",
"IndividualPolicyNumber": "string",
"ProductTypeCode": "Accident",
"BenefitPlanIdentifier": "string",
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"BenefitSubClassIdentifier": "string",
"BillGroupIdentifier": "string",
"BillSubGroupIdentifier": "string",
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"CoverageEffectiveDate": "string",
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"CoverageTierCode": "Employee",
"BenefitCalculationMethodCode": "FlatAmount",
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"BenefitFactor": 0,
"EmployeeContributionCode": "EmployeePaid",
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"EmployerPremiumContributionAmount": 0,
"TotalPlanPremiumAmount": 0,
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"BenefitEarningsEffectiveDate": "string",
"BenefitModeQuantity": "string",
"PaymentMethodCode": "PayrollDeduction",
"PremiumModeQuantity": 0,
"PreTaxCode": "PostTax",
"IssueAgeQuantity": 0,
"TobaccoUseIndicator": true,
"TakeOverCoverageIndicator": true,
"EnrollerProducerPartyID": "string",
"BeneficiaryGroupID": "string",
"CarrierID": "string",
"ElectedCoverage": {
"ElectedCoverageTierCode": "Employee",
"ElectedBenefitCalculationMethodCode": "FlatAmount",
"ElectedBenefitAmount": 0,
"ElectedBenefitFactor": 0,
"ElectedEmployeeContributionCode": "EmployeePaid",
"ElectedEmployeePremiumContributionAmount": 10,
"ElectedEmployerPremiumContributionAmount": 5,
"ElectedTotalPlanPremiumAmount": 15,
"ElectedCoverageInsured": [
{
"PrimaryInsuredIndicator": true,
"TobaccoUseIndicator": true,
"InsuredCoverageEffectiveDate": "string",
"InsuredCoverageTerminationDate": "string",
"Provider": {
"ProviderIdentificationNumberText": "123-45-6789",
"ExistingPatientIndicator": true,
"ProviderName": "ProviderName"
}
}
],
"ElectedCoverageRider": [
{
"CoverageRiderID": "string",
"RiderIdentifier": "string",
"RiderName": "string",
"CoverageTierCode": "Employee",
"BenefitAmount": 0,
"RiderUnitQuantity": 0,
"RiderOptionIdentifier": "string",
"PreTaxCode": "PostTax",
"EmployeePremiumContributionAmount": 0,
"EmployerPremiumContributionAmount": 0
}
]
},
"CoverageInsured": [
{
"PrimaryInsuredIndicator": true,
"TobaccoUseIndicator": true,
"InsuredCoverageEffectiveDate": "string",
"InsuredCoverageTerminationDate": "string",
"Provider": {
"ProviderIdentificationNumberText": "123-45-6789",
"ExistingPatientIndicator": true,
"ProviderName": "ProviderName"
}
}
],
"CoverageEventID": [
"string"
],
"CoverageQuestionAnswer": [
{
"AnswerIndicator": true,
"AnswerText": "string",
"QuestionID": "string"
}
],
"CoverageDeduction": [
{
"DeductionTypeCode": "Medical",
"DeductionAmount": 0,
"DeductionFrequencyCode": "AnnualSalary"
}
],
"CoverageRider": [
{
"CoverageRiderID": "string",
"RiderIdentifier": "string",
"RiderName": "string",
"CoverageTierCode": "Employee",
"BenefitAmount": 0,
"RiderUnitQuantity": 0,
"RiderOptionIdentifier": "string",
"PreTaxCode": "PostTax",
"EmployeePremiumContributionAmount": 0,
"EmployerPremiumContributionAmount": 0
}
],
"CoverageCommissionSplit": [
{
"CarrierProducerNumberID": "string",
"CompensationSplitPercent": 0
}
]
}
]
}
]
}
],
"Audit": {
"AuditID": "string",
"CarrierQuantity": 0,
"EmployerRecordQuantity": 0,
"EmployeeRecordQuantity": 0,
"DependentRecordQuantity": 0,
"OtherPartyRecordQuantity": 0,
"BeneficiaryGroupRecordQuantity": 0,
"EventRecordQuantity": 0,
"CoverageRecordQuantity": 0,
"CoverageRiderRecordQuantity": 0
}
}
|
application/xml; charset=UTF-8 |
9907 |
/product/soh/updatePendingSoh
|
10.100.23.22 |
|
|
2023-02-21 04:18:10
{
"TransmissionGUID": "BenAdminTransactionID",
"SenderName": "BenAdminName",
"SenderPlatformName": "ClientName",
"ReceiverName": "Guardian",
"CreationDateTime": "2020-02-21 18:32:17",
"TestProductionCode": "Test",
"TransmissionTypeCode": "FullFile",
"SchemaVersionIdentifier": "1.0.0",
"Carrier": [
{
"CarrierID": "",
"CarrierName": ""
}
],
"Employer": [
{
"EmployerPartyID": "Employer ID",
"FederalEmployerIdentificationNumber": "string",
"CarrierMasterAgreementNumber": [
{
"CarrierMasterAgreementNumberID": "string",
"MasterAgreementNumber": "string",
"CarrierID": "string"
}
],
"EmployerName": "Employer Name",
"EmployerAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"Employee": [
{
"EmployeePartyID": "string",
"EmployeeSocialSecurityNumber": "string",
"EmployeeIdentifier": "string",
"EmployeeName": {
"PrefixCode": "Ms",
"FirstName": "John",
"MiddleName": "M",
"LastName": "Doe",
"SuffixCode": "Jr"
},
"EmployeeGenderCode": "Female",
"EmployeeBirthDate": "string",
"MaritalStatusCode": "Divorced",
"EmployeeTobaccoUseCode": "Y",
"EmployeeHomePhone": "string",
"EmployeeWorkPhone": "string",
"EmployeeMobilePhone": "string",
"EmployeeMailingAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"EmployeeHomeAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"EmployeeWorkAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"EmployeeEmail": "user@example.com",
"EmployeeAlternateEmail": "user@example.com",
"EmploymentInformation": {
"OriginalHireDate": "string",
"MostRecentHireDate": "string",
"AdjustedServiceDate": "string",
"ExemptCode": "Exempt",
"EmploymentTypeCode": "FullTime",
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"TerminationDate": "string",
"TerminationReasonCode": "Termination",
"JobTitleText": "string",
"OccupationText": "string",
"WorkHoursQuantity": 0,
"WorkHoursFrequencyCode": "Weekly",
"WorkLocationText": "string",
"PayrollDeductionFrequencyCode": "AnnualSalary",
"PayrollFrequencyQuantity": 0,
"SupervisorFullName": "string",
"SupervisorEmailAddress": "string",
"HumanResourcePartnerEmailAddress": "string",
"UnionIndicator": true,
"UnionLocalName": "string",
"UnionLocalNumber": "string",
"UnionMemberNumber": "string",
"EmploymentIncome": [
{
"IncomeTypeCode": "Salary",
"IncomeAmount": 0,
"IncomeModeCode": "Hourly",
"IncomeEffectiveDate": "string"
}
],
"AnnualBenefitSalaryAmount": 0,
"EmploymentInformationUserDefinedCategory": [
{
"CategoryName": "string",
"CategoryValueString": "string"
}
]
},
"EnrollmentInformation": [
{
"EnrollmentInformationID": "string",
"EnrollmentMethodCode": "OneOnOne",
"ComprehensiveHealthBenefitIndicator": true,
"EmployeeEnrollmentLocationAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
}
}
],
"Event": [
{
"EventID": "string",
"EventTypeCode": "Coverage",
"EventTypeReasonCode": "AdministrativeCorrection",
"EventDate": "string",
"TransactionDate": "string",
"EnrollmentInformationID": [
"string"
]
}
],
"EmployeeEventID": [
"string"
],
"BeneficiaryGroup": [
{
"BeneficiaryGroupID": "BenGroupID",
"Beneficiary": [
{
"BeneficiaryPartyID": "BenPartyID",
"BeneficiaryPartyTypeCode": "Employee",
"BeneficiaryPercent": "string",
"BeneficiaryTypeCode": "Primary"
}
]
}
],
"EmployeeQuestion": [
{
"QuestionID": "QuestionID",
"QuestionIdentifier": "Question"
}
],
"Producer": [
{
"ProducerPartyID": "string",
"ProducerFirstName": "string",
"ProducerLastName": "string",
"CarrierProducerNumber": [
{
"CarrierProducerNumberID": "string",
"CarrierID": "string",
"CarrierProducerNumber": "string"
}
]
}
],
"Coverage": [
{
"CoverageID": "string",
"GroupPolicyNumber": "string",
"IndividualPolicyNumber": "string",
"ProductTypeCode": "Accident",
"BenefitPlanIdentifier": "string",
"BenefitClassIdentifier": "string",
"BenefitSubClassIdentifier": "string",
"BillGroupIdentifier": "string",
"BillSubGroupIdentifier": "string",
"ClaimGroupIdentifier": "string",
"ClaimSubGroupIdentifier": "string",
"OriginalCoverageEffectiveDate": "string",
"CoverageEffectiveDate": "string",
"CoverageTerminationDate": "string",
"CoverageTierCode": "Employee",
"BenefitCalculationMethodCode": "FlatAmount",
"BenefitAmount": 0,
"BenefitFactor": 0,
"EmployeeContributionCode": "EmployeePaid",
"EmployeePremiumContributionAmount": 0,
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"TotalPlanPremiumAmount": 0,
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"BenefitEarningsEffectiveDate": "string",
"BenefitModeQuantity": "string",
"PaymentMethodCode": "PayrollDeduction",
"PremiumModeQuantity": 0,
"PreTaxCode": "PostTax",
"IssueAgeQuantity": 0,
"TobaccoUseIndicator": true,
"TakeOverCoverageIndicator": true,
"EnrollerProducerPartyID": "string",
"BeneficiaryGroupID": "string",
"CarrierID": "string",
"ElectedCoverage": {
"ElectedCoverageTierCode": "Employee",
"ElectedBenefitCalculationMethodCode": "FlatAmount",
"ElectedBenefitAmount": 0,
"ElectedBenefitFactor": 0,
"ElectedEmployeeContributionCode": "EmployeePaid",
"ElectedEmployeePremiumContributionAmount": 10,
"ElectedEmployerPremiumContributionAmount": 5,
"ElectedTotalPlanPremiumAmount": 15,
"ElectedCoverageInsured": [
{
"PrimaryInsuredIndicator": true,
"TobaccoUseIndicator": true,
"InsuredCoverageEffectiveDate": "string",
"InsuredCoverageTerminationDate": "string",
"Provider": {
"ProviderIdentificationNumberText": "123-45-6789",
"ExistingPatientIndicator": true,
"ProviderName": "ProviderName"
}
}
],
"ElectedCoverageRider": [
{
"CoverageRiderID": "string",
"RiderIdentifier": "string",
"RiderName": "string",
"CoverageTierCode": "Employee",
"BenefitAmount": 0,
"RiderUnitQuantity": 0,
"RiderOptionIdentifier": "string",
"PreTaxCode": "PostTax",
"EmployeePremiumContributionAmount": 0,
"EmployerPremiumContributionAmount": 0
}
]
},
"CoverageInsured": [
{
"PrimaryInsuredIndicator": true,
"TobaccoUseIndicator": true,
"InsuredCoverageEffectiveDate": "string",
"InsuredCoverageTerminationDate": "string",
"Provider": {
"ProviderIdentificationNumberText": "123-45-6789",
"ExistingPatientIndicator": true,
"ProviderName": "ProviderName"
}
}
],
"CoverageEventID": [
"string"
],
"CoverageQuestionAnswer": [
{
"AnswerIndicator": true,
"AnswerText": "string",
"QuestionID": "string"
}
],
"CoverageDeduction": [
{
"DeductionTypeCode": "Medical",
"DeductionAmount": 0,
"DeductionFrequencyCode": "AnnualSalary"
}
],
"CoverageRider": [
{
"CoverageRiderID": "string",
"RiderIdentifier": "string",
"RiderName": "string",
"CoverageTierCode": "Employee",
"BenefitAmount": 0,
"RiderUnitQuantity": 0,
"RiderOptionIdentifier": "string",
"PreTaxCode": "PostTax",
"EmployeePremiumContributionAmount": 0,
"EmployerPremiumContributionAmount": 0
}
],
"CoverageCommissionSplit": [
{
"CarrierProducerNumberID": "string",
"CompensationSplitPercent": 0
}
]
}
]
}
]
}
],
"Audit": {
"AuditID": "string",
"CarrierQuantity": 0,
"EmployerRecordQuantity": 0,
"EmployeeRecordQuantity": 0,
"DependentRecordQuantity": 0,
"OtherPartyRecordQuantity": 0,
"BeneficiaryGroupRecordQuantity": 0,
"EventRecordQuantity": 0,
"CoverageRecordQuantity": 0,
"CoverageRiderRecordQuantity": 0
}
}
|
application/xml; charset=UTF-8 |
9907 |
/product/soh/updatePendingSoh
|
10.100.23.22 |
|
|
2023-02-21 04:18:10
<?xml version="1.0" encoding="UTF-8"?>
|
application/xml; charset=UTF-8 |
38 |
/product/soh/echo
|
10.100.23.38 |
|
|
2023-02-21 04:18:10
<?xml version="1.0" encoding="UTF-8"?>
|
application/xml; charset=UTF-8 |
38 |
/product/soh/echo
|
10.100.22.10 |
|
|
2023-02-21 04:18:10
{
"Transaction": [
{
"TransmissionGUID": "BenAdminTransactionID",
"SenderName": "BenAdminName",
"SenderPlatformName": "ClientName",
"ReceiverName": "Guardian",
"CreationDateTime": "2020-02-25 22:03:49",
"TestProductionCode": "Test",
"TransmissionTypeCode": "FullFile",
"SchemaVersionIdentifier": "1.0.0",
"Carrier": [
{
"CarrierID": "",
"CarrierName": ""
}
],
"Employer": [
{
"EmployerPartyID": "Employer ID",
"FederalEmployerIdentificationNumber": "string",
"CarrierMasterAgreementNumber": [
{
"CarrierMasterAgreementNumberID": "string",
"MasterAgreementNumber": "string",
"CarrierID": "string"
}
],
"EmployerName": "Employer Name",
"EmployerAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"Employee": [
{
"EmployeePartyID": "string",
"EmployeeSocialSecurityNumber": "string",
"EmployeeIdentifier": "string",
"EmployeeName": {
"PrefixCode": "Ms",
"FirstName": "John",
"MiddleName": "M",
"LastName": "Doe",
"SuffixCode": "Jr"
},
"EmployeeGenderCode": "Female",
"EmployeeBirthDate": "string",
"MaritalStatusCode": "Divorced",
"EmployeeTobaccoUseCode": "Y",
"EmployeeHomePhone": "string",
"EmployeeWorkPhone": "string",
"EmployeeMobilePhone": "string",
"EmployeeMailingAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"EmployeeHomeAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"EmployeeWorkAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"EmployeeEmail": "user@example.com",
"EmployeeAlternateEmail": "user@example.com",
"EmploymentInformation": {
"OriginalHireDate": "string",
"MostRecentHireDate": "string",
"AdjustedServiceDate": "string",
"ExemptCode": "Exempt",
"EmploymentTypeCode": "FullTime",
"EmploymentStatusCode": "Active",
"TerminationDate": "string",
"TerminationReasonCode": "Termination",
"JobTitleText": "string",
"OccupationText": "string",
"WorkHoursQuantity": 0,
"WorkHoursFrequencyCode": "Weekly",
"WorkLocationText": "string",
"PayrollDeductionFrequencyCode": "AnnualSalary",
"PayrollFrequencyQuantity": 0,
"SupervisorFullName": "string",
"SupervisorEmailAddress": "string",
"HumanResourcePartnerEmailAddress": "string",
"UnionIndicator": true,
"UnionLocalName": "string",
"UnionLocalNumber": "string",
"UnionMemberNumber": "string",
"EmploymentIncome": [
{
"IncomeTypeCode": "Salary",
"IncomeAmount": 0,
"IncomeModeCode": "Hourly",
"IncomeEffectiveDate": "string"
}
],
"AnnualBenefitSalaryAmount": 0,
"EmploymentInformationUserDefinedCategory": [
{
"CategoryName": "string",
"CategoryValueString": "string"
}
]
},
"EnrollmentInformation": [
{
"EnrollmentInformationID": "string",
"EnrollmentMethodCode": "OneOnOne",
"ComprehensiveHealthBenefitIndicator": true,
"EmployeeEnrollmentLocationAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
}
}
],
"Event": [
{
"EventID": "string",
"EventTypeCode": "Coverage",
"EventTypeReasonCode": "AdministrativeCorrection",
"EventDate": "string",
"TransactionDate": "string",
"EnrollmentInformationID": [
"string"
]
}
],
"EmployeeEventID": [
"string"
],
"BeneficiaryGroup": [
{
"BeneficiaryGroupID": "BenGroupID",
"Beneficiary": [
{
"BeneficiaryPartyID": "BenPartyID",
"BeneficiaryPartyTypeCode": "Employee",
"BeneficiaryPercent": "string",
"BeneficiaryTypeCode": "Primary"
}
]
}
],
"EmployeeQuestion": [
{
"QuestionID": "QuestionID",
"QuestionIdentifier": "Question"
}
],
"Producer": [
{
"ProducerPartyID": "string",
"ProducerFirstName": "string",
"ProducerLastName": "string",
"CarrierProducerNumber": [
{
"CarrierProducerNumberID": "string",
"CarrierID": "string",
"CarrierProducerNumber": "string"
}
]
}
],
"Coverage": [
{
"CoverageID": "string",
"GroupPolicyNumber": "string",
"IndividualPolicyNumber": "string",
"ProductTypeCode": "Accident",
"BenefitPlanIdentifier": "string",
"BenefitClassIdentifier": "string",
"BenefitSubClassIdentifier": "string",
"BillGroupIdentifier": "string",
"BillSubGroupIdentifier": "string",
"ClaimGroupIdentifier": "string",
"ClaimSubGroupIdentifier": "string",
"OriginalCoverageEffectiveDate": "string",
"CoverageEffectiveDate": "string",
"CoverageTerminationDate": "string",
"CoverageTierCode": "Employee",
"BenefitCalculationMethodCode": "FlatAmount",
"BenefitAmount": 0,
"BenefitFactor": 0,
"EmployeeContributionCode": "EmployeePaid",
"EmployeePremiumContributionAmount": 0,
"EmployerPremiumContributionAmount": 0,
"TotalPlanPremiumAmount": 0,
"BenefitEarningsAmount": 0,
"BenefitEarningsEffectiveDate": "string",
"BenefitModeQuantity": "string",
"PaymentMethodCode": "PayrollDeduction",
"PremiumModeQuantity": 0,
"PreTaxCode": "PostTax",
"IssueAgeQuantity": 0,
"TobaccoUseIndicator": true,
"TakeOverCoverageIndicator": true,
"EnrollerProducerPartyID": "string",
"BeneficiaryGroupID": "string",
"CarrierID": "string",
"ElectedCoverage": {
"ElectedCoverageTierCode": "Employee",
"ElectedBenefitCalculationMethodCode": "FlatAmount",
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{
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"string"
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|
application/json; charset=UTF-8 |
10590 |
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|
10.100.22.22 |
|
|
2023-02-21 04:18:10
<?xml version="1.0" encoding="UTF-8"?>
|
application/xml; charset=UTF-8 |
38 |
/product/soh/echo
|
10.100.22.10 |
|
|
2023-02-21 04:18:10
{
"Transaction": [
{
"TransmissionGUID": "BenAdminTransactionID",
"SenderName": "BenAdminName",
"SenderPlatformName": "ClientName",
"ReceiverName": "Guardian",
"CreationDateTime": "2020-02-25 23:06:41",
"TestProductionCode": "Test",
"TransmissionTypeCode": "FullFile",
"SchemaVersionIdentifier": "1.0.0",
"Carrier": [
{
"CarrierID": "",
"CarrierName": ""
}
],
"Employer": [
{
"EmployerPartyID": "Employer ID",
"FederalEmployerIdentificationNumber": "string",
"CarrierMasterAgreementNumber": [
{
"CarrierMasterAgreementNumberID": "string",
"MasterAgreementNumber": "string",
"CarrierID": "string"
}
],
"EmployerName": "Employer Name",
"EmployerAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"Employee": [
{
"EmployeePartyID": "string",
"EmployeeSocialSecurityNumber": "string",
"EmployeeIdentifier": "string",
"EmployeeName": {
"PrefixCode": "Ms",
"FirstName": "John",
"MiddleName": "M",
"LastName": "Doe",
"SuffixCode": "Jr"
},
"EmployeeGenderCode": "Female",
"EmployeeBirthDate": "string",
"MaritalStatusCode": "Divorced",
"EmployeeTobaccoUseCode": "Y",
"EmployeeHomePhone": "string",
"EmployeeWorkPhone": "string",
"EmployeeMobilePhone": "string",
"EmployeeMailingAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"EmployeeHomeAddress": {
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"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
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"EmployeeEmail": "user@example.com",
"EmployeeAlternateEmail": "user@example.com",
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"ExemptCode": "Exempt",
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"ThirdLineAddress": "Care of Guardian",
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"string"
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{
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{
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"BeneficiaryTypeCode": "Primary"
}
]
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{
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"QuestionIdentifier": "Question"
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{
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"ProducerLastName": "string",
"CarrierProducerNumber": [
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"CarrierID": "string",
"CarrierProducerNumber": "string"
}
]
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"GroupPolicyNumber": "string",
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"ProductTypeCode": "Accident",
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{
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}
}
]
}
|
application/json; charset=UTF-8 |
10590 |
/product/soh/echo
|
10.100.22.22 |
|
|
2023-02-21 04:18:10
--================181dccf4e79
Content-Disposition: form-data; name="data_file"; filename="834_HIPAA_Full_Report.txt"
Content-Type: text/plain
Content-Transfer-Encoding: binary
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REF*17*Mega 11~
DTP*336*D8*19940108~
NM1*IL*1*Red*Felicia*F****999237484~
N3*2703 Binghamton Lane~
N4*Wytheville*VA*37484~
DMG*D8*19541128*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20120604~
INS*Y*18*030*XN*A~
REF*0F*999237485~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20080107~
NM1*IL*1*Vu*Barbara*B****999237485~
N3*52 Ketcham Rd~
N4*Youngstown*NY*37485~
DMG*D8*19770529*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20110617~
INS*Y*18*030*XN*A~
REF*0F*999237486~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20060107~
NM1*IL*1*Niilos*Ann*A****999237486~
N3*3 Deal Lane~
N4*Yuba*TX*37486~
DMG*D8*19631121*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20131011~
INS*Y*18*030*XN*A~
REF*0F*999237487~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20050106~
NM1*IL*1*Dosch*Lana*L****999237487~
N3*121 N Park Rd~
N4*Zephyr*TX*37487~
DMG*D8*19820920*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20100419~
INS*Y*18*030*XN*A~
REF*0F*999237489~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20051214~
NM1*IL*1*Kuslaka*Anna*A****999237489~
N3*1228 Cadwell*#51~
N4*Zephyr*TX*37489~
DMG*D8*19580815*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20130703~
INS*Y*18*030*XN*A~
REF*0F*999237495~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20080325~
NM1*IL*1*Smitch*Toni*T****999237495~
N3*6 E MONROE ST~
N4*Woodstock*AL*37495~
DMG*D8*19630812*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20100818~
INS*Y*18*030*XN*A~
REF*0F*999237496~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20021120~
NM1*IL*1*Blanco0109*Amy*A****999237496~
N3*403 1/2 South Lake Street~
N4*Woodstock*AL*37496~
DMG*D8*19591009*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20120503~
INS*Y*18*030*XN*A~
REF*0F*999237497~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20061121~
DTP*337*D8*20150101~
NM1*IL*1*Christakis*Peggy*P****999237497~
N3*3821 S. Lowe~
N4*Zumbrota*VA*37497~
DMG*D8*19541027*F~
INS*N*01*030*XN*A~
REF*0F*999237497~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Christakis*Archie*A****99937212~
N3*3821 S. Lowe~
N4*Zumbrota*VA*37497~
DMG*D8*19500701*M~
INS*Y*18*030*XN*A~
REF*0F*999237498~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20031117~
NM1*IL*1*Fayyaz*Teresa*T****999237498~
N3*1129 Cayuse Circle SE~
N4*Zephyr*TX*37498~
DMG*D8*19760225*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20100225~
INS*Y*18*030*XN*A~
REF*0F*999237499~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20061120~
NM1*IL*1*Lorke*Lisa*L****999237499~
N3*4402 Shady Elm Drive~
N4*Zebulon*VA*37499~
DMG*D8*19691008*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20101018~
INS*Y*18*030*XN*A~
REF*0F*999237500~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20071126~
NM1*IL*1*Sedgley*Yolanda*Y****999237500~
N3*7932 Oakview Ln~
N4*Zephyr*AL*37500~
DMG*D8*19620804*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20100314~
INS*Y*18*030*XN*A~
REF*0F*999237502~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20081124~
NM1*IL*1*Davis*Lana*L****999237502~
N3*30 Sayre Drive*Apartment 5~
N4*Zillah*WA*37502~
DMG*D8*19831104*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20110519~
INS*Y*18*030*XN*A~
REF*0F*999237506~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*19791113~
NM1*IL*1*Mousty*Wanda*W****999237506~
N3*1150 Lampwick Lane~
N4*Yerington*OH*37506~
DMG*D8*19590730*F~
HD*030**HLT*Med11*E1D~
DTP*348*D8*20130925~
INS*N*19*030*XN*A~
REF*0F*999237506~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Mousty*Allen*A****99937215~
N3*1150 Lampwick Lane~
N4*Yerington*OH*37506~
DMG*D8*19970321*M~
HD*030**HLT*Med11~
DTP*348*D8*20130704~
INS*Y*18*030*XN*A~
REF*0F*999237510~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20061026~
NM1*IL*1*Tilma*Emma*E****999237510~
N3*P O BOX 8436~
N4*Wytheville*VA*37510~
DMG*D8*19570201*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20120908~
INS*Y*18*030*XN*A~
REF*0F*999237511~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20061025~
NM1*IL*1*Campbell*Crystal*C****999237511~
N3*315 VELVETEEN PLACE~
N4*Zephyr*VA*37511~
DMG*D8*19840831*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20121207~
INS*Y*18*030*XN*A~
REF*0F*999237512~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20051101~
NM1*IL*1*Nieskes*Emma*E****999237512~
N3*156 Gild Ct~
N4*Zephyr*TX*37512~
DMG*D8*19580519*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20100524~
INS*Y*18*030*XN*A~
REF*0F*999237516~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20051024~
NM1*IL*1*Fany*Lewis*L****999237516~
N3*6749 Burbage Lake Circke~
N4*Shady Side*MD*37516~
DMG*D8*19710313*M~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20121004~
INS*Y*18*030*XN*A~
REF*0F*999237517~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20071029~
NM1*IL*1*Hempy*Shantell*S****999237517~
N3*110 W 155th St~
N4*Zephyr*TX*37517~
DMG*D8*19890614*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20121203~
INS*Y*18*030*XN*A~
REF*0F*999237518~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20051024~
NM1*IL*1*Whee*Roma*R****999237518~
N3*315 MAGNOLIA DR*Space 327~
N4*Zurich*AL*37518~
DMG*D8*19730717*M~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20120819~
DTP*349*D8*20170101~
HD*030**DEN*Den11*EMP~
DTP*348*D8*20110515~
DTP*349*D8*20170101~
HD*030**VIS*Vis11*EMP~
DTP*348*D8*20120311~
DTP*349*D8*20170101~
INS*N*19*030*XN*A~
REF*0F*999237518~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Whee*Neeley*N****99937219~
N3*315 MAGNOLIA DR*Space 327~
N4*Zurich*AL*37518~
DMG*D8*19980416*F~
HD*030**HLT*Med11~
DTP*348*D8*20110219~
HD*030**DEN*Den11~
DTP*348*D8*20120615~
HD*030**VIS*Vis11~
DTP*348*D8*20111111~
INS*N*01*030*XN*A~
REF*0F*999237518~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Whee*Patricia*P****99937220~
N3*315 MAGNOLIA DR*Space 327~
N4*Zurich*AL*37518~
DMG*D8*19691003*F~
HD*030**HLT*Med11~
DTP*348*D8*20131225~
HD*030**DEN*Den11~
DTP*348*D8*20131102~
HD*030**VIS*Vis11~
DTP*348*D8*20120616~
INS*N*19*030*XN*A~
REF*0F*999237518~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Whee*Robert*R****99937221~
N3*315 MAGNOLIA DR*Space 327~
N4*Zurich*AL*37518~
DMG*D8*20020718*M~
HD*030**HLT*Med11~
DTP*348*D8*20100722~
HD*030**DEN*Den11~
DTP*348*D8*20101109~
HD*030**VIS*Vis11~
DTP*348*D8*20100902~
INS*N*19*030*XN*A~
REF*0F*999237518~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Whee*Sara*S****99937222~
N3*315 MAGNOLIA DR*Space 327~
N4*Zurich*AL*37518~
DMG*D8*19970127*F~
HD*030**HLT*Med11~
DTP*348*D8*20121128~
HD*030**DEN*Den11~
DTP*348*D8*20100822~
HD*030**VIS*Vis11~
DTP*348*D8*20100321~
SE*2130*002064686~
ST*834*002064686*005010X220A1~
BGN*00*002064686*20220708*0856*UT***4~
REF*38*56781234~
DTP*303*D8*20220708~
QTY*TO*183~
QTY*ET*122~
QTY*DT*61~
N1*P5*BestDeal*FI*3**Retail 11~
N1*IN*Aetna*FI*45-576979~
N1*BO*PAYCOR*FI*43-975675~
INS*Y*18*030*XN*A~
REF*0F*999237568~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20060629~
NM1*IL*1*Sheamer*Lula*L****999237568~
N3*449 Mackenzie Way~
N4*Zephyr*TX*37568~
DMG*D8*19511120*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20101117~
INS*Y*18*030*XN*A~
REF*0F*999237569~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20000705~
NM1*IL*1*Palazolo*Irene*I****999237569~
N3*31 OAK ST~
N4*Zephyr*TX*37569~
DMG*D8*19460709*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20101002~
INS*N*01*030*XN*A~
REF*0F*999237569~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Palazolo*James*J****99941526~
N3*31 OAK ST~
N4*Zephyr*TX*37569~
DMG*D8*19451228*M~
HD*030**HLT*Med13~
DTP*348*D8*20120625~
INS*Y*18*030*XN*A~
REF*0F*999237571~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20100613~
NM1*IL*1*Plusch*Ashley*A****999237571~
N3*370 Cr 221~
N4*Zephyr*TX*37571~
DMG*D8*19850228*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20131105~
INS*Y*18*030*XN*A~
REF*0F*999237573~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20020617~
NM1*IL*1*Putin*Victoria*B****999237573~
N3*12963 Cristallo Pl~
N4*Zephyr*TX*37573~
DMG*D8*19610319*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120209~
INS*N*19*030*XN*A~
REF*0F*999237573~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Putin*Kyle*K****99937216~
N3*12963 Cristallo Pl~
N4*Zephyr*TX*37573~
DMG*D8*19850924*M~
HD*030**HLT*Med13~
DTP*348*D8*20130913~
INS*N*19*030*XN*A~
REF*0F*999237573~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Putin*Lance*L****99937217~
N3*12963 Cristallo Pl~
N4*Zephyr*TX*37573~
DMG*D8*19900130*M~
HD*030**HLT*Med13~
DTP*348*D8*20100916~
INS*N*01*030*XN*A~
REF*0F*999237573~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Putin*Vovan*S****99937218~
N3*12963 Cristallo Pl~
N4*Zephyr*TX*37573~
DMG*D8*19610418*F~
HD*030**HLT*Med13~
DTP*348*D8*20130126~
INS*Y*18*030*XN*A~
REF*0F*999237574~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20080616~
NM1*IL*1*Moseng*Stephanie*S****999237574~
N3*24983 SOUTHERN OAKS DR~
N4*Zephyr*TX*37574~
DMG*D8*19730119*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100127~
INS*Y*18*030*XN*A~
REF*0F*999237575~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20010607~
NM1*IL*1*Zarlinga*Tim*T****999237575~
N3*844 Panorama Dr Apt 313~
N4*SLC*UT*37575~
DMG*D8*19760329*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100106~
INS*Y*18*030*XN*A~
REF*0F*999237576~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20040629~
NM1*IL*1*Burross*Jessie Bell*J****999237576~
N3*65 OAKVIEW AVE*Apt.# 5H~
N4*Zephyr*NC*37576~
DMG*D8*19490716*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130304~
INS*Y*18*030*XN*A~
REF*0F*999237577~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20070612~
NM1*IL*1*Cortijo*Sheila*S****999237577~
N3*1215 N Ashbrooke Dr~
N4*Upper Marlboro*MD*37577~
DMG*D8*19630418*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20110810~
INS*N*19*030*XN*A~
REF*0F*999237577~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Cortijo*Sarah*S****99937199~
N3*1215 N Ashbrooke Dr~
N4*Upper Marlboro*MD*37577~
DMG*D8*19890123*F~
HD*030**HLT*Med13~
DTP*348*D8*20110208~
INS*Y*18*030*XN*A~
REF*0F*999237579~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20050606~
NM1*IL*1*Kaminecki*Ernest*E****999237579~
N3*216 WOODLANDS RD~
N4*Wytheville*NH*37579~
DMG*D8*19480907*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20110822~
INS*Y*18*030*XN*A~
REF*0F*999237580~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20070530~
NM1*IL*1*Deres*Lashunda*L****999237580~
N3*2250 Allentown Road~
N4*Zephyr*TX*37580~
DMG*D8*19790726*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120205~
INS*Y*18*030*XN*A~
REF*0F*999237584~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20070528~
NM1*IL*1*Adrio*Phillip*P****999237584~
N3*618 MAURY AVE~
N4*Zephyr*TX*37584~
DMG*D8*19890421*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100806~
INS*Y*18*030*XN*A~
REF*0F*999237586~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20060515~
NM1*IL*1*Danna*Jennifer*J****999237586~
N3*112 Wellington Dr~
N4*Zephyr*TX*37586~
DMG*D8*19830322*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20121110~
INS*Y*18*030*XN*A~
REF*0F*999237588~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20030423~
NM1*IL*1*Deolinda*Astra*A****999237588~
N3*114 Meredith Court~
N4*Yuba*TX*37588~
DMG*D8*19791202*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20131005~
INS*N*19*030*XN*A~
REF*0F*999237588~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Deolinda*Charles*C****99941527~
N3*114 Meredith Court~
N4*Yuba*TX*37588~
DMG*D8*20000817*M~
HD*030**HLT*Med13~
DTP*348*D8*20101001~
INS*Y*18*030*XN*A~
REF*0F*999237590~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20050426~
NM1*IL*1*Kimberley*Antonio*A****999237590~
N3*454 Hoyt Avenue~
N4*Zephyr*TX*37590~
DMG*D8*19821124*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20111022~
INS*Y*18*030*XN*A~
REF*0F*999237592~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20070423~
NM1*IL*1*Schepens*Linda*L****999237592~
N3*10207 Green Tree Road*Apt.# 35C~
N4*Zurich*AL*37592~
DMG*D8*19520723*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20120921~
INS*N*01*030*XN*A~
REF*0F*999237592~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Schepens*Donald*D****99941521~
N3*10207 Green Tree Road*Apt.# 35C~
N4*Zurich*AL*37592~
DMG*D8*19520906*M~
HD*030**HLT*Med13~
DTP*348*D8*20130104~
DTP*349*D8*20140604~
INS*Y*18*030*XN*A~
REF*0F*999237593~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20070502~
NM1*IL*1*Siddig*Alice*A****999237593~
N3*9631 Stonecrest Blvd.~
N4*Zebulon*VA*37593~
DMG*D8*19600620*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120405~
INS*Y*18*030*XN*A~
REF*0F*999237595~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20030408~
NM1*IL*1*Kayes*Victoria*V****999237595~
N3*22010 Singing Spurs Drive~
N4*Zephyr*TX*37595~
DMG*D8*19701102*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20121107~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100827~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130724~
INS*N*19*030*XN*A~
REF*0F*999237595~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Kayes*Willie*W****99945219~
N3*22010 Singing Spurs Drive~
N4*Zephyr*TX*37595~
DMG*D8*19911019*M~
HD*030**HLT*Med13~
DTP*348*D8*20130718~
INS*N*19*030*XN*A~
REF*0F*999237595~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Kayes*Michael*M****99945220~
N3*22010 Singing Spurs Drive~
N4*Zephyr*TX*37595~
DMG*D8*19921221*M~
HD*030**HLT*Med13~
DTP*348*D8*20120903~
INS*Y*18*030*XN*A~
REF*0F*999237596~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19980416~
NM1*IL*1*Concha*Bernice*B****999237596~
N3*13832 Legend Trail Ln~
N4*Yerington*OH*37596~
DMG*D8*19600420*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100507~
INS*Y*18*030*XN*A~
REF*0F*999237599~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20070402~
NM1*IL*1*Bascos*Lorraine*L****999237599~
N3*270 AKALOA~
N4*Woodsville*NH*37599~
DMG*D8*19810709*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20101104~
INS*Y*18*030*XN*A~
REF*0F*999237600~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19990405~
NM1*IL*1*Shaevel*Linda*L****999237600~
N3*54 CHESTNUT AVENUE~
N4*Zephyr*TX*37600~
DMG*D8*19490609*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20110701~
INS*Y*18*030*XN*A~
REF*0F*999237601~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20060328~
NM1*IL*1*Hrynewych*Melvin*M****999237601~
N3*4875 Hasty Pond Road~
N4*Zephyr*TX*37601~
DMG*D8*19640715*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20111112~
INS*Y*18*030*XN*A~
REF*0F*999237605~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20030313~
NM1*IL*1*Bhungane*Patricia*P****999237605~
N3*Seattle, Wa.~
N4*Zurich*PA*37605~
DMG*D8*19560107*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20131014~
INS*Y*18*030*XN*A~
REF*0F*999237610~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19960115~
NM1*IL*1*Pascual*Zabeth*Z****999237610~
N3*P O Box 38161*No 5114~
N4*Wyatt*NY*37610~
DMG*D8*19710616*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130727~
INS*Y*18*030*XN*A~
REF*0F*999237611~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19960101~
NM1*IL*1*Dyatel*Carol*C****999237611~
N3*5434 S Egofske Rd~
N4*Zanesville*MD*37611~
DMG*D8*19460907*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20101118~
INS*N*01*030*XN*A~
REF*0F*999237611~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Dyatel*Mitchell*M****99937230~
N3*5434 S Egofske Rd~
N4*Zanesville*MD*37611~
DMG*D8*19380817*M~
HD*030**HLT*Med13~
DTP*348*D8*20100620~
INS*Y*18*030*XN*A~
REF*0F*999237617~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19900723~
NM1*IL*1*Osstifin*Danny*D****999237617~
N3*18300 Myrtle Court~
N4*Yucca Valley*PA*37617~
DMG*D8*19641109*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100904~
INS*Y*18*030*XN*A~
REF*0F*999237618~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20010605~
NM1*IL*1*Pfaab*Angela*A****999237618~
N3*1358 W Barry Ave~
N4*Wrentham*AL*37618~
DMG*D8*19730317*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130919~
INS*Y*18*030*XN*A~
REF*0F*999237619~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20040621~
NM1*IL*1*Westerhof*Janice*J****999237619~
N3*91 Hi Vu Dr~
N4*Wytheville*VA*37619~
DMG*D8*19560811*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100120~
INS*Y*18*030*XN*A~
REF*0F*999237620~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19770503~
NM1*IL*1*Antil*Faye*F****999237620~
N3*3201 Ashland~
N4*Zephyr*TX*37620~
DMG*D8*19530307*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120428~
INS*Y*18*030*XN*A~
REF*0F*999237621~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19730606~
NM1*IL*1*Tharachai*Keith*K****999237621~
N3*3948 Lorien Way NW~
N4*Wyckoff*CO*37621~
DMG*D8*19590319*M~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20130903~
INS*N*01*030*XN*A~
REF*0F*999237621~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Tharachai*Cynthia*C****99937194~
N3*3948 Lorien Way NW~
N4*Wyckoff*CO*37621~
DMG*D8*19610514*F~
HD*030**HLT*Med13~
DTP*348*D8*20100724~
INS*Y*18*030*XN*A~
REF*0F*999237622~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19980209~
NM1*IL*1*Hefestay*Richard*R****999237622~
N3*1765 DYER DR.~
N4*Melvindale*MI*37622~
DMG*D8*19461021*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20121110~
INS*Y*18*030*XN*A~
REF*0F*999237626~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19801125~
NM1*IL*1*Ritzheimer*Patricia*P****999237626~
N3*652 COLLEEN DR~
N4*Youngstown*NY*37626~
DMG*D8*19550103*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130725~
INS*Y*18*030*XN*A~
REF*0F*999237629~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19881107~
NM1*IL*1*Deldeo*Nancy*N****999237629~
N3*105 Silvercreek Drive~
N4*Youngstown*NY*37629~
DMG*D8*19450408*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100504~
INS*Y*18*030*XN*A~
REF*0F*999237632~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19951005~
NM1*IL*1*Oung*Roger*R****999237632~
N3*8422 AMANDA PLACE~
N4*New York*NY*37632~
DMG*D8*19601103*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130507~
INS*Y*18*030*XN*A~
REF*0F*999239408~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20001025~
NM1*IL*1*Bracher*Melissa*M****999239408~
N3*2514 S BRISTOL~
N4*New York*NY*39408~
DMG*D8*19761017*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120628~
INS*Y*18*030*XN*A~
REF*0F*999239410~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20070403~
NM1*IL*1*Knibloe*Dora*D****999239410~
N3*3015 N 1800 Ave~
N4*New York*NY*39410~
DMG*D8*19621031*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20130425~
INS*N*19*030*XN*A~
REF*0F*999239410~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Knibloe*Terri*T****19214845~
N3*3015 N 1800 Ave~
N4*New York*NY*39410~
DMG*D8*20090206*F~
HD*030**HLT*Med13~
DTP*348*D8*20130520~
INS*Y*18*030*XN*A~
REF*0F*999250291~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19930422~
NM1*IL*1*Rauens*Gloria*G****999250291~
N3*887 PLANK RD~
N4*Youngstown*NY*50291~
DMG*D8*19640213*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20120912~
INS*N*19*030*XN*A~
REF*0F*999250291~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Rauens*Ayesha*A****99954297~
N3*887 PLANK RD~
N4*Youngstown*NY*50291~
DMG*D8*19960309*F~
HD*030**HLT*Med13~
DTP*348*D8*20120228~
INS*Y*18*030*XN*A~
REF*0F*999250292~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19790827~
NM1*IL*1*Alouf*Lynn*L****999250292~
N3*6431 Pirtlewood Circle~
N4*Youngstown*NY*50292~
DMG*D8*19540831*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20101121~
INS*Y*18*030*XN*A~
REF*0F*999250293~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20030826~
NM1*IL*1*Nagavel*Angela*A****999250293~
N3*12219 Greenleaf Ave~
N4*Wyckoff*NJ*50293~
DMG*D8*19691020*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100811~
INS*Y*18*030*XN*A~
REF*0F*999250295~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19980124~
NM1*IL*1*Muuka*Monique*M****999250295~
N3*809 RT. 105~
N4*Youngstown*NY*50295~
DMG*D8*19680811*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20100322~
INS*N*19*030*XN*A~
REF*0F*999250295~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Muuka*Porsha*P****99945303~
N3*809 RT. 105~
N4*Youngstown*NY*50295~
DMG*D8*19910703*F~
HD*030**HLT*Med13~
DTP*348*D8*20100506~
INS*Y*18*030*XN*A~
REF*0F*999250298~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20010730~
NM1*IL*1*Sperstad*Karlita*K****999250298~
N3*3914 Brookdale Ave~
N4*New York*NY*50298~
DMG*D8*19740105*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20110607~
INS*Y*18*030*XN*A~
REF*0F*999374741~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090429~
NM1*IL*1*Beauclair*Rosalyn*R****999374741~
N3*152 S MAIN ST*Lane~
N4*New York*NY*74741~
DMG*D8*19750909*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20120201~
DTP*349*D8*20170101~
INS*N*01*030*XN*A~
REF*0F*999374741~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Beauclair*John*J****19216939~
N3*152 S MAIN ST*Lane~
N4*New York*NY*74741~
DMG*D8*19650518*M~
HD*030**HLT*Med13~
DTP*348*D8*20120421~
INS*Y*18*030*XN*A~
REF*0F*999394036~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090429~
NM1*IL*1*Iwach*Maggie*M****999394036~
N3*20535 Barlow~
N4*Youngstown*NY*94036~
DMG*D8*19500702*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20101015~
INS*Y*18*030*XN*A~
REF*0F*999448146~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090623~
NM1*IL*1*Grisbee*Tina*T****999448146~
N3*19585 Black Road~
N4*New York*NY*48146~
DMG*D8*19820223*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130308~
HD*030**DEN*Den13*EMP~
DTP*348*D8*20130215~
HD*030**VIS*Vis13*EMP~
DTP*348*D8*20130124~
INS*N*01*030*XN*A~
REF*0F*999448146~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Grisbee*Joshua*J****99956363~
N3*19585 Black Road~
N4*New York*NY*48146~
DMG*D8*19780411*M~
HD*030**HLT*Med13~
DTP*348*D8*20110526~
DTP*349*D8*20150202~
HD*030**DEN*Den13~
DTP*348*D8*20110213~
DTP*349*D8*20150202~
HD*030**VIS*Vis13~
DTP*348*D8*20120409~
DTP*349*D8*20150202~
INS*N*19*030*XN*A~
REF*0F*999448146~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Grisbee*Alexis*A****99956365~
N3*19585 Black Road~
N4*New York*NY*48146~
DMG*D8*20030501*F~
HD*030**HLT*Med13~
DTP*348*D8*20130219~
DTP*349*D8*20150202~
HD*030**DEN*Den13~
DTP*348*D8*20111210~
DTP*349*D8*20150202~
HD*030**VIS*Vis13~
DTP*348*D8*20111025~
DTP*349*D8*20150202~
INS*N*19*030*XN*A~
REF*0F*999448146~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Grisbee*Carson*C****99956366~
N3*19585 Black Road~
N4*New York*NY*48146~
DMG*D8*20060218*M~
HD*030**HLT*Med13~
DTP*348*D8*20120301~
DTP*349*D8*20150202~
HD*030**DEN*Den13~
DTP*348*D8*20130727~
DTP*349*D8*20150202~
HD*030**VIS*Vis13~
DTP*348*D8*20130702~
DTP*349*D8*20150202~
INS*Y*18*030*XN*A~
REF*0F*999448719~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090624~
DTP*337*D8*20150101~
NM1*IL*1*Searcy*Ruby*R****999448719~
N3*52353 TRIPOLI WAY~
N4*New York*NY*48719~
DMG*D8*19510916*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20110422~
DTP*349*D8*20170101~
INS*Y*18*030*XN*A~
REF*0F*999448736~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090604~
NM1*IL*1*Pleyel*Tangee*T****999448736~
N3*280 Uvalde #271~
N4*York*RI*48736~
DMG*D8*19640806*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20110917~
INS*Y*18*030*XN*A~
REF*0F*999449800~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090602~
NM1*IL*1*Ghiya*Linda*L****999449800~
N3*1404 S Houston St~
N4*Youngstown*NY*49800~
DMG*D8*19481202*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20110607~
INS*N*01*030*XN*A~
REF*0F*999449800~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Ghiya*Ray*R****99956519~
N3*1404 S Houston St~
N4*Youngstown*NY*49800~
DMG*D8*19480616*M~
HD*030**HLT*Med13~
DTP*348*D8*20100617~
INS*Y*18*030*XN*A~
REF*0F*999500132~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090713~
NM1*IL*1*Coquis*Alda*A****999500132~
N3*1600 S. Indiana Avenue~
N4*Youngstown*NY*50292~
DMG*D8*19600413*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20110303~
INS*Y*18*030*XN*A~
REF*0F*999518266~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090921~
NM1*IL*1*Wiig*WyDonna*W****999518266~
N3*7-29 HEGEMAN AVE #14H~
N4*Yucca Valley*NY*18266~
DMG*D8*19691116*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120318~
INS*N*19*030*XN*A~
REF*0F*999518266~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Wiig*Shayla*S****99975372~
N3*7-29 HEGEMAN AVE #14H~
N4*Yucca Valley*NY*18266~
DMG*D8*19901002*F~
HD*030**HLT*Med13~
DTP*348*D8*20130117~
INS*N*19*030*XN*A~
REF*0F*999518266~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Wiig*Destery*D****99975373~
N3*7-29 HEGEMAN AVE #14H~
N4*Yucca Valley*NY*18266~
DMG*D8*19920321*M~
HD*030**HLT*Med13~
DTP*348*D8*20130910~
INS*Y*18*030*XN*A~
REF*0F*999591705~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090823~
NM1*IL*1*Mannix*Joe*J****999591705~
N3*1927 MANILA~
N4*New York*NY*91705~
DMG*D8*19610725*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130522~
INS*Y*18*030*XN*A~
REF*0F*999672656~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20091116~
NM1*IL*1*Leoncavallo*Ronald*R****999672656~
N3*810 Eagle Hills Way~
N4*New York*NY*72656~
DMG*D8*19630204*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20110204~
INS*N*01*030*XN*A~
REF*0F*999672656~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Leoncavallo*Diane*D****19108896~
N3*810 Eagle Hills Way~
N4*New York*NY*72656~
DMG*D8*19591223*F~
HD*030**HLT*Med13~
DTP*348*D8*20101116~
INS*N*19*030*XN*A~
REF*0F*999672656~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Leoncavallo*Seth*S****19108897~
N3*810 Eagle Hills Way~
N4*New York*NY*72656~
DMG*D8*19950518*M~
HD*030**HLT*Med13~
DTP*348*D8*20130303~
INS*N*19*030*XN*A~
REF*0F*999672656~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Leoncavallo*Logan*L****19108898~
N3*810 Eagle Hills Way~
N4*New York*NY*72656~
DMG*D8*19971018*M~
HD*030**HLT*Med13~
DTP*348*D8*20101206~
INS*Y*18*030*XN*A~
REF*0F*999680917~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20091106~
NM1*IL*1*Kasotia*Doris Dottie*D****999680917~
N3*9235 S Wabash~
N4*New York*NY*80917~
DMG*D8*19740824*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120202~
HD*030**DEN*Den13*EMP~
DTP*348*D8*20100128~
HD*030**VIS*Vis13*EMP~
DTP*348*D8*20131004~
INS*N*19*030*XN*A~
REF*0F*999680917~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Kasotia*Riley*R****19110273~
N3*9235 S Wabash~
N4*New York*NY*80917~
DMG*D8*20000610*M~
HD*030**HLT*Med13~
DTP*348*D8*20130328~
HD*030**DEN*Den13~
DTP*348*D8*20100125~
HD*030**VIS*Vis13~
DTP*348*D8*20110627~
INS*N*19*030*XN*A~
REF*0F*999680917~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Kasotia*Ethan*E****19110275~
N3*9235 S Wabash~
N4*New York*NY*80917~
DMG*D8*20050419*M~
HD*030**HLT*Med13~
DTP*348*D8*20100709~
HD*030**DEN*Den13~
DTP*348*D8*20131213~
HD*030**VIS*Vis13~
DTP*348*D8*20120105~
INS*N*19*030*XN*A~
REF*0F*999680917~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Kasotia*Anna*A****19110276~
N3*9235 S Wabash~
N4*New York*NY*80917~
DMG*D8*20050419*F~
HD*030**HLT*Med13~
DTP*348*D8*20100924~
DTP*349*D8*20140510~
HD*030**DEN*Den13~
DTP*348*D8*20120518~
DTP*349*D8*20140510~
HD*030**VIS*Vis13~
DTP*348*D8*20120718~
DTP*349*D8*20140510~
INS*N*01*030*XN*A~
REF*0F*999680917~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Kasotia*Stanley*S****19110277~
N3*9235 S Wabash~
N4*New York*NY*80917~
DMG*D8*19701118*M~
HD*030**HLT*Med13~
DTP*348*D8*20120224~
HD*030**DEN*Den13~
DTP*348*D8*20131026~
HD*030**VIS*Vis13~
DTP*348*D8*20120105~
INS*Y*18*030*XN*A~
REF*0F*999876691~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20091217~
NM1*IL*1*Armant*Okiemute*O****999876691~
N3*7943 Guild Ct~
N4*New York*NY*76691~
DMG*D8*19760617*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130419~
INS*Y*18*030*XN*A~
REF*0F*999934103~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20091201~
NM1*IL*1*Sprunger*Tabitha*T****999934103~
N3*440 Oder Ave~
N4*Youngstown*NY*34103~
DMG*D8*19850711*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120901~
INS*Y*18*030*XN*A~
REF*0F*999935029~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20091215~
NM1*IL*1*Barsegian*Andrea*A****999935029~
N3*260 N Centruy Dr*Apt.# 1823~
N4*Youngstown*NY*35029~
DMG*D8*19820822*F~
HD*030**HLT*Med13*ESP~
DTP*348*D8*20121114~
INS*N*01*030*XN*A~
REF*0F*999935029~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Barsegian*Ricardo*R****19212434~
N3*260 N Centruy Dr*Apt.# 1823~
N4*Youngstown*NY*35029~
DMG*D8*19840305*M~
HD*030**HLT*Med13~
DTP*348*D8*20120328~
INS*Y*18*030*XN*A~
REF*0F*999976025~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20100120~
NM1*IL*1*Wensec*Christopher*C****999976025~
N3*403 Oakland Ave~
N4*Tenafly*NJ*76025~
DMG*D8*19770609*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100523~
INS*Y*18*030*XN*A~
REF*0F*191134132~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090914~
NM1*IL*1*Nagavel*James*J****191134132~
N3*369 Montezuma Avenue #159~
N4*Woodsville*NY*13413~
DMG*D8*19580627*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20110824~
INS*Y*18*030*XN*A~
REF*0F*191214820~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20100413~
NM1*IL*1*Dingerson*Joseph*J****191214820~
N3*306 Clear Lake Ln~
N4*Wyckoff*NJ*21482~
DMG*D8*19861202*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120828~
INS*Y*18*030*XN*A~
REF*0F*191215578~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20100224~
NM1*IL*1*Otterberg*Tiffany*T****191215578~
N3*560 SELLS LANE~
N4*Zebulon*NJ*21557~
DMG*D8*19880714*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100302~
INS*Y*18*030*XN*A~
REF*0F*191216484~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20100602~
NM1*IL*1*Quindel*Nikyia*N****191216484~
N3*4906 S. KOLIN*Apt.# B1001~
N4*Youngstown*NY*21648~
DMG*D8*19771127*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100217~
SE*2130*002064686~
ST*834*002064686*005010X220A1~
BGN*00*002064686*20220708*0856*UT***4~
REF*38*56781234~
DTP*303*D8*20220708~
QTY*TO*183~
QTY*ET*122~
QTY*DT*61~
N1*P5*Imerys*FI*2**Manufacture~
N1*IN*Aetna*FI*45-576979~
N1*BO*PAYCOR*FI*43-975675~
INS*Y*18*030*XN*A~
REF*0F*999237519~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20061030~
NM1*IL*1*Svelmoe*Pierce*P****999237519~
N3*8727 Huebner Rd Apt #713~
N4*Zephyr*TX*37519~
DMG*D8*19550710*M~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20110918~
INS*Y*18*030*XN*A~
REF*0F*999237528~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20080929~
NM1*IL*1*Cutcliffe*Kimberly*K****999237528~
N3*55 Langdon St*Apt 1207~
N4*Woodlawn*MD*37528~
DMG*D8*19800907*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20120403~
INS*Y*18*030*XN*A~
REF*0F*999237531~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20060911~
NM1*IL*1*Rinke*Brandi*B****999237531~
N3*156 Gild Ct~
N4*Wytheville*VA*37531~
DMG*D8*19820426*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20120411~
INS*N*19*030*XN*A~
REF*0F*999237531~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Rinke*Zaquan*Z****99956009~
N3*156 Gild Ct~
N4*Wytheville*VA*37531~
DMG*D8*19981026*M~
HD*030**HLT*Med22~
DTP*348*D8*20130211~
INS*N*19*030*XN*A~
REF*0F*999237531~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Rinke*Nadia*N****99956010~
N3*156 Gild Ct~
N4*Wytheville*VA*37531~
DMG*D8*20040720*F~
HD*030**HLT*Med22~
DTP*348*D8*20130602~
INS*N*19*030*XN*A~
REF*0F*999237531~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Rinke*Bryson*B****19153288~
N3*156 Gild Ct~
N4*Wytheville*VA*37531~
DMG*D8*20100416*M~
HD*030**HLT*Med22~
DTP*348*D8*20110309~
INS*Y*18*030*XN*A~
REF*0F*999237532~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20070326~
NM1*IL*1*Mussel*Amanda*A****999237532~
N3*12914 40th Ave E~
N4*Mansville*TX*37532~
DMG*D8*19730716*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20120113~
INS*Y*18*030*XN*A~
REF*0F*999237533~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*19930104~
DTP*337*D8*20141015~
NM1*IL*1*Wolfer*David*D****999237533~
N3*119 MAGNOLIA STREET APT 1*#4~
N4*Zephyr*TX*37533~
DMG*D8*19710412*M~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20100413~
DTP*349*D8*20170101~
HD*030**DEN*Den22*EMP~
DTP*348*D8*20131109~
DTP*349*D8*20170101~
HD*030**VIS*Vis22*EMP~
DTP*348*D8*20130427~
DTP*349*D8*20170101~
INS*N*19*030*XN*A~
REF*0F*999237533~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Wolfer*Abigail*A****99937184~
N3*119 MAGNOLIA STREET APT 1*#4~
N4*Zephyr*TX*37533~
DMG*D8*19970211*F~
HD*030**HLT*Med22~
DTP*348*D8*20110825~
DTP*349*D8*20141015~
HD*030**DEN*Den22~
DTP*348*D8*20101001~
DTP*349*D8*20141015~
HD*030**VIS*Vis22~
DTP*348*D8*20121226~
DTP*349*D8*20141015~
INS*N*19*030*XN*A~
REF*0F*999237533~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Wolfer*Benjamin*B****99937185~
N3*119 MAGNOLIA STREET APT 1*#4~
N4*Zephyr*TX*37533~
DMG*D8*20020813*M~
HD*030**HLT*Med22~
DTP*348*D8*20130516~
DTP*349*D8*20141015~
HD*030**DEN*Den22~
DTP*348*D8*20101019~
DTP*349*D8*20141015~
HD*030**VIS*Vis22~
DTP*348*D8*20101211~
DTP*349*D8*20141015~
INS*N*19*030*XN*A~
REF*0F*999237533~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Wolfer*William*W****99937187~
N3*119 MAGNOLIA STREET APT 1*#4~
N4*Zephyr*TX*37533~
DMG*D8*19990331*M~
HD*030**HLT*Med22~
DTP*348*D8*20110722~
DTP*349*D8*20141015~
HD*030**DEN*Den22~
DTP*348*D8*20120213~
DTP*349*D8*20141015~
HD*030**VIS*Vis22~
DTP*348*D8*20101214~
DTP*349*D8*20141015~
INS*N*01*030*XN*A~
REF*0F*999237533~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Wolfer*Kelly*K****99954296~
N3*119 MAGNOLIA STREET APT 1*#4~
N4*Zephyr*TX*37533~
DMG*D8*19700510*F~
HD*030**HLT*Med22~
DTP*348*D8*20131106~
HD*030**DEN*Den22~
DTP*348*D8*20111214~
HD*030**VIS*Vis22~
DTP*348*D8*20100113~
INS*Y*18*030*XN*A~
REF*0F*999237534~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20070918~
NM1*IL*1*Rel*David*D****999237534~
N3*102 Clifford Drive~
N4*Zephyr*TX*37534~
DMG*D8*19850215*M~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20120502~
INS*Y*18*030*XN*A~
REF*0F*999237535~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20050516~
NM1*IL*1*Cicic*Jerry*J****999237535~
N3*1049 Wood Duck Ave*P.O. Box 304~
N4*Zephyr*TX*37535~
DMG*D8*19450425*M~
HD*030**HLT*Med22*E1D~
DTP*348*D8*20130213~
DTP*349*D8*20170101~
INS*N*01*030*XN*A~
REF*0F*999237535~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Cicic*Nellie*N****99937209~
N3*1049 Wood Duck Ave*P.O. Box 304~
N4*Zephyr*TX*37535~
DMG*D8*19441121*F~
HD*030**HLT*Med22~
DTP*348*D8*20120824~
INS*Y*18*030*XN*A~
REF*0F*999237537~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20060918~
NM1*IL*1*Sakauye*Kayla*K****999237537~
N3*7 Cinder Hill Road~
N4*Zephyr*TX*37537~
DMG*D8*19880905*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20110911~
INS*Y*18*030*XN*A~
REF*0F*999237539~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20070824~
NM1*IL*1*Viccaro*David*D****999237539~
N3*7299 S. Sundown Circle~
N4*Zurich*AL*37539~
DMG*D8*19860812*M~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20110615~
INS*Y*18*030*XN*A~
REF*0F*999237540~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20010824~
NM1*IL*1*Felonk*Tammy*T****999237540~
N3*9565 Elk Mountain Cir~
N4*Zephyr*TX*37540~
DMG*D8*19630207*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20100521~
INS*Y*18*030*XN*A~
REF*0F*999237541~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20030825~
NM1*IL*1*Tyreman*Barbara*B****999237541~
N3*10 FITZRANDOLPH RD~
N4*Zephyr*VA*37541~
DMG*D8*19710410*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20130419~
INS*Y*18*030*XN*A~
REF*0F*999237542~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20020904~
NM1*IL*1*Thomas*Tonya*T****999237542~
N3*233 Via Villena~
N4*Wytheville*VA*37542~
DMG*D8*19810210*F~
HD*030**HLT*Med22*E1D~
DTP*348*D8*20111209~
INS*N*19*030*XN*A~
REF*0F*999237542~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Thomas*Roy*R****99937226~
N3*233 Via Villena~
N4*Wytheville*VA*37542~
DMG*D8*19800519*M~
HD*030**HLT*Med22~
DTP*348*D8*20131116~
INS*Y*18*030*XN*A~
REF*0F*999237543~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20050901~
NM1*IL*1*McGowens*Janie*J****999237543~
N3*14807 BLUES CREEK ROAD~
N4*Zumbrota*VA*37543~
DMG*D8*19590202*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20120319~
INS*Y*18*030*XN*A~
REF*0F*999237544~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20070821~
NM1*IL*1*Stroemer*Sara Ellen*S****999237544~
N3*6135 Hegerman Street~
N4*Zephyr*TX*37544~
DMG*D8*19850310*F~
HD*030**HLT*Med22*E1D~
DTP*348*D8*20100311~
INS*N*01*030*XN*A~
REF*0F*999237544~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Stroemer*Randolph*R****99955981~
N3*6135 Hegerman Street~
N4*Zephyr*TX*37544~
DMG*D8*19850815*M~
HD*030**HLT*Med22~
DTP*348*D8*20110725~
INS*Y*18*030*XN*A~
REF*0F*999237547~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*19980810~
NM1*IL*1*Sanjeevi*Mary Jane*M****999237547~
N3*4680 Old Pond Drive~
N4*Yorkville*VA*37547~
DMG*D8*19501009*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20131015~
INS*Y*18*030*XN*A~
REF*0F*999237548~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20050815~
NM1*IL*1*Cavitch*Mary Ann*M****999237548~
N3*11101 Reiger Rd #826~
N4*Point of Rocks*MD*37548~
DMG*D8*19700502*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20110416~
INS*Y*18*030*XN*A~
REF*0F*999237551~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20090727~
NM1*IL*1*Sawczuk*Erin*E****999237551~
N3*3128 S Fernwood Ave~
N4*Wytheville*VA*37551~
DMG*D8*19870904*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20100820~
INS*Y*18*030*XN*A~
REF*0F*999237552~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20010731~
NM1*IL*1*Slusarchuk*Mary*M****999237552~
N3*1343 East BrickYard~
N4*Wyckoff*OH*37552~
DMG*D8*19510325*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20111127~
INS*Y*18*030*XN*A~
REF*0F*999237553~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20000308~
NM1*IL*1*Davee*Kimberly*K****999237553~
N3*20251 Elk Creek Dr W~
N4*Zephyr*TX*37553~
DMG*D8*19770404*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20120914~
INS*Y*18*030*XN*A~
REF*0F*999237555~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20080804~
NM1*IL*1*Kosling*Barbara*B****999237555~
N3*4811 N Lamb Dr~
N4*Zephyr*TX*37555~
DMG*D8*19431101*F~
HD*030**HLT*Med22*E1D~
DTP*348*D8*20110205~
INS*N*01*030*XN*A~
REF*0F*999237555~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Kosling*James*J****99937198~
N3*4811 N Lamb Dr~
N4*Zephyr*TX*37555~
DMG*D8*19380908*M~
HD*030**HLT*Med22~
DTP*348*D8*20110618~
INS*Y*18*030*XN*A~
REF*0F*999237558~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20040719~
NM1*IL*1*McClemmy*Robin*R****999237558~
N3*1126 Moccasin Dr.~
N4*Zephyr*TX*37558~
DMG*D8*19680106*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20131023~
HD*030**DEN*Den22*EMP~
DTP*348*D8*20110726~
HD*030**VIS*Vis22*EMP~
DTP*348*D8*20100326~
INS*N*19*030*XN*A~
REF*0F*999237558~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*McClemmy*Brandon*B****99937205~
N3*1126 Moccasin Dr.~
N4*Zephyr*TX*37558~
DMG*D8*19920910*M~
HD*030**HLT*Med22~
DTP*348*D8*20121007~
HD*030**DEN*Den22~
DTP*348*D8*20130701~
HD*030**VIS*Vis22~
DTP*348*D8*20120410~
INS*N*19*030*XN*A~
REF*0F*999237558~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*McClemmy*Charles*C****99937206~
N3*1126 Moccasin Dr.~
N4*Zephyr*TX*37558~
DMG*D8*20000802*M~
HD*030**HLT*Med22~
DTP*348*D8*20121222~
HD*030**DEN*Den22~
DTP*348*D8*20110602~
HD*030**VIS*Vis22~
DTP*348*D8*20130307~
INS*N*01*030*XN*A~
REF*0F*999237558~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*McClemmy*Larry*L****99937207~
N3*1126 Moccasin Dr.~
N4*Zephyr*TX*37558~
DMG*D8*19680324*M~
HD*030**HLT*Med22~
DTP*348*D8*20130121~
DTP*349*D8*20140507~
HD*030**DEN*Den22~
DTP*348*D8*20121111~
DTP*349*D8*20140507~
HD*030**VIS*Vis22~
DTP*348*D8*20130208~
DTP*349*D8*20140507~
INS*N*19*030*XN*A~
REF*0F*999237558~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*McClemmy*Robert*R****99937208~
N3*1126 Moccasin Dr.~
N4*Zephyr*TX*37558~
DMG*D8*19941026*M~
HD*030**HLT*Med22~
DTP*348*D8*20111012~
HD*030**DEN*Den22~
DTP*348*D8*20131120~
HD*030**VIS*Vis22~
DTP*348*D8*20100515~
INS*Y*18*030*XN*A~
REF*0F*999237560~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20070717~
NM1*IL*1*Bugg*Shatika*S****999237560~
N3*36501 Haley~
N4*Zephyr*TX*37560~
DMG*D8*19780109*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20110219~
INS*Y*18*030*XN*A~
REF*0F*999237563~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20050711~
NM1*IL*1*Bascos*Melissa*M****999237563~
N3*8533 Holmes Rd*Velasco~
N4*Zephyr*TX*37563~
DMG*D8*19650319*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20100527~
INS*Y*18*030*XN*A~
REF*0F*999237565~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*19970707~
NM1*IL*1*Strem*Barbara*B****999237565~
N3*4612 Braxton Court~
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multipart/form-data; boundary=================181dccf4e79 |
48106 |
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10.10.11.12 |
|
|
2023-02-21 04:18:10
{
"Transaction": [
{
"TransmissionGUID": "BenAdminTransactionID",
"SenderName": "BenAdminName",
"SenderPlatformName": "ClientName",
"ReceiverName": "Guardian",
"CreationDateTime": "2020-02-21 18:44:41",
"TestProductionCode": "Test",
"TransmissionTypeCode": "FullFile",
"SchemaVersionIdentifier": "1.0.0",
"Carrier": [
{
"CarrierID": "GHF637",
"CarrierName": "Guardian"
}
],
"Employer": [
{
"EmployerPartyID": "Employer ID",
"FederalEmployerIdentificationNumber": "string",
"EmployerName": "Employer Name",
"CarrierMasterAgreementNumber": [
{
"CarrierMasterAgreementNumberID": "string",
"MasterAgreementNumber": "string",
"CarrierID": "string"
}
],
"EmployerAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"Employee": [
{
"EmployeePartyID": "string",
"EmployeeSocialSecurityNumber": "string",
"EmployeeIdentifier": "string",
"EmployeeGenderCode": "Female",
"EmployeeBirthDate": "string",
"MaritalStatusCode": "Divorced",
"EmployeeTobaccoUseCode": "Y",
"EmployeeHomePhone": "string",
"EmployeeWorkPhone": "string",
"EmployeeMobilePhone": "string",
"EmployeeEmail": "user@example.com",
"EmployeeAlternateEmail": "user@example.com",
"EmployeeEventID": "stringstring",
"EmployeeName": {
"PrefixCode": "Ms",
"FirstName": "John",
"MiddleName": "M",
"LastName": "Doe",
"SuffixCode": "Jr"
},
"EmployeeMailingAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"EmployeeHomeAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"EmployeeWorkAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
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"OriginalHireDate": "string",
"MostRecentHireDate": "string",
"AdjustedServiceDate": "string",
"ExemptCode": "Exempt",
"EmploymentTypeCode": "FullTime",
"EmploymentStatusCode": "Active",
"TerminationDate": "string",
"TerminationReasonCode": "Termination",
"JobTitleText": "string",
"OccupationText": "string",
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"WorkHoursFrequencyCode": "Weekly",
"WorkLocationText": "string",
"PayrollDeductionFrequencyCode": "AnnualSalary",
"PayrollFrequencyQuantity": "0",
"SupervisorFullName": "string",
"SupervisorEmailAddress": "string",
"HumanResourcePartnerEmailAddress": "string",
"UnionIndicator": "",
"UnionLocalName": "string",
"UnionLocalNumber": "string",
"UnionMemberNumber": "string",
"AnnualBenefitSalaryAmount": "0",
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{
"IncomeTypeCode": "Salary",
"IncomeAmount": "0",
"IncomeModeCode": "Hourly",
"IncomeEffectiveDate": "string"
}
],
"EmploymentInformationUserDefinedCategory": [
{
"CategoryName": "string",
"CategoryValueString": "string"
}
]
},
"EnrollmentInformation": [
{
"EnrollmentInformationID": "string",
"EnrollmentMethodCode": "OneOnOne",
"ComprehensiveHealthBenefitIndicator": "",
"EmployeeEnrollmentLocationAddress": {
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"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
}
}
],
"Event": [
{
"EventID": "string",
"EventTypeCode": "Coverage",
"EventTypeReasonCode": "AdministrativeCorrection",
"EventDate": "string",
"TransactionDate": "string",
"EnrollmentInformationID": "string"
}
],
"BeneficiaryGroup": [
{
"BeneficiaryGroupID": "BenGroupID",
"Beneficiary": [
{
"BeneficiaryPartyID": "BenPartyID",
"BeneficiaryPartyTypeCode": "Employee",
"BeneficiaryPercent": "string",
"BeneficiaryTypeCode": "Primary"
}
]
}
],
"EmployeeQuestion": [
{
"QuestionID": "QuestionID",
"QuestionIdentifier": "Question"
}
],
"Producer": [
{
"ProducerPartyID": "string",
"ProducerFirstName": "string",
"ProducerLastName": "string",
"CarrierProducerNumber": [
{
"CarrierProducerNumberID": "string",
"CarrierID": "string",
"CarrierProducerNumber": "string"
}
]
}
],
"Coverage": [
{
"CoverageID": "string",
"GroupPolicyNumber": "string",
"IndividualPolicyNumber": "string",
"ProductTypeCode": "Accident",
"BenefitPlanIdentifier": "string",
"BenefitClassIdentifier": "string",
"BenefitSubClassIdentifier": "string",
"BillGroupIdentifier": "string",
"BillSubGroupIdentifier": "string",
"ClaimGroupIdentifier": "string",
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"CoverageEffectiveDate": "string",
"CoverageTerminationDate": "string",
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"BenefitFactor": "0",
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"EmployerPremiumContributionAmount": "0",
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"BenefitEarningsAmount": "0",
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"BenefitModeQuantity": "string",
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"PreTaxCode": "PostTax",
"IssueAgeQuantity": "0",
"TobaccoUseIndicator": "",
"TakeOverCoverageIndicator": "",
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"BeneficiaryGroupID": "string",
"CarrierID": "string",
"CoverageEventID": "string",
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"ElectedBenefitCalculationMethodCode": "FlatAmount",
"ElectedBenefitAmount": "0",
"ElectedBenefitFactor": "0",
"ElectedEmployeeContributionCode": "EmployeePaid",
"ElectedEmployeePremiumContributionAmount": "10",
"ElectedEmployerPremiumContributionAmount": "5",
"ElectedTotalPlanPremiumAmount": "15",
"ElectedCoverageInsured": [
{
"PrimaryInsuredIndicator": "",
"TobaccoUseIndicator": "",
"InsuredCoverageEffectiveDate": "string",
"InsuredCoverageTerminationDate": "string",
"Provider": {
"ProviderIdentificationNumberText": "123-45-6789",
"ExistingPatientIndicator": "",
"ProviderName": "ProviderName"
}
}
],
"ElectedCoverageRider": [
{
"CoverageRiderID": "string",
"RiderIdentifier": "string",
"RiderName": "string",
"CoverageTierCode": "Employee",
"BenefitAmount": "0",
"RiderUnitQuantity": "0",
"RiderOptionIdentifier": "string",
"PreTaxCode": "PostTax",
"EmployeePremiumContributionAmount": "0",
"EmployerPremiumContributionAmount": "0"
}
]
},
"CoverageInsured": [
{
"PrimaryInsuredIndicator": "",
"TobaccoUseIndicator": "",
"InsuredCoverageEffectiveDate": "string",
"InsuredCoverageTerminationDate": "string",
"Provider": {
"ProviderIdentificationNumberText": "123-45-6789",
"ExistingPatientIndicator": "",
"ProviderName": "ProviderName"
}
}
],
"CoverageQuestionAnswer": [
{
"AnswerIndicator": "",
"AnswerText": "string",
"QuestionID": "string"
}
],
"CoverageDeduction": [
{
"DeductionTypeCode": "Medical",
"DeductionAmount": "0",
"DeductionFrequencyCode": "AnnualSalary"
}
],
"CoverageRider": [
{
"CoverageRiderID": "string",
"RiderIdentifier": "string",
"RiderName": "string",
"CoverageTierCode": "Employee",
"BenefitAmount": "0",
"RiderUnitQuantity": "0",
"RiderOptionIdentifier": "string",
"PreTaxCode": "PostTax",
"EmployeePremiumContributionAmount": "0",
"EmployerPremiumContributionAmount": "0"
}
],
"CoverageCommissionSplit": [
{
"CarrierProducerNumberID": "string",
"CompensationSplitPercent": "0"
}
]
}
]
}
]
}
],
"Audit": {
"AuditID": "string",
"CarrierQuantity": "0",
"EmployerRecordQuantity": "0",
"EmployeeRecordQuantity": "0",
"DependentRecordQuantity": "0",
"OtherPartyRecordQuantity": "0",
"BeneficiaryGroupRecordQuantity": "0",
"EventRecordQuantity": "0",
"CoverageRecordQuantity": "0",
"CoverageRiderRecordQuantity": "0"
}
}
]
}
|
application/json; charset=UTF-8 |
10595 |
/product/soh/echo
|
10.100.23.22 |
|
|
2023-02-21 04:18:10
--================181dcbde4b3
Content-Disposition: form-data; name="data_file"; filename="834_HIPAA_Full_Report.txt"
Content-Type: text/plain
Content-Transfer-Encoding: binary
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N3*25891 South 621 Road~
N4*Yuba*TX*37483~
DMG*D8*19790802*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20101122~
INS*Y*18*030*XN*A~
REF*0F*999237484~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*19940108~
NM1*IL*1*Red*Felicia*F****999237484~
N3*2703 Binghamton Lane~
N4*Wytheville*VA*37484~
DMG*D8*19541128*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20120604~
INS*Y*18*030*XN*A~
REF*0F*999237485~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20080107~
NM1*IL*1*Vu*Barbara*B****999237485~
N3*52 Ketcham Rd~
N4*Youngstown*NY*37485~
DMG*D8*19770529*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20110617~
INS*Y*18*030*XN*A~
REF*0F*999237486~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20060107~
NM1*IL*1*Niilos*Ann*A****999237486~
N3*3 Deal Lane~
N4*Yuba*TX*37486~
DMG*D8*19631121*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20131011~
INS*Y*18*030*XN*A~
REF*0F*999237487~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20050106~
NM1*IL*1*Dosch*Lana*L****999237487~
N3*121 N Park Rd~
N4*Zephyr*TX*37487~
DMG*D8*19820920*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20100419~
INS*Y*18*030*XN*A~
REF*0F*999237489~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20051214~
NM1*IL*1*Kuslaka*Anna*A****999237489~
N3*1228 Cadwell*#51~
N4*Zephyr*TX*37489~
DMG*D8*19580815*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20130703~
INS*Y*18*030*XN*A~
REF*0F*999237495~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20080325~
NM1*IL*1*Smitch*Toni*T****999237495~
N3*6 E MONROE ST~
N4*Woodstock*AL*37495~
DMG*D8*19630812*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20100818~
INS*Y*18*030*XN*A~
REF*0F*999237496~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20021120~
NM1*IL*1*Blanco0109*Amy*A****999237496~
N3*403 1/2 South Lake Street~
N4*Woodstock*AL*37496~
DMG*D8*19591009*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20120503~
INS*Y*18*030*XN*A~
REF*0F*999237497~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20061121~
DTP*337*D8*20150101~
NM1*IL*1*Christakis*Peggy*P****999237497~
N3*3821 S. Lowe~
N4*Zumbrota*VA*37497~
DMG*D8*19541027*F~
INS*N*01*030*XN*A~
REF*0F*999237497~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Christakis*Archie*A****99937212~
N3*3821 S. Lowe~
N4*Zumbrota*VA*37497~
DMG*D8*19500701*M~
INS*Y*18*030*XN*A~
REF*0F*999237498~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20031117~
NM1*IL*1*Fayyaz*Teresa*T****999237498~
N3*1129 Cayuse Circle SE~
N4*Zephyr*TX*37498~
DMG*D8*19760225*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20100225~
INS*Y*18*030*XN*A~
REF*0F*999237499~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20061120~
NM1*IL*1*Lorke*Lisa*L****999237499~
N3*4402 Shady Elm Drive~
N4*Zebulon*VA*37499~
DMG*D8*19691008*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20101018~
INS*Y*18*030*XN*A~
REF*0F*999237500~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20071126~
NM1*IL*1*Sedgley*Yolanda*Y****999237500~
N3*7932 Oakview Ln~
N4*Zephyr*AL*37500~
DMG*D8*19620804*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20100314~
INS*Y*18*030*XN*A~
REF*0F*999237502~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20081124~
NM1*IL*1*Davis*Lana*L****999237502~
N3*30 Sayre Drive*Apartment 5~
N4*Zillah*WA*37502~
DMG*D8*19831104*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20110519~
INS*Y*18*030*XN*A~
REF*0F*999237506~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*19791113~
NM1*IL*1*Mousty*Wanda*W****999237506~
N3*1150 Lampwick Lane~
N4*Yerington*OH*37506~
DMG*D8*19590730*F~
HD*030**HLT*Med11*E1D~
DTP*348*D8*20130925~
INS*N*19*030*XN*A~
REF*0F*999237506~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Mousty*Allen*A****99937215~
N3*1150 Lampwick Lane~
N4*Yerington*OH*37506~
DMG*D8*19970321*M~
HD*030**HLT*Med11~
DTP*348*D8*20130704~
INS*Y*18*030*XN*A~
REF*0F*999237510~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20061026~
NM1*IL*1*Tilma*Emma*E****999237510~
N3*P O BOX 8436~
N4*Wytheville*VA*37510~
DMG*D8*19570201*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20120908~
INS*Y*18*030*XN*A~
REF*0F*999237511~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20061025~
NM1*IL*1*Campbell*Crystal*C****999237511~
N3*315 VELVETEEN PLACE~
N4*Zephyr*VA*37511~
DMG*D8*19840831*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20121207~
INS*Y*18*030*XN*A~
REF*0F*999237512~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20051101~
NM1*IL*1*Nieskes*Emma*E****999237512~
N3*156 Gild Ct~
N4*Zephyr*TX*37512~
DMG*D8*19580519*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20100524~
INS*Y*18*030*XN*A~
REF*0F*999237516~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20051024~
NM1*IL*1*Fany*Lewis*L****999237516~
N3*6749 Burbage Lake Circke~
N4*Shady Side*MD*37516~
DMG*D8*19710313*M~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20121004~
INS*Y*18*030*XN*A~
REF*0F*999237517~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20071029~
NM1*IL*1*Hempy*Shantell*S****999237517~
N3*110 W 155th St~
N4*Zephyr*TX*37517~
DMG*D8*19890614*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20121203~
INS*Y*18*030*XN*A~
REF*0F*999237518~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20051024~
NM1*IL*1*Whee*Roma*R****999237518~
N3*315 MAGNOLIA DR*Space 327~
N4*Zurich*AL*37518~
DMG*D8*19730717*M~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20120819~
DTP*349*D8*20170101~
HD*030**DEN*Den11*EMP~
DTP*348*D8*20110515~
DTP*349*D8*20170101~
HD*030**VIS*Vis11*EMP~
DTP*348*D8*20120311~
DTP*349*D8*20170101~
INS*N*19*030*XN*A~
REF*0F*999237518~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Whee*Neeley*N****99937219~
N3*315 MAGNOLIA DR*Space 327~
N4*Zurich*AL*37518~
DMG*D8*19980416*F~
HD*030**HLT*Med11~
DTP*348*D8*20110219~
HD*030**DEN*Den11~
DTP*348*D8*20120615~
HD*030**VIS*Vis11~
DTP*348*D8*20111111~
INS*N*01*030*XN*A~
REF*0F*999237518~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Whee*Patricia*P****99937220~
N3*315 MAGNOLIA DR*Space 327~
N4*Zurich*AL*37518~
DMG*D8*19691003*F~
HD*030**HLT*Med11~
DTP*348*D8*20131225~
HD*030**DEN*Den11~
DTP*348*D8*20131102~
HD*030**VIS*Vis11~
DTP*348*D8*20120616~
INS*N*19*030*XN*A~
REF*0F*999237518~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Whee*Robert*R****99937221~
N3*315 MAGNOLIA DR*Space 327~
N4*Zurich*AL*37518~
DMG*D8*20020718*M~
HD*030**HLT*Med11~
DTP*348*D8*20100722~
HD*030**DEN*Den11~
DTP*348*D8*20101109~
HD*030**VIS*Vis11~
DTP*348*D8*20100902~
INS*N*19*030*XN*A~
REF*0F*999237518~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Whee*Sara*S****99937222~
N3*315 MAGNOLIA DR*Space 327~
N4*Zurich*AL*37518~
DMG*D8*19970127*F~
HD*030**HLT*Med11~
DTP*348*D8*20121128~
HD*030**DEN*Den11~
DTP*348*D8*20100822~
HD*030**VIS*Vis11~
DTP*348*D8*20100321~
SE*2128*002064685~
ST*834*002064685*005010X220A1~
BGN*00*002064685*20220708*0837*UT***4~
REF*38*56781234~
DTP*303*D8*20220708~
QTY*TO*183~
QTY*ET*122~
QTY*DT*61~
N1*P5*BestDeal*FI*3**Retail 11~
N1*IN*Aetna*FI*45-576979~
N1*BO*PAYCOR*FI*43-975675~
INS*Y*18*030*XN*A~
REF*0F*999237568~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20060629~
NM1*IL*1*Sheamer*Lula*L****999237568~
N3*449 Mackenzie Way~
N4*Zephyr*TX*37568~
DMG*D8*19511120*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20101117~
INS*Y*18*030*XN*A~
REF*0F*999237569~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20000705~
NM1*IL*1*Palazolo*Irene*I****999237569~
N3*31 OAK ST~
N4*Zephyr*TX*37569~
DMG*D8*19460709*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20101002~
INS*N*01*030*XN*A~
REF*0F*999237569~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Palazolo*James*J****99941526~
N3*31 OAK ST~
N4*Zephyr*TX*37569~
DMG*D8*19451228*M~
HD*030**HLT*Med13~
DTP*348*D8*20120625~
INS*Y*18*030*XN*A~
REF*0F*999237571~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20100613~
NM1*IL*1*Plusch*Ashley*A****999237571~
N3*370 Cr 221~
N4*Zephyr*TX*37571~
DMG*D8*19850228*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20131105~
INS*Y*18*030*XN*A~
REF*0F*999237573~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20020617~
NM1*IL*1*Putin*Victoria*B****999237573~
N3*12963 Cristallo Pl~
N4*Zephyr*TX*37573~
DMG*D8*19610319*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120209~
INS*N*19*030*XN*A~
REF*0F*999237573~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Putin*Kyle*K****99937216~
N3*12963 Cristallo Pl~
N4*Zephyr*TX*37573~
DMG*D8*19850924*M~
HD*030**HLT*Med13~
DTP*348*D8*20130913~
INS*N*19*030*XN*A~
REF*0F*999237573~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Putin*Lance*L****99937217~
N3*12963 Cristallo Pl~
N4*Zephyr*TX*37573~
DMG*D8*19900130*M~
HD*030**HLT*Med13~
DTP*348*D8*20100916~
INS*N*01*030*XN*A~
REF*0F*999237573~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Putin*Vovan*S****99937218~
N3*12963 Cristallo Pl~
N4*Zephyr*TX*37573~
DMG*D8*19610418*F~
HD*030**HLT*Med13~
DTP*348*D8*20130126~
INS*Y*18*030*XN*A~
REF*0F*999237574~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20080616~
NM1*IL*1*Moseng*Stephanie*S****999237574~
N3*24983 SOUTHERN OAKS DR~
N4*Zephyr*TX*37574~
DMG*D8*19730119*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100127~
INS*Y*18*030*XN*A~
REF*0F*999237575~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20010607~
NM1*IL*1*Zarlinga*Tim*T****999237575~
N3*844 Panorama Dr Apt 313~
N4*SLC*UT*37575~
DMG*D8*19760329*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100106~
INS*Y*18*030*XN*A~
REF*0F*999237576~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20040629~
NM1*IL*1*Burross*Jessie Bell*J****999237576~
N3*65 OAKVIEW AVE*Apt.# 5H~
N4*Zephyr*NC*37576~
DMG*D8*19490716*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130304~
INS*Y*18*030*XN*A~
REF*0F*999237577~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20070612~
NM1*IL*1*Cortijo*Sheila*S****999237577~
N3*1215 N Ashbrooke Dr~
N4*Upper Marlboro*MD*37577~
DMG*D8*19630418*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20110810~
INS*N*19*030*XN*A~
REF*0F*999237577~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Cortijo*Sarah*S****99937199~
N3*1215 N Ashbrooke Dr~
N4*Upper Marlboro*MD*37577~
DMG*D8*19890123*F~
HD*030**HLT*Med13~
DTP*348*D8*20110208~
INS*Y*18*030*XN*A~
REF*0F*999237579~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20050606~
NM1*IL*1*Kaminecki*Ernest*E****999237579~
N3*216 WOODLANDS RD~
N4*Wytheville*NH*37579~
DMG*D8*19480907*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20110822~
INS*Y*18*030*XN*A~
REF*0F*999237580~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20070530~
NM1*IL*1*Deres*Lashunda*L****999237580~
N3*2250 Allentown Road~
N4*Zephyr*TX*37580~
DMG*D8*19790726*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120205~
INS*Y*18*030*XN*A~
REF*0F*999237584~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20070528~
NM1*IL*1*Adrio*Phillip*P****999237584~
N3*618 MAURY AVE~
N4*Zephyr*TX*37584~
DMG*D8*19890421*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100806~
INS*Y*18*030*XN*A~
REF*0F*999237586~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20060515~
NM1*IL*1*Danna*Jennifer*J****999237586~
N3*112 Wellington Dr~
N4*Zephyr*TX*37586~
DMG*D8*19830322*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20121110~
INS*Y*18*030*XN*A~
REF*0F*999237588~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20030423~
NM1*IL*1*Deolinda*Astra*A****999237588~
N3*114 Meredith Court~
N4*Yuba*TX*37588~
DMG*D8*19791202*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20131005~
INS*N*19*030*XN*A~
REF*0F*999237588~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Deolinda*Charles*C****99941527~
N3*114 Meredith Court~
N4*Yuba*TX*37588~
DMG*D8*20000817*M~
HD*030**HLT*Med13~
DTP*348*D8*20101001~
INS*Y*18*030*XN*A~
REF*0F*999237590~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20050426~
NM1*IL*1*Kimberley*Antonio*A****999237590~
N3*454 Hoyt Avenue~
N4*Zephyr*TX*37590~
DMG*D8*19821124*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20111022~
INS*Y*18*030*XN*A~
REF*0F*999237592~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20070423~
NM1*IL*1*Schepens*Linda*L****999237592~
N3*10207 Green Tree Road*Apt.# 35C~
N4*Zurich*AL*37592~
DMG*D8*19520723*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20120921~
INS*N*01*030*XN*A~
REF*0F*999237592~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Schepens*Donald*D****99941521~
N3*10207 Green Tree Road*Apt.# 35C~
N4*Zurich*AL*37592~
DMG*D8*19520906*M~
HD*030**HLT*Med13~
DTP*348*D8*20130104~
DTP*349*D8*20140604~
INS*Y*18*030*XN*A~
REF*0F*999237593~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20070502~
NM1*IL*1*Siddig*Alice*A****999237593~
N3*9631 Stonecrest Blvd.~
N4*Zebulon*VA*37593~
DMG*D8*19600620*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120405~
INS*Y*18*030*XN*A~
REF*0F*999237595~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20030408~
NM1*IL*1*Kayes*Victoria*V****999237595~
N3*22010 Singing Spurs Drive~
N4*Zephyr*TX*37595~
DMG*D8*19701102*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20121107~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100827~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130724~
INS*N*19*030*XN*A~
REF*0F*999237595~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Kayes*Willie*W****99945219~
N3*22010 Singing Spurs Drive~
N4*Zephyr*TX*37595~
DMG*D8*19911019*M~
HD*030**HLT*Med13~
DTP*348*D8*20130718~
INS*N*19*030*XN*A~
REF*0F*999237595~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Kayes*Michael*M****99945220~
N3*22010 Singing Spurs Drive~
N4*Zephyr*TX*37595~
DMG*D8*19921221*M~
HD*030**HLT*Med13~
DTP*348*D8*20120903~
INS*Y*18*030*XN*A~
REF*0F*999237596~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19980416~
NM1*IL*1*Concha*Bernice*B****999237596~
N3*13832 Legend Trail Ln~
N4*Yerington*OH*37596~
DMG*D8*19600420*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100507~
INS*Y*18*030*XN*A~
REF*0F*999237599~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20070402~
NM1*IL*1*Bascos*Lorraine*L****999237599~
N3*270 AKALOA~
N4*Woodsville*NH*37599~
DMG*D8*19810709*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20101104~
INS*Y*18*030*XN*A~
REF*0F*999237600~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19990405~
NM1*IL*1*Shaevel*Linda*L****999237600~
N3*54 CHESTNUT AVENUE~
N4*Zephyr*TX*37600~
DMG*D8*19490609*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20110701~
INS*Y*18*030*XN*A~
REF*0F*999237601~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20060328~
NM1*IL*1*Hrynewych*Melvin*M****999237601~
N3*4875 Hasty Pond Road~
N4*Zephyr*TX*37601~
DMG*D8*19640715*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20111112~
INS*Y*18*030*XN*A~
REF*0F*999237605~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20030313~
NM1*IL*1*Bhungane*Patricia*P****999237605~
N3*Seattle, Wa.~
N4*Zurich*PA*37605~
DMG*D8*19560107*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20131014~
INS*Y*18*030*XN*A~
REF*0F*999237610~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19960115~
NM1*IL*1*Pascual*Zabeth*Z****999237610~
N3*P O Box 38161*No 5114~
N4*Wyatt*NY*37610~
DMG*D8*19710616*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130727~
INS*Y*18*030*XN*A~
REF*0F*999237611~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19960101~
NM1*IL*1*Dyatel*Carol*C****999237611~
N3*5434 S Egofske Rd~
N4*Zanesville*MD*37611~
DMG*D8*19460907*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20101118~
INS*N*01*030*XN*A~
REF*0F*999237611~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Dyatel*Mitchell*M****99937230~
N3*5434 S Egofske Rd~
N4*Zanesville*MD*37611~
DMG*D8*19380817*M~
HD*030**HLT*Med13~
DTP*348*D8*20100620~
INS*Y*18*030*XN*A~
REF*0F*999237617~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19900723~
NM1*IL*1*Osstifin*Danny*D****999237617~
N3*18300 Myrtle Court~
N4*Yucca Valley*PA*37617~
DMG*D8*19641109*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100904~
INS*Y*18*030*XN*A~
REF*0F*999237618~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20010605~
NM1*IL*1*Pfaab*Angela*A****999237618~
N3*1358 W Barry Ave~
N4*Wrentham*AL*37618~
DMG*D8*19730317*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130919~
INS*Y*18*030*XN*A~
REF*0F*999237619~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20040621~
NM1*IL*1*Westerhof*Janice*J****999237619~
N3*91 Hi Vu Dr~
N4*Wytheville*VA*37619~
DMG*D8*19560811*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100120~
INS*Y*18*030*XN*A~
REF*0F*999237620~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19770503~
NM1*IL*1*Antil*Faye*F****999237620~
N3*3201 Ashland~
N4*Zephyr*TX*37620~
DMG*D8*19530307*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120428~
INS*Y*18*030*XN*A~
REF*0F*999237621~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19730606~
NM1*IL*1*Tharachai*Keith*K****999237621~
N3*3948 Lorien Way NW~
N4*Wyckoff*CO*37621~
DMG*D8*19590319*M~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20130903~
INS*N*01*030*XN*A~
REF*0F*999237621~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Tharachai*Cynthia*C****99937194~
N3*3948 Lorien Way NW~
N4*Wyckoff*CO*37621~
DMG*D8*19610514*F~
HD*030**HLT*Med13~
DTP*348*D8*20100724~
INS*Y*18*030*XN*A~
REF*0F*999237622~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19980209~
NM1*IL*1*Hefestay*Richard*R****999237622~
N3*1765 DYER DR.~
N4*Melvindale*MI*37622~
DMG*D8*19461021*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20121110~
INS*Y*18*030*XN*A~
REF*0F*999237626~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19801125~
NM1*IL*1*Ritzheimer*Patricia*P****999237626~
N3*652 COLLEEN DR~
N4*Youngstown*NY*37626~
DMG*D8*19550103*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130725~
INS*Y*18*030*XN*A~
REF*0F*999237629~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19881107~
NM1*IL*1*Deldeo*Nancy*N****999237629~
N3*105 Silvercreek Drive~
N4*Youngstown*NY*37629~
DMG*D8*19450408*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100504~
INS*Y*18*030*XN*A~
REF*0F*999237632~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19951005~
NM1*IL*1*Oung*Roger*R****999237632~
N3*8422 AMANDA PLACE~
N4*New York*NY*37632~
DMG*D8*19601103*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130507~
INS*Y*18*030*XN*A~
REF*0F*999239408~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20001025~
NM1*IL*1*Bracher*Melissa*M****999239408~
N3*2514 S BRISTOL~
N4*New York*NY*39408~
DMG*D8*19761017*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120628~
INS*Y*18*030*XN*A~
REF*0F*999239410~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20070403~
NM1*IL*1*Knibloe*Dora*D****999239410~
N3*3015 N 1800 Ave~
N4*New York*NY*39410~
DMG*D8*19621031*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20130425~
INS*N*19*030*XN*A~
REF*0F*999239410~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Knibloe*Terri*T****19214845~
N3*3015 N 1800 Ave~
N4*New York*NY*39410~
DMG*D8*20090206*F~
HD*030**HLT*Med13~
DTP*348*D8*20130520~
INS*Y*18*030*XN*A~
REF*0F*999250291~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19930422~
NM1*IL*1*Rauens*Gloria*G****999250291~
N3*887 PLANK RD~
N4*Youngstown*NY*50291~
DMG*D8*19640213*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20120912~
INS*N*19*030*XN*A~
REF*0F*999250291~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Rauens*Ayesha*A****99954297~
N3*887 PLANK RD~
N4*Youngstown*NY*50291~
DMG*D8*19960309*F~
HD*030**HLT*Med13~
DTP*348*D8*20120228~
INS*Y*18*030*XN*A~
REF*0F*999250292~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19790827~
NM1*IL*1*Alouf*Lynn*L****999250292~
N3*6431 Pirtlewood Circle~
N4*Youngstown*NY*50292~
DMG*D8*19540831*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20101121~
INS*Y*18*030*XN*A~
REF*0F*999250293~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20030826~
NM1*IL*1*Nagavel*Angela*A****999250293~
N3*12219 Greenleaf Ave~
N4*Wyckoff*NJ*50293~
DMG*D8*19691020*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100811~
INS*Y*18*030*XN*A~
REF*0F*999250295~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19980124~
NM1*IL*1*Muuka*Monique*M****999250295~
N3*809 RT. 105~
N4*Youngstown*NY*50295~
DMG*D8*19680811*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20100322~
INS*N*19*030*XN*A~
REF*0F*999250295~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Muuka*Porsha*P****99945303~
N3*809 RT. 105~
N4*Youngstown*NY*50295~
DMG*D8*19910703*F~
HD*030**HLT*Med13~
DTP*348*D8*20100506~
INS*Y*18*030*XN*A~
REF*0F*999250298~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20010730~
NM1*IL*1*Sperstad*Karlita*K****999250298~
N3*3914 Brookdale Ave~
N4*New York*NY*50298~
DMG*D8*19740105*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20110607~
INS*Y*18*030*XN*A~
REF*0F*999374741~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090429~
NM1*IL*1*Beauclair*Rosalyn*R****999374741~
N3*152 S MAIN ST*Lane~
N4*New York*NY*74741~
DMG*D8*19750909*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20120201~
DTP*349*D8*20170101~
INS*N*01*030*XN*A~
REF*0F*999374741~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Beauclair*John*J****19216939~
N3*152 S MAIN ST*Lane~
N4*New York*NY*74741~
DMG*D8*19650518*M~
HD*030**HLT*Med13~
DTP*348*D8*20120421~
INS*Y*18*030*XN*A~
REF*0F*999394036~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090429~
NM1*IL*1*Iwach*Maggie*M****999394036~
N3*20535 Barlow~
N4*Youngstown*NY*94036~
DMG*D8*19500702*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20101015~
INS*Y*18*030*XN*A~
REF*0F*999448146~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090623~
NM1*IL*1*Grisbee*Tina*T****999448146~
N3*19585 Black Road~
N4*New York*NY*48146~
DMG*D8*19820223*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130308~
HD*030**DEN*Den13*EMP~
DTP*348*D8*20130215~
HD*030**VIS*Vis13*EMP~
DTP*348*D8*20130124~
INS*N*01*030*XN*A~
REF*0F*999448146~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Grisbee*Joshua*J****99956363~
N3*19585 Black Road~
N4*New York*NY*48146~
DMG*D8*19780411*M~
HD*030**HLT*Med13~
DTP*348*D8*20110526~
DTP*349*D8*20150202~
HD*030**DEN*Den13~
DTP*348*D8*20110213~
DTP*349*D8*20150202~
HD*030**VIS*Vis13~
DTP*348*D8*20120409~
DTP*349*D8*20150202~
INS*N*19*030*XN*A~
REF*0F*999448146~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Grisbee*Alexis*A****99956365~
N3*19585 Black Road~
N4*New York*NY*48146~
DMG*D8*20030501*F~
HD*030**HLT*Med13~
DTP*348*D8*20130219~
DTP*349*D8*20150202~
HD*030**DEN*Den13~
DTP*348*D8*20111210~
DTP*349*D8*20150202~
HD*030**VIS*Vis13~
DTP*348*D8*20111025~
DTP*349*D8*20150202~
INS*N*19*030*XN*A~
REF*0F*999448146~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Grisbee*Carson*C****99956366~
N3*19585 Black Road~
N4*New York*NY*48146~
DMG*D8*20060218*M~
HD*030**HLT*Med13~
DTP*348*D8*20120301~
DTP*349*D8*20150202~
HD*030**DEN*Den13~
DTP*348*D8*20130727~
DTP*349*D8*20150202~
HD*030**VIS*Vis13~
DTP*348*D8*20130702~
DTP*349*D8*20150202~
INS*Y*18*030*XN*A~
REF*0F*999448719~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090624~
DTP*337*D8*20150101~
NM1*IL*1*Searcy*Ruby*R****999448719~
N3*52353 TRIPOLI WAY~
N4*New York*NY*48719~
DMG*D8*19510916*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20110422~
DTP*349*D8*20170101~
INS*Y*18*030*XN*A~
REF*0F*999448736~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090604~
NM1*IL*1*Pleyel*Tangee*T****999448736~
N3*280 Uvalde #271~
N4*York*RI*48736~
DMG*D8*19640806*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20110917~
INS*Y*18*030*XN*A~
REF*0F*999449800~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090602~
NM1*IL*1*Ghiya*Linda*L****999449800~
N3*1404 S Houston St~
N4*Youngstown*NY*49800~
DMG*D8*19481202*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20110607~
INS*N*01*030*XN*A~
REF*0F*999449800~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Ghiya*Ray*R****99956519~
N3*1404 S Houston St~
N4*Youngstown*NY*49800~
DMG*D8*19480616*M~
HD*030**HLT*Med13~
DTP*348*D8*20100617~
INS*Y*18*030*XN*A~
REF*0F*999500132~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090713~
NM1*IL*1*Coquis*Alda*A****999500132~
N3*1600 S. Indiana Avenue~
N4*Youngstown*NY*50292~
DMG*D8*19600413*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20110303~
INS*Y*18*030*XN*A~
REF*0F*999518266~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090921~
NM1*IL*1*Wiig*WyDonna*W****999518266~
N3*7-29 HEGEMAN AVE #14H~
N4*Yucca Valley*NY*18266~
DMG*D8*19691116*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120318~
INS*N*19*030*XN*A~
REF*0F*999518266~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Wiig*Shayla*S****99975372~
N3*7-29 HEGEMAN AVE #14H~
N4*Yucca Valley*NY*18266~
DMG*D8*19901002*F~
HD*030**HLT*Med13~
DTP*348*D8*20130117~
INS*N*19*030*XN*A~
REF*0F*999518266~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Wiig*Destery*D****99975373~
N3*7-29 HEGEMAN AVE #14H~
N4*Yucca Valley*NY*18266~
DMG*D8*19920321*M~
HD*030**HLT*Med13~
DTP*348*D8*20130910~
INS*Y*18*030*XN*A~
REF*0F*999591705~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090823~
NM1*IL*1*Mannix*Joe*J****999591705~
N3*1927 MANILA~
N4*New York*NY*91705~
DMG*D8*19610725*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130522~
INS*Y*18*030*XN*A~
REF*0F*999672656~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20091116~
NM1*IL*1*Leoncavallo*Ronald*R****999672656~
N3*810 Eagle Hills Way~
N4*New York*NY*72656~
DMG*D8*19630204*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20110204~
INS*N*01*030*XN*A~
REF*0F*999672656~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Leoncavallo*Diane*D****19108896~
N3*810 Eagle Hills Way~
N4*New York*NY*72656~
DMG*D8*19591223*F~
HD*030**HLT*Med13~
DTP*348*D8*20101116~
INS*N*19*030*XN*A~
REF*0F*999672656~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Leoncavallo*Seth*S****19108897~
N3*810 Eagle Hills Way~
N4*New York*NY*72656~
DMG*D8*19950518*M~
HD*030**HLT*Med13~
DTP*348*D8*20130303~
INS*N*19*030*XN*A~
REF*0F*999672656~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Leoncavallo*Logan*L****19108898~
N3*810 Eagle Hills Way~
N4*New York*NY*72656~
DMG*D8*19971018*M~
HD*030**HLT*Med13~
DTP*348*D8*20101206~
INS*Y*18*030*XN*A~
REF*0F*999680917~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20091106~
NM1*IL*1*Kasotia*Doris Dottie*D****999680917~
N3*9235 S Wabash~
N4*New York*NY*80917~
DMG*D8*19740824*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120202~
HD*030**DEN*Den13*EMP~
DTP*348*D8*20100128~
HD*030**VIS*Vis13*EMP~
DTP*348*D8*20131004~
INS*N*19*030*XN*A~
REF*0F*999680917~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Kasotia*Riley*R****19110273~
N3*9235 S Wabash~
N4*New York*NY*80917~
DMG*D8*20000610*M~
HD*030**HLT*Med13~
DTP*348*D8*20130328~
HD*030**DEN*Den13~
DTP*348*D8*20100125~
HD*030**VIS*Vis13~
DTP*348*D8*20110627~
INS*N*19*030*XN*A~
REF*0F*999680917~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Kasotia*Ethan*E****19110275~
N3*9235 S Wabash~
N4*New York*NY*80917~
DMG*D8*20050419*M~
HD*030**HLT*Med13~
DTP*348*D8*20100709~
HD*030**DEN*Den13~
DTP*348*D8*20131213~
HD*030**VIS*Vis13~
DTP*348*D8*20120105~
INS*N*19*030*XN*A~
REF*0F*999680917~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Kasotia*Anna*A****19110276~
N3*9235 S Wabash~
N4*New York*NY*80917~
DMG*D8*20050419*F~
HD*030**HLT*Med13~
DTP*348*D8*20100924~
DTP*349*D8*20140510~
HD*030**DEN*Den13~
DTP*348*D8*20120518~
DTP*349*D8*20140510~
HD*030**VIS*Vis13~
DTP*348*D8*20120718~
DTP*349*D8*20140510~
INS*N*01*030*XN*A~
REF*0F*999680917~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Kasotia*Stanley*S****19110277~
N3*9235 S Wabash~
N4*New York*NY*80917~
DMG*D8*19701118*M~
HD*030**HLT*Med13~
DTP*348*D8*20120224~
HD*030**DEN*Den13~
DTP*348*D8*20131026~
HD*030**VIS*Vis13~
DTP*348*D8*20120105~
INS*Y*18*030*XN*A~
REF*0F*999876691~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20091217~
NM1*IL*1*Armant*Okiemute*O****999876691~
N3*7943 Guild Ct~
N4*New York*NY*76691~
DMG*D8*19760617*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130419~
INS*Y*18*030*XN*A~
REF*0F*999934103~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20091201~
NM1*IL*1*Sprunger*Tabitha*T****999934103~
N3*440 Oder Ave~
N4*Youngstown*NY*34103~
DMG*D8*19850711*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120901~
INS*Y*18*030*XN*A~
REF*0F*999935029~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20091215~
NM1*IL*1*Barsegian*Andrea*A****999935029~
N3*260 N Centruy Dr*Apt.# 1823~
N4*Youngstown*NY*35029~
DMG*D8*19820822*F~
HD*030**HLT*Med13*ESP~
DTP*348*D8*20121114~
INS*N*01*030*XN*A~
REF*0F*999935029~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Barsegian*Ricardo*R****19212434~
N3*260 N Centruy Dr*Apt.# 1823~
N4*Youngstown*NY*35029~
DMG*D8*19840305*M~
HD*030**HLT*Med13~
DTP*348*D8*20120328~
INS*Y*18*030*XN*A~
REF*0F*999976025~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20100120~
NM1*IL*1*Wensec*Christopher*C****999976025~
N3*403 Oakland Ave~
N4*Tenafly*NJ*76025~
DMG*D8*19770609*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100523~
INS*Y*18*030*XN*A~
REF*0F*191134132~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090914~
NM1*IL*1*Nagavel*James*J****191134132~
N3*369 Montezuma Avenue #159~
N4*Woodsville*NY*13413~
DMG*D8*19580627*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20110824~
INS*Y*18*030*XN*A~
REF*0F*191214820~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20100413~
NM1*IL*1*Dingerson*Joseph*J****191214820~
N3*306 Clear Lake Ln~
N4*Wyckoff*NJ*21482~
DMG*D8*19861202*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120828~
INS*Y*18*030*XN*A~
REF*0F*191215578~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20100224~
NM1*IL*1*Otterberg*Tiffany*T****191215578~
N3*560 SELLS LANE~
N4*Zebulon*NJ*21557~
DMG*D8*19880714*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100302~
INS*Y*18*030*XN*A~
REF*0F*191216484~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20100602~
NM1*IL*1*Quindel*Nikyia*N****191216484~
N3*4906 S. KOLIN*Apt.# B1001~
N4*Youngstown*NY*21648~
DMG*D8*19771127*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100217~
SE*2128*002064685~
ST*834*002064685*005010X220A1~
BGN*00*002064685*20220708*0837*UT***4~
REF*38*56781234~
DTP*303*D8*20220708~
QTY*TO*183~
QTY*ET*122~
QTY*DT*61~
N1*P5*Imerys*FI*2**Manufacture~
N1*IN*Aetna*FI*45-576979~
N1*BO*PAYCOR*FI*43-975675~
INS*Y*18*030*XN*A~
REF*0F*999237519~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20061030~
NM1*IL*1*Svelmoe*Pierce*P****999237519~
N3*8727 Huebner Rd Apt #713~
N4*Zephyr*TX*37519~
DMG*D8*19550710*M~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20110918~
INS*Y*18*030*XN*A~
REF*0F*999237528~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20080929~
NM1*IL*1*Cutcliffe*Kimberly*K****999237528~
N3*55 Langdon St*Apt 1207~
N4*Woodlawn*MD*37528~
DMG*D8*19800907*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20120403~
INS*Y*18*030*XN*A~
REF*0F*999237531~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20060911~
NM1*IL*1*Rinke*Brandi*B****999237531~
N3*156 Gild Ct~
N4*Wytheville*VA*37531~
DMG*D8*19820426*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20120411~
INS*N*19*030*XN*A~
REF*0F*999237531~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Rinke*Zaquan*Z****99956009~
N3*156 Gild Ct~
N4*Wytheville*VA*37531~
DMG*D8*19981026*M~
HD*030**HLT*Med22~
DTP*348*D8*20130211~
INS*N*19*030*XN*A~
REF*0F*999237531~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Rinke*Nadia*N****99956010~
N3*156 Gild Ct~
N4*Wytheville*VA*37531~
DMG*D8*20040720*F~
HD*030**HLT*Med22~
DTP*348*D8*20130602~
INS*N*19*030*XN*A~
REF*0F*999237531~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Rinke*Bryson*B****19153288~
N3*156 Gild Ct~
N4*Wytheville*VA*37531~
DMG*D8*20100416*M~
HD*030**HLT*Med22~
DTP*348*D8*20110309~
INS*Y*18*030*XN*A~
REF*0F*999237532~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20070326~
NM1*IL*1*Mussel*Amanda*A****999237532~
N3*12914 40th Ave E~
N4*Mansville*TX*37532~
DMG*D8*19730716*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20120113~
INS*Y*18*030*XN*A~
REF*0F*999237533~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*19930104~
DTP*337*D8*20141015~
NM1*IL*1*Wolfer*David*D****999237533~
N3*119 MAGNOLIA STREET APT 1*#4~
N4*Zephyr*TX*37533~
DMG*D8*19710412*M~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20100413~
DTP*349*D8*20170101~
HD*030**DEN*Den22*EMP~
DTP*348*D8*20131109~
DTP*349*D8*20170101~
HD*030**VIS*Vis22*EMP~
DTP*348*D8*20130427~
DTP*349*D8*20170101~
INS*N*19*030*XN*A~
REF*0F*999237533~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Wolfer*Abigail*A****99937184~
N3*119 MAGNOLIA STREET APT 1*#4~
N4*Zephyr*TX*37533~
DMG*D8*19970211*F~
HD*030**HLT*Med22~
DTP*348*D8*20110825~
DTP*349*D8*20141015~
HD*030**DEN*Den22~
DTP*348*D8*20101001~
DTP*349*D8*20141015~
HD*030**VIS*Vis22~
DTP*348*D8*20121226~
DTP*349*D8*20141015~
INS*N*19*030*XN*A~
REF*0F*999237533~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Wolfer*Benjamin*B****99937185~
N3*119 MAGNOLIA STREET APT 1*#4~
N4*Zephyr*TX*37533~
DMG*D8*20020813*M~
HD*030**HLT*Med22~
DTP*348*D8*20130516~
DTP*349*D8*20141015~
HD*030**DEN*Den22~
DTP*348*D8*20101019~
DTP*349*D8*20141015~
HD*030**VIS*Vis22~
DTP*348*D8*20101211~
DTP*349*D8*20141015~
INS*N*19*030*XN*A~
REF*0F*999237533~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Wolfer*William*W****99937187~
N3*119 MAGNOLIA STREET APT 1*#4~
N4*Zephyr*TX*37533~
DMG*D8*19990331*M~
HD*030**HLT*Med22~
DTP*348*D8*20110722~
DTP*349*D8*20141015~
HD*030**DEN*Den22~
DTP*348*D8*20120213~
DTP*349*D8*20141015~
HD*030**VIS*Vis22~
DTP*348*D8*20101214~
DTP*349*D8*20141015~
INS*N*01*030*XN*A~
REF*0F*999237533~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Wolfer*Kelly*K****99954296~
N3*119 MAGNOLIA STREET APT 1*#4~
N4*Zephyr*TX*37533~
DMG*D8*19700510*F~
HD*030**HLT*Med22~
DTP*348*D8*20131106~
HD*030**DEN*Den22~
DTP*348*D8*20111214~
HD*030**VIS*Vis22~
DTP*348*D8*20100113~
INS*Y*18*030*XN*A~
REF*0F*999237534~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20070918~
NM1*IL*1*Rel*David*D****999237534~
N3*102 Clifford Drive~
N4*Zephyr*TX*37534~
DMG*D8*19850215*M~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20120502~
INS*Y*18*030*XN*A~
REF*0F*999237535~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20050516~
NM1*IL*1*Cicic*Jerry*J****999237535~
N3*1049 Wood Duck Ave*P.O. Box 304~
N4*Zephyr*TX*37535~
DMG*D8*19450425*M~
HD*030**HLT*Med22*E1D~
DTP*348*D8*20130213~
DTP*349*D8*20170101~
INS*N*01*030*XN*A~
REF*0F*999237535~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Cicic*Nellie*N****99937209~
N3*1049 Wood Duck Ave*P.O. Box 304~
N4*Zephyr*TX*37535~
DMG*D8*19441121*F~
HD*030**HLT*Med22~
DTP*348*D8*20120824~
INS*Y*18*030*XN*A~
REF*0F*999237537~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20060918~
NM1*IL*1*Sakauye*Kayla*K****999237537~
N3*7 Cinder Hill Road~
N4*Zephyr*TX*37537~
DMG*D8*19880905*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20110911~
INS*Y*18*030*XN*A~
REF*0F*999237539~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20070824~
NM1*IL*1*Viccaro*David*D****999237539~
N3*7299 S. Sundown Circle~
N4*Zurich*AL*37539~
DMG*D8*19860812*M~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20110615~
INS*Y*18*030*XN*A~
REF*0F*999237540~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20010824~
NM1*IL*1*Felonk*Tammy*T****999237540~
N3*9565 Elk Mountain Cir~
N4*Zephyr*TX*37540~
DMG*D8*19630207*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20100521~
INS*Y*18*030*XN*A~
REF*0F*999237541~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20030825~
NM1*IL*1*Tyreman*Barbara*B****999237541~
N3*10 FITZRANDOLPH RD~
N4*Zephyr*VA*37541~
DMG*D8*19710410*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20130419~
INS*Y*18*030*XN*A~
REF*0F*999237542~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20020904~
NM1*IL*1*Thomas*Tonya*T****999237542~
N3*233 Via Villena~
N4*Wytheville*VA*37542~
DMG*D8*19810210*F~
HD*030**HLT*Med22*E1D~
DTP*348*D8*20111209~
INS*N*19*030*XN*A~
REF*0F*999237542~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Thomas*Roy*R****99937226~
N3*233 Via Villena~
N4*Wytheville*VA*37542~
DMG*D8*19800519*M~
HD*030**HLT*Med22~
DTP*348*D8*20131116~
INS*Y*18*030*XN*A~
REF*0F*999237543~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20050901~
NM1*IL*1*McGowens*Janie*J****999237543~
N3*14807 BLUES CREEK ROAD~
N4*Zumbrota*VA*37543~
DMG*D8*19590202*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20120319~
INS*Y*18*030*XN*A~
REF*0F*999237544~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20070821~
NM1*IL*1*Stroemer*Sara Ellen*S****999237544~
N3*6135 Hegerman Street~
N4*Zephyr*TX*37544~
DMG*D8*19850310*F~
HD*030**HLT*Med22*E1D~
DTP*348*D8*20100311~
INS*N*01*030*XN*A~
REF*0F*999237544~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Stroemer*Randolph*R****99955981~
N3*6135 Hegerman Street~
N4*Zephyr*TX*37544~
DMG*D8*19850815*M~
HD*030**HLT*Med22~
DTP*348*D8*20110725~
INS*Y*18*030*XN*A~
REF*0F*999237547~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*19980810~
NM1*IL*1*Sanjeevi*Mary Jane*M****999237547~
N3*4680 Old Pond Drive~
N4*Yorkville*VA*37547~
DMG*D8*19501009*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20131015~
INS*Y*18*030*XN*A~
REF*0F*999237548~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20050815~
NM1*IL*1*Cavitch*Mary Ann*M****999237548~
N3*11101 Reiger Rd #826~
N4*Point of Rocks*MD*37548~
DMG*D8*19700502*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20110416~
INS*Y*18*030*XN*A~
REF*0F*999237551~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20090727~
NM1*IL*1*Sawczuk*Erin*E****999237551~
N3*3128 S Fernwood Ave~
N4*Wytheville*VA*37551~
DMG*D8*19870904*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20100820~
INS*Y*18*030*XN*A~
REF*0F*999237552~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20010731~
NM1*IL*1*Slusarchuk*Mary*M****999237552~
N3*1343 East BrickYard~
N4*Wyckoff*OH*37552~
DMG*D8*19510325*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20111127~
INS*Y*18*030*XN*A~
REF*0F*999237553~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20000308~
NM1*IL*1*Davee*Kimberly*K****999237553~
N3*20251 Elk Creek Dr W~
N4*Zephyr*TX*37553~
DMG*D8*19770404*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20120914~
INS*Y*18*030*XN*A~
REF*0F*999237555~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20080804~
NM1*IL*1*Kosling*Barbara*B****999237555~
N3*4811 N Lamb Dr~
N4*Zephyr*TX*37555~
DMG*D8*19431101*F~
HD*030**HLT*Med22*E1D~
DTP*348*D8*20110205~
INS*N*01*030*XN*A~
REF*0F*999237555~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Kosling*James*J****99937198~
N3*4811 N Lamb Dr~
N4*Zephyr*TX*37555~
DMG*D8*19380908*M~
HD*030**HLT*Med22~
DTP*348*D8*20110618~
INS*Y*18*030*XN*A~
REF*0F*999237558~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20040719~
NM1*IL*1*McClemmy*Robin*R****999237558~
N3*1126 Moccasin Dr.~
N4*Zephyr*TX*37558~
DMG*D8*19680106*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20131023~
HD*030**DEN*Den22*EMP~
DTP*348*D8*20110726~
HD*030**VIS*Vis22*EMP~
DTP*348*D8*20100326~
INS*N*19*030*XN*A~
REF*0F*999237558~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*McClemmy*Brandon*B****99937205~
N3*1126 Moccasin Dr.~
N4*Zephyr*TX*37558~
DMG*D8*19920910*M~
HD*030**HLT*Med22~
DTP*348*D8*20121007~
HD*030**DEN*Den22~
DTP*348*D8*20130701~
HD*030**VIS*Vis22~
DTP*348*D8*20120410~
INS*N*19*030*XN*A~
REF*0F*999237558~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*McClemmy*Charles*C****99937206~
N3*1126 Moccasin Dr.~
N4*Zephyr*TX*37558~
DMG*D8*20000802*M~
HD*030**HLT*Med22~
DTP*348*D8*20121222~
HD*030**DEN*Den22~
DTP*348*D8*20110602~
HD*030**VIS*Vis22~
DTP*348*D8*20130307~
INS*N*01*030*XN*A~
REF*0F*999237558~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*McClemmy*Larry*L****99937207~
N3*1126 Moccasin Dr.~
N4*Zephyr*TX*37558~
DMG*D8*19680324*M~
HD*030**HLT*Med22~
DTP*348*D8*20130121~
DTP*349*D8*20140507~
HD*030**DEN*Den22~
DTP*348*D8*20121111~
DTP*349*D8*20140507~
HD*030**VIS*Vis22~
DTP*348*D8*20130208~
DTP*349*D8*20140507~
INS*N*19*030*XN*A~
REF*0F*999237558~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*McClemmy*Robert*R****99937208~
N3*1126 Moccasin Dr.~
N4*Zephyr*TX*37558~
DMG*D8*19941026*M~
HD*030**HLT*Med22~
DTP*348*D8*20111012~
HD*030**DEN*Den22~
DTP*348*D8*20131120~
HD*030**VIS*Vis22~
DTP*348*D8*20100515~
INS*Y*18*030*XN*A~
REF*0F*999237560~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20070717~
NM1*IL*1*Bugg*Shatika*S****999237560~
N3*36501 Haley~
N4*Zephyr*TX*37560~
DMG*D8*19780109*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20110219~
INS*Y*18*030*XN*A~
REF*0F*999237563~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20050711~
NM1*IL*1*Bascos*Melissa*M****999237563~
N3*8533 Holmes Rd*Velasco~
N4*Zephyr*TX*37563~
DMG*D8*19650319*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20100527~
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multipart/form-data; boundary=================181dcbde4b3 |
48060 |
/subscriber/update_subscribers_xml
|
10.10.11.12 |
|
|
2023-02-21 04:18:10
{
"Transaction": [
{
"TransmissionGUID": "BenAdminTransactionID",
"SenderName": "BenAdminName",
"SenderPlatformName": "ClientName",
"ReceiverName": "Guardian",
"CreationDateTime": "2020-02-25 20:30:43",
"TestProductionCode": "Test",
"TransmissionTypeCode": "FullFile",
"SchemaVersionIdentifier": "1.0.0",
"Carrier": [
{
"CarrierID": "GHF637",
"CarrierName": "Guardian"
}
],
"Employer": [
{
"EmployerPartyID": "Employer ID",
"FederalEmployerIdentificationNumber": "string",
"CarrierMasterAgreementNumber": [
{
"CarrierMasterAgreementNumberID": "string",
"MasterAgreementNumber": "string",
"CarrierID": "string"
}
],
"EmployerName": "Employer Name",
"EmployerAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"Employee": [
{
"EmployeePartyID": "string",
"EmployeeSocialSecurityNumber": "string",
"EmployeeIdentifier": "string",
"EmployeeName": {
"PrefixCode": "Ms",
"FirstName": "John",
"MiddleName": "M",
"LastName": "Doe",
"SuffixCode": "Jr"
},
"EmployeeGenderCode": "Female",
"EmployeeBirthDate": "string",
"MaritalStatusCode": "Divorced",
"EmployeeTobaccoUseCode": "Y",
"EmployeeHomePhone": "string",
"EmployeeWorkPhone": "string",
"EmployeeMobilePhone": "string",
"EmployeeMailingAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"EmployeeHomeAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"EmployeeWorkAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"EmployeeEmail": "user@example.com",
"EmployeeAlternateEmail": "user@example.com",
"EmploymentInformation": {
"OriginalHireDate": "string",
"MostRecentHireDate": "string",
"AdjustedServiceDate": "string",
"ExemptCode": "Exempt",
"EmploymentTypeCode": "FullTime",
"EmploymentStatusCode": "Active",
"TerminationDate": "string",
"TerminationReasonCode": "Termination",
"JobTitleText": "string",
"OccupationText": "string",
"WorkHoursQuantity": 0,
"WorkHoursFrequencyCode": "Weekly",
"WorkLocationText": "string",
"PayrollDeductionFrequencyCode": "AnnualSalary",
"PayrollFrequencyQuantity": 0,
"SupervisorFullName": "string",
"SupervisorEmailAddress": "string",
"HumanResourcePartnerEmailAddress": "string",
"UnionIndicator": true,
"UnionLocalName": "string",
"UnionLocalNumber": "string",
"UnionMemberNumber": "string",
"EmploymentIncome": [
{
"IncomeTypeCode": "Salary",
"IncomeAmount": 0,
"IncomeModeCode": "Hourly",
"IncomeEffectiveDate": "string"
}
],
"AnnualBenefitSalaryAmount": 0,
"EmploymentInformationUserDefinedCategory": [
{
"CategoryName": "string",
"CategoryValueString": "string"
}
]
},
"EnrollmentInformation": [
{
"EnrollmentInformationID": "string",
"EnrollmentMethodCode": "OneOnOne",
"ComprehensiveHealthBenefitIndicator": true,
"EmployeeEnrollmentLocationAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
}
}
],
"Event": [
{
"EventID": "string",
"EventTypeCode": "Coverage",
"EventTypeReasonCode": "AdministrativeCorrection",
"EventDate": "string",
"TransactionDate": "string",
"EnrollmentInformationID": [
"string"
]
}
],
"EmployeeEventID": [
"string"
],
"BeneficiaryGroup": [
{
"BeneficiaryGroupID": "BenGroupID",
"Beneficiary": [
{
"BeneficiaryPartyID": "BenPartyID",
"BeneficiaryPartyTypeCode": "Employee",
"BeneficiaryPercent": "string",
"BeneficiaryTypeCode": "Primary"
}
]
}
],
"EmployeeQuestion": [
{
"QuestionID": "QuestionID",
"QuestionIdentifier": "Question"
}
],
"Producer": [
{
"ProducerPartyID": "string",
"ProducerFirstName": "string",
"ProducerLastName": "string",
"CarrierProducerNumber": [
{
"CarrierProducerNumberID": "string",
"CarrierID": "string",
"CarrierProducerNumber": "string"
}
]
}
],
"Coverage": [
{
"CoverageID": "string",
"GroupPolicyNumber": "string",
"IndividualPolicyNumber": "string",
"ProductTypeCode": "Accident",
"BenefitPlanIdentifier": "string",
"BenefitClassIdentifier": "string",
"BenefitSubClassIdentifier": "string",
"BillGroupIdentifier": "string",
"BillSubGroupIdentifier": "string",
"ClaimGroupIdentifier": "string",
"ClaimSubGroupIdentifier": "string",
"OriginalCoverageEffectiveDate": "string",
"CoverageEffectiveDate": "string",
"CoverageTerminationDate": "string",
"CoverageTierCode": "Employee",
"BenefitCalculationMethodCode": "FlatAmount",
"BenefitAmount": 0,
"BenefitFactor": 0,
"EmployeeContributionCode": "EmployeePaid",
"EmployeePremiumContributionAmount": 0,
"EmployerPremiumContributionAmount": 0,
"TotalPlanPremiumAmount": 0,
"BenefitEarningsAmount": 0,
"BenefitEarningsEffectiveDate": "string",
"BenefitModeQuantity": "string",
"PaymentMethodCode": "PayrollDeduction",
"PremiumModeQuantity": 0,
"PreTaxCode": "PostTax",
"IssueAgeQuantity": 0,
"TobaccoUseIndicator": true,
"TakeOverCoverageIndicator": true,
"EnrollerProducerPartyID": "string",
"BeneficiaryGroupID": "string",
"CarrierID": "string",
"ElectedCoverage": {
"ElectedCoverageTierCode": "Employee",
"ElectedBenefitCalculationMethodCode": "FlatAmount",
"ElectedBenefitAmount": 0,
"ElectedBenefitFactor": 0,
"ElectedEmployeeContributionCode": "EmployeePaid",
"ElectedEmployeePremiumContributionAmount": 10,
"ElectedEmployerPremiumContributionAmount": 5,
"ElectedTotalPlanPremiumAmount": 15,
"ElectedCoverageInsured": [
{
"PrimaryInsuredIndicator": true,
"TobaccoUseIndicator": true,
"InsuredCoverageEffectiveDate": "string",
"InsuredCoverageTerminationDate": "string",
"Provider": {
"ProviderIdentificationNumberText": "123-45-6789",
"ExistingPatientIndicator": true,
"ProviderName": "ProviderName"
}
}
],
"ElectedCoverageRider": [
{
"CoverageRiderID": "string",
"RiderIdentifier": "string",
"RiderName": "string",
"CoverageTierCode": "Employee",
"BenefitAmount": 0,
"RiderUnitQuantity": 0,
"RiderOptionIdentifier": "string",
"PreTaxCode": "PostTax",
"EmployeePremiumContributionAmount": 0,
"EmployerPremiumContributionAmount": 0
}
]
},
"CoverageInsured": [
{
"PrimaryInsuredIndicator": true,
"TobaccoUseIndicator": true,
"InsuredCoverageEffectiveDate": "string",
"InsuredCoverageTerminationDate": "string",
"Provider": {
"ProviderIdentificationNumberText": "123-45-6789",
"ExistingPatientIndicator": true,
"ProviderName": "ProviderName"
}
}
],
"CoverageEventID": [
"string"
],
"CoverageQuestionAnswer": [
{
"AnswerIndicator": true,
"AnswerText": "string",
"QuestionID": "string"
}
],
"CoverageDeduction": [
{
"DeductionTypeCode": "Medical",
"DeductionAmount": 0,
"DeductionFrequencyCode": "AnnualSalary"
}
],
"CoverageRider": [
{
"CoverageRiderID": "string",
"RiderIdentifier": "string",
"RiderName": "string",
"CoverageTierCode": "Employee",
"BenefitAmount": 0,
"RiderUnitQuantity": 0,
"RiderOptionIdentifier": "string",
"PreTaxCode": "PostTax",
"EmployeePremiumContributionAmount": 0,
"EmployerPremiumContributionAmount": 0
}
],
"CoverageCommissionSplit": [
{
"CarrierProducerNumberID": "string",
"CompensationSplitPercent": 0
}
]
}
]
}
]
}
],
"Audit": {
"AuditID": "string",
"CarrierQuantity": 0,
"EmployerRecordQuantity": 0,
"EmployeeRecordQuantity": 0,
"DependentRecordQuantity": 0,
"OtherPartyRecordQuantity": 0,
"BeneficiaryGroupRecordQuantity": 0,
"EventRecordQuantity": 0,
"CoverageRecordQuantity": 0,
"CoverageRiderRecordQuantity": 0
}
}
]
}
|
application/json; charset=UTF-8 |
10604 |
/product/soh/echo
|
10.100.22.22 |
|
|
2023-02-21 04:18:10
{
"TransmissionGUID": "BenAdminTransactionID",
"SenderName": "BenAdminName",
"SenderPlatformName": "ClientName",
"ReceiverName": "Guardian",
"CreationDateTime": "2020-02-20 19:55:42",
"TestProductionCode": "Test",
"TransmissionTypeCode": "FullFile",
"SchemaVersionIdentifier": "1.0.0",
"Carrier": [
{
"CarrierID": "",
"CarrierName": ""
}
],
"Employer": [
{
"EmployerPartyID": "Employer ID",
"FederalEmployerIdentificationNumber": "string",
"CarrierMasterAgreementNumber": [
{
"CarrierMasterAgreementNumberID": "string",
"MasterAgreementNumber": "string",
"CarrierID": "string"
}
],
"EmployerName": "Employer Name",
"EmployerAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"Employee": [
{
"EmployeePartyID": "string",
"EmployeeSocialSecurityNumber": "string",
"EmployeeIdentifier": "string",
"EmployeeName": {
"PrefixCode": "Ms",
"FirstName": "John",
"MiddleName": "M",
"LastName": "Doe",
"SuffixCode": "Jr"
},
"EmployeeGenderCode": "Female",
"EmployeeBirthDate": "string",
"MaritalStatusCode": "Divorced",
"EmployeeTobaccoUseCode": "Y",
"EmployeeHomePhone": "string",
"EmployeeWorkPhone": "string",
"EmployeeMobilePhone": "string",
"EmployeeMailingAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"EmployeeHomeAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"EmployeeWorkAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"EmployeeEmail": "user@example.com",
"EmployeeAlternateEmail": "user@example.com",
"EmploymentInformation": {
"OriginalHireDate": "string",
"MostRecentHireDate": "string",
"AdjustedServiceDate": "string",
"ExemptCode": "Exempt",
"EmploymentTypeCode": "FullTime",
"EmploymentStatusCode": "Active",
"TerminationDate": "string",
"TerminationReasonCode": "Termination",
"JobTitleText": "string",
"OccupationText": "string",
"WorkHoursQuantity": 0,
"WorkHoursFrequencyCode": "Weekly",
"WorkLocationText": "string",
"PayrollDeductionFrequencyCode": "AnnualSalary",
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"SupervisorFullName": "string",
"SupervisorEmailAddress": "string",
"HumanResourcePartnerEmailAddress": "string",
"UnionIndicator": true,
"UnionLocalName": "string",
"UnionLocalNumber": "string",
"UnionMemberNumber": "string",
"EmploymentIncome": [
{
"IncomeTypeCode": "Salary",
"IncomeAmount": 0,
"IncomeModeCode": "Hourly",
"IncomeEffectiveDate": "string"
}
],
"AnnualBenefitSalaryAmount": 0,
"EmploymentInformationUserDefinedCategory": [
{
"CategoryName": "string",
"CategoryValueString": "string"
}
]
},
"EnrollmentInformation": [
{
"EnrollmentInformationID": "string",
"EnrollmentMethodCode": "OneOnOne",
"ComprehensiveHealthBenefitIndicator": true,
"EmployeeEnrollmentLocationAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
}
}
],
"Event": [
{
"EventID": "string",
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"EventTypeReasonCode": "AdministrativeCorrection",
"EventDate": "string",
"TransactionDate": "string",
"EnrollmentInformationID": [
"string"
]
}
],
"EmployeeEventID": [
"string"
],
"BeneficiaryGroup": [
{
"BeneficiaryGroupID": "BenGroupID",
"Beneficiary": [
{
"BeneficiaryPartyID": "BenPartyID",
"BeneficiaryPartyTypeCode": "Employee",
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"BeneficiaryTypeCode": "Primary"
}
]
}
],
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{
"QuestionID": "QuestionID",
"QuestionIdentifier": "Question"
}
],
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{
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"ProducerFirstName": "string",
"ProducerLastName": "string",
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{
"CarrierProducerNumberID": "string",
"CarrierID": "string",
"CarrierProducerNumber": "string"
}
]
}
],
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{
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"CoverageEffectiveDate": "string",
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"ElectedBenefitFactor": 0,
"ElectedEmployeeContributionCode": "EmployeePaid",
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"ElectedEmployerPremiumContributionAmount": 5,
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{
"PrimaryInsuredIndicator": true,
"TobaccoUseIndicator": true,
"InsuredCoverageEffectiveDate": "string",
"InsuredCoverageTerminationDate": "string",
"Provider": {
"ProviderIdentificationNumberText": "123-45-6789",
"ExistingPatientIndicator": true,
"ProviderName": "ProviderName"
}
}
],
"ElectedCoverageRider": [
{
"CoverageRiderID": "string",
"RiderIdentifier": "string",
"RiderName": "string",
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"EmployerPremiumContributionAmount": 0
}
]
},
"CoverageInsured": [
{
"PrimaryInsuredIndicator": true,
"TobaccoUseIndicator": true,
"InsuredCoverageEffectiveDate": "string",
"InsuredCoverageTerminationDate": "string",
"Provider": {
"ProviderIdentificationNumberText": "123-45-6789",
"ExistingPatientIndicator": true,
"ProviderName": "ProviderName"
}
}
],
"CoverageEventID": [
"string"
],
"CoverageQuestionAnswer": [
{
"AnswerIndicator": true,
"AnswerText": "string",
"QuestionID": "string"
}
],
"CoverageDeduction": [
{
"DeductionTypeCode": "Medical",
"DeductionAmount": 0,
"DeductionFrequencyCode": "AnnualSalary"
}
],
"CoverageRider": [
{
"CoverageRiderID": "string",
"RiderIdentifier": "string",
"RiderName": "string",
"CoverageTierCode": "Employee",
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"RiderOptionIdentifier": "string",
"PreTaxCode": "PostTax",
"EmployeePremiumContributionAmount": 0,
"EmployerPremiumContributionAmount": 0
}
],
"CoverageCommissionSplit": [
{
"CarrierProducerNumberID": "string",
"CompensationSplitPercent": 0
}
]
}
]
}
]
}
],
"Audit": {
"AuditID": "string",
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"DependentRecordQuantity": 0,
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"BeneficiaryGroupRecordQuantity": 0,
"EventRecordQuantity": 0,
"CoverageRecordQuantity": 0,
"CoverageRiderRecordQuantity": 0
}
}
|
application/xml; charset=UTF-8 |
9907 |
/product/soh/updatePendingSoh
|
10.100.23.22 |
|
|
2023-02-21 04:18:10
<?xml version="1.0" encoding="UTF-8"?>
|
application/xml; charset=UTF-8 |
38 |
/product/soh/echo
|
10.100.23.38 |
|
|
2023-02-21 04:18:10
{
"TransmissionGUID": "BenAdminTransactionID",
"SenderName": "BenAdminName",
"SenderPlatformName": "ClientName",
"ReceiverName": "Guardian",
"CreationDateTime": "2020-02-21 18:31:20",
"TestProductionCode": "Test",
"TransmissionTypeCode": "FullFile",
"SchemaVersionIdentifier": "1.0.0",
"Carrier": [
{
"CarrierID": "",
"CarrierName": ""
}
],
"Employer": [
{
"EmployerPartyID": "Employer ID",
"FederalEmployerIdentificationNumber": "string",
"CarrierMasterAgreementNumber": [
{
"CarrierMasterAgreementNumberID": "string",
"MasterAgreementNumber": "string",
"CarrierID": "string"
}
],
"EmployerName": "Employer Name",
"EmployerAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"Employee": [
{
"EmployeePartyID": "string",
"EmployeeSocialSecurityNumber": "string",
"EmployeeIdentifier": "string",
"EmployeeName": {
"PrefixCode": "Ms",
"FirstName": "John",
"MiddleName": "M",
"LastName": "Doe",
"SuffixCode": "Jr"
},
"EmployeeGenderCode": "Female",
"EmployeeBirthDate": "string",
"MaritalStatusCode": "Divorced",
"EmployeeTobaccoUseCode": "Y",
"EmployeeHomePhone": "string",
"EmployeeWorkPhone": "string",
"EmployeeMobilePhone": "string",
"EmployeeMailingAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"EmployeeHomeAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"EmployeeWorkAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"EmployeeEmail": "user@example.com",
"EmployeeAlternateEmail": "user@example.com",
"EmploymentInformation": {
"OriginalHireDate": "string",
"MostRecentHireDate": "string",
"AdjustedServiceDate": "string",
"ExemptCode": "Exempt",
"EmploymentTypeCode": "FullTime",
"EmploymentStatusCode": "Active",
"TerminationDate": "string",
"TerminationReasonCode": "Termination",
"JobTitleText": "string",
"OccupationText": "string",
"WorkHoursQuantity": 0,
"WorkHoursFrequencyCode": "Weekly",
"WorkLocationText": "string",
"PayrollDeductionFrequencyCode": "AnnualSalary",
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"SupervisorFullName": "string",
"SupervisorEmailAddress": "string",
"HumanResourcePartnerEmailAddress": "string",
"UnionIndicator": true,
"UnionLocalName": "string",
"UnionLocalNumber": "string",
"UnionMemberNumber": "string",
"EmploymentIncome": [
{
"IncomeTypeCode": "Salary",
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"IncomeModeCode": "Hourly",
"IncomeEffectiveDate": "string"
}
],
"AnnualBenefitSalaryAmount": 0,
"EmploymentInformationUserDefinedCategory": [
{
"CategoryName": "string",
"CategoryValueString": "string"
}
]
},
"EnrollmentInformation": [
{
"EnrollmentInformationID": "string",
"EnrollmentMethodCode": "OneOnOne",
"ComprehensiveHealthBenefitIndicator": true,
"EmployeeEnrollmentLocationAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
}
}
],
"Event": [
{
"EventID": "string",
"EventTypeCode": "Coverage",
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"EnrollmentInformationID": [
"string"
]
}
],
"EmployeeEventID": [
"string"
],
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{
"BeneficiaryGroupID": "BenGroupID",
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{
"BeneficiaryPartyID": "BenPartyID",
"BeneficiaryPartyTypeCode": "Employee",
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"BeneficiaryTypeCode": "Primary"
}
]
}
],
"EmployeeQuestion": [
{
"QuestionID": "QuestionID",
"QuestionIdentifier": "Question"
}
],
"Producer": [
{
"ProducerPartyID": "string",
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"ProducerLastName": "string",
"CarrierProducerNumber": [
{
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"CarrierID": "string",
"CarrierProducerNumber": "string"
}
]
}
],
"Coverage": [
{
"CoverageID": "string",
"GroupPolicyNumber": "string",
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"ProductTypeCode": "Accident",
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"BenefitCalculationMethodCode": "FlatAmount",
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"PreTaxCode": "PostTax",
"IssueAgeQuantity": 0,
"TobaccoUseIndicator": true,
"TakeOverCoverageIndicator": true,
"EnrollerProducerPartyID": "string",
"BeneficiaryGroupID": "string",
"CarrierID": "string",
"ElectedCoverage": {
"ElectedCoverageTierCode": "Employee",
"ElectedBenefitCalculationMethodCode": "FlatAmount",
"ElectedBenefitAmount": 0,
"ElectedBenefitFactor": 0,
"ElectedEmployeeContributionCode": "EmployeePaid",
"ElectedEmployeePremiumContributionAmount": 10,
"ElectedEmployerPremiumContributionAmount": 5,
"ElectedTotalPlanPremiumAmount": 15,
"ElectedCoverageInsured": [
{
"PrimaryInsuredIndicator": true,
"TobaccoUseIndicator": true,
"InsuredCoverageEffectiveDate": "string",
"InsuredCoverageTerminationDate": "string",
"Provider": {
"ProviderIdentificationNumberText": "123-45-6789",
"ExistingPatientIndicator": true,
"ProviderName": "ProviderName"
}
}
],
"ElectedCoverageRider": [
{
"CoverageRiderID": "string",
"RiderIdentifier": "string",
"RiderName": "string",
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"PreTaxCode": "PostTax",
"EmployeePremiumContributionAmount": 0,
"EmployerPremiumContributionAmount": 0
}
]
},
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{
"PrimaryInsuredIndicator": true,
"TobaccoUseIndicator": true,
"InsuredCoverageEffectiveDate": "string",
"InsuredCoverageTerminationDate": "string",
"Provider": {
"ProviderIdentificationNumberText": "123-45-6789",
"ExistingPatientIndicator": true,
"ProviderName": "ProviderName"
}
}
],
"CoverageEventID": [
"string"
],
"CoverageQuestionAnswer": [
{
"AnswerIndicator": true,
"AnswerText": "string",
"QuestionID": "string"
}
],
"CoverageDeduction": [
{
"DeductionTypeCode": "Medical",
"DeductionAmount": 0,
"DeductionFrequencyCode": "AnnualSalary"
}
],
"CoverageRider": [
{
"CoverageRiderID": "string",
"RiderIdentifier": "string",
"RiderName": "string",
"CoverageTierCode": "Employee",
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"RiderUnitQuantity": 0,
"RiderOptionIdentifier": "string",
"PreTaxCode": "PostTax",
"EmployeePremiumContributionAmount": 0,
"EmployerPremiumContributionAmount": 0
}
],
"CoverageCommissionSplit": [
{
"CarrierProducerNumberID": "string",
"CompensationSplitPercent": 0
}
]
}
]
}
]
}
],
"Audit": {
"AuditID": "string",
"CarrierQuantity": 0,
"EmployerRecordQuantity": 0,
"EmployeeRecordQuantity": 0,
"DependentRecordQuantity": 0,
"OtherPartyRecordQuantity": 0,
"BeneficiaryGroupRecordQuantity": 0,
"EventRecordQuantity": 0,
"CoverageRecordQuantity": 0,
"CoverageRiderRecordQuantity": 0
}
}
|
application/xml; charset=UTF-8 |
9907 |
/product/soh/updatePendingSoh
|
10.100.23.22 |
|
|
2023-02-21 04:18:10
{
"TransmissionGUID": "BenAdminTransactionID",
"SenderName": "BenAdminName",
"SenderPlatformName": "ClientName",
"ReceiverName": "Guardian",
"CreationDateTime": "2020-02-21 18:30:57",
"TestProductionCode": "Test",
"TransmissionTypeCode": "FullFile",
"SchemaVersionIdentifier": "1.0.0",
"Carrier": [
{
"CarrierID": "",
"CarrierName": ""
}
],
"Employer": [
{
"EmployerPartyID": "Employer ID",
"FederalEmployerIdentificationNumber": "string",
"CarrierMasterAgreementNumber": [
{
"CarrierMasterAgreementNumberID": "string",
"MasterAgreementNumber": "string",
"CarrierID": "string"
}
],
"EmployerName": "Employer Name",
"EmployerAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"Employee": [
{
"EmployeePartyID": "string",
"EmployeeSocialSecurityNumber": "string",
"EmployeeIdentifier": "string",
"EmployeeName": {
"PrefixCode": "Ms",
"FirstName": "John",
"MiddleName": "M",
"LastName": "Doe",
"SuffixCode": "Jr"
},
"EmployeeGenderCode": "Female",
"EmployeeBirthDate": "string",
"MaritalStatusCode": "Divorced",
"EmployeeTobaccoUseCode": "Y",
"EmployeeHomePhone": "string",
"EmployeeWorkPhone": "string",
"EmployeeMobilePhone": "string",
"EmployeeMailingAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"EmployeeHomeAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"EmployeeWorkAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"EmployeeEmail": "user@example.com",
"EmployeeAlternateEmail": "user@example.com",
"EmploymentInformation": {
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"MostRecentHireDate": "string",
"AdjustedServiceDate": "string",
"ExemptCode": "Exempt",
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"WorkLocationText": "string",
"PayrollDeductionFrequencyCode": "AnnualSalary",
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"SupervisorEmailAddress": "string",
"HumanResourcePartnerEmailAddress": "string",
"UnionIndicator": true,
"UnionLocalName": "string",
"UnionLocalNumber": "string",
"UnionMemberNumber": "string",
"EmploymentIncome": [
{
"IncomeTypeCode": "Salary",
"IncomeAmount": 0,
"IncomeModeCode": "Hourly",
"IncomeEffectiveDate": "string"
}
],
"AnnualBenefitSalaryAmount": 0,
"EmploymentInformationUserDefinedCategory": [
{
"CategoryName": "string",
"CategoryValueString": "string"
}
]
},
"EnrollmentInformation": [
{
"EnrollmentInformationID": "string",
"EnrollmentMethodCode": "OneOnOne",
"ComprehensiveHealthBenefitIndicator": true,
"EmployeeEnrollmentLocationAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
}
}
],
"Event": [
{
"EventID": "string",
"EventTypeCode": "Coverage",
"EventTypeReasonCode": "AdministrativeCorrection",
"EventDate": "string",
"TransactionDate": "string",
"EnrollmentInformationID": [
"string"
]
}
],
"EmployeeEventID": [
"string"
],
"BeneficiaryGroup": [
{
"BeneficiaryGroupID": "BenGroupID",
"Beneficiary": [
{
"BeneficiaryPartyID": "BenPartyID",
"BeneficiaryPartyTypeCode": "Employee",
"BeneficiaryPercent": "string",
"BeneficiaryTypeCode": "Primary"
}
]
}
],
"EmployeeQuestion": [
{
"QuestionID": "QuestionID",
"QuestionIdentifier": "Question"
}
],
"Producer": [
{
"ProducerPartyID": "string",
"ProducerFirstName": "string",
"ProducerLastName": "string",
"CarrierProducerNumber": [
{
"CarrierProducerNumberID": "string",
"CarrierID": "string",
"CarrierProducerNumber": "string"
}
]
}
],
"Coverage": [
{
"CoverageID": "string",
"GroupPolicyNumber": "string",
"IndividualPolicyNumber": "string",
"ProductTypeCode": "Accident",
"BenefitPlanIdentifier": "string",
"BenefitClassIdentifier": "string",
"BenefitSubClassIdentifier": "string",
"BillGroupIdentifier": "string",
"BillSubGroupIdentifier": "string",
"ClaimGroupIdentifier": "string",
"ClaimSubGroupIdentifier": "string",
"OriginalCoverageEffectiveDate": "string",
"CoverageEffectiveDate": "string",
"CoverageTerminationDate": "string",
"CoverageTierCode": "Employee",
"BenefitCalculationMethodCode": "FlatAmount",
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"BenefitFactor": 0,
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"PaymentMethodCode": "PayrollDeduction",
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"PreTaxCode": "PostTax",
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"TobaccoUseIndicator": true,
"TakeOverCoverageIndicator": true,
"EnrollerProducerPartyID": "string",
"BeneficiaryGroupID": "string",
"CarrierID": "string",
"ElectedCoverage": {
"ElectedCoverageTierCode": "Employee",
"ElectedBenefitCalculationMethodCode": "FlatAmount",
"ElectedBenefitAmount": 0,
"ElectedBenefitFactor": 0,
"ElectedEmployeeContributionCode": "EmployeePaid",
"ElectedEmployeePremiumContributionAmount": 10,
"ElectedEmployerPremiumContributionAmount": 5,
"ElectedTotalPlanPremiumAmount": 15,
"ElectedCoverageInsured": [
{
"PrimaryInsuredIndicator": true,
"TobaccoUseIndicator": true,
"InsuredCoverageEffectiveDate": "string",
"InsuredCoverageTerminationDate": "string",
"Provider": {
"ProviderIdentificationNumberText": "123-45-6789",
"ExistingPatientIndicator": true,
"ProviderName": "ProviderName"
}
}
],
"ElectedCoverageRider": [
{
"CoverageRiderID": "string",
"RiderIdentifier": "string",
"RiderName": "string",
"CoverageTierCode": "Employee",
"BenefitAmount": 0,
"RiderUnitQuantity": 0,
"RiderOptionIdentifier": "string",
"PreTaxCode": "PostTax",
"EmployeePremiumContributionAmount": 0,
"EmployerPremiumContributionAmount": 0
}
]
},
"CoverageInsured": [
{
"PrimaryInsuredIndicator": true,
"TobaccoUseIndicator": true,
"InsuredCoverageEffectiveDate": "string",
"InsuredCoverageTerminationDate": "string",
"Provider": {
"ProviderIdentificationNumberText": "123-45-6789",
"ExistingPatientIndicator": true,
"ProviderName": "ProviderName"
}
}
],
"CoverageEventID": [
"string"
],
"CoverageQuestionAnswer": [
{
"AnswerIndicator": true,
"AnswerText": "string",
"QuestionID": "string"
}
],
"CoverageDeduction": [
{
"DeductionTypeCode": "Medical",
"DeductionAmount": 0,
"DeductionFrequencyCode": "AnnualSalary"
}
],
"CoverageRider": [
{
"CoverageRiderID": "string",
"RiderIdentifier": "string",
"RiderName": "string",
"CoverageTierCode": "Employee",
"BenefitAmount": 0,
"RiderUnitQuantity": 0,
"RiderOptionIdentifier": "string",
"PreTaxCode": "PostTax",
"EmployeePremiumContributionAmount": 0,
"EmployerPremiumContributionAmount": 0
}
],
"CoverageCommissionSplit": [
{
"CarrierProducerNumberID": "string",
"CompensationSplitPercent": 0
}
]
}
]
}
]
}
],
"Audit": {
"AuditID": "string",
"CarrierQuantity": 0,
"EmployerRecordQuantity": 0,
"EmployeeRecordQuantity": 0,
"DependentRecordQuantity": 0,
"OtherPartyRecordQuantity": 0,
"BeneficiaryGroupRecordQuantity": 0,
"EventRecordQuantity": 0,
"CoverageRecordQuantity": 0,
"CoverageRiderRecordQuantity": 0
}
}
|
application/xml; charset=UTF-8 |
9907 |
/product/soh/updatePendingSoh
|
10.100.23.22 |
|
|
2023-02-21 04:18:10
<?xml version="1.0" encoding="UTF-8"?>
|
application/xml; charset=UTF-8 |
38 |
/product/soh/echo
|
10.100.23.38 |
|
|
2023-02-21 04:18:10
<?xml version="1.0" encoding="UTF-8"?>
|
application/xml; charset=UTF-8 |
38 |
/product/soh/echo
|
10.100.22.10 |
|
|
2023-02-21 04:18:10
{
"TransmissionGUID": "BenAdminTransactionID",
"SenderName": "BenAdminName",
"SenderPlatformName": "ClientName",
"ReceiverName": "Guardian",
"CreationDateTime": "2020-02-21 18:34:22",
"TestProductionCode": "Test",
"TransmissionTypeCode": "FullFile",
"SchemaVersionIdentifier": "1.0.0",
"Carrier": [
{
"CarrierID": "",
"CarrierName": ""
}
],
"Employer": [
{
"EmployerPartyID": "Employer ID",
"FederalEmployerIdentificationNumber": "string",
"CarrierMasterAgreementNumber": [
{
"CarrierMasterAgreementNumberID": "string",
"MasterAgreementNumber": "string",
"CarrierID": "string"
}
],
"EmployerName": "Employer Name",
"EmployerAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"Employee": [
{
"EmployeePartyID": "string",
"EmployeeSocialSecurityNumber": "string",
"EmployeeIdentifier": "string",
"EmployeeName": {
"PrefixCode": "Ms",
"FirstName": "John",
"MiddleName": "M",
"LastName": "Doe",
"SuffixCode": "Jr"
},
"EmployeeGenderCode": "Female",
"EmployeeBirthDate": "string",
"MaritalStatusCode": "Divorced",
"EmployeeTobaccoUseCode": "Y",
"EmployeeHomePhone": "string",
"EmployeeWorkPhone": "string",
"EmployeeMobilePhone": "string",
"EmployeeMailingAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"EmployeeHomeAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"EmployeeWorkAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"EmployeeEmail": "user@example.com",
"EmployeeAlternateEmail": "user@example.com",
"EmploymentInformation": {
"OriginalHireDate": "string",
"MostRecentHireDate": "string",
"AdjustedServiceDate": "string",
"ExemptCode": "Exempt",
"EmploymentTypeCode": "FullTime",
"EmploymentStatusCode": "Active",
"TerminationDate": "string",
"TerminationReasonCode": "Termination",
"JobTitleText": "string",
"OccupationText": "string",
"WorkHoursQuantity": 0,
"WorkHoursFrequencyCode": "Weekly",
"WorkLocationText": "string",
"PayrollDeductionFrequencyCode": "AnnualSalary",
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"SupervisorFullName": "string",
"SupervisorEmailAddress": "string",
"HumanResourcePartnerEmailAddress": "string",
"UnionIndicator": true,
"UnionLocalName": "string",
"UnionLocalNumber": "string",
"UnionMemberNumber": "string",
"EmploymentIncome": [
{
"IncomeTypeCode": "Salary",
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"IncomeModeCode": "Hourly",
"IncomeEffectiveDate": "string"
}
],
"AnnualBenefitSalaryAmount": 0,
"EmploymentInformationUserDefinedCategory": [
{
"CategoryName": "string",
"CategoryValueString": "string"
}
]
},
"EnrollmentInformation": [
{
"EnrollmentInformationID": "string",
"EnrollmentMethodCode": "OneOnOne",
"ComprehensiveHealthBenefitIndicator": true,
"EmployeeEnrollmentLocationAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
}
}
],
"Event": [
{
"EventID": "string",
"EventTypeCode": "Coverage",
"EventTypeReasonCode": "AdministrativeCorrection",
"EventDate": "string",
"TransactionDate": "string",
"EnrollmentInformationID": [
"string"
]
}
],
"EmployeeEventID": [
"string"
],
"BeneficiaryGroup": [
{
"BeneficiaryGroupID": "BenGroupID",
"Beneficiary": [
{
"BeneficiaryPartyID": "BenPartyID",
"BeneficiaryPartyTypeCode": "Employee",
"BeneficiaryPercent": "string",
"BeneficiaryTypeCode": "Primary"
}
]
}
],
"EmployeeQuestion": [
{
"QuestionID": "QuestionID",
"QuestionIdentifier": "Question"
}
],
"Producer": [
{
"ProducerPartyID": "string",
"ProducerFirstName": "string",
"ProducerLastName": "string",
"CarrierProducerNumber": [
{
"CarrierProducerNumberID": "string",
"CarrierID": "string",
"CarrierProducerNumber": "string"
}
]
}
],
"Coverage": [
{
"CoverageID": "string",
"GroupPolicyNumber": "string",
"IndividualPolicyNumber": "string",
"ProductTypeCode": "Accident",
"BenefitPlanIdentifier": "string",
"BenefitClassIdentifier": "string",
"BenefitSubClassIdentifier": "string",
"BillGroupIdentifier": "string",
"BillSubGroupIdentifier": "string",
"ClaimGroupIdentifier": "string",
"ClaimSubGroupIdentifier": "string",
"OriginalCoverageEffectiveDate": "string",
"CoverageEffectiveDate": "string",
"CoverageTerminationDate": "string",
"CoverageTierCode": "Employee",
"BenefitCalculationMethodCode": "FlatAmount",
"BenefitAmount": 0,
"BenefitFactor": 0,
"EmployeeContributionCode": "EmployeePaid",
"EmployeePremiumContributionAmount": 0,
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"TotalPlanPremiumAmount": 0,
"BenefitEarningsAmount": 0,
"BenefitEarningsEffectiveDate": "string",
"BenefitModeQuantity": "string",
"PaymentMethodCode": "PayrollDeduction",
"PremiumModeQuantity": 0,
"PreTaxCode": "PostTax",
"IssueAgeQuantity": 0,
"TobaccoUseIndicator": true,
"TakeOverCoverageIndicator": true,
"EnrollerProducerPartyID": "string",
"BeneficiaryGroupID": "string",
"CarrierID": "string",
"ElectedCoverage": {
"ElectedCoverageTierCode": "Employee",
"ElectedBenefitCalculationMethodCode": "FlatAmount",
"ElectedBenefitAmount": 0,
"ElectedBenefitFactor": 0,
"ElectedEmployeeContributionCode": "EmployeePaid",
"ElectedEmployeePremiumContributionAmount": 10,
"ElectedEmployerPremiumContributionAmount": 5,
"ElectedTotalPlanPremiumAmount": 15,
"ElectedCoverageInsured": [
{
"PrimaryInsuredIndicator": true,
"TobaccoUseIndicator": true,
"InsuredCoverageEffectiveDate": "string",
"InsuredCoverageTerminationDate": "string",
"Provider": {
"ProviderIdentificationNumberText": "123-45-6789",
"ExistingPatientIndicator": true,
"ProviderName": "ProviderName"
}
}
],
"ElectedCoverageRider": [
{
"CoverageRiderID": "string",
"RiderIdentifier": "string",
"RiderName": "string",
"CoverageTierCode": "Employee",
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"RiderOptionIdentifier": "string",
"PreTaxCode": "PostTax",
"EmployeePremiumContributionAmount": 0,
"EmployerPremiumContributionAmount": 0
}
]
},
"CoverageInsured": [
{
"PrimaryInsuredIndicator": true,
"TobaccoUseIndicator": true,
"InsuredCoverageEffectiveDate": "string",
"InsuredCoverageTerminationDate": "string",
"Provider": {
"ProviderIdentificationNumberText": "123-45-6789",
"ExistingPatientIndicator": true,
"ProviderName": "ProviderName"
}
}
],
"CoverageEventID": [
"string"
],
"CoverageQuestionAnswer": [
{
"AnswerIndicator": true,
"AnswerText": "string",
"QuestionID": "string"
}
],
"CoverageDeduction": [
{
"DeductionTypeCode": "Medical",
"DeductionAmount": 0,
"DeductionFrequencyCode": "AnnualSalary"
}
],
"CoverageRider": [
{
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"RiderIdentifier": "string",
"RiderName": "string",
"CoverageTierCode": "Employee",
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"PreTaxCode": "PostTax",
"EmployeePremiumContributionAmount": 0,
"EmployerPremiumContributionAmount": 0
}
],
"CoverageCommissionSplit": [
{
"CarrierProducerNumberID": "string",
"CompensationSplitPercent": 0
}
]
}
]
}
]
}
],
"Audit": {
"AuditID": "string",
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"EmployerRecordQuantity": 0,
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"EventRecordQuantity": 0,
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"CoverageRiderRecordQuantity": 0
}
}
|
application/xml; charset=UTF-8 |
9907 |
/product/soh/updatePendingSoh
|
10.100.23.22 |
|
|
2023-02-21 04:18:10
{
"Transaction": [
{
"TransmissionGUID": "BenAdminTransactionID",
"SenderName": "BenAdminName",
"SenderPlatformName": "ClientName",
"ReceiverName": "Guardian",
"CreationDateTime": "2020-02-21 18:45:19",
"TestProductionCode": "Test",
"TransmissionTypeCode": "FullFile",
"SchemaVersionIdentifier": "1.0.0",
"Carrier": [
{
"CarrierID": "GHF637",
"CarrierName": "Guardian"
}
],
"Employer": [
{
"EmployerPartyID": "Employer ID",
"FederalEmployerIdentificationNumber": "string",
"EmployerName": "Employer Name",
"CarrierMasterAgreementNumber": [
{
"CarrierMasterAgreementNumberID": "string",
"MasterAgreementNumber": "string",
"CarrierID": "string"
}
],
"EmployerAddress": {
"FirstLineAddress": "7 Hanover Sq",
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"ThirdLineAddress": "Care of Guardian",
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"CountryCode": "USA"
},
"Employee": [
{
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"EmployeeSocialSecurityNumber": "string",
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"EmployeeGenderCode": "Female",
"EmployeeBirthDate": "string",
"MaritalStatusCode": "Divorced",
"EmployeeTobaccoUseCode": "Y",
"EmployeeHomePhone": "string",
"EmployeeWorkPhone": "string",
"EmployeeMobilePhone": "string",
"EmployeeEmail": "user@example.com",
"EmployeeAlternateEmail": "user@example.com",
"EmployeeEventID": "stringstring",
"EmployeeName": {
"PrefixCode": "Ms",
"FirstName": "John",
"MiddleName": "M",
"LastName": "Doe",
"SuffixCode": "Jr"
},
"EmployeeMailingAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
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},
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},
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{
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{
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}
]
},
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"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
}
}
],
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{
"EventID": "string",
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"EventTypeReasonCode": "AdministrativeCorrection",
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"EnrollmentInformationID": "string"
}
],
"BeneficiaryGroup": [
{
"BeneficiaryGroupID": "BenGroupID",
"Beneficiary": [
{
"BeneficiaryPartyID": "BenPartyID",
"BeneficiaryPartyTypeCode": "Employee",
"BeneficiaryPercent": "string",
"BeneficiaryTypeCode": "Primary"
}
]
}
],
"EmployeeQuestion": [
{
"QuestionID": "QuestionID",
"QuestionIdentifier": "Question"
}
],
"Producer": [
{
"ProducerPartyID": "string",
"ProducerFirstName": "string",
"ProducerLastName": "string",
"CarrierProducerNumber": [
{
"CarrierProducerNumberID": "string",
"CarrierID": "string",
"CarrierProducerNumber": "string"
}
]
}
],
"Coverage": [
{
"CoverageID": "string",
"GroupPolicyNumber": "string",
"IndividualPolicyNumber": "string",
"ProductTypeCode": "Accident",
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"BenefitSubClassIdentifier": "string",
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"OriginalCoverageEffectiveDate": "string",
"CoverageEffectiveDate": "string",
"CoverageTerminationDate": "string",
"CoverageTierCode": "Employee",
"BenefitCalculationMethodCode": "FlatAmount",
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"BenefitEarningsEffectiveDate": "string",
"BenefitModeQuantity": "string",
"PaymentMethodCode": "PayrollDeduction",
"PremiumModeQuantity": "0",
"PreTaxCode": "PostTax",
"IssueAgeQuantity": "0",
"TobaccoUseIndicator": "",
"TakeOverCoverageIndicator": "",
"EnrollerProducerPartyID": "string",
"BeneficiaryGroupID": "string",
"CarrierID": "string",
"CoverageEventID": "string",
"ElectedCoverage": {
"ElectedCoverageTierCode": "Employee",
"ElectedBenefitCalculationMethodCode": "FlatAmount",
"ElectedBenefitAmount": "0",
"ElectedBenefitFactor": "0",
"ElectedEmployeeContributionCode": "EmployeePaid",
"ElectedEmployeePremiumContributionAmount": "10",
"ElectedEmployerPremiumContributionAmount": "5",
"ElectedTotalPlanPremiumAmount": "15",
"ElectedCoverageInsured": [
{
"PrimaryInsuredIndicator": "",
"TobaccoUseIndicator": "",
"InsuredCoverageEffectiveDate": "string",
"InsuredCoverageTerminationDate": "string",
"Provider": {
"ProviderIdentificationNumberText": "123-45-6789",
"ExistingPatientIndicator": "",
"ProviderName": "ProviderName"
}
}
],
"ElectedCoverageRider": [
{
"CoverageRiderID": "string",
"RiderIdentifier": "string",
"RiderName": "string",
"CoverageTierCode": "Employee",
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"EmployerPremiumContributionAmount": "0"
}
]
},
"CoverageInsured": [
{
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"InsuredCoverageTerminationDate": "string",
"Provider": {
"ProviderIdentificationNumberText": "123-45-6789",
"ExistingPatientIndicator": "",
"ProviderName": "ProviderName"
}
}
],
"CoverageQuestionAnswer": [
{
"AnswerIndicator": "",
"AnswerText": "string",
"QuestionID": "string"
}
],
"CoverageDeduction": [
{
"DeductionTypeCode": "Medical",
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"DeductionFrequencyCode": "AnnualSalary"
}
],
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{
"CoverageRiderID": "string",
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}
],
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{
"CarrierProducerNumberID": "string",
"CompensationSplitPercent": "0"
}
]
}
]
}
]
}
],
"Audit": {
"AuditID": "string",
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"EventRecordQuantity": "0",
"CoverageRecordQuantity": "0",
"CoverageRiderRecordQuantity": "0"
}
}
]
}
|
application/json; charset=UTF-8 |
10595 |
/product/soh/echo
|
10.100.23.22 |
|
|
2023-02-21 04:18:10
{
"TransmissionGUID": "BenAdminTransactionID",
"SenderName": "BenAdminName",
"SenderPlatformName": "ClientName",
"ReceiverName": "Guardian",
"CreationDateTime": "2020-02-21 18:32:31",
"TestProductionCode": "Test",
"TransmissionTypeCode": "FullFile",
"SchemaVersionIdentifier": "1.0.0",
"Carrier": [
{
"CarrierID": "",
"CarrierName": ""
}
],
"Employer": [
{
"EmployerPartyID": "Employer ID",
"FederalEmployerIdentificationNumber": "string",
"CarrierMasterAgreementNumber": [
{
"CarrierMasterAgreementNumberID": "string",
"MasterAgreementNumber": "string",
"CarrierID": "string"
}
],
"EmployerName": "Employer Name",
"EmployerAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"Employee": [
{
"EmployeePartyID": "string",
"EmployeeSocialSecurityNumber": "string",
"EmployeeIdentifier": "string",
"EmployeeName": {
"PrefixCode": "Ms",
"FirstName": "John",
"MiddleName": "M",
"LastName": "Doe",
"SuffixCode": "Jr"
},
"EmployeeGenderCode": "Female",
"EmployeeBirthDate": "string",
"MaritalStatusCode": "Divorced",
"EmployeeTobaccoUseCode": "Y",
"EmployeeHomePhone": "string",
"EmployeeWorkPhone": "string",
"EmployeeMobilePhone": "string",
"EmployeeMailingAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"EmployeeHomeAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
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"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"EmployeeWorkAddress": {
"FirstLineAddress": "7 Hanover Sq",
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"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"EmployeeEmail": "user@example.com",
"EmployeeAlternateEmail": "user@example.com",
"EmploymentInformation": {
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{
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}
],
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"EmploymentInformationUserDefinedCategory": [
{
"CategoryName": "string",
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}
]
},
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{
"EnrollmentInformationID": "string",
"EnrollmentMethodCode": "OneOnOne",
"ComprehensiveHealthBenefitIndicator": true,
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"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
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"CountryCode": "USA"
}
}
],
"Event": [
{
"EventID": "string",
"EventTypeCode": "Coverage",
"EventTypeReasonCode": "AdministrativeCorrection",
"EventDate": "string",
"TransactionDate": "string",
"EnrollmentInformationID": [
"string"
]
}
],
"EmployeeEventID": [
"string"
],
"BeneficiaryGroup": [
{
"BeneficiaryGroupID": "BenGroupID",
"Beneficiary": [
{
"BeneficiaryPartyID": "BenPartyID",
"BeneficiaryPartyTypeCode": "Employee",
"BeneficiaryPercent": "string",
"BeneficiaryTypeCode": "Primary"
}
]
}
],
"EmployeeQuestion": [
{
"QuestionID": "QuestionID",
"QuestionIdentifier": "Question"
}
],
"Producer": [
{
"ProducerPartyID": "string",
"ProducerFirstName": "string",
"ProducerLastName": "string",
"CarrierProducerNumber": [
{
"CarrierProducerNumberID": "string",
"CarrierID": "string",
"CarrierProducerNumber": "string"
}
]
}
],
"Coverage": [
{
"CoverageID": "string",
"GroupPolicyNumber": "string",
"IndividualPolicyNumber": "string",
"ProductTypeCode": "Accident",
"BenefitPlanIdentifier": "string",
"BenefitClassIdentifier": "string",
"BenefitSubClassIdentifier": "string",
"BillGroupIdentifier": "string",
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"CoverageEffectiveDate": "string",
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"IssueAgeQuantity": 0,
"TobaccoUseIndicator": true,
"TakeOverCoverageIndicator": true,
"EnrollerProducerPartyID": "string",
"BeneficiaryGroupID": "string",
"CarrierID": "string",
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"ElectedCoverageTierCode": "Employee",
"ElectedBenefitCalculationMethodCode": "FlatAmount",
"ElectedBenefitAmount": 0,
"ElectedBenefitFactor": 0,
"ElectedEmployeeContributionCode": "EmployeePaid",
"ElectedEmployeePremiumContributionAmount": 10,
"ElectedEmployerPremiumContributionAmount": 5,
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"ElectedCoverageInsured": [
{
"PrimaryInsuredIndicator": true,
"TobaccoUseIndicator": true,
"InsuredCoverageEffectiveDate": "string",
"InsuredCoverageTerminationDate": "string",
"Provider": {
"ProviderIdentificationNumberText": "123-45-6789",
"ExistingPatientIndicator": true,
"ProviderName": "ProviderName"
}
}
],
"ElectedCoverageRider": [
{
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"RiderName": "string",
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}
]
},
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{
"PrimaryInsuredIndicator": true,
"TobaccoUseIndicator": true,
"InsuredCoverageEffectiveDate": "string",
"InsuredCoverageTerminationDate": "string",
"Provider": {
"ProviderIdentificationNumberText": "123-45-6789",
"ExistingPatientIndicator": true,
"ProviderName": "ProviderName"
}
}
],
"CoverageEventID": [
"string"
],
"CoverageQuestionAnswer": [
{
"AnswerIndicator": true,
"AnswerText": "string",
"QuestionID": "string"
}
],
"CoverageDeduction": [
{
"DeductionTypeCode": "Medical",
"DeductionAmount": 0,
"DeductionFrequencyCode": "AnnualSalary"
}
],
"CoverageRider": [
{
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}
],
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]
}
]
}
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}
],
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"EventRecordQuantity": 0,
"CoverageRecordQuantity": 0,
"CoverageRiderRecordQuantity": 0
}
}
|
application/xml; charset=UTF-8 |
9907 |
/product/soh/updatePendingSoh
|
10.100.23.22 |
|
|
2023-02-21 04:18:10
{
"TransmissionGUID": "BenAdminTransactionID",
"SenderName": "BenAdminName",
"SenderPlatformName": "ClientName",
"ReceiverName": "Guardian",
"CreationDateTime": "2020-02-20 19:55:04",
"TestProductionCode": "Test",
"TransmissionTypeCode": "FullFile",
"SchemaVersionIdentifier": "1.0.0",
"Carrier": [
{
"CarrierID": "GHF637",
"CarrierName": "Guardian"
}
],
"Employer": [
{
"EmployerPartyID": "Employer ID",
"FederalEmployerIdentificationNumber": "string",
"CarrierMasterAgreementNumber": [
{
"CarrierMasterAgreementNumberID": "string",
"MasterAgreementNumber": "string",
"CarrierID": "string"
}
],
"EmployerName": "Employer Name",
"EmployerAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"Employee": [
{
"EmployeePartyID": "string",
"EmployeeSocialSecurityNumber": "string",
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"EmployeeName": {
"PrefixCode": "Ms",
"FirstName": "John",
"MiddleName": "M",
"LastName": "Doe",
"SuffixCode": "Jr"
},
"EmployeeGenderCode": "Female",
"EmployeeBirthDate": "string",
"MaritalStatusCode": "Divorced",
"EmployeeTobaccoUseCode": "Y",
"EmployeeHomePhone": "string",
"EmployeeWorkPhone": "string",
"EmployeeMobilePhone": "string",
"EmployeeMailingAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"EmployeeHomeAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"EmployeeWorkAddress": {
"FirstLineAddress": "7 Hanover Sq",
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"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
},
"EmployeeEmail": "user@example.com",
"EmployeeAlternateEmail": "user@example.com",
"EmploymentInformation": {
"OriginalHireDate": "string",
"MostRecentHireDate": "string",
"AdjustedServiceDate": "string",
"ExemptCode": "Exempt",
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"WorkHoursFrequencyCode": "Weekly",
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"PayrollDeductionFrequencyCode": "AnnualSalary",
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"SupervisorFullName": "string",
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"UnionIndicator": true,
"UnionLocalName": "string",
"UnionLocalNumber": "string",
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"EmploymentIncome": [
{
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"IncomeModeCode": "Hourly",
"IncomeEffectiveDate": "string"
}
],
"AnnualBenefitSalaryAmount": 0,
"EmploymentInformationUserDefinedCategory": [
{
"CategoryName": "string",
"CategoryValueString": "string"
}
]
},
"EnrollmentInformation": [
{
"EnrollmentInformationID": "string",
"EnrollmentMethodCode": "OneOnOne",
"ComprehensiveHealthBenefitIndicator": true,
"EmployeeEnrollmentLocationAddress": {
"FirstLineAddress": "7 Hanover Sq",
"SecondLineAddress": "10th Floor",
"ThirdLineAddress": "Care of Guardian",
"CityName": "New York City",
"StateProvinceCode": "AL",
"PostalCode": "10004-1234",
"CountryCode": "USA"
}
}
],
"Event": [
{
"EventID": "string",
"EventTypeCode": "Coverage",
"EventTypeReasonCode": "AdministrativeCorrection",
"EventDate": "string",
"TransactionDate": "string",
"EnrollmentInformationID": [
"string"
]
}
],
"EmployeeEventID": [
"string"
],
"BeneficiaryGroup": [
{
"BeneficiaryGroupID": "BenGroupID",
"Beneficiary": [
{
"BeneficiaryPartyID": "BenPartyID",
"BeneficiaryPartyTypeCode": "Employee",
"BeneficiaryPercent": "string",
"BeneficiaryTypeCode": "Primary"
}
]
}
],
"EmployeeQuestion": [
{
"QuestionID": "QuestionID",
"QuestionIdentifier": "Question"
}
],
"Producer": [
{
"ProducerPartyID": "string",
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}
}
|
application/xml; charset=UTF-8 |
9921 |
/product/soh/updatePendingSoh
|
10.100.23.22 |
|
|
2023-02-21 04:18:10
--================1713ab946cf
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REF*1L*Mega 11~
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HD*030***C*EMP~
DTP*348*D8*20101001~
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REF*1L*Mega 11~
REF*23*PC~
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NM1*IL*1*Campbell*Crystal*C~
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REF*0F*99956009~
NM1*IL*1*Rinke*Zaquan*Z****99956009~
DMG*D8*19981026*M~
HD*030**DEN*C*FAM~
DTP*348*D8*20101001~
INS*N*19*030**A**1~
REF*0F*99956010~
NM1*IL*1*Rinke*Nadia*N****99956010~
DMG*D8*20040720*F~
HD*030**DEN*C*FAM~
DTP*348*D8*20101001~
INS*N*19*030**A**1~
REF*0F*999153288~
NM1*IL*1*Rinke*Bryson*B****999153288~
DMG*D8*20100416*M~
HD*030**DEN*C*FAM~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999237532~
REF*1L*Employer 2~
REF*23*PC~
DTP*336*D8*20070326~
NM1*IL*1*Mussel*Amanda*A~
N3*PO Box 237532~
N4*New York*NY*37532~
DMG*D8*19730716*F~
ICM*4*37532.20~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999237533~
REF*1L*Employer 2~
REF*23*PC~
DTP*336*D8*19930104~
NM1*IL*1*Wolfer*David*D~
N3*South Road 237533~
N4*New York*NY*37533~
DMG*D8*19710412*M~
ICM*4*37533.20~
HD*030***C*FAM~
DTP*348*D8*20101001~
INS*N*19*030**A**1~
REF*0F*99937184~
NM1*IL*1*Wolfer*Abigail*A****99937184~
DMG*D8*19970211*F~
HD*030**DEN*C*FAM~
DTP*348*D8*20101001~
INS*N*19*030**A**1~
REF*0F*99937185~
NM1*IL*1*Wolfer*Benjamin*B****99937185~
DMG*D8*20020813*M~
HD*030**DEN*C*FAM~
DTP*348*D8*20101001~
INS*N*19*030**A**1~
REF*0F*99937187~
NM1*IL*1*Wolfer*William*W****99937187~
DMG*D8*19990331*M~
HD*030**DEN*C*FAM~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999237534~
REF*1L*Employer 2~
REF*23*PC~
DTP*336*D8*20070918~
NM1*IL*1*Rel*David*D~
N3*East Road 237534~
N4*New York*NY*37534~
DMG*D8*19850215*M~
ICM*4*37534.20~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A*E*1*FT~
REF*0F*999237535~
REF*1L*Employer 2~
REF*23*PC~
DTP*336*D8*20050516~
NM1*IL*1*Cicic*Jerry*J~
N3*South Road 237535~
N4*New York*NY*37535~
DMG*D8*19450425*M~
ICM*4*37535.20~
HD*030***C*ECH~
DTP*348*D8*20101001~
INS*N*01*030**A*E*1~
REF*0F*99937209~
NM1*IL*1*Cicic*Nellie*N****99937209~
DMG*D8*19441121*F~
HD*030**DEN*C*ECH~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999237537~
REF*1L*Employer 2~
REF*23*PC~
DTP*336*D8*20060918~
NM1*IL*1*Sakauye*Kayla*K~
N3*PO Box 237537~
N4*New York*NY*37537~
DMG*D8*19880905*F~
ICM*4*37537.20~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999237539~
REF*1L*Employer 2~
REF*23*PC~
DTP*336*D8*20070824~
NM1*IL*1*Viccaro*David*D~
N3*North Road 237539~
N4*New York*NY*37539~
DMG*D8*19860812*M~
ICM*4*37539.20~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999237540~
REF*1L*Employer 2~
REF*23*PC~
DTP*336*D8*20010824~
NM1*IL*1*Felonk*Tammy*T~
N3*PO Box 237540~
N4*New York*NY*37540~
DMG*D8*19630207*F~
ICM*4*37540.20~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999237541~
REF*1L*Employer 2~
REF*23*PC~
DTP*336*D8*20030825~
NM1*IL*1*Tyreman*Barbara*B~
N3*PO Box 237541~
N4*New York*NY*37541~
DMG*D8*19710410*F~
ICM*4*37541.20~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999237542~
REF*1L*Employer 2~
REF*23*PC~
DTP*336*D8*20020904~
NM1*IL*1*Thomas*Tonya*T~
N3*West Road 237542~
N4*New York*NY*37542~
DMG*D8*19810210*F~
ICM*4*37542.20~
HD*030***C*ECH~
DTP*348*D8*20101001~
INS*N*01*030**A**1~
REF*0F*99937226~
NM1*IL*1*Thomas*Roy*R****99937226~
DMG*D8*19800519*M~
HD*030**DEN*C*ECH~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999237543~
REF*1L*Employer 2~
REF*23*PC~
DTP*336*D8*20050901~
NM1*IL*1*McGowens*Janie*J~
N3*PO Box 237543~
N4*New York*NY*37543~
DMG*D8*19590202*F~
ICM*4*37543.20~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999237544~
REF*1L*Employer 2~
REF*23*PC~
DTP*336*D8*20070821~
NM1*IL*1*Stroemer*Sara Ellen*S~
N3*South Road 237544~
N4*New York*NY*37544~
DMG*D8*19850310*F~
ICM*4*37544.20~
HD*030***C*ECH~
DTP*348*D8*20101001~
INS*N*01*030**A**1~
REF*0F*99955981~
NM1*IL*1*Stroemer*Randolph*R****99955981~
DMG*D8*19850815*M~
HD*030**DEN*C*ECH~
DTP*348*D8*20101001~
INS*Y*18*030**A*E*1*FT~
REF*0F*999237547~
REF*1L*Employer 2~
REF*23*PC~
DTP*336*D8*19980810~
NM1*IL*1*Sanjeevi*Mary Jane*M~
N3*North Road 237547~
N4*New York*NY*37547~
DMG*D8*19501009*F~
ICM*4*37547.20~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999237548~
REF*1L*Employer 2~
REF*23*PC~
DTP*336*D8*20050815~
NM1*IL*1*Cavitch*Mary Ann*M~
N3*East Road 237548~
N4*New York*NY*37548~
DMG*D8*19700502*F~
ICM*4*37548.20~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999237551~
REF*1L*Employer 2~
REF*23*PC~
DTP*336*D8*20090727~
NM1*IL*1*Sawczuk*Erin*E~
N3*South Road 237551~
N4*New York*NY*37551~
DMG*D8*19870904*F~
ICM*4*37551.20~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A*E*1*FT~
REF*0F*999237552~
REF*1L*Employer 2~
REF*23*PC~
DTP*336*D8*20010731~
NM1*IL*1*Slusarchuk*Mary*M~
N3*PO Box 237552~
N4*New York*NY*37552~
DMG*D8*19510325*F~
ICM*4*37552.20~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999237553~
REF*1L*Employer 2~
REF*23*PC~
DTP*336*D8*20000308~
NM1*IL*1*Davee*Kimberly*K~
N3*South Road 237553~
N4*New York*NY*37553~
DMG*D8*19770404*F~
ICM*4*37553.20~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A*E*1*FT~
REF*0F*999237555~
REF*1L*Employer 2~
REF*23*PC~
DTP*336*D8*20080804~
NM1*IL*1*Kosling*Barbara*B~
N3*West Road 237555~
N4*New York*NY*37555~
DMG*D8*19431101*F~
ICM*4*37555.20~
HD*030***C*ECH~
DTP*348*D8*20101001~
INS*N*01*030**A*E*1~
REF*0F*99937198~
NM1*IL*1*Kosling*James*J****99937198~
DMG*D8*19380908*M~
HD*030**DEN*C*ECH~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999237558~
REF*1L*Employer 2~
REF*23*PC~
DTP*336*D8*20040719~
NM1*IL*1*McClemmy*Robin*R~
N3*East Road 237558~
N4*New York*NY*37558~
DMG*D8*19680106*F~
ICM*4*37558.20~
HD*030***C*FAM~
DTP*348*D8*20101001~
INS*N*19*030**A**1~
REF*0F*99937205~
NM1*IL*1*McClemmy*Brandon*B****99937205~
DMG*D8*19920910*M~
HD*030**DEN*C*FAM~
DTP*348*D8*20101001~
INS*N*19*030**A**1~
REF*0F*99937206~
NM1*IL*1*McClemmy*Charles*C****99937206~
DMG*D8*20000802*M~
HD*030**HLT*C*FAM~
DTP*348*D8*20101001~
INS*N*01*030**A**1~
REF*0F*99937207~
NM1*IL*1*McClemmy*Larry*L****99937207~
DMG*D8*19680324*M~
HD*030**DEN*C*FAM~
DTP*348*D8*20101001~
INS*N*19*030**A**1~
REF*0F*99937208~
NM1*IL*1*McClemmy*Robert*R****99937208~
DMG*D8*19941026*M~
HD*030**DEN*C*FAM~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999237560~
REF*1L*Employer 2~
REF*23*PC~
DTP*336*D8*20070717~
NM1*IL*1*Bugg*Shatika*S~
N3*South Road 237560~
N4*New York*NY*37560~
DMG*D8*19780109*F~
ICM*4*37560.20~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999237563~
REF*1L*Employer 2~
REF*23*PC~
DTP*336*D8*20050711~
NM1*IL*1*Bascos*Melissa*M~
N3*West Road 237563~
N4*New York*NY*37563~
DMG*D8*19650319*F~
ICM*4*37563.20~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999237565~
REF*1L*Employer 2~
REF*23*PC~
DTP*336*D8*19970707~
NM1*IL*1*Strem*Barbara*B~
N3*North Road 237565~
N4*New York*NY*37565~
DMG*D8*19600723*F~
ICM*4*37565.20~
HD*030***C*FAM~
DTP*348*D8*20101001~
HD*030***C*FAM~
DTP*348*D8*20101001~
INS*N*01*030**A**1~
REF*0F*99937190~
NM1*IL*1*Strem*Charles*C****99937190~
DMG*D8*19571224*M~
HD*030**DEN*C*ECH~
DTP*348*D8*20101001~
SE*321*2~
ST*834*3~
BGN*00*002057349*20200402*144908*UT***4~
REF*38*567890~
N1*P5*Wesley Commons*FI*570524661*834_HIPAA_Report.txt~
N1*IN*Assurant Employee Benefits*FI*123456789~
INS*Y*18*030**A*E*1*FT~
REF*0F*999237568~
REF*1L*Employer 3~
REF*23*PC~
DTP*336*D8*20060629~
NM1*IL*1*Sheamer*Lula*L~
N3*South Road 237568~
N4*New York*NY*37568~
DMG*D8*19511120*F~
ICM*4*37568.20~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A*E*1*FT~
REF*0F*999237569~
REF*1L*Employer 3~
REF*23*PC~
DTP*336*D8*20000705~
NM1*IL*1*Palazolo*Irene*I~
N3*East Road 237569~
N4*New York*NY*37569~
DMG*D8*19460709*F~
ICM*4*37569.20~
HD*030***C*ECH~
DTP*348*D8*20101001~
INS*N*01*030**A*E*1~
REF*0F*99941526~
NM1*IL*1*Palazolo*James*J****99941526~
DMG*D8*19451228*M~
HD*030**DEN*C*ECH~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999237571~
REF*1L*Employer 3~
REF*23*PC~
DTP*336*D8*20100613~
NM1*IL*1*Plusch*Ashley*A~
N3*PO Box 237571~
N4*New York*NY*37571~
DMG*D8*19850228*F~
ICM*4*37571.20~
HD*030***A*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999237573~
REF*1L*Employer 3~
REF*23*PC~
DTP*336*D8*20020617~
NM1*IL*1*Putin*Barry*B~
N3*PO Box 237573~
N4*New York*NY*37573~
DMG*D8*19610319*M~
ICM*4*37573.20~
HD*030***C*FAM~
DTP*348*D8*20101001~
INS*N*19*030**A**1~
REF*0F*99937216~
NM1*IL*1*Putin*Kyle*K****99937216~
DMG*D8*19850924*M~
HD*030**DEN*C*FAM~
DTP*348*D8*20101001~
INS*N*19*030**A**1~
REF*0F*99937217~
NM1*IL*1*Putin*Lance*L****99937217~
DMG*D8*19900130*M~
HD*030**DEN*C*FAM~
DTP*348*D8*20101001~
INS*N*01*030**A**1~
REF*0F*99937218~
NM1*IL*1*Putin*Sheila*S****99937218~
DMG*D8*19610418*F~
HD*030**DEN*C*FAM~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999237574~
REF*1L*Employer 3~
REF*23*PC~
DTP*336*D8*20080616~
NM1*IL*1*Moseng*Stephanie*S~
N3*North Road 237574~
N4*New York*NY*37574~
DMG*D8*19730119*F~
ICM*4*37574.20~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999237575~
REF*1L*Employer 3~
REF*23*PC~
DTP*336*D8*20010607~
NM1*IL*1*Zarlinga*Tim*T~
N3*South Road 237575~
N4*New York*NY*37575~
DMG*D8*19760329*M~
ICM*4*37575.20~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A*E*1*FT~
REF*0F*999237576~
REF*1L*Employer 3~
REF*23*PC~
DTP*336*D8*20040629~
NM1*IL*1*Burross*Jessie Bell*J~
N3*Main Road 237576~
N4*New York*NY*37576~
DMG*D8*19490716*F~
ICM*4*37576.20~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999237577~
REF*1L*Employer 3~
REF*23*PC~
DTP*336*D8*20070612~
NM1*IL*1*Cortijo*Sheila*S~
N3*East Road 237577~
N4*New York*NY*37577~
DMG*D8*19630418*F~
ICM*4*37577.20~
HD*030***C*ECH~
DTP*348*D8*20101001~
INS*N*19*030**A**1~
REF*0F*99937199~
NM1*IL*1*Cortijo*Sarah*S****99937199~
DMG*D8*19890123*F~
HD*030**DEN*C*ECH~
DTP*348*D8*20101001~
INS*Y*18*030**A*E*1*FT~
REF*0F*999237579~
REF*1L*Employer 3~
REF*23*PC~
DTP*336*D8*20050606~
NM1*IL*1*Kaminecki*Ernest*E~
N3*West Road 237579~
N4*New York*NY*37579~
DMG*D8*19480907*M~
ICM*4*37579.20~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999237580~
REF*1L*Employer 3~
REF*23*PC~
DTP*336*D8*20070530~
NM1*IL*1*Deres*Lashunda*L~
N3*North Road 237580~
N4*New York*NY*37580~
DMG*D8*19790726*F~
ICM*4*37580.20~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999237584~
REF*1L*Employer 3~
REF*23*PC~
DTP*336*D8*20070528~
NM1*IL*1*Adrio*Phillip*P~
N3*Main Road 237584~
N4*New York*NY*37584~
DMG*D8*19890421*M~
ICM*4*37584.20~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999237586~
REF*1L*Employer 3~
REF*23*PC~
DTP*336*D8*20060515~
NM1*IL*1*Danna*Jennifer*J~
N3*PO Box 237586~
N4*New York*NY*37586~
DMG*D8*19830322*F~
ICM*4*37586.20~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999237588~
REF*1L*Employer 3~
REF*23*PC~
DTP*336*D8*20030423~
NM1*IL*1*Deolinda*Astra*A~
N3*South Road 237588~
N4*New York*NY*37588~
DMG*D8*19791202*F~
ICM*4*37588.20~
HD*030***C*ECH~
DTP*348*D8*20101001~
INS*N*19*030**A**1~
REF*0F*99941527~
NM1*IL*1*Deolinda*Charles*C****99941527~
DMG*D8*20000817*M~
HD*030**DEN*C*ECH~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999237590~
REF*1L*Employer 3~
REF*23*PC~
DTP*336*D8*20050426~
NM1*IL*1*Kimberley*Antonio*A~
N3*East Road 237590~
N4*New York*NY*37590~
DMG*D8*19821124*M~
ICM*4*37590.20~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A*E*1*FT~
REF*0F*999237592~
REF*1L*Employer 3~
REF*23*PC~
DTP*336*D8*20070423~
NM1*IL*1*Schepens*Linda*L~
N3*Main Road 237592~
N4*New York*NY*37592~
DMG*D8*19520723*F~
ICM*4*37592.20~
HD*030***C*ECH~
DTP*348*D8*20101001~
INS*N*01*030**A*E*1~
REF*0F*99941521~
NM1*IL*1*Schepens*Donald*D****99941521~
DMG*D8*19520906*M~
HD*030**DEN*C*ECH~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999237593~
REF*1L*Employer 3~
REF*23*PC~
DTP*336*D8*20070502~
NM1*IL*1*Siddig*Alice*A~
N3*North Road 237593~
N4*New York*NY*37593~
DMG*D8*19600620*F~
ICM*4*37593.20~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999237596~
REF*1L*Employer 3~
REF*23*PC~
DTP*336*D8*19980416~
NM1*IL*1*Concha*Bernice*B~
N3*South Road 237596~
N4*New York*NY*37596~
DMG*D8*19600420*F~
ICM*4*37596.20~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999237599~
REF*1L*Employer 3~
REF*23*PC~
DTP*336*D8*20070402~
NM1*IL*1*Bascos*Lorraine*L~
N3*East Road 237599~
N4*New York*NY*37599~
DMG*D8*19810709*F~
ICM*4*37599.20~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A*E*1*FT~
REF*0F*999237600~
REF*1L*Employer 3~
REF*23*PC~
DTP*336*D8*19990405~
NM1*IL*1*Shaevel*Linda*L~
N3*West Road 237600~
N4*New York*NY*37600~
DMG*D8*19490609*F~
ICM*4*37600.20~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999237601~
REF*1L*Employer 3~
REF*23*PC~
DTP*336*D8*20060328~
NM1*IL*1*Hrynewych*Melvin*M~
N3*Main Road 237601~
N4*New York*NY*37601~
DMG*D8*19640715*M~
ICM*4*37601.20~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999237605~
REF*1L*Employer 3~
REF*23*PC~
DTP*336*D8*20030313~
NM1*IL*1*Bhungane*Patricia*P~
N3*East Road 237605~
N4*New York*NY*37605~
DMG*D8*19560107*F~
ICM*4*37605.20~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999237610~
REF*1L*Employer 3~
REF*23*PC~
DTP*336*D8*19960115~
NM1*IL*1*Pascual*Zabeth*Z~
N3*PO Box 237610~
N4*New York*NY*37610~
DMG*D8*19710616*F~
ICM*4*37610.20~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A*E*1*FT~
REF*0F*999237611~
REF*1L*Employer 3~
REF*23*PC~
DTP*336*D8*19960101~
NM1*IL*1*Dyatel*Carol*C~
N3*North Road 237611~
N4*New York*NY*37611~
DMG*D8*19460907*F~
ICM*4*37611.20~
HD*030***C*ECH~
DTP*348*D8*20101001~
INS*N*01*030**A*E*1~
REF*0F*99937230~
NM1*IL*1*Dyatel*Mitchell*M****99937230~
DMG*D8*19380817*M~
HD*030**DEN*C*ECH~
DTP*348*D8*20101001~
SE*239*3~
ST*834*4~
BGN*00*002057349*20200402*144908*UT***4~
REF*38*567890~
N1*P5*Wesley Commons*FI*570524661*834_HIPAA_Report.txt~
N1*IN*Assurant Employee Benefits*FI*123456789~
INS*Y*18*030**A**1*FT~
REF*0F*999237617~
REF*1L*Employer 4~
REF*23*PC~
DTP*336*D8*19900723~
NM1*IL*1*Osstifin*Danny*D~
N3*South Road 237617~
N4*New York*NY*37617~
DMG*D8*19641109*M~
ICM*4*37617.20~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999237618~
REF*1L*Employer 4~
REF*23*PC~
DTP*336*D8*20010605~
NM1*IL*1*Pfaab*Angela*A~
N3*PO Box 237618~
N4*New York*NY*37618~
DMG*D8*19730317*F~
ICM*4*37618.20~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999237619~
REF*1L*Employer 4~
REF*23*PC~
DTP*336*D8*20040621~
NM1*IL*1*Westerhof*Janice*J~
N3*PO Box 237619~
N4*New York*NY*37619~
DMG*D8*19560811*F~
ICM*4*37619.20~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A*E*1*FT~
REF*0F*999237620~
REF*1L*Employer 4~
REF*23*PC~
DTP*336*D8*19770503~
NM1*IL*1*Antil*Faye*F~
N3*West Road 237620~
N4*New York*NY*37620~
DMG*D8*19530307*F~
ICM*4*37620.20~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999237621~
REF*1L*Employer 4~
REF*23*PC~
DTP*336*D8*19730606~
NM1*IL*1*Tharachai*Keith*K~
N3*North Road 237621~
N4*New York*NY*37621~
DMG*D8*19590319*M~
ICM*4*37621.20~
HD*030***C*ECH~
DTP*348*D8*20101001~
INS*N*01*030**A**1~
REF*0F*99937194~
NM1*IL*1*Tharachai*Cynthia*C****99937194~
DMG*D8*19610514*F~
HD*030**DEN*C*ECH~
DTP*348*D8*20101001~
INS*Y*18*030**A*E*1*FT~
REF*0F*999237622~
REF*1L*Employer 4~
REF*23*PC~
DTP*336*D8*19980209~
NM1*IL*1*Hefestay*Richard*R~
N3*PO Box 237622~
N4*New York*NY*37622~
DMG*D8*19461021*M~
ICM*4*37622.20~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A*E*1*FT~
REF*0F*999237626~
REF*1L*Employer 4~
REF*23*PC~
DTP*336*D8*19801125~
NM1*IL*1*Ritzheimer*Patricia*P~
N3*South Road 237626~
N4*New York*NY*37626~
DMG*D8*19550103*F~
ICM*4*37626.20~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A*E*1*FT~
REF*0F*999237629~
REF*1L*Employer 4~
REF*23*PC~
DTP*336*D8*19881107~
NM1*IL*1*Deldeo*Nancy*N~
N3*East Road 237629~
N4*New York*NY*37629~
DMG*D8*19450408*F~
ICM*4*37629.20~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999237632~
REF*1L*Employer 4~
REF*23*PC~
DTP*336*D8*19951005~
NM1*IL*1*Oung*Roger*R~
N3*PO Box 237632~
N4*New York*NY*37632~
DMG*D8*19601103*M~
ICM*4*37632.20~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999239408~
REF*1L*Employer 4~
REF*23*PC~
DTP*336*D8*20001025~
NM1*IL*1*Bracher*Melissa*M~
N3*North Road 239408~
N4*New York*NY*39408~
DMG*D8*19761017*F~
ICM*4*39408.20~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999239410~
REF*1L*Employer 4~
REF*23*PC~
DTP*336*D8*20070403~
NM1*IL*1*Knibloe*Dora*D~
N3*Main Road 239410~
N4*New York*NY*39410~
DMG*D8*19621031*F~
ICM*4*39410.20~
HD*030***C*ECH~
DTP*348*D8*20101001~
INS*N*19*030**A**1~
REF*0F*999214845~
NM1*IL*1*Knibloe*Terri*T****999214845~
DMG*D8*20090206*F~
HD*030**DEN*A*ECH~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999250291~
REF*1L*Employer 4~
REF*23*PC~
DTP*336*D8*19930422~
NM1*IL*1*Rauens*Gloria*G~
N3*West Road 250291~
N4*New York*NY*50291~
DMG*D8*19640213*F~
ICM*4*50291.20~
HD*030***C*ECH~
DTP*348*D8*20101001~
INS*N*19*030**A**1~
REF*0F*99954297~
NM1*IL*1*Rauens*Ayesha*A****99954297~
DMG*D8*19960309*F~
HD*030**DEN*C*ECH~
DTP*348*D8*20101001~
INS*Y*18*030**A*E*1*FT~
REF*0F*999250292~
REF*1L*Employer 4~
REF*23*PC~
DTP*336*D8*19790827~
NM1*IL*1*Alouf*Lynn*L~
N3*PO Box 250292~
N4*New York*NY*50292~
DMG*D8*19540831*F~
ICM*4*50292.20~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999250293~
REF*1L*Employer 4~
REF*23*PC~
DTP*336*D8*20030826~
NM1*IL*1*Nagavel*Angela*A~
N3*PO Box 250293~
N4*New York*NY*50293~
DMG*D8*19691020*F~
ICM*4*50293.20~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999250295~
REF*1L*Employer 4~
REF*23*PC~
DTP*336*D8*19980124~
NM1*IL*1*Muuka*Monique*M~
N3*West Road 250295~
N4*New York*NY*50295~
DMG*D8*19680811*F~
ICM*4*50295.20~
HD*030***C*ECH~
DTP*348*D8*20101001~
INS*N*19*030**A**1~
REF*0F*99945303~
NM1*IL*1*Muuka*Porsha*P****99945303~
DMG*D8*19910703*F~
HD*030**DEN*C*ECH~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999250298~
REF*1L*Employer 4~
REF*23*PC~
DTP*336*D8*20010730~
NM1*IL*1*Sperstad*Karlita*K~
N3*East Road 250298~
N4*New York*NY*50298~
DMG*D8*19740105*F~
ICM*4*50298.20~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999374741~
REF*1L*Employer 4~
REF*23*PC~
DTP*336*D8*20090429~
NM1*IL*1*Beauclair*Rosalyn*R~
N3*North Road 374741~
N4*New York*NY*74741~
DMG*D8*19750909*F~
ICM*4*74741.30~
HD*030***C*ECH~
DTP*348*D8*20101001~
INS*N*01*030**A**1~
REF*0F*999216939~
NM1*IL*1*Beauclair*John*J****999216939~
DMG*D8*19650518*M~
HD*030**DEN*A*ECH~
DTP*348*D8*20101001~
INS*Y*18*030**A*E*1*FT~
REF*0F*999394036~
REF*1L*Employer 4~
REF*23*PC~
DTP*336*D8*20090429~
NM1*IL*1*Iwach*Maggie*M~
N3*PO Box 394036~
N4*New York*NY*94036~
DMG*D8*19500702*F~
ICM*4*94036.30~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999448146~
REF*1L*Employer 4~
REF*23*PC~
DTP*336*D8*20090623~
NM1*IL*1*Grisbee*Tina*T~
N3*South Road 448146~
N4*New York*NY*48146~
DMG*D8*19820223*F~
ICM*4*48146.40~
HD*030***C*FAM~
DTP*348*D8*20101001~
INS*N*01*030**A**1~
REF*0F*99956363~
NM1*IL*1*Grisbee*Joshua*J****99956363~
DMG*D8*19780411*M~
HD*030**DEN*C*FAM~
DTP*348*D8*20101001~
INS*N*19*030**A**1~
REF*0F*99956365~
NM1*IL*1*Grisbee*Alexis*A****99956365~
DMG*D8*20030501*F~
HD*030**DEN*C*FAM~
DTP*348*D8*20101001~
INS*N*19*030**A**1~
REF*0F*99956366~
NM1*IL*1*Grisbee*Carson*C****99956366~
DMG*D8*20060218*M~
HD*030**DEN*C*FAM~
DTP*348*D8*20101001~
INS*Y*18*030**A*E*1*FT~
REF*0F*999448719~
REF*1L*Employer 4~
REF*23*PC~
DTP*336*D8*20090624~
NM1*IL*1*Searcy*Ruby*R~
N3*Main Road 448719~
N4*New York*NY*48719~
DMG*D8*19510916*F~
ICM*4*48719.40~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999448736~
REF*1L*Employer 4~
REF*23*PC~
DTP*336*D8*20090604~
NM1*IL*1*Pleyel*Tangee*T~
N3*East Road 448736~
N4*New York*NY*48736~
DMG*D8*19640806*F~
ICM*4*48736.40~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A*E*1*FT~
REF*0F*999449800~
REF*1L*Employer 4~
REF*23*PC~
DTP*336*D8*20090602~
NM1*IL*1*Ghiya*Linda*L~
N3*West Road 449800~
N4*New York*NY*49800~
DMG*D8*19481202*F~
ICM*4*49800.40~
HD*030***C*ECH~
DTP*348*D8*20101001~
INS*N*01*030**A*E*1~
REF*0F*99956519~
NM1*IL*1*Ghiya*Ray*R****99956519~
DMG*D8*19480616*M~
HD*030**DEN*C*ECH~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999500132~
REF*1L*Employer 4~
REF*23*PC~
DTP*336*D8*20090713~
NM1*IL*1*Coquis*Alda*A~
N3*PO Box 500132~
N4*New York*NY*132~
DMG*D8*19600413*F~
ICM*4*132.50~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999518266~
REF*1L*Employer 4~
REF*23*PC~
DTP*336*D8*20090921~
NM1*IL*1*Wiig*WyDonna*W~
N3*North Road 518266~
N4*New York*NY*18266~
DMG*D8*19691116*F~
ICM*4*18266.50~
HD*030***A*FAM~
DTP*348*D8*20101001~
INS*N*19*030**A**1~
REF*0F*99975372~
NM1*IL*1*Wiig*Shayla*S****99975372~
DMG*D8*19901002*F~
HD*030**DEN*A*FAM~
DTP*348*D8*20101001~
INS*N*19*030**A**1~
REF*0F*99975373~
NM1*IL*1*Wiig*Destery*D****99975373~
DMG*D8*19920321*M~
HD*030**DEN*A*FAM~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999591705~
REF*1L*Employer 4~
REF*23*PC~
DTP*336*D8*20090823~
NM1*IL*1*Mannix*Joe*J~
N3*West Road 591705~
N4*New York*NY*91705~
DMG*D8*19610725*M~
ICM*4*91705.50~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999672656~
REF*1L*Employer 4~
REF*23*PC~
DTP*336*D8*20091116~
NM1*IL*1*Leoncavallo*Ronald*R~
N3*East Road 672656~
N4*New York*NY*72656~
DMG*D8*19630204*M~
ICM*4*72656.60~
HD*030***C*FAM~
DTP*348*D8*20101001~
INS*N*01*030**A**1~
REF*0F*999108896~
NM1*IL*1*Leoncavallo*Diane*D****999108896~
DMG*D8*19591223*F~
HD*030**DEN*C*FAM~
DTP*348*D8*20101001~
INS*N*19*030**A**1~
REF*0F*999108897~
NM1*IL*1*Leoncavallo*Seth*S****999108897~
DMG*D8*19950518*M~
HD*030**DEN*C*FAM~
DTP*348*D8*20101001~
INS*N*19*030**A**1~
REF*0F*999108898~
NM1*IL*1*Leoncavallo*Logan*L****999108898~
DMG*D8*19971018*M~
HD*030**DEN*C*FAM~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999680917~
REF*1L*Employer 4~
REF*23*PC~
DTP*336*D8*20091106~
NM1*IL*1*Kasotia*Doris Dottie *D~
N3*PO Box 680917~
N4*New York*NY*80917~
DMG*D8*19740824*F~
ICM*4*80917.60~
HD*030***C*FAM~
DTP*348*D8*20101001~
INS*N*19*030**A**1~
REF*0F*999110273~
NM1*IL*1*Kasotia*Riley*R****999110273~
DMG*D8*20000610*M~
HD*030**DEN*C*FAM~
DTP*348*D8*20101001~
INS*N*19*030**A**1~
REF*0F*999110275~
NM1*IL*1*Kasotia*Ethan*E****999110275~
DMG*D8*20050419*M~
HD*030**DEN*C*FAM~
DTP*348*D8*20101001~
INS*N*01*030**A**1~
REF*0F*999110277~
NM1*IL*1*Kasotia*Stanley*S****999110277~
DMG*D8*19701118*M~
HD*030**DEN*C*FAM~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999876691~
REF*1L*Employer 4~
REF*23*PC~
DTP*336*D8*20091217~
NM1*IL*1*Armant*Okiemute*O~
N3*South Road 876691~
N4*New York*NY*76691~
DMG*D8*19760617*F~
ICM*4*76691.80~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999934103~
REF*1L*Employer 4~
REF*23*PC~
DTP*336*D8*20091201~
NM1*IL*1*Sprunger*Tabitha*T~
N3*West Road 934103~
N4*New York*NY*34103~
DMG*D8*19850711*F~
ICM*4*34103.90~
HD*030***A*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999935029~
REF*1L*Employer 4~
REF*23*PC~
DTP*336*D8*20091215~
NM1*IL*1*Barsegian*Andrea*A~
N3*North Road 935029~
N4*New York*NY*35029~
DMG*D8*19820822*F~
ICM*4*35029.90~
HD*030***C*ECH~
DTP*348*D8*20101001~
INS*N*01*030**A**1~
REF*0F*999212434~
NM1*IL*1*Barsegian*Ricardo*R****999212434~
DMG*D8*19840305*M~
HD*030**DEN*A*ECH~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*999976025~
REF*1L*Employer 4~
REF*23*PC~
DTP*336*D8*20100120~
NM1*IL*1*Wensec*Christopher*C~
N3*PO Box 976025~
N4*New York*NY*76025~
DMG*D8*19770609*M~
ICM*4*76025.90~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*991134132~
REF*1L*Employer 4~
REF*23*PC~
DTP*336*D8*20090914~
NM1*IL*1*Nagavel*James*J~
N3*South Road 1134132~
N4*New York*NY*13413~
DMG*D8*19580627*M~
ICM*4*13413.10~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*991214820~
REF*1L*Employer 4~
REF*23*PC~
DTP*336*D8*20100413~
NM1*IL*1*Dingerson*Joseph*J~
N3*West Road 1214820~
N4*New York*NY*21482~
DMG*D8*19861202*M~
ICM*4*21482.10~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*991215578~
REF*1L*Employer 4~
REF*23*PC~
DTP*336*D8*20100224~
NM1*IL*1*Otterberg*Tiffany*T~
N3*PO Box 1215578~
N4*New York*NY*21557~
DMG*D8*19880714*F~
ICM*4*21557.10~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*991216484~
REF*1L*Employer 4~
REF*23*PC~
DTP*336*D8*20100602~
NM1*IL*1*Quindel*Nikyia*N~
N3*North Road 1216484~
N4*New York*NY*21648~
DMG*D8*19771127*F~
ICM*4*21648.10~
HD*030***C*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*991239146~
REF*1L*Employer 4~
REF*23*PC~
DTP*336*D8*20100405~
NM1*IL*1*Sjurset*Chanthanard*C~
N3*South Road 1239146~
N4*New York*NY*23914~
DMG*D8*19881202*F~
ICM*4*23914.10~
HD*030***A*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*991464614~
REF*1L*Employer 4~
REF*23*PC~
DTP*336*D8*20090820~
NM1*IL*1*Ticatch*Ashley*A~
N3*East Road 1464614~
N4*New York*NY*46461~
DMG*D8*19880422*F~
ICM*4*46461.10~
HD*030***A*EMP~
DTP*348*D8*20101001~
INS*Y*18*030**A**1*FT~
REF*0F*991489085~
REF*1L*Employer 4~
REF*23*PC~
DTP*336*D8*20100601~
NM1*IL*1*Alberg*Connie*C~
N3*West Road 1489085~
N4*New York*NY*48908~
DMG*D8*19590127*F~
ICM*4*48908.10~
HD*030***A*EMP~
DTP*348*D8*20101001~
SE*414*4~
GE*1*002057349~
IEA*1*002057349~
--================1713ab946cf--
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|
10.100.22.22 |
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/product/soh/echo
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2023-02-21 04:18:10
--================181f8b46c8e
Content-Disposition: form-data; name="data_file"; filename="834_HIPAA_Full_Report.txt"
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ISA*00* *00* *30*550800751 *30*38-002345 *20220713*0656*^*00501*00000000905*0*T*:~
GS*BE*834andmore.com*52-007655*20220713*0656*2064796*X*005010X220A1~
ST*834*002064796*005010X220A1~
BGN*00*002064796*20220713*0656*UT***4~
REF*38*56781234~
DTP*303*D8*20220713~
QTY*TO*183~
QTY*ET*122~
QTY*DT*61~
N1*P5*Mega 11*FI*1**Retail 11~
N1*IN*Aetna*FI*45-576979~
N1*BO*PAYCOR*FI*43-975675~
INS*Y*18*030*XN*A~
REF*0F*999237510~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20061026~
NM1*IL*1*Tilma_Old*Emma*E****999237510~
N3*P O BOX 8436~
N4*Wytheville*VA*37510~
DMG*D8*19570201*F~
INS*Y*18*030*XN*A~
REF*0F*999237449~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20050321~
NM1*IL*1*Lopez*Ann*A****999237449~
N3*20414 Laverton Dr~
N4*Katy*TX*37449~
DMG*D8*19480129*F~
INS*Y*18*030*XN*A~
REF*0F*999237452~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20040317~
NM1*IL*1*Finn*Anna*A****999237452~
N3*5055 FIREOAK COVE~
N4*LA VISTA*NE*37452~
DMG*D8*19720212*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20130223~
INS*Y*18*030*XN*A~
REF*0F*999237456~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20090317~
NM1*IL*1*May*Vanessa*V****999237456~
N3*3605 MOSS POINTE PL.~
N4*Zephyr*NE*37456~
DMG*D8*19510304*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20110620~
INS*Y*18*030*XN*A~
REF*0F*999237460~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20070228~
NM1*IL*1*Davidson*Liza*L****999237460~
N3*1931 Seakale Lane~
N4*Houston*TX*37460~
DMG*D8*19560109*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20110425~
INS*Y*18*030*XN*A~
REF*0F*999237462~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20071126~
NM1*IL*1*Bush*Clara*C****999237462~
N3*1701 Shelby Drive~
N4*LA VISTA*NE*37462~
DMG*D8*19630329*F~
INS*N*01*030*XN*A~
REF*0F*999237462~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Bush 11*George*G****99941265~
N3*1701 Shelby Drive~
N4*LA VISTA*NE*37462~
DMG*D8*19611020*M~
INS*Y*18*030*XN*A~
REF*0F*999237466~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20070212~
NM1*IL*1*Louren*Erika*E****999237466~
N3*2540 Ann Street~
N4*Zephyr*TX*37466~
DMG*D8*19500216*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20120506~
INS*Y*18*030*XN*A~
REF*0F*999237469~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20080211~
NM1*IL*1*Robertson*Julia*J****999237469~
N3*10 Dorothy Rd~
N4*Zeeland*VA*37469~
DMG*D8*19521024*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20110706~
INS*Y*18*030*XN*A~
REF*0F*999237470~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20041213~
NM1*IL*1*Tven*Dave*D****999237470~
N3*313 N CENTER~
N4*Wytheville*VA*37470~
DMG*D8*19710726*M~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20100709~
INS*N*01*030*XN*A~
REF*0F*999237470~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Tven*Andrea*A****99937224~
N3*313 N CENTER~
N4*Wytheville*VA*37470~
DMG*D8*19721226*U~
HD*030**HLT*Med11~
DTP*348*D8*20121203~
INS*N*19*030*XN*A~
REF*0F*999237470~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Tven*Aubrey*A****99937225~
N3*313 N CENTER~
N4*Wytheville*VA*37470~
DMG*D8*20030612*F~
HD*030**HLT*Med11~
DTP*348*D8*20120727~
INS*N*19*030*XN*A~
REF*0F*999237470~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Tven*Amelia*A****99937242~
N3*313 N CENTER~
N4*Wytheville*VA*37470~
DMG*D8*20050830*M~
INS*N*19*030*XN*A~
REF*0F*999237470~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Tven*Charles*C****99948575~
N3*313 N CENTER~
N4*Wytheville*VA*37470~
DMG*D8*20090727*M~
HD*030**HLT*Med11~
DTP*348*D8*20100819~
INS*Y*18*030*XN*A~
REF*0F*999237473~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20090209~
NM1*IL*1*Li*Ann*A****999237473~
N3*2081 DARROW LAKE DR~
N4*Zephyr*TX*37473~
DMG*D8*19610324*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20101012~
INS*N*19*030*XN*A~
REF*0F*999237473~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Li*Maison*M****99937239~
N3*2081 DARROW LAKE DR~
N4*Zephyr*TX*37473~
DMG*D8*20011106*F~
HD*030**HLT*Med11~
DTP*348*D8*20111219~
INS*N*19*030*XN*A~
REF*0F*999237473~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Li*Chase*C****99943090~
N3*2081 DARROW LAKE DR~
N4*Zephyr*TX*37473~
DMG*D8*19901229*M~
HD*030**HLT*Med11~
DTP*348*D8*20120924~
INS*Y*18*030*XN*A~
REF*0F*999237474~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20040206~
NM1*IL*1*Von*Crystal*C****999237474~
N3*Unit 56*P.o. Box 495~
N4*Zurich*AL*37474~
DMG*D8*19660122*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20110425~
INS*Y*18*030*XN*A~
REF*0F*999237476~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20060130~
NM1*IL*1*Henrick*Elizabeth*E****999237476~
N3*966 E 1420 N~
N4*Wyckoff*OH*37476~
DMG*D8*19780810*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20100607~
INS*Y*18*030*XN*A~
REF*0F*999237477~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20080128~
NM1*IL*1*Mur*Boby*B****999237477~
N3*P.O. Box 292~
N4*Wyckoff*OH*37477~
DMG*D8*19900716*M~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20120507~
INS*Y*18*030*XN*A~
REF*0F*999237479~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20070116~
NM1*IL*1*Soier*Steve*S****999237479~
N3*120 Santos Ct~
N4*Zanesville*OH*37479~
DMG*D8*19820730*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20101218~
INS*Y*18*030*XN*A~
REF*0F*999237480~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20050112~
NM1*IL*1*Scott*Pavel*P****999237480~
N3*32 CREEKSIDE DRIVE*Unit 129~
N4*Zephyr*TX*37480~
DMG*D8*19601110*M~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20110903~
INS*Y*18*030*XN*A~
REF*0F*999237481~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20060124~
NM1*IL*1*Ali*Jim*J****999237481~
N3*6265 RIVERSHORE PARKWAY~
N4*Harvest*AL*37481~
DMG*D8*19710718*M~
INS*N*19*030*XN*A~
REF*0F*999237481~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Ali*Joseph*J****99937223~
N3*6265 RIVERSHORE PARKWAY~
N4*Harvest*AL*37481~
DMG*D8*19610418*M~
INS*N*01*030*XN*A~
REF*0F*999237481~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Ali*Kelley*K****99955485~
N3*6265 RIVERSHORE PARKWAY~
N4*Harvest*AL*37481~
DMG*D8*19730727*F~
HD*030**HLT*Med11~
DTP*348*D8*20100715~
INS*N*19*030*XN*A~
REF*0F*999237481~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Ali*Lily*L****99955491~
N3*6265 RIVERSHORE PARKWAY~
N4*Harvest*AL*37481~
DMG*D8*20060624*F~
HD*030**HLT*Med11~
DTP*348*D8*20110111~
INS*Y*18*030*XN*A~
REF*0F*999237483~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20080814~
NM1*IL*1*Craig*Joan*J****999237483~
N3*25891 South 621 Road~
N4*Yuba*TX*37483~
DMG*D8*19790802*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20101122~
INS*Y*18*030*XN*A~
REF*0F*999237484~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*19940108~
NM1*IL*1*Red*Felicia*F****999237484~
N3*2703 Binghamton Lane~
N4*Wytheville*VA*37484~
DMG*D8*19541128*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20120604~
INS*Y*18*030*XN*A~
REF*0F*999237485~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20080107~
NM1*IL*1*Vu*Barbara*B****999237485~
N3*52 Ketcham Rd~
N4*Youngstown*NY*37485~
DMG*D8*19770529*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20110617~
INS*Y*18*030*XN*A~
REF*0F*999237486~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20060107~
NM1*IL*1*Niilos*Ann*A****999237486~
N3*3 Deal Lane~
N4*Yuba*TX*37486~
DMG*D8*19631121*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20131011~
INS*Y*18*030*XN*A~
REF*0F*999237487~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20050106~
NM1*IL*1*Dosch*Lana*L****999237487~
N3*121 N Park Rd~
N4*Zephyr*TX*37487~
DMG*D8*19820920*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20100419~
INS*Y*18*030*XN*A~
REF*0F*999237489~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20051214~
NM1*IL*1*Kuslaka*Anna*A****999237489~
N3*1228 Cadwell*#51~
N4*Zephyr*TX*37489~
DMG*D8*19580815*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20130703~
INS*Y*18*030*XN*A~
REF*0F*999237495~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20080325~
NM1*IL*1*Smitch*Toni*T****999237495~
N3*6 E MONROE ST~
N4*Woodstock*AL*37495~
DMG*D8*19630812*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20100818~
INS*Y*18*030*XN*A~
REF*0F*999237496~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20021120~
NM1*IL*1*Blanco0109*Amy*A****999237496~
N3*403 1/2 South Lake Street~
N4*Woodstock*AL*37496~
DMG*D8*19591009*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20120503~
INS*Y*18*030*XN*A~
REF*0F*999237497~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20061121~
DTP*337*D8*20150101~
NM1*IL*1*Christakis*Peggy*P****999237497~
N3*3821 S. Lowe~
N4*Zumbrota*VA*37497~
DMG*D8*19541027*F~
INS*N*01*030*XN*A~
REF*0F*999237497~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Christakis*Archie*A****99937212~
N3*3821 S. Lowe~
N4*Zumbrota*VA*37497~
DMG*D8*19500701*M~
INS*Y*18*030*XN*A~
REF*0F*999237498~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20031117~
NM1*IL*1*Fayyaz*Teresa*T****999237498~
N3*1129 Cayuse Circle SE~
N4*Zephyr*TX*37498~
DMG*D8*19760225*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20100225~
INS*Y*18*030*XN*A~
REF*0F*999237499~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20061120~
NM1*IL*1*Lorke*Lisa*L****999237499~
N3*4402 Shady Elm Drive~
N4*Zebulon*VA*37499~
DMG*D8*19691008*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20101018~
INS*Y*18*030*XN*A~
REF*0F*999237500~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20071126~
NM1*IL*1*Sedgley*Yolanda*Y****999237500~
N3*7932 Oakview Ln~
N4*Zephyr*AL*37500~
DMG*D8*19620804*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20100314~
INS*Y*18*030*XN*A~
REF*0F*999237502~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20081124~
NM1*IL*1*Davis*Lana*L****999237502~
N3*30 Sayre Drive*Apartment 5~
N4*Zillah*WA*37502~
DMG*D8*19831104*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20110519~
INS*Y*18*030*XN*A~
REF*0F*999237506~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*19791113~
NM1*IL*1*Mousty*Wanda*W****999237506~
N3*1150 Lampwick Lane~
N4*Yerington*OH*37506~
DMG*D8*19590730*F~
HD*030**HLT*Med11*E1D~
DTP*348*D8*20130925~
INS*N*19*030*XN*A~
REF*0F*999237506~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Mousty*Allen*A****99937215~
N3*1150 Lampwick Lane~
N4*Yerington*OH*37506~
DMG*D8*19970321*M~
HD*030**HLT*Med11~
DTP*348*D8*20130704~
INS*Y*18*030*XN*A~
REF*0F*999237510~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20061026~
NM1*IL*1*Tilma*Emma*E****999237510~
N3*P O BOX 8436~
N4*Wytheville*VA*37510~
DMG*D8*19570201*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20120908~
INS*Y*18*030*XN*A~
REF*0F*999237511~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20061025~
NM1*IL*1*Campbell*Crystal*C****999237511~
N3*315 VELVETEEN PLACE~
N4*Zephyr*VA*37511~
DMG*D8*19840831*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20121207~
INS*Y*18*030*XN*A~
REF*0F*999237512~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20051101~
NM1*IL*1*Nieskes*Emma*E****999237512~
N3*156 Gild Ct~
N4*Zephyr*TX*37512~
DMG*D8*19580519*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20100524~
INS*Y*18*030*XN*A~
REF*0F*999237516~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20051024~
NM1*IL*1*Fany*Lewis*L****999237516~
N3*6749 Burbage Lake Circke~
N4*Shady Side*MD*37516~
DMG*D8*19710313*M~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20121004~
INS*Y*18*030*XN*A~
REF*0F*999237517~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20071029~
NM1*IL*1*Hempy*Shantell*S****999237517~
N3*110 W 155th St~
N4*Zephyr*TX*37517~
DMG*D8*19890614*F~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20121203~
INS*Y*18*030*XN*A~
REF*0F*999237518~
REF*1L*Mega 11~
REF*17*Mega 11~
DTP*336*D8*20051024~
NM1*IL*1*Whee*Roma*R****999237518~
N3*315 MAGNOLIA DR*Space 327~
N4*Zurich*AL*37518~
DMG*D8*19730717*M~
HD*030**HLT*Med11*EMP~
DTP*348*D8*20120819~
DTP*349*D8*20170101~
HD*030**DEN*Den11*EMP~
DTP*348*D8*20110515~
DTP*349*D8*20170101~
HD*030**VIS*Vis11*EMP~
DTP*348*D8*20120311~
DTP*349*D8*20170101~
INS*N*19*030*XN*A~
REF*0F*999237518~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Whee*Neeley*N****99937219~
N3*315 MAGNOLIA DR*Space 327~
N4*Zurich*AL*37518~
DMG*D8*19980416*F~
HD*030**HLT*Med11~
DTP*348*D8*20110219~
HD*030**DEN*Den11~
DTP*348*D8*20120615~
HD*030**VIS*Vis11~
DTP*348*D8*20111111~
INS*N*01*030*XN*A~
REF*0F*999237518~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Whee*Patricia*P****99937220~
N3*315 MAGNOLIA DR*Space 327~
N4*Zurich*AL*37518~
DMG*D8*19691003*F~
HD*030**HLT*Med11~
DTP*348*D8*20131225~
HD*030**DEN*Den11~
DTP*348*D8*20131102~
HD*030**VIS*Vis11~
DTP*348*D8*20120616~
INS*N*19*030*XN*A~
REF*0F*999237518~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Whee*Robert*R****99937221~
N3*315 MAGNOLIA DR*Space 327~
N4*Zurich*AL*37518~
DMG*D8*20020718*M~
HD*030**HLT*Med11~
DTP*348*D8*20100722~
HD*030**DEN*Den11~
DTP*348*D8*20101109~
HD*030**VIS*Vis11~
DTP*348*D8*20100902~
INS*N*19*030*XN*A~
REF*0F*999237518~
REF*1L*Mega 11~
REF*17*Mega 11~
NM1*IL*1*Whee*Sara*S****99937222~
N3*315 MAGNOLIA DR*Space 327~
N4*Zurich*AL*37518~
DMG*D8*19970127*F~
HD*030**HLT*Med11~
DTP*348*D8*20121128~
HD*030**DEN*Den11~
DTP*348*D8*20100822~
HD*030**VIS*Vis11~
DTP*348*D8*20100321~
SE*2130*002064796~
ST*834*002064796*005010X220A1~
BGN*00*002064796*20220713*0656*UT***4~
REF*38*56781234~
DTP*303*D8*20220713~
QTY*TO*183~
QTY*ET*122~
QTY*DT*61~
N1*P5*BestDeal*FI*3**Retail 11~
N1*IN*Aetna*FI*45-576979~
N1*BO*PAYCOR*FI*43-975675~
INS*Y*18*030*XN*A~
REF*0F*999237568~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20060629~
NM1*IL*1*Sheamer*Lula*L****999237568~
N3*449 Mackenzie Way~
N4*Zephyr*TX*37568~
DMG*D8*19511120*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20101117~
INS*Y*18*030*XN*A~
REF*0F*999237569~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20000705~
NM1*IL*1*Palazolo*Irene*I****999237569~
N3*31 OAK ST~
N4*Zephyr*TX*37569~
DMG*D8*19460709*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20101002~
INS*N*01*030*XN*A~
REF*0F*999237569~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Palazolo*James*J****99941526~
N3*31 OAK ST~
N4*Zephyr*TX*37569~
DMG*D8*19451228*M~
HD*030**HLT*Med13~
DTP*348*D8*20120625~
INS*Y*18*030*XN*A~
REF*0F*999237571~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20100613~
NM1*IL*1*Plusch*Ashley*A****999237571~
N3*370 Cr 221~
N4*Zephyr*TX*37571~
DMG*D8*19850228*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20131105~
INS*Y*18*030*XN*A~
REF*0F*999237573~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20020617~
NM1*IL*1*Putin*Victoria*B****999237573~
N3*12963 Cristallo Pl~
N4*Zephyr*TX*37573~
DMG*D8*19610319*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120209~
INS*N*19*030*XN*A~
REF*0F*999237573~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Putin*Kyle*K****99937216~
N3*12963 Cristallo Pl~
N4*Zephyr*TX*37573~
DMG*D8*19850924*M~
HD*030**HLT*Med13~
DTP*348*D8*20130913~
INS*N*19*030*XN*A~
REF*0F*999237573~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Putin*Lance*L****99937217~
N3*12963 Cristallo Pl~
N4*Zephyr*TX*37573~
DMG*D8*19900130*M~
HD*030**HLT*Med13~
DTP*348*D8*20100916~
INS*N*01*030*XN*A~
REF*0F*999237573~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Putin*Vovan*S****99937218~
N3*12963 Cristallo Pl~
N4*Zephyr*TX*37573~
DMG*D8*19610418*F~
HD*030**HLT*Med13~
DTP*348*D8*20130126~
INS*Y*18*030*XN*A~
REF*0F*999237574~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20080616~
NM1*IL*1*Moseng*Stephanie*S****999237574~
N3*24983 SOUTHERN OAKS DR~
N4*Zephyr*TX*37574~
DMG*D8*19730119*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100127~
INS*Y*18*030*XN*A~
REF*0F*999237575~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20010607~
NM1*IL*1*Zarlinga*Tim*T****999237575~
N3*844 Panorama Dr Apt 313~
N4*SLC*UT*37575~
DMG*D8*19760329*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100106~
INS*Y*18*030*XN*A~
REF*0F*999237576~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20040629~
NM1*IL*1*Burross*Jessie Bell*J****999237576~
N3*65 OAKVIEW AVE*Apt.# 5H~
N4*Zephyr*NC*37576~
DMG*D8*19490716*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130304~
INS*Y*18*030*XN*A~
REF*0F*999237577~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20070612~
NM1*IL*1*Cortijo*Sheila*S****999237577~
N3*1215 N Ashbrooke Dr~
N4*Upper Marlboro*MD*37577~
DMG*D8*19630418*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20110810~
INS*N*19*030*XN*A~
REF*0F*999237577~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Cortijo*Sarah*S****99937199~
N3*1215 N Ashbrooke Dr~
N4*Upper Marlboro*MD*37577~
DMG*D8*19890123*F~
HD*030**HLT*Med13~
DTP*348*D8*20110208~
INS*Y*18*030*XN*A~
REF*0F*999237579~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20050606~
NM1*IL*1*Kaminecki*Ernest*E****999237579~
N3*216 WOODLANDS RD~
N4*Wytheville*NH*37579~
DMG*D8*19480907*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20110822~
INS*Y*18*030*XN*A~
REF*0F*999237580~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20070530~
NM1*IL*1*Deres*Lashunda*L****999237580~
N3*2250 Allentown Road~
N4*Zephyr*TX*37580~
DMG*D8*19790726*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120205~
INS*Y*18*030*XN*A~
REF*0F*999237584~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20070528~
NM1*IL*1*Adrio*Phillip*P****999237584~
N3*618 MAURY AVE~
N4*Zephyr*TX*37584~
DMG*D8*19890421*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100806~
INS*Y*18*030*XN*A~
REF*0F*999237586~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20060515~
NM1*IL*1*Danna*Jennifer*J****999237586~
N3*112 Wellington Dr~
N4*Zephyr*TX*37586~
DMG*D8*19830322*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20121110~
INS*Y*18*030*XN*A~
REF*0F*999237588~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20030423~
NM1*IL*1*Deolinda*Astra*A****999237588~
N3*114 Meredith Court~
N4*Yuba*TX*37588~
DMG*D8*19791202*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20131005~
INS*N*19*030*XN*A~
REF*0F*999237588~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Deolinda*Charles*C****99941527~
N3*114 Meredith Court~
N4*Yuba*TX*37588~
DMG*D8*20000817*M~
HD*030**HLT*Med13~
DTP*348*D8*20101001~
INS*Y*18*030*XN*A~
REF*0F*999237590~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20050426~
NM1*IL*1*Kimberley*Antonio*A****999237590~
N3*454 Hoyt Avenue~
N4*Zephyr*TX*37590~
DMG*D8*19821124*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20111022~
INS*Y*18*030*XN*A~
REF*0F*999237592~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20070423~
NM1*IL*1*Schepens*Linda*L****999237592~
N3*10207 Green Tree Road*Apt.# 35C~
N4*Zurich*AL*37592~
DMG*D8*19520723*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20120921~
INS*N*01*030*XN*A~
REF*0F*999237592~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Schepens*Donald*D****99941521~
N3*10207 Green Tree Road*Apt.# 35C~
N4*Zurich*AL*37592~
DMG*D8*19520906*M~
HD*030**HLT*Med13~
DTP*348*D8*20130104~
DTP*349*D8*20140604~
INS*Y*18*030*XN*A~
REF*0F*999237593~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20070502~
NM1*IL*1*Siddig*Alice*A****999237593~
N3*9631 Stonecrest Blvd.~
N4*Zebulon*VA*37593~
DMG*D8*19600620*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120405~
INS*Y*18*030*XN*A~
REF*0F*999237595~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20030408~
NM1*IL*1*Kayes*Victoria*V****999237595~
N3*22010 Singing Spurs Drive~
N4*Zephyr*TX*37595~
DMG*D8*19701102*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20121107~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100827~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130724~
INS*N*19*030*XN*A~
REF*0F*999237595~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Kayes*Willie*W****99945219~
N3*22010 Singing Spurs Drive~
N4*Zephyr*TX*37595~
DMG*D8*19911019*M~
HD*030**HLT*Med13~
DTP*348*D8*20130718~
INS*N*19*030*XN*A~
REF*0F*999237595~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Kayes*Michael*M****99945220~
N3*22010 Singing Spurs Drive~
N4*Zephyr*TX*37595~
DMG*D8*19921221*M~
HD*030**HLT*Med13~
DTP*348*D8*20120903~
INS*Y*18*030*XN*A~
REF*0F*999237596~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19980416~
NM1*IL*1*Concha*Bernice*B****999237596~
N3*13832 Legend Trail Ln~
N4*Yerington*OH*37596~
DMG*D8*19600420*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100507~
INS*Y*18*030*XN*A~
REF*0F*999237599~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20070402~
NM1*IL*1*Bascos*Lorraine*L****999237599~
N3*270 AKALOA~
N4*Woodsville*NH*37599~
DMG*D8*19810709*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20101104~
INS*Y*18*030*XN*A~
REF*0F*999237600~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19990405~
NM1*IL*1*Shaevel*Linda*L****999237600~
N3*54 CHESTNUT AVENUE~
N4*Zephyr*TX*37600~
DMG*D8*19490609*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20110701~
INS*Y*18*030*XN*A~
REF*0F*999237601~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20060328~
NM1*IL*1*Hrynewych*Melvin*M****999237601~
N3*4875 Hasty Pond Road~
N4*Zephyr*TX*37601~
DMG*D8*19640715*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20111112~
INS*Y*18*030*XN*A~
REF*0F*999237605~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20030313~
NM1*IL*1*Bhungane*Patricia*P****999237605~
N3*Seattle, Wa.~
N4*Zurich*PA*37605~
DMG*D8*19560107*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20131014~
INS*Y*18*030*XN*A~
REF*0F*999237610~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19960115~
NM1*IL*1*Pascual*Zabeth*Z****999237610~
N3*P O Box 38161*No 5114~
N4*Wyatt*NY*37610~
DMG*D8*19710616*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130727~
INS*Y*18*030*XN*A~
REF*0F*999237611~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19960101~
NM1*IL*1*Dyatel*Carol*C****999237611~
N3*5434 S Egofske Rd~
N4*Zanesville*MD*37611~
DMG*D8*19460907*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20101118~
INS*N*01*030*XN*A~
REF*0F*999237611~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Dyatel*Mitchell*M****99937230~
N3*5434 S Egofske Rd~
N4*Zanesville*MD*37611~
DMG*D8*19380817*M~
HD*030**HLT*Med13~
DTP*348*D8*20100620~
INS*Y*18*030*XN*A~
REF*0F*999237617~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19900723~
NM1*IL*1*Osstifin*Danny*D****999237617~
N3*18300 Myrtle Court~
N4*Yucca Valley*PA*37617~
DMG*D8*19641109*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100904~
INS*Y*18*030*XN*A~
REF*0F*999237618~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20010605~
NM1*IL*1*Pfaab*Angela*A****999237618~
N3*1358 W Barry Ave~
N4*Wrentham*AL*37618~
DMG*D8*19730317*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130919~
INS*Y*18*030*XN*A~
REF*0F*999237619~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20040621~
NM1*IL*1*Westerhof*Janice*J****999237619~
N3*91 Hi Vu Dr~
N4*Wytheville*VA*37619~
DMG*D8*19560811*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100120~
INS*Y*18*030*XN*A~
REF*0F*999237620~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19770503~
NM1*IL*1*Antil*Faye*F****999237620~
N3*3201 Ashland~
N4*Zephyr*TX*37620~
DMG*D8*19530307*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120428~
INS*Y*18*030*XN*A~
REF*0F*999237621~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19730606~
NM1*IL*1*Tharachai*Keith*K****999237621~
N3*3948 Lorien Way NW~
N4*Wyckoff*CO*37621~
DMG*D8*19590319*M~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20130903~
INS*N*01*030*XN*A~
REF*0F*999237621~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Tharachai*Cynthia*C****99937194~
N3*3948 Lorien Way NW~
N4*Wyckoff*CO*37621~
DMG*D8*19610514*F~
HD*030**HLT*Med13~
DTP*348*D8*20100724~
INS*Y*18*030*XN*A~
REF*0F*999237622~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19980209~
NM1*IL*1*Hefestay*Richard*R****999237622~
N3*1765 DYER DR.~
N4*Melvindale*MI*37622~
DMG*D8*19461021*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20121110~
INS*Y*18*030*XN*A~
REF*0F*999237626~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19801125~
NM1*IL*1*Ritzheimer*Patricia*P****999237626~
N3*652 COLLEEN DR~
N4*Youngstown*NY*37626~
DMG*D8*19550103*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130725~
INS*Y*18*030*XN*A~
REF*0F*999237629~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19881107~
NM1*IL*1*Deldeo*Nancy*N****999237629~
N3*105 Silvercreek Drive~
N4*Youngstown*NY*37629~
DMG*D8*19450408*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100504~
INS*Y*18*030*XN*A~
REF*0F*999237632~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19951005~
NM1*IL*1*Oung*Roger*R****999237632~
N3*8422 AMANDA PLACE~
N4*New York*NY*37632~
DMG*D8*19601103*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130507~
INS*Y*18*030*XN*A~
REF*0F*999239408~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20001025~
NM1*IL*1*Bracher*Melissa*M****999239408~
N3*2514 S BRISTOL~
N4*New York*NY*39408~
DMG*D8*19761017*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120628~
INS*Y*18*030*XN*A~
REF*0F*999239410~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20070403~
NM1*IL*1*Knibloe*Dora*D****999239410~
N3*3015 N 1800 Ave~
N4*New York*NY*39410~
DMG*D8*19621031*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20130425~
INS*N*19*030*XN*A~
REF*0F*999239410~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Knibloe*Terri*T****19214845~
N3*3015 N 1800 Ave~
N4*New York*NY*39410~
DMG*D8*20090206*F~
HD*030**HLT*Med13~
DTP*348*D8*20130520~
INS*Y*18*030*XN*A~
REF*0F*999250291~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19930422~
NM1*IL*1*Rauens*Gloria*G****999250291~
N3*887 PLANK RD~
N4*Youngstown*NY*50291~
DMG*D8*19640213*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20120912~
INS*N*19*030*XN*A~
REF*0F*999250291~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Rauens*Ayesha*A****99954297~
N3*887 PLANK RD~
N4*Youngstown*NY*50291~
DMG*D8*19960309*F~
HD*030**HLT*Med13~
DTP*348*D8*20120228~
INS*Y*18*030*XN*A~
REF*0F*999250292~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19790827~
NM1*IL*1*Alouf*Lynn*L****999250292~
N3*6431 Pirtlewood Circle~
N4*Youngstown*NY*50292~
DMG*D8*19540831*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20101121~
INS*Y*18*030*XN*A~
REF*0F*999250293~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20030826~
NM1*IL*1*Nagavel*Angela*A****999250293~
N3*12219 Greenleaf Ave~
N4*Wyckoff*NJ*50293~
DMG*D8*19691020*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100811~
INS*Y*18*030*XN*A~
REF*0F*999250295~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*19980124~
NM1*IL*1*Muuka*Monique*M****999250295~
N3*809 RT. 105~
N4*Youngstown*NY*50295~
DMG*D8*19680811*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20100322~
INS*N*19*030*XN*A~
REF*0F*999250295~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Muuka*Porsha*P****99945303~
N3*809 RT. 105~
N4*Youngstown*NY*50295~
DMG*D8*19910703*F~
HD*030**HLT*Med13~
DTP*348*D8*20100506~
INS*Y*18*030*XN*A~
REF*0F*999250298~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20010730~
NM1*IL*1*Sperstad*Karlita*K****999250298~
N3*3914 Brookdale Ave~
N4*New York*NY*50298~
DMG*D8*19740105*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20110607~
INS*Y*18*030*XN*A~
REF*0F*999374741~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090429~
NM1*IL*1*Beauclair*Rosalyn*R****999374741~
N3*152 S MAIN ST*Lane~
N4*New York*NY*74741~
DMG*D8*19750909*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20120201~
DTP*349*D8*20170101~
INS*N*01*030*XN*A~
REF*0F*999374741~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Beauclair*John*J****19216939~
N3*152 S MAIN ST*Lane~
N4*New York*NY*74741~
DMG*D8*19650518*M~
HD*030**HLT*Med13~
DTP*348*D8*20120421~
INS*Y*18*030*XN*A~
REF*0F*999394036~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090429~
NM1*IL*1*Iwach*Maggie*M****999394036~
N3*20535 Barlow~
N4*Youngstown*NY*94036~
DMG*D8*19500702*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20101015~
INS*Y*18*030*XN*A~
REF*0F*999448146~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090623~
NM1*IL*1*Grisbee*Tina*T****999448146~
N3*19585 Black Road~
N4*New York*NY*48146~
DMG*D8*19820223*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130308~
HD*030**DEN*Den13*EMP~
DTP*348*D8*20130215~
HD*030**VIS*Vis13*EMP~
DTP*348*D8*20130124~
INS*N*01*030*XN*A~
REF*0F*999448146~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Grisbee*Joshua*J****99956363~
N3*19585 Black Road~
N4*New York*NY*48146~
DMG*D8*19780411*M~
HD*030**HLT*Med13~
DTP*348*D8*20110526~
DTP*349*D8*20150202~
HD*030**DEN*Den13~
DTP*348*D8*20110213~
DTP*349*D8*20150202~
HD*030**VIS*Vis13~
DTP*348*D8*20120409~
DTP*349*D8*20150202~
INS*N*19*030*XN*A~
REF*0F*999448146~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Grisbee*Alexis*A****99956365~
N3*19585 Black Road~
N4*New York*NY*48146~
DMG*D8*20030501*F~
HD*030**HLT*Med13~
DTP*348*D8*20130219~
DTP*349*D8*20150202~
HD*030**DEN*Den13~
DTP*348*D8*20111210~
DTP*349*D8*20150202~
HD*030**VIS*Vis13~
DTP*348*D8*20111025~
DTP*349*D8*20150202~
INS*N*19*030*XN*A~
REF*0F*999448146~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Grisbee*Carson*C****99956366~
N3*19585 Black Road~
N4*New York*NY*48146~
DMG*D8*20060218*M~
HD*030**HLT*Med13~
DTP*348*D8*20120301~
DTP*349*D8*20150202~
HD*030**DEN*Den13~
DTP*348*D8*20130727~
DTP*349*D8*20150202~
HD*030**VIS*Vis13~
DTP*348*D8*20130702~
DTP*349*D8*20150202~
INS*Y*18*030*XN*A~
REF*0F*999448719~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090624~
DTP*337*D8*20150101~
NM1*IL*1*Searcy*Ruby*R****999448719~
N3*52353 TRIPOLI WAY~
N4*New York*NY*48719~
DMG*D8*19510916*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20110422~
DTP*349*D8*20170101~
INS*Y*18*030*XN*A~
REF*0F*999448736~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090604~
NM1*IL*1*Pleyel*Tangee*T****999448736~
N3*280 Uvalde #271~
N4*York*RI*48736~
DMG*D8*19640806*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20110917~
INS*Y*18*030*XN*A~
REF*0F*999449800~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090602~
NM1*IL*1*Ghiya*Linda*L****999449800~
N3*1404 S Houston St~
N4*Youngstown*NY*49800~
DMG*D8*19481202*F~
HD*030**HLT*Med13*E1D~
DTP*348*D8*20110607~
INS*N*01*030*XN*A~
REF*0F*999449800~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Ghiya*Ray*R****99956519~
N3*1404 S Houston St~
N4*Youngstown*NY*49800~
DMG*D8*19480616*M~
HD*030**HLT*Med13~
DTP*348*D8*20100617~
INS*Y*18*030*XN*A~
REF*0F*999500132~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090713~
NM1*IL*1*Coquis*Alda*A****999500132~
N3*1600 S. Indiana Avenue~
N4*Youngstown*NY*50292~
DMG*D8*19600413*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20110303~
INS*Y*18*030*XN*A~
REF*0F*999518266~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090921~
NM1*IL*1*Wiig*WyDonna*W****999518266~
N3*7-29 HEGEMAN AVE #14H~
N4*Yucca Valley*NY*18266~
DMG*D8*19691116*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120318~
INS*N*19*030*XN*A~
REF*0F*999518266~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Wiig*Shayla*S****99975372~
N3*7-29 HEGEMAN AVE #14H~
N4*Yucca Valley*NY*18266~
DMG*D8*19901002*F~
HD*030**HLT*Med13~
DTP*348*D8*20130117~
INS*N*19*030*XN*A~
REF*0F*999518266~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Wiig*Destery*D****99975373~
N3*7-29 HEGEMAN AVE #14H~
N4*Yucca Valley*NY*18266~
DMG*D8*19920321*M~
HD*030**HLT*Med13~
DTP*348*D8*20130910~
INS*Y*18*030*XN*A~
REF*0F*999591705~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090823~
NM1*IL*1*Mannix*Joe*J****999591705~
N3*1927 MANILA~
N4*New York*NY*91705~
DMG*D8*19610725*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130522~
INS*Y*18*030*XN*A~
REF*0F*999672656~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20091116~
NM1*IL*1*Leoncavallo*Ronald*R****999672656~
N3*810 Eagle Hills Way~
N4*New York*NY*72656~
DMG*D8*19630204*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20110204~
INS*N*01*030*XN*A~
REF*0F*999672656~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Leoncavallo*Diane*D****19108896~
N3*810 Eagle Hills Way~
N4*New York*NY*72656~
DMG*D8*19591223*F~
HD*030**HLT*Med13~
DTP*348*D8*20101116~
INS*N*19*030*XN*A~
REF*0F*999672656~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Leoncavallo*Seth*S****19108897~
N3*810 Eagle Hills Way~
N4*New York*NY*72656~
DMG*D8*19950518*M~
HD*030**HLT*Med13~
DTP*348*D8*20130303~
INS*N*19*030*XN*A~
REF*0F*999672656~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Leoncavallo*Logan*L****19108898~
N3*810 Eagle Hills Way~
N4*New York*NY*72656~
DMG*D8*19971018*M~
HD*030**HLT*Med13~
DTP*348*D8*20101206~
INS*Y*18*030*XN*A~
REF*0F*999680917~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20091106~
NM1*IL*1*Kasotia*Doris Dottie*D****999680917~
N3*9235 S Wabash~
N4*New York*NY*80917~
DMG*D8*19740824*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120202~
HD*030**DEN*Den13*EMP~
DTP*348*D8*20100128~
HD*030**VIS*Vis13*EMP~
DTP*348*D8*20131004~
INS*N*19*030*XN*A~
REF*0F*999680917~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Kasotia*Riley*R****19110273~
N3*9235 S Wabash~
N4*New York*NY*80917~
DMG*D8*20000610*M~
HD*030**HLT*Med13~
DTP*348*D8*20130328~
HD*030**DEN*Den13~
DTP*348*D8*20100125~
HD*030**VIS*Vis13~
DTP*348*D8*20110627~
INS*N*19*030*XN*A~
REF*0F*999680917~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Kasotia*Ethan*E****19110275~
N3*9235 S Wabash~
N4*New York*NY*80917~
DMG*D8*20050419*M~
HD*030**HLT*Med13~
DTP*348*D8*20100709~
HD*030**DEN*Den13~
DTP*348*D8*20131213~
HD*030**VIS*Vis13~
DTP*348*D8*20120105~
INS*N*19*030*XN*A~
REF*0F*999680917~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Kasotia*Anna*A****19110276~
N3*9235 S Wabash~
N4*New York*NY*80917~
DMG*D8*20050419*F~
HD*030**HLT*Med13~
DTP*348*D8*20100924~
DTP*349*D8*20140510~
HD*030**DEN*Den13~
DTP*348*D8*20120518~
DTP*349*D8*20140510~
HD*030**VIS*Vis13~
DTP*348*D8*20120718~
DTP*349*D8*20140510~
INS*N*01*030*XN*A~
REF*0F*999680917~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Kasotia*Stanley*S****19110277~
N3*9235 S Wabash~
N4*New York*NY*80917~
DMG*D8*19701118*M~
HD*030**HLT*Med13~
DTP*348*D8*20120224~
HD*030**DEN*Den13~
DTP*348*D8*20131026~
HD*030**VIS*Vis13~
DTP*348*D8*20120105~
INS*Y*18*030*XN*A~
REF*0F*999876691~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20091217~
NM1*IL*1*Armant*Okiemute*O****999876691~
N3*7943 Guild Ct~
N4*New York*NY*76691~
DMG*D8*19760617*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20130419~
INS*Y*18*030*XN*A~
REF*0F*999934103~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20091201~
NM1*IL*1*Sprunger*Tabitha*T****999934103~
N3*440 Oder Ave~
N4*Youngstown*NY*34103~
DMG*D8*19850711*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120901~
INS*Y*18*030*XN*A~
REF*0F*999935029~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20091215~
NM1*IL*1*Barsegian*Andrea*A****999935029~
N3*260 N Centruy Dr*Apt.# 1823~
N4*Youngstown*NY*35029~
DMG*D8*19820822*F~
HD*030**HLT*Med13*ESP~
DTP*348*D8*20121114~
INS*N*01*030*XN*A~
REF*0F*999935029~
REF*1L*BestDeal~
REF*DX*BestDeal~
NM1*IL*1*Barsegian*Ricardo*R****19212434~
N3*260 N Centruy Dr*Apt.# 1823~
N4*Youngstown*NY*35029~
DMG*D8*19840305*M~
HD*030**HLT*Med13~
DTP*348*D8*20120328~
INS*Y*18*030*XN*A~
REF*0F*999976025~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20100120~
NM1*IL*1*Wensec*Christopher*C****999976025~
N3*403 Oakland Ave~
N4*Tenafly*NJ*76025~
DMG*D8*19770609*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100523~
INS*Y*18*030*XN*A~
REF*0F*191134132~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20090914~
NM1*IL*1*Nagavel*James*J****191134132~
N3*369 Montezuma Avenue #159~
N4*Woodsville*NY*13413~
DMG*D8*19580627*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20110824~
INS*Y*18*030*XN*A~
REF*0F*191214820~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20100413~
NM1*IL*1*Dingerson*Joseph*J****191214820~
N3*306 Clear Lake Ln~
N4*Wyckoff*NJ*21482~
DMG*D8*19861202*M~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20120828~
INS*Y*18*030*XN*A~
REF*0F*191215578~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20100224~
NM1*IL*1*Otterberg*Tiffany*T****191215578~
N3*560 SELLS LANE~
N4*Zebulon*NJ*21557~
DMG*D8*19880714*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100302~
INS*Y*18*030*XN*A~
REF*0F*191216484~
REF*1L*BestDeal~
REF*DX*BestDeal~
DTP*336*D8*20100602~
NM1*IL*1*Quindel*Nikyia*N****191216484~
N3*4906 S. KOLIN*Apt.# B1001~
N4*Youngstown*NY*21648~
DMG*D8*19771127*F~
HD*030**HLT*Med13*EMP~
DTP*348*D8*20100217~
SE*2130*002064796~
ST*834*002064796*005010X220A1~
BGN*00*002064796*20220713*0656*UT***4~
REF*38*56781234~
DTP*303*D8*20220713~
QTY*TO*183~
QTY*ET*122~
QTY*DT*61~
N1*P5*Imerys*FI*2**Manufacture~
N1*IN*Aetna*FI*45-576979~
N1*BO*PAYCOR*FI*43-975675~
INS*Y*18*030*XN*A~
REF*0F*999237519~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20061030~
NM1*IL*1*Svelmoe*Pierce*P****999237519~
N3*8727 Huebner Rd Apt #713~
N4*Zephyr*TX*37519~
DMG*D8*19550710*M~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20110918~
INS*Y*18*030*XN*A~
REF*0F*999237528~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20080929~
NM1*IL*1*Cutcliffe*Kimberly*K****999237528~
N3*55 Langdon St*Apt 1207~
N4*Woodlawn*MD*37528~
DMG*D8*19800907*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20120403~
INS*Y*18*030*XN*A~
REF*0F*999237531~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20060911~
NM1*IL*1*Rinke*Brandi*B****999237531~
N3*156 Gild Ct~
N4*Wytheville*VA*37531~
DMG*D8*19820426*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20120411~
INS*N*19*030*XN*A~
REF*0F*999237531~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Rinke*Zaquan*Z****99956009~
N3*156 Gild Ct~
N4*Wytheville*VA*37531~
DMG*D8*19981026*M~
HD*030**HLT*Med22~
DTP*348*D8*20130211~
INS*N*19*030*XN*A~
REF*0F*999237531~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Rinke*Nadia*N****99956010~
N3*156 Gild Ct~
N4*Wytheville*VA*37531~
DMG*D8*20040720*F~
HD*030**HLT*Med22~
DTP*348*D8*20130602~
INS*N*19*030*XN*A~
REF*0F*999237531~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Rinke*Bryson*B****19153288~
N3*156 Gild Ct~
N4*Wytheville*VA*37531~
DMG*D8*20100416*M~
HD*030**HLT*Med22~
DTP*348*D8*20110309~
INS*Y*18*030*XN*A~
REF*0F*999237532~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20070326~
NM1*IL*1*Mussel*Amanda*A****999237532~
N3*12914 40th Ave E~
N4*Mansville*TX*37532~
DMG*D8*19730716*F~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20120113~
INS*Y*18*030*XN*A~
REF*0F*999237533~
REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*19930104~
DTP*337*D8*20141015~
NM1*IL*1*Wolfer*David*D****999237533~
N3*119 MAGNOLIA STREET APT 1*#4~
N4*Zephyr*TX*37533~
DMG*D8*19710412*M~
HD*030**HLT*Med22*EMP~
DTP*348*D8*20100413~
DTP*349*D8*20170101~
HD*030**DEN*Den22*EMP~
DTP*348*D8*20131109~
DTP*349*D8*20170101~
HD*030**VIS*Vis22*EMP~
DTP*348*D8*20130427~
DTP*349*D8*20170101~
INS*N*19*030*XN*A~
REF*0F*999237533~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Wolfer*Abigail*A****99937184~
N3*119 MAGNOLIA STREET APT 1*#4~
N4*Zephyr*TX*37533~
DMG*D8*19970211*F~
HD*030**HLT*Med22~
DTP*348*D8*20110825~
DTP*349*D8*20141015~
HD*030**DEN*Den22~
DTP*348*D8*20101001~
DTP*349*D8*20141015~
HD*030**VIS*Vis22~
DTP*348*D8*20121226~
DTP*349*D8*20141015~
INS*N*19*030*XN*A~
REF*0F*999237533~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Wolfer*Benjamin*B****99937185~
N3*119 MAGNOLIA STREET APT 1*#4~
N4*Zephyr*TX*37533~
DMG*D8*20020813*M~
HD*030**HLT*Med22~
DTP*348*D8*20130516~
DTP*349*D8*20141015~
HD*030**DEN*Den22~
DTP*348*D8*20101019~
DTP*349*D8*20141015~
HD*030**VIS*Vis22~
DTP*348*D8*20101211~
DTP*349*D8*20141015~
INS*N*19*030*XN*A~
REF*0F*999237533~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Wolfer*William*W****99937187~
N3*119 MAGNOLIA STREET APT 1*#4~
N4*Zephyr*TX*37533~
DMG*D8*19990331*M~
HD*030**HLT*Med22~
DTP*348*D8*20110722~
DTP*349*D8*20141015~
HD*030**DEN*Den22~
DTP*348*D8*20120213~
DTP*349*D8*20141015~
HD*030**VIS*Vis22~
DTP*348*D8*20101214~
DTP*349*D8*20141015~
INS*N*01*030*XN*A~
REF*0F*999237533~
REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Wolfer*Kelly*K****99954296~
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REF*1L*Imerys~
REF*17*Imerys~
NM1*IL*1*Cicic*Nellie*N****99937209~
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REF*1L*Imerys~
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REF*1L*Imerys~
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DTP*336*D8*20070821~
NM1*IL*1*Stroemer*Sara Ellen*S****999237544~
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DMG*D8*19850310*F~
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REF*0F*999237544~
REF*1L*Imerys~
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NM1*IL*1*Stroemer*Randolph*R****99955981~
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REF*1L*Imerys~
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REF*1L*Imerys~
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REF*1L*Imerys~
REF*17*Imerys~
DTP*336*D8*20010731~
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REF*1L*Imerys~
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REF*1L*Imerys~
REF*17*Imerys~
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REF*1L*Imerys~
REF*17*Imerys~
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HD*030**HLT*Med22~
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REF*1L*Imerys~
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DTP*336*D8*20070717~
NM1*IL*1*Bugg*Shatika*S****999237560~
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HD*030**HLT*Med22*EMP~
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REF*1L*Imerys~
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DTP*336*D8*20050711~
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DMG*D8*19650319*F~
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DTP*336*D8*19970707~
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DMG*D8*19600723*F~
HD*030**HLT*Med22*EMP~
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REF*0F*999237565~
REF*1L*Imerys~
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DMG*D8*19571224*M~
HD*030**HLT*Med22~
DTP*348*D8*20120806~
SE*2130*002064796~
ST*834*002064796*005010X220A1~
BGN*00*002064796*20220713*0656*UT***4~
REF*38*56781234~
DTP*303*D8*20220713~
QTY*TO*183~
QTY*ET*122~
QTY*DT*61~
N1*P5*Brooks*FI*4**Manufacture~
N1*IN*Aetna*FI*45-576979~
N1*BO*PAYCOR*FI*43-975675~
INS*Y*18*030*XN*A~
REF*0F*191239146~
REF*1L*Brooks~
REF*DX*Brooks~
DTP*336*D8*20100405~
NM1*IL*1*Sjurset*Chanthanard*C****191239146~
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N4*New York*NY*23914~
DMG*D8*19881202*F~
HD*030**HLT*Med24*EMP~
DTP*348*D8*20130627~
INS*Y*18*030*XN*A~
REF*0F*191464614~
REF*1L*Brooks~
REF*DX*Brooks~
DTP*336*D8*20090820~
NM1*IL*1*Ticatch*Ashley*A****191464614~
N3*1905 Wayne Dr~
N4*New York*NY*46461~
DMG*D8*19880422*F~
HD*030**HLT*Med24*EMP~
DTP*348*D8*20100401~
INS*Y*18*030*XN*A~
REF*0F*191489085~
REF*1L*Brooks~
REF*DX*Brooks~
DTP*336*D8*20100601~
DTP*337*D8*20150203~
NM1*IL*1*Alberg*Connie*C****191489085~
N3*4955 W 7th St*#24E~
N4*New York*NY*48908~
DMG*D8*19590127*F~
SE*2130*002064796~
ST*834*002064796*005010X220A1~
BGN*00*002064796*20220713*0656*UT***4~
REF*38*56781234~
DTP*303*D8*20220713~
QTY*TO*183~
QTY*ET*122~
QTY*DT*61~
N1*P5*Test 2017 emp*FI*5**Test 2017 v 3~
N1*IN*Aetna*FI*45-576979~
N1*BO*PAYCOR*FI*43-975675~
SE*2130*002064796~
GE*1*2064796~
IEA*1*01~
--================181f8b46c8e--
|
multipart/form-data; boundary=================181f8b46c8e |
48110 |
/subscriber/upload_file
|
10.10.11.12 |
|
|
2023-02-21 04:18:10
{
"TransmissionGUID": "BenAdminTransactionID",
"SenderName": "BenAdminName",
"SenderPlatformName": "ClientName",
"ReceiverName": "Guardian",
"CreationDateTime": "2020-02-21 18:31:13",
"TestProductionCode": "Test",
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{
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}
],
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{
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"CarrierMasterAgreementNumber": [
{
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"MasterAgreementNumber": "string",
"CarrierID": "string"
}
],
"EmployerName": "Employer Name",
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|
application/xml; charset=UTF-8 |
9907 |
/product/soh/updatePendingSoh
|
10.100.23.22 |
|
|
2023-02-21 04:18:10
{
"TransmissionGUID": "BenAdminTransactionID",
"SenderName": "BenAdminName",
"SenderPlatformName": "ClientName",
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"string"
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}
|
application/xml; charset=UTF-8 |
9907 |
/product/soh/updatePendingSoh
|
10.100.23.22 |
|
|
2023-02-21 04:18:10
{
"TransmissionGUID": "BenAdminTransactionID",
"SenderName": "BenAdminName",
"SenderPlatformName": "ClientName",
"ReceiverName": "Guardian",
"CreationDateTime": "2020-02-20 19:55:47",
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],
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{
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{
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}
],
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|
application/xml; charset=UTF-8 |
9907 |
/product/soh/updatePendingSoh
|
10.100.23.22 |
|
|
2023-02-21 04:18:10
|
|
|
/product/soh/echo
|
10.100.22.10 |