CF|0|Example Insurance Company|202201|202412|15||||
CF001|CF002|CF003|CF004|CF005|CF006|CF007|CF008|CF009|CF010|CF011|CF012|CF013|CF014|CF015|CF016|CF017|CF018|CF019
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0|202201|202412|XYZ123|Smith|David||M|20001230|000000001|Provider2|0987654321|123456789|Jordan|Michael|16|D1|753951.00|CF
0|202201|202412|ABC123321|Johnston|John|B|U|19600101|000000002|Provider3|1357924680|789456123|Denver Family Medicine||12|D6|12345.00|CF
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0|202201|202412|CBAABC111|Clark|Nora||F|19400825|000000004|Provider5|5846729031|104839657|Littleton Wellness Clinic||12|D6|5762.00|CF
0|202201|202412|000X78901|Bennett|Leo|C|M|20000615|000000005|Provider6|4713928560|726451983|Advanced Pediatric Group||HM|D5|65341.00|CF
0|202201|202412|APCD98765X|Parker|Maya||F|19460205|000000006|Provider7|5839264710|295764813|Evergreen Health Center||MS|D4|896451.00|CF
0|202201|202412|123ABC123|Reed|Ethan||M|19500723|000000007|Provider8|7390152846|648293107|Ross|Benjamin|CP|D1|159753.00|CF
0|202201|202412|987ID45603|Hunter|Maxwell||M|19901231|000000008|Provider9|6182493750|281657394|Moore|Owen|12|D3|3500.00|CF
0|202201|202412|B00080015|Montgomery|Collin||M|19860524|000000009|Provider10|9057384126|507213846|Rocky Mountain Health Partners||16|D2|7981.50|CF
0|202201|202412|MEMBER123|Wells|Chloe||F|19780630|000000010|Provider11|1328456901|382746159|Summit View Medical Group||HM|D3|74685.00|CF
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CF|0|Example Insurance Company|202201|202412|20250815