pbp_a_hnumber	pbp_a_plan_identifier	segment_id	pbp_a_ben_cov	pbp_a_plan_type	orgtype	bid_id	version	pbp_vbid_group_id	pbp_b13a_bendesc_yn	pbp_b13a_bendesc_ehc	pbp_b13a_bendesc_amo	pbp_b13a_bendesc_lim	pbp_b13a_bendesc_numv	pbp_b13a_bendesc_per	pbp_b13a_maxplan_yn	pbp_b13a_maxplan_amt	pbp_b13a_maxplan_per	pbp_b13a_maxenr_yn	pbp_b13a_maxenr_amt	pbp_b13a_maxenr_per	pbp_b13a_combined_ben	pbp_b13a_coins_yn	pbp_b13a_coins_pct_min	pbp_b13a_coins_pct_max	pbp_b13a_ded_yn	pbp_b13a_ded_amt	pbp_b13a_copay_yn	pbp_b13a_copay_amt_min	pbp_b13a_copay_amt_max	pbp_b13a_auth_yn	pbp_b13a_refer_yn	pbp_b13b_bendesc_otc	pbp_b13b_bendesc_amo	pbp_b13b_maxplan_yn	pbp_b13b_maxplan_amt	pbp_b13b_otc_maxplan_per	pbp_b13b_maxplan_prd_yn	pbp_b13b_maxenr_yn	pbp_b13b_maxenr_amt	pbp_b13b_maxenr_per	pbp_b13b_nrt_yn	pbp_b13b_nrt_attestation	pbp_b13b_coins_yn	pbp_b13b_coins_pct_min	pbp_b13b_coins_pct_max	pbp_b13b_ded_yn	pbp_b13b_ded_amt	pbp_b13b_copay_yn	pbp_b13b_copay_amt_min	pbp_b13b_copay_amt_max	pbp_b13b_cms_otc_list_yn	pbp_b13c_bendesc_service	pbp_b13c_bendesc_amo	pbp_b13c_days	pbp_b13c_max_meals	pbp_b13c_maxplan_yn	pbp_b13c_maxplan_amt	pbp_b13c_maxplan_per	pbp_b13c_maxenr_yn	pbp_b13c_maxenr_amt	pbp_b13c_maxenr_per	pbp_b13c_coins_yn	pbp_b13c_coins_pct_min	pbp_b13c_coins_pct_max	pbp_b13c_ded_yn	pbp_b13c_ded_amt	pbp_b13c_copay_yn	pbp_b13c_copay_amt_min	pbp_b13c_copay_amt_max	pbp_b13c_auth_yn	pbp_b13c_refer_yn	pbp_b13d_bendesc_service	pbp_b13d_bendesc_amo	pbp_b13d_maxplan_yn	pbp_b13d_maxplan_amt	pbp_b13d_maxplan_per	pbp_b13d_maxenr_yn	pbp_b13d_maxenr_amt	pbp_b13d_maxenr_per	pbp_b13d_coins_yn	pbp_b13d_coins_pct_min	pbp_b13d_coins_pct_max	pbp_b13d_ded_yn	pbp_b13d_ded_amt	pbp_b13d_copay_yn	pbp_b13d_copay_amt_min	pbp_b13d_copay_amt_max	pbp_b13d_auth_yn	pbp_b13d_refer_yn	pbp_b13e_bendesc_service	pbp_b13e_bendesc_amo	pbp_b13e_maxplan_yn	pbp_b13e_maxplan_amt	pbp_b13e_maxplan_per	pbp_b13e_maxenr_yn	pbp_b13e_maxenr_amt	pbp_b13e_maxenr_per	pbp_b13e_coins_yn	pbp_b13e_coins_pct_min	pbp_b13e_coins_pct_max	pbp_b13e_ded_yn	pbp_b13e_ded_amt	pbp_b13e_copay_yn	pbp_b13e_copay_amt_min	pbp_b13e_copay_amt_max	pbp_b13e_auth_yn	pbp_b13e_refer_yn	pbp_b13f_bendesc_service	pbp_b13f_bendesc_amo	pbp_b13f_maxplan_yn	pbp_b13f_maxplan_amt	pbp_b13f_maxplan_per	pbp_b13f_maxenr_yn	pbp_b13f_maxenr_amt	pbp_b13f_maxenr_per	pbp_b13f_coins_yn	pbp_b13f_coins_pct_min	pbp_b13f_coins_pct_max	pbp_b13f_ded_yn	pbp_b13f_ded_amt	pbp_b13f_copay_yn	pbp_b13f_copay_amt_min	pbp_b13f_copay_amt_max	pbp_b13f_auth_yn	pbp_b13f_refer_yn	pbp_b13g_attestation	pbp_b13g_bendesc_service	pbp_b13g_bendesc_amo	pbp_b13g_maxplan_yn	pbp_b13g_maxplan_amt	pbp_b13g_maxplan_per	pbp_b13g_maxenr_yn	pbp_b13g_maxenr_amt	pbp_b13g_maxenr_per	pbp_b13g_coins_yn	pbp_b13g_coins_min_pct	pbp_b13g_coins_max_pct	pbp_b13g_ded_yn	pbp_b13g_ded_amt	pbp_b13g_copay_yn	pbp_b13g_copay_min_amt	pbp_b13g_copay_max_amt	pbp_b13g_auth_yn	pbp_b13g_refer_yn
H0545	001	0	1	01	01	H0545_001_0	5	1																																												1	2	5	10	2			2			2			2		2			1	2	In-Home Support Services	2	2			2			2			2		2			1	2																																																							
H0545	001	0	1	01	01	H0545_001_0	5	2																																												1	2	5	10	2			2			2			2		2			1	2	In-Home Support Services	2	2			2			2			2		2			1	2																																																							
H0545	001	0	1	01	01	H0545_001_0	5	3																																												1	2	5	10	2			2			2			2		2			1	2	In-Home Support Services	2	2			2			2			2		2			1	2																																																							
H1365	001	0	1	04	01	H1365_001_0	8	1	1	1	2	1			1	200.00	3	2			1	2			2		2			2	1																																									Medically-approved Ther. Massage or Accupunct. for Pain	2	1	200.00	3	2			2			2		2			2	1																																																							
H1365	001	0	1	04	01	H1365_001_0	8	3	1	1	2	1			1	200.00	3	2			1	2			2		2			2	1																																									Medically-approved Ther. Massage or Accupunct. for Pain	2	1	200.00	3	2			2			2		2			2	1																																																							
H1365	002	0	1	04	01	H1365_002_0	7	1	1	1	2	1			1	200.00	3	2			1	2			2		2			2	1																																									Medically-approved Ther. Massage or Accupunct. for Pain	2	1	200.00	3	2			2			2		2			2	1																																																							
H1365	002	0	1	04	01	H1365_002_0	7	3	1	1	2	1			1	200.00	3	2			1	2			2		2			2	1																																									Medically-approved Ther. Massage or Accupunct. for Pain	2	1	200.00	3	2			2			2		2			2	1																																																							
H1608	027	0	1	04	01	H1608_027_0	2	1																																												1	2	14	42	2			2			2			2		1	0.00	0.00	2	2																																																																									
H1961	003	0	1	01	01	H1961_003_0	7	1																																																																Respite Care	2	2			2			2			2		2			1	2																																																							
H1961	003	0	1	01	01	H1961_003_0	7	2																																																																Respite Care	2	2			2			2			2		2			1	2																																																							
H1961	014	1	1	01	01	H1961_014_1	5	1																																																																Respite Care	2	2			2			2			2		2			1	2																																																							
H1961	014	1	1	01	01	H1961_014_1	5	2																																																																Respite Care	2	2			2			2			2		2			1	2																																																							
H1961	014	2	1	01	01	H1961_014_2	6	1																																																																Respite Care	2	2			2			2			2		2			1	2																																																							
H1961	014	2	1	01	01	H1961_014_2	6	2																																																																Respite Care	2	2			2			2			2		2			1	2																																																							
H1961	017	0	1	02	01	H1961_017_0	6	1																																																																Respite Care	2	2			2			2			2		2			1	2																																																							
H1961	017	0	1	02	01	H1961_017_0	6	2																																																																Respite Care	2	2			2			2			2		2			1	2																																																							
H2962	001	0	1	01	01	H2962_001_0	12	1																																												1	2	7	14	2			2			2			2		2			1	1																																																																									
H2962	002	0	1	01	01	H2962_002_0	12	1																																												1	2	7	14	2			2			2			2		2			1	1																																																																									
H2962	003	0	1	01	01	H2962_003_0	12	1																																												1	2	7	14	2			2			2			2		2			1	1																																																																									
H2962	011	0	1	01	01	H2962_011_0	12	1																																												1	2	7	14	2			2			2			2		2			1	1																																																																									
H2962	012	0	1	01	01	H2962_012_0	12	1																																												1	2	7	14	2			2			2			2		2			1	1																																																																									
H3305	007	0	1	02	01	H3305_007_0	7	1																								1	2	2				2			2		2			2		2			2																																																																																													
H3305	015	0	1	02	01	H3305_015_0	7	1																								1	2	2				2			2		2			2		2			2																																																																																													
H3305	020	0	1	02	01	H3305_020_0	6	1																								1	2	2				2			2		2			2		2			2																																																																																													
H3305	021	0	1	02	01	H3305_021_0	7	1																								1	2	2				2			2		2			2		2			2																																																																																													
H3305	022	0	1	02	01	H3305_022_0	7	1																								1	2	2				2			2		2			2		2			2																																																																																													
H3305	030	0	1	02	01	H3305_030_0	7	1																								1	2	2				2			2		2			2		2			2																																																																																													
H3907	002	0	1	01	01	H3907_002_0	6	1																																												1	2	28	56	2			2			2			2		2			1	2																																																																									
H3907	002	0	1	01	01	H3907_002_0	6	2																								1	2	1	150.00	3		2			2		2			2		2			1																																																																																													
H3907	002	0	1	01	01	H3907_002_0	6	3																								1	2	1	150.00	3		2			2		2			2		2			1																																																																																													
H3907	006	0	1	01	01	H3907_006_0	7	1																																												1	2	28	56	2			2			2			2		2			1	2																																																																									
H3907	006	0	1	01	01	H3907_006_0	7	2																								1	2	1	150.00	3		2			2		2			2		2			1																																																																																													
H3907	006	0	1	01	01	H3907_006_0	7	3																								1	2	1	150.00	3		2			2		2			2		2			1																																																																																													
H3907	029	0	1	01	01	H3907_029_0	7	1																																												1	2	28	56	2			2			2			2		2			1	2																																																																									
H3907	029	0	1	01	01	H3907_029_0	7	2																								1	2	1	150.00	3		2			2		2			2		2			1																																																																																													
H3907	029	0	1	01	01	H3907_029_0	7	3																								1	2	1	150.00	3		2			2		2			2		2			1																																																																																													
H3907	037	0	1	01	01	H3907_037_0	7	1																																												1	2	28	56	2			2			2			2		2			1	2																																																																									
H3907	037	0	1	01	01	H3907_037_0	7	2																								1	2	1	150.00	3		2			2		2			2		2			1																																																																																													
H3907	037	0	1	01	01	H3907_037_0	7	3																								1	2	1	150.00	3		2			2		2			2		2			1																																																																																													
H3907	042	0	1	01	01	H3907_042_0	5	1																																												1	2	28	56	2			2			2			2		2			1	2																																																																									
H3907	043	0	1	01	01	H3907_043_0	5	1																																												1	2	28	56	2			2			2			2		2			1	2																																																																									
H3907	044	0	1	01	01	H3907_044_0	5	1																																												1	2	28	56	2			2			2			2		2			1	2																																																																									
H3907	045	0	1	01	01	H3907_045_0	5	1																																												1	2	28	56	2			2			2			2		2			1	2																																																																									
H3907	046	0	1	01	01	H3907_046_0	5	1																																												1	2	28	56	2			2			2			2		2			1	2																																																																									
H3907	047	0	1	01	01	H3907_047_0	5	1																																												1	2	28	56	2			2			2			2		2			1	2																																																																									
H3907	048	0	1	01	01	H3907_048_0	5	1																																												1	2	28	56	2			2			2			2		2			1	2																																																																									
H3907	049	0	1	01	01	H3907_049_0	6	1																																												1	2	28	56	2			2			2			2		2			1	2																																																																									
H3907	050	0	1	01	01	H3907_050_0	5	1																																												1	2	28	56	2			2			2			2		2			1	2																																																																									
H3907	051	0	1	01	01	H3907_051_0	5	1																																												1	2	28	56	2			2			2			2		2			1	2																																																																									
H3907	052	0	1	01	01	H3907_052_0	5	1																																												1	2	28	56	2			2			2			2		2			1	2																																																																									
H3952	008	0	1	01	01	H3952_008_0	2	1																																												1	2	28	84	2			2			2			2		2			1	2																																																																									
H3952	020	0	1	01	01	H3952_020_0	3	1																																												1	2	28	84	2			2			2			2		2			1	2																																																																									
H3952	044	0	1	01	01	H3952_044_0	2	1																																												1	2	28	84	2			2			2			2		2			1	2																																																																									
H3952	045	0	1	01	01	H3952_045_0	3	1																																												1	2	28	84	2			2			2			2		2			1	2																																																																									
H3952	048	0	1	01	01	H3952_048_0	2	1																																												1	2	28	84	2			2			2			2		2			2	2																																																																									
H3952	049	0	1	01	01	H3952_049_0	3	1																																												1	2	28	84	2			2			2			2		2			2	2																																																																									
H3952	050	0	1	01	01	H3952_050_0	2	1																																												1	2	28	84	2			2			2			2		2			2	2																																																																									
H3952	051	0	1	01	01	H3952_051_0	8	1																																												1	2	28	84	2			2			2			2		2			2	2																																																																									
H3952	053	0	1	02	01	H3952_053_0	3	1																																												1	2	28	84	2			2			2			2		2			2	2																																																																									
H3952	054	0	1	02	01	H3952_054_0	3	1																																												1	2	28	84	2			2			2			2		2			2	2																																																																									
H3952	055	0	1	01	01	H3952_055_0	3	1																																												1	2	28	84	2			2			2			2		2			2	2																																																																									
H3952	056	0	1	01	01	H3952_056_0	3	1																																												1	2	28	84	2			2			2			2		2			2	2																																																																									
H3959	001	0	1	01	01	H3959_001_0	3	1																																												1	2	14	42	2			2			2			2		1	0.00	0.00	2	2																																																																									
H3959	002	0	1	01	01	H3959_002_0	3	1																																												1	2	14	42	2			2			2			2		1	0.00	0.00	2	2																																																																									
H5522	001	0	1	04	01	H5522_001_0	3	1																																												1	2	14	42	2			2			2			2		1	0.00	0.00	2	2																																																																									
H5522	005	0	1	04	01	H5522_005_0	2	1																																												1	2	14	42	2			2			2			2		1	0.00	0.00	2	2																																																																									
H5533	003	0	1	04	01	H5533_003_0	7	1																																												1	2	28	56	2			2			2			2		2			1	2																																																																									
H5533	003	0	1	04	01	H5533_003_0	7	2																								1	2	1	150.00	3		2			2		2			2		2			1																																																																																													
H5533	003	0	1	04	01	H5533_003_0	7	3																								1	2	1	150.00	3		2			2		2			2		2			1																																																																																													
H5533	005	0	1	04	01	H5533_005_0	7	1																																												1	2	28	56	2			2			2			2		2			1	2																																																																									
H5533	005	0	1	04	01	H5533_005_0	7	2																								1	2	1	150.00	3		2			2		2			2		2			1																																																																																													
H5533	005	0	1	04	01	H5533_005_0	7	3																								1	2	1	150.00	3		2			2		2			2		2			1																																																																																													
H5533	007	0	1	04	01	H5533_007_0	5	1																																												1	2	28	56	2			2			2			2		2			1	2																																																																									
H5533	008	0	1	04	01	H5533_008_0	5	1																																												1	2	28	56	2			2			2			2		2			1	2																																																																									
H5591	001	0	1	02	01	H5591_001_0	7	1	1	1	2	1			1	200.00	3	2			1	2			2		2			2	1																																									Medically-approved Ther. Massage or Accupunct. for Pain	2	1	200.00	3	2			2			2		2			2	1																																																							
H5591	001	0	1	02	01	H5591_001_0	7	3	1	1	2	1			1	200.00	3	2			1	2			2		2			2	1																																									Medically-approved Ther. Massage or Accupunct. for Pain	2	1	200.00	3	2			2			2		2			2	1																																																							
H5591	003	0	1	01	01	H5591_003_0	9	1	1	1	2	1			1	200.00	3	2			1	2			2		2			2	1																																									Medically-approved Ther. Massage or Accupunct. for Pain	2	1	200.00	3	2			2			2		2			2	1																																																							
H5591	003	0	1	01	01	H5591_003_0	9	3	1	1	2	1			1	200.00	3	2			1	2			2		2			2	1																																									Medically-approved Ther. Massage or Accupunct. for Pain	2	1	200.00	3	2			2			2		2			2	1																																																							
H5591	005	0	1	02	01	H5591_005_0	7	1	1	1	2	1			1	200.00	3	2			1	2			2		2			2	1																																									Medically-approved Ther. Massage or Accupunct. for Pain	2	1	200.00	3	2			2			2		2			2	1																																																							
H5591	005	0	1	02	01	H5591_005_0	7	3	1	1	2	1			1	200.00	3	2			1	2			2		2			2	1																																									Medically-approved Ther. Massage or Accupunct. for Pain	2	1	200.00	3	2			2			2		2			2	1																																																							
H5591	006	1	1	02	01	H5591_006_1	7	1	1	1	2	1			1	200.00	3	2			1	2			2		2			2	1																																									Medically-approved Ther. Massage or Accupunct. for Pain	2	1	200.00	3	2			2			2		2			2	1																																																							
H5591	006	1	1	02	01	H5591_006_1	7	3	1	1	2	1			1	200.00	3	2			1	2			2		2			2	1																																									Medically-approved Ther. Massage or Accupunct. for Pain	2	1	200.00	3	2			2			2		2			2	1																																																							
H5591	006	2	1	02	01	H5591_006_2	7	1	1	1	2	1			1	200.00	3	2			1	2			2		2			2	1																																									Medically-approved Ther. Massage or Accupunct. for Pain	2	1	200.00	3	2			2			2		2			2	1																																																							
H5591	006	2	1	02	01	H5591_006_2	7	3	1	1	2	1			1	200.00	3	2			1	2			2		2			2	1																																									Medically-approved Ther. Massage or Accupunct. for Pain	2	1	200.00	3	2			2			2		2			2	1																																																							
H5591	007	0	1	01	01	H5591_007_0	6	1	1	1	2	1			1	200.00	3	2			1	2			2		2			2	1																																									Medically-approved Ther. Massage or Accupunct. for Pain	2	1	200.00	3	2			2			2		2			2	1																																																							
H5591	007	0	1	01	01	H5591_007_0	6	2	1	1	2	1			1	200.00	3	2			1	2			2		2			2	1																																									Medically-approved Ther. Massage or Accupunct. for Pain	2	1	200.00	3	2			2			2		2			2	1																																																							
H5591	009	0	1	01	01	H5591_009_0	6	1	1	1	2	1			1	200.00	3	2			1	2			2		2			2	1																																									Medically-approved Ther. Massage or Accupunct. for Pain	2	1	200.00	3	2			2			2		2			2	1																																																							
H5591	009	0	1	01	01	H5591_009_0	6	3	1	1	2	1			1	200.00	3	2			1	2			2		2			2	1																																									Medically-approved Ther. Massage or Accupunct. for Pain	2	1	200.00	3	2			2			2		2			2	1																																																							
H5591	013	0	1	01	01	H5591_013_0	6	1	1	1	2	1			1	200.00	3	2			1	2			2		2			2	1																																									Medically-approved Ther. Massage or Accupunct. for Pain	2	1	200.00	3	2			2			2		2			2	1																																																							
H5591	013	0	1	01	01	H5591_013_0	6	3	1	1	2	1			1	200.00	3	2			1	2			2		2			2	1																																									Medically-approved Ther. Massage or Accupunct. for Pain	2	1	200.00	3	2			2			2		2			2	1																																																							
H7220	002	0	1	01	01	H7220_002_0	3	1																																																																																																																																								
H7220	004	0	1	02	01	H7220_004_0	6	1																																																																																																																																								
H7220	009	1	1	01	01	H7220_009_1	4	1																																																																																																																																								
H7220	009	2	1	01	01	H7220_009_2	4	1																																																																																																																																								
H7220	009	3	1	01	01	H7220_009_3	4	1																																																																																																																																								
H9615	007	0	1	04	01	H9615_007_0	7	1																								1	2	2				2			2		2			2		2			2																																																																																													
H9615	008	0	1	04	01	H9615_008_0	7	1																								1	2	2				2			2		2			2		2			2																																																																																													
H9615	009	0	1	04	01	H9615_009_0	7	1																								1	2	2				2			2		2			2		2			2																																																																																													
H9615	010	0	1	04	01	H9615_010_0	7	1																								1	2	2				2			2		2			2		2			2																																																																																													
H9615	012	0	1	04	01	H9615_012_0	7	1																								1	2	2				2			2		2			2		2			2																																																																																													
R0802	001	0	1	31	11	R0802_001_0	7	1	1	1	2	1			1	200.00	3	2			1	2			2		2			2	1																																									Medically-approved Ther. Massage or Accupunct. for Pain	2	1	200.00	3	2			2			2		2			2	1																																																							
R0802	001	0	1	31	11	R0802_001_0	7	3	1	1	2	1			1	200.00	3	2			1	2			2		2			2	1																																									Medically-approved Ther. Massage or Accupunct. for Pain	2	1	200.00	3	2			2			2		2			2	1																																																							
