ISA*00*          *00*          *ZZ*77027          *ZZ*TRADINGPARTID  *080206*1837*U*00401*000011832*0*T*:
GS*BE*77027*TRADINGPARTID*20080206*1837*11832*X*004010X095A1
ST*834*0001
BGN*00*1*20080206*133701*ES***2
DTP*007*D8*20071123
N1*P5*STATE OF FLORIDA MEDICAID*FI*593452939
N1*IN**FI*122233333
INS*Y*18*001*AI*A*A**FT**N*******0
REF*0F*1234567890
REF*1L*22222
REF*Q4*6666555544
DTP*356*D8*20070601
NM1*IL*1*RECLNAME*RECFNAME*M
PER*IP**TE*8501112224
N3*222 1ST STREET*BUILDING 1
N4*TALLAHASSEE*FL*32301**CY*06
DMG*D8*19330706*F**7
LUI*LD*ENG
NM1*S3*1*LNAMECP*FNAMECP
NM1*QD*1*RPLN*RPFN*R
HD*001**HLT
DTP*348*D8*20070601
INS*Y*18*001*AI*A*C**FT**N*******0
REF*0F*1234567890
REF*1L*22222
REF*Q4*6666555544
DTP*356*D8*20070601
NM1*IL*1*RECLNAME*RECFNAME*M
PER*IP**TE*8501112224
N3*222 1ST STREET
N4*TALLAHASSEE*FL*32301**CY*06
DMG*D8*19330706*M**7
LUI*LD*ENG
NM1*S3*1*LNAMECP*FNAMECP
NM1*QD*1*RPLN*RPFN
HD*001**HLT
DTP*348*D8*20070601
HD*001**HLT
DTP*348*D8*20051201
DTP*349*D8*20060831
HD*001**HLT
DTP*348*D8*20051101
DTP*349*D8*20051130
HD*001**HLT
DTP*348*D8*20020901
DTP*349*D8*20051031
HD*001**HLT
DTP*348*D8*20020701
DTP*349*D8*20020831
HD*001**HLT
DTP*348*D8*20020301
DTP*349*D8*20020630
HD*001**HLT
DTP*348*D8*20001201
DTP*349*D8*20020228
INS*Y*18*001*AI*A*C**FT**N*******0
REF*0F*1234567890
REF*1L*22222
REF*Q4*6666555544
DTP*356*D8*20070601
NM1*IL*1*RECLNAME*RECFNAME*M
PER*IP**TE*8501112224
N3*222 1ST STREET
N4*TALLAHASSEE*FL*32301**CY*06
DMG*D8*19330706*M**7
LUI*LD*ENG
NM1*S3*1*LNAMECP*FNAMECP
NM1*QD*1*RPLN*RPFN
HD*001**HLT
DTP*348*D8*20070601
INS*Y*18*021*AI*A***FT**N*******0
REF*0F*1234567890
REF*1L*22222
DTP*356*D8*20070801
NM1*IL*1*RECLNAME*RECFNAME*M
PER*IP**TE*8501112224
N3*222 1ST STREET
N4*TALLAHASSEE*FL*32301**CY*41
DMG*D8*19330706*F**7
LUI*LD*ENG
NM1*S3*1*LNAMECP*FNAMECP
NM1*QD*1*RPLN*RPFN*R
HD*021**HLT
DTP*348*D8*20070801
HD*021**HLT
DTP*348*D8*20070801
HD*021**HLT
DTP*348*D8*20060101
DTP*349*D8*20070731
HD*021**HLT
DTP*348*D8*20050901
DTP*349*D8*20051130
HD*021**HLT
DTP*348*D8*20041101
DTP*349*D8*20050731
INS*Y*18*021*AI*A***FT**N*******0
REF*0F*1234567890
REF*1L*22222
DTP*356*D8*20040301
NM1*IL*1*RECLNAME*RECFNAME*M
PER*IP**TE*8501112224
N3*222 1ST STREET
N4*TALLAHASSEE*FL*32301**CY*41
DMG*D8*19330706*M**7
LUI*LD*ENG
NM1*S3*1*LNAMECP*FNAMECP
NM1*QD*1*RPLN*RPFN
HD*021**HLT
DTP*348*D8*20040301
INS*Y*18*021*AI*A***FT**N*******0
REF*0F*1234567890
REF*1L*22222
DTP*356*D8*20050901
NM1*IL*1*RECLNAME*RECFNAME*M
PER*IP**TE*8501112224
N3*222 1ST STREET
N4*TALLAHASSEE*FL*32301**CY*41
DMG*D8*19330706*F**7
LUI*LD*ENG
NM1*S3*1*LNAMECP*FNAMECP
NM1*QD*1*RPLN*RPFN*R
HD*021**HLT
DTP*348*D8*20050901
HD*021**HLT
DTP*348*D8*20011201
DTP*349*D8*20021130
HD*021**HLT
DTP*348*D8*20010920
DTP*349*D8*20010930
SE*128*0001
GE*1*11832
IEA*1*000011832