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REND PROV    SERV DATE  POS NOS PROC  MODS      BILLED     ALLOWED    
+  DEDUCT       COINS GRP/RC           AMT     PROV PD
______________________________________________________________________
+__________________________________________________________
NAME DOE, JOHN                       HIC 1111111111     ACNT 1111111  
+        ICN 1111111111111    ASG Y MOA MA01  MA18 
...
PT RESP        21.06          CLAIM TOTALS      749.00      105.31    
+    0.00       21.06               643.69       84.25
ADJ TO TOTALS: PREV PD                INTEREST        0.00       LATE 
+FILING CHARGE        0.00    NET       84.25
CLAIM INFORMATION FORWARDED TO : XXXXXX XXXXXXXX INSURANCE CO

use strict;
use warnings;

...
                                @data=();        } } } }    
    close TEST;
    close OUTPUT;

NAME DOE, JOHN                          HIC 1111111111     ACNT 111111
+          ICN 1111111111111    ASG Y MOA MA01  MA18 
 12351141821118 111809    23 001 71010 26         31.00        0.00   
+     0.00        0.00 CO-18          31.00        0.00
...
                                                                      
+                     N347  
 12351141821118 111809    23 001 72192 26        182.00        0.00   
+     0.00        0.00 CO-18         182.00        0.00