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_b19b_package_type	pbp_b19b_states_ehc_vbd	pbp_b19b_states_ehc_uf	pbp_b19b_states_uf_other1	pbp_b19b_states_uf_other2	pbp_b19b_states_uf_other3	pbp_b19b_states_uf_other4	pbp_b19b_states_uf_other5	pbp_b19b_mmp_yn	pbp_b19b_mmp_ehc	pbp_b19b_add_prereq_yn	pbp_b19b_add_prereq	pbp_b19b_add_nmc_bendesc_cats	pbp_b19b_add_apply_yn	pbp_b19b_add_exempt_yn	pbp_b19b_add_exempt_nmc_cats	pbp_b19b_reim_yn	pbp_b19b_reim_all_cats_yn	pbp_b19b_reim_nmc_bendesc_cats	pbp_b19b_agg_yn	pbp_b19b_agg_amt
H0545	001	0	1	01	01	H0545_001_0	5	1	2		00000000001000	CVA with Hemiparesis							1	001	13c;13d;		2		2			2	
H0545	001	0	1	01	01	H0545_001_0	5	2	2		00100000000000								1	001	13c;13d;		2		2			2	
H0545	001	0	1	01	01	H0545_001_0	5	3	2		00010000000000								1	001	13c;13d;		2		2			2	
H1365	001	0	1	04	01	H1365_001_0	8	1	2		00000000001000	Opiate Use DIsorder							1	001	13a;13d;	1	2		1	1		1	200.00
H1365	001	0	1	04	01	H1365_001_0	8	2	2		01000000000000								1	001	14c;	2	2		2			2	
H1365	001	0	1	04	01	H1365_001_0	8	3	2		00000000001000	Chronic Pain Syndrome							1	001	13a;13d;	1	2		1	1		1	200.00
H1365	002	0	1	04	01	H1365_002_0	7	1	2		00000000001000	Opiate Use DIsorder							1	001	13a;13d;	1	2		1	1		1	200.00
H1365	002	0	1	04	01	H1365_002_0	7	2	2		01000000000000								1	001	14c;	2	2		2			2	
H1365	002	0	1	04	01	H1365_002_0	7	3	2		00000000001000	Chronic Pain Syndrome							1	001	13a;13d;	1	2		1	1		1	200.00
H1608	027	0	1	04	01	H1608_027_0	2	1	1	0001000000									1	001	13c;	2	2		2			2	
H1961	003	0	1	01	01	H1961_003_0	7	1	2		00000000010000								2		13d;		2		2			2	
H1961	003	0	1	01	01	H1961_003_0	7	2	2		00000000001000	Alzheimer							2		13d;		2		2			2	
H1961	014	1	1	01	01	H1961_014_1	5	1	2		00000000010000								2		13d;		2		2			2	
H1961	014	1	1	01	01	H1961_014_1	5	2	2		00000000001000	Alzheimer							2		13d;		2		2			2	
H1961	014	2	1	01	01	H1961_014_2	6	1	2		00000000010000								2		13d;		2		2			2	
H1961	014	2	1	01	01	H1961_014_2	6	2	2		00000000001000	Alzheimer							2		13d;		2		2			2	
H1961	017	0	1	02	01	H1961_017_0	6	1	2		00000000010000								2		13d;	2	2		2			2	
H1961	017	0	1	02	01	H1961_017_0	6	2	2		00000000001000	Alzheimer							2		13d;	2	2		2			2	
H2456	002	0	1	01	01	H2456_002_0	5	1	2		00000000001000	Non-Nursing Home Certifiable							2		14c;		1	14c;	2			2	
H2962	001	0	1	01	01	H2962_001_0	12	1	2		01111010011000	Diabetes, COPD, CHF, Stroke History, Coronary Artery Disease, Dementia							2		13c;		2		2			2	
H2962	001	0	1	01	01	H2962_001_0	12	2	2		00000000001000	Members with two or more documented UTIs in past 12 months							2		14c;		2		2			2	
H2962	002	0	1	01	01	H2962_002_0	12	1	2		01111010011000	Diabetes, COPD, CHF, Stroke History, Coronary Artery Disease, Dementia							2		13c;		2		2			2	
H2962	002	0	1	01	01	H2962_002_0	12	2	2		00000000001000	Members with two or more documented UTIs in past 12 months							2		14c;		2		2			2	
H2962	003	0	1	01	01	H2962_003_0	12	1	2		01111010011000	Diabetes, COPD, CHF, Stroke History, Coronary Artery Disease, Dementia							2		13c;		2		2			2	
H2962	003	0	1	01	01	H2962_003_0	12	2	2		00000000001000	Members with two or more documented UTIs in past 12 months							2		14c;		2		2			2	
H2962	011	0	1	01	01	H2962_011_0	12	1	2		01111010011000	Diabetes, COPD, CHF, Stroke History, Coronary Artery Disease, Dementia							2		13c;		2		2			2	
H2962	011	0	1	01	01	H2962_011_0	12	2	2		00000000001000	Members with two or more documented UTIs in past 12 months							2		14c;		2		2			2	
H2962	012	0	1	01	01	H2962_012_0	12	1	2		01111010011000	Diabetes, COPD, CHF, Stroke History, Coronary Artery Disease, Dementia							2		13c;		2		2			2	
H2962	012	0	1	01	01	H2962_012_0	12	2	2		00000000001000	Members with two or more documented UTIs in past 12 months							2		14c;		2		2			2	
H3305	007	0	1	02	01	H3305_007_0	7	1	2		00000100000000								2		13b;	2	1	13b;	2			2	
H3305	007	0	1	02	01	H3305_007_0	7	2	2		00001000000000								2		14c;	2	1	14c;	2			1	250.00
H3305	015	0	1	02	01	H3305_015_0	7	1	2		00000100000000								2		13b;	2	1	13b;	2			2	
H3305	015	0	1	02	01	H3305_015_0	7	2	2		00001000000000								2		14c;	2	1	14c;	2			1	250.00
H3305	020	0	1	02	01	H3305_020_0	6	1	2		00000100000000								2		13b;	2	1	13b;	2			2	
H3305	020	0	1	02	01	H3305_020_0	6	2	2		00001000000000								2		14c;	2	1	14c;	2			1	250.00
H3305	021	0	1	02	01	H3305_021_0	7	1	2		00000100000000								2		13b;	2	1	13b;	2			2	
H3305	021	0	1	02	01	H3305_021_0	7	2	2		00001000000000								2		14c;	2	1	14c;	2			1	250.00
H3305	022	0	1	02	01	H3305_022_0	7	1	2		00000100000000								2		13b;	2	1	13b;	2			2	
H3305	022	0	1	02	01	H3305_022_0	7	2	2		00001000000000								2		14c;	2	1	14c;	2			1	250.00
H3305	030	0	1	02	01	H3305_030_0	7	1	2		00000100000000								2		13b;	2	1	13b;	2			2	
H3305	030	0	1	02	01	H3305_030_0	7	2	2		00001000000000								2		14c;	2	1	14c;	2			1	250.00
H3660	028	0	1	02	01	H3660_028_0	10	1	2		00000000001000	Hip Replacement							2		14c;	2	2		2			2	
H3660	028	0	1	02	01	H3660_028_0	10	2	2		00000000001000	Knee Replacement							2		14c;	2	2		2			2	
H3660	028	0	1	02	01	H3660_028_0	10	3	2		00000000001000	Femur Fracture							2		14c;	2	2		2			2	
H3660	028	0	1	02	01	H3660_028_0	10	4	2		00000000001000	Falls or History of Falls							2		14c;	2	2		2			2	
H3660	029	0	1	02	01	H3660_029_0	10	1	2		00000000001000	Hip Replacement							2		14c;	2	2		2			2	
H3660	029	0	1	02	01	H3660_029_0	10	2	2		00000000001000	Knee Replacement							2		14c;	2	2		2			2	
H3660	029	0	1	02	01	H3660_029_0	10	3	2		00000000001000	Femur Fracture							2		14c;	2	2		2			2	
H3660	029	0	1	02	01	H3660_029_0	10	4	2		00000000001000	Falls or History of Falls							2		14c;	2	2		2			2	
H3660	044	0	1	01	01	H3660_044_0	10	1	2		00000000001000	Hip Replacement							2		14c;		2		2			2	
H3660	044	0	1	01	01	H3660_044_0	10	2	2		00000000001000	Knee Replacement							2		14c;		2		2			2	
H3660	044	0	1	01	01	H3660_044_0	10	3	2		00000000001000	Femur Fracture							2		14c;		2		2			2	
H3660	044	0	1	01	01	H3660_044_0	10	4	2		00000000001000	Falls or History of Falls							2		14c;		2		2			2	
H3660	050	0	1	01	01	H3660_050_0	12	1	2		00000000001000	Hip Replacement							2		14c;		2		2			2	
H3660	050	0	1	01	01	H3660_050_0	12	2	2		00000000001000	Knee Replacement							2		14c;		2		2			2	
H3660	050	0	1	01	01	H3660_050_0	12	3	2		00000000001000	Femur Fracture							2		14c;		2		2			2	
H3660	050	0	1	01	01	H3660_050_0	12	4	2		00000000001000	Falls or History of Falls							2		14c;		2		2			2	
H3706	001	0	1	01	01	H3706_001_0	8	1	2		01000000000000								2		10b;		1	10b;	2			2	
H3706	001	0	1	01	01	H3706_001_0	8	2	2		00100000000000								2		10b;		1	10b;	2			2	
H3706	001	0	1	01	01	H3706_001_0	8	3	2		00010000000000								2		10b;		1	10b;	2			2	
H3706	001	0	1	01	01	H3706_001_0	8	4	2		00000100000000								2		10b;		1	10b;	2			2	
H3706	001	0	1	01	01	H3706_001_0	8	5	2		00000010000000								2		10b;		1	10b;	2			2	
H3706	009	0	1	01	01	H3706_009_0	5	1	2		01000000000000								2		10b;		1	10b;	2			2	
H3706	009	0	1	01	01	H3706_009_0	5	2	2		00100000000000								2		10b;		1	10b;	2			2	
H3706	009	0	1	01	01	H3706_009_0	5	3	2		00010000000000								2		10b;		1	10b;	2			2	
H3706	009	0	1	01	01	H3706_009_0	5	4	2		00000100000000								2		10b;		1	10b;	2			2	
H3706	009	0	1	01	01	H3706_009_0	5	5	2		00000010000000								2		10b;		1	10b;	2			2	
H3706	018	0	1	01	01	H3706_018_0	8	1	2		01000000000000								2		10b;		1	10b;	2			2	
H3706	018	0	1	01	01	H3706_018_0	8	2	2		00100000000000								2		10b;		1	10b;	2			2	
H3706	018	0	1	01	01	H3706_018_0	8	3	2		00010000000000								2		10b;		1	10b;	2			2	
H3706	018	0	1	01	01	H3706_018_0	8	4	2		00000100000000								2		10b;		1	10b;	2			2	
H3706	018	0	1	01	01	H3706_018_0	8	5	2		00000010000000								2		10b;		1	10b;	2			2	
H3832	011	0	1	04	01	H3832_011_0	10	1	2		01000000000000								2		16a;16b;	1	2		2			2	
H3832	011	0	1	04	01	H3832_011_0	10	2	2		00000010000000								2		16a;16b;	1	2		2			2	
H3832	011	0	1	04	01	H3832_011_0	10	3	2		00001000000000								2		16a;16b;	1	2		2			2	
H3832	011	0	1	04	01	H3832_011_0	10	4	2		00000000001000	Pregnancy							2		16a;16b;	1	2		2			2	
H3832	011	0	1	04	01	H3832_011_0	10	5	2		00000000001000	Oral Cancer							2		16a;16b;	1	2		2			2	
H3832	011	0	1	04	01	H3832_011_0	10	6	2		00000000001000	Sjorgens							2		16a;16b;	1	2		2			2	
H3907	002	0	1	01	01	H3907_002_0	6	1	2		01110000000000								2		13c;		1	13c;	2			2	
H3907	002	0	1	01	01	H3907_002_0	6	2	1	0011000000									1	001	13b;		1	13b;	2			2	
H3907	002	0	1	01	01	H3907_002_0	6	3	1	0101000000									1	001	13b;		1	13b;	2			2	
H3907	006	0	1	01	01	H3907_006_0	7	1	2		01110000000000								2		13c;		1	13c;	2			2	
H3907	006	0	1	01	01	H3907_006_0	7	2	1	0011000000									1	001	13b;		1	13b;	2			2	
H3907	006	0	1	01	01	H3907_006_0	7	3	1	0101000000									1	001	13b;		1	13b;	2			2	
H3907	029	0	1	01	01	H3907_029_0	7	1	2		01110000000000								2		13c;		1	13c;	2			2	
H3907	029	0	1	01	01	H3907_029_0	7	2	1	0011000000									1	001	13b;		1	13b;	2			2	
H3907	029	0	1	01	01	H3907_029_0	7	3	1	0101000000									1	001	13b;		1	13b;	2			2	
H3907	037	0	1	01	01	H3907_037_0	7	1	2		01110000000000								2		13c;		1	13c;	2			2	
H3907	037	0	1	01	01	H3907_037_0	7	2	1	0011000000									1	001	13b;		1	13b;	2			2	
H3907	037	0	1	01	01	H3907_037_0	7	3	1	0101000000									1	001	13b;		1	13b;	2			2	
H3907	042	0	1	01	01	H3907_042_0	5	1	2		01110000000000								2		13c;		1	13c;	2			2	
H3907	043	0	1	01	01	H3907_043_0	5	1	2		01110000000000								2		13c;		1	13c;	2			2	
H3907	044	0	1	01	01	H3907_044_0	5	1	2		01110000000000								2		13c;		1	13c;	2			2	
H3907	045	0	1	01	01	H3907_045_0	5	1	2		01110000000000								2		13c;		1	13c;	2			2	
H3907	046	0	1	01	01	H3907_046_0	5	1	2		01110000000000								2		13c;		1	13c;	2			2	
H3907	047	0	1	01	01	H3907_047_0	5	1	2		01110000000000								2		13c;		1	13c;	2			2	
H3907	048	0	1	01	01	H3907_048_0	5	1	2		01110000000000								2		13c;		1	13c;	2			2	
H3907	049	0	1	01	01	H3907_049_0	6	1	2		01110000000000								2		13c;		1	13c;	2			2	
H3907	050	0	1	01	01	H3907_050_0	5	1	2		01110000000000								2		13c;		1	13c;	2			2	
H3907	051	0	1	01	01	H3907_051_0	5	1	2		01110000000000								2		13c;		1	13c;	2			2	
H3907	052	0	1	01	01	H3907_052_0	5	1	2		01110000000000								2		13c;		1	13c;	2			2	
H3952	008	0	1	01	01	H3952_008_0	2	1	2		01010000001000	Chronic Kidney Disease Stage 4 and above							1	001	13c;		2		2			2	
H3952	020	0	1	01	01	H3952_020_0	3	1	2		01010000001000	Chronic Kidney Disease Stage 4 and above							1	001	13c;		2		2			2	
H3952	044	0	1	01	01	H3952_044_0	2	1	2		01010000001000	Chronic Kidney Disease Stage 4 and above							1	001	13c;		2		2			2	
H3952	045	0	1	01	01	H3952_045_0	3	1	2		01010000001000	Chronic Kidney Disease Stage 4 and above							1	001	13c;		2		2			2	
H3952	048	0	1	01	01	H3952_048_0	2	1	2		01010000001000	Chronic Kidney Disease Stage 4 and above							1	001	13c;		2		2			2	
H3952	049	0	1	01	01	H3952_049_0	3	1	2		01010000001000	Chronic Kidney Disease Stage 4 and above							1	001	13c;		2		2			2	
H3952	050	0	1	01	01	H3952_050_0	2	1	2		01010000001000	Chronic Kidney Disease Stage 4 and above							1	001	13c;		2		2			2	
H3952	051	0	1	01	01	H3952_051_0	8	1	2		01010000001000	Chronic Kidney Disease Stage 4 and above							1	001	13c;		2		2			2	
H3952	053	0	1	02	01	H3952_053_0	3	1	2		01010000001000	Chronic Kidney Disease Stage 4 and above							1	001	13c;	2	2		2			2	
H3952	054	0	1	02	01	H3952_054_0	3	1	2		01010000001000	Chronic Kidney Disease Stage 4 and above							1	001	13c;	2	2		2			2	
H3952	055	0	1	01	01	H3952_055_0	3	1	2		01010000001000	Chronic Kidney Disease Stage 4 and above							1	001	13c;		2		2			2	
H3952	056	0	1	01	01	H3952_056_0	3	1	2		01010000001000	Chronic Kidney Disease Stage 4 and above							1	001	13c;		2		2			2	
H3957	031	0	1	02	01	H3957_031_0	7	1	1	0100000000									1	011	16b;	2	2		2			2	
H3957	031	0	1	02	01	H3957_031_0	7	2	1	0010000000									1	011	16b;	2	2		2			2	
H3959	001	0	1	01	01	H3959_001_0	3	1	1	0001000000									1	001	10b;13c;		2		2			2	
H3959	002	0	1	01	01	H3959_002_0	3	1	1	0001000000									1	001	10b;13c;		2		2			2	
H4003	009	0	1	01	01	H4003_009_0	7	1	2		01000000000000								1	001	14c;		2		2			2	
H4003	009	0	1	01	01	H4003_009_0	7	2	2		00100000000000								1	001	14c;		2		2			2	
H4003	009	0	1	01	01	H4003_009_0	7	3	2		00010000000000								1	001	14c;		2		2			2	
H4003	009	0	1	01	01	H4003_009_0	7	4	2		00000010000000								1	001	14c;		2		2			2	
H4003	009	0	1	01	01	H4003_009_0	7	5	2		00000000001000	CARDIOVASCULAR DISORDERS							1	001	14c;		2		2			2	
H4003	017	0	1	01	01	H4003_017_0	9	1	2		01000000000000								1	001	14c;		2		2			2	
H4003	017	0	1	01	01	H4003_017_0	9	2	2		00100000000000								1	001	14c;		2		2			2	
H4003	017	0	1	01	01	H4003_017_0	9	3	2		00010000000000								1	001	14c;		2		2			2	
H4003	017	0	1	01	01	H4003_017_0	9	4	2		00000010000000								1	001	14c;		2		2			2	
H4003	017	0	1	01	01	H4003_017_0	9	5	2		00000000001000	CARDIOVASCULAR DISORDERS							1	001	14c;		2		2			2	
H4003	019	0	1	02	01	H4003_019_0	8	1	2		01000000000000								1	001	14c;	2	2		2			2	
H4003	019	0	1	02	01	H4003_019_0	8	2	2		00100000000000								1	001	14c;	2	2		2			2	
H4003	019	0	1	02	01	H4003_019_0	8	3	2		00010000000000								1	001	14c;	2	2		2			2	
H4003	019	0	1	02	01	H4003_019_0	8	4	2		00000010000000								1	001	14c;	2	2		2			2	
H4003	019	0	1	02	01	H4003_019_0	8	5	2		00000000001000	CARDIOVASCULAR DISORDERS							1	001	14c;	2	2		2			2	
H4003	034	0	1	02	01	H4003_034_0	8	1	2		01000000000000								1	001	14c;	2	2		2			2	
H4003	034	0	1	02	01	H4003_034_0	8	2	2		00100000000000								1	001	14c;	2	2		2			2	
H4003	034	0	1	02	01	H4003_034_0	8	3	2		00010000000000								1	001	14c;	2	2		2			2	
H4003	034	0	1	02	01	H4003_034_0	8	4	2		00000010000000								1	001	14c;	2	2		2			2	
H4003	034	0	1	02	01	H4003_034_0	8	5	2		00000000001000	CARDIOVASCULAR DISORDERS							1	001	14c;	2	2		2			2	
H4003	041	0	1	01	01	H4003_041_0	9	1	2		01000000000000								1	001	14c;		2		2			2	
H4003	041	0	1	01	01	H4003_041_0	9	2	2		00100000000000								1	001	14c;		2		2			2	
H4003	041	0	1	01	01	H4003_041_0	9	3	2		00010000000000								1	001	14c;		2		2			2	
H4003	041	0	1	01	01	H4003_041_0	9	4	2		00000010000000								1	001	14c;		2		2			2	
H4003	041	0	1	01	01	H4003_041_0	9	5	2		00000000001000	CARDIOVASCULAR DISORDERS							1	001	14c;		2		2			2	
H4003	044	0	1	02	01	H4003_044_0	8	1	2		01000000000000								1	001	14c;	2	2		2			2	
H4003	044	0	1	02	01	H4003_044_0	8	2	2		00100000000000								1	001	14c;	2	2		2			2	
H4003	044	0	1	02	01	H4003_044_0	8	3	2		00010000000000								1	001	14c;	2	2		2			2	
H4003	044	0	1	02	01	H4003_044_0	8	4	2		00000010000000								1	001	14c;	2	2		2			2	
H4003	044	0	1	02	01	H4003_044_0	8	5	2		00000000001000	CARDIOVASCULAR DISORDERS							1	001	14c;	2	2		2			2	
H4003	045	0	1	02	01	H4003_045_0	7	1	2		01000000000000								1	001	14c;	2	2		2			2	
H4003	045	0	1	02	01	H4003_045_0	7	2	2		00100000000000								1	001	14c;	2	2		2			2	
H4003	045	0	1	02	01	H4003_045_0	7	3	2		00010000000000								1	001	14c;	2	2		2			2	
H4003	045	0	1	02	01	H4003_045_0	7	4	2		00000010000000								1	001	14c;	2	2		2			2	
H4003	045	0	1	02	01	H4003_045_0	7	5	2		00000000001000	CARDIOVASCULAR DISORDERS							1	001	14c;	2	2		2			2	
H4003	047	0	1	01	01	H4003_047_0	8	1	2		01000000000000								1	001	14c;		2		2			2	
H4003	047	0	1	01	01	H4003_047_0	8	2	2		00100000000000								1	001	14c;		2		2			2	
H4003	047	0	1	01	01	H4003_047_0	8	3	2		00010000000000								1	001	14c;		2		2			2	
H4003	047	0	1	01	01	H4003_047_0	8	4	2		00000010000000								1	001	14c;		2		2			2	
H4003	047	0	1	01	01	H4003_047_0	8	5	2		00000000001000	CARDIOVASCULAR DISORDERS							1	001	14c;		2		2			2	
H4004	048	0	1	01	01	H4004_048_0	9	1	2		01000000000000								1	001	14c;		2		2			2	
H4004	048	0	1	01	01	H4004_048_0	9	2	2		00100000000000								1	001	14c;		2		2			2	
H4004	048	0	1	01	01	H4004_048_0	9	3	2		00010000000000								1	001	14c;		2		2			2	
H4004	048	0	1	01	01	H4004_048_0	9	4	2		00000010000000								1	001	14c;		2		2			2	
H4004	048	0	1	01	01	H4004_048_0	9	5	2		00000000001000	CARDIOVASCULAR DISORDERS							1	001	14c;		2		2			2	
H4004	056	0	1	02	01	H4004_056_0	9	1	2		01000000000000								1	001	14c;	2	2		2			2	
H4004	056	0	1	02	01	H4004_056_0	9	2	2		00100000000000								1	001	14c;	2	2		2			2	
H4004	056	0	1	02	01	H4004_056_0	9	3	2		00010000000000								1	001	14c;	2	2		2			2	
H4004	056	0	1	02	01	H4004_056_0	9	4	2		00000010000000								1	001	14c;	2	2		2			2	
H4004	056	0	1	02	01	H4004_056_0	9	5	2		00000000001000	CARDIOVASCULAR DISORDERS							1	001	14c;	2	2		2			2	
H4004	061	0	1	01	01	H4004_061_0	7	1	2		01000000000000								1	001	14c;		2		2			2	
H4004	061	0	1	01	01	H4004_061_0	7	2	2		00100000000000								1	001	14c;		2		2			2	
H4004	061	0	1	01	01	H4004_061_0	7	3	2		00010000000000								1	001	14c;		2		2			2	
H4004	061	0	1	01	01	H4004_061_0	7	4	2		00000010000000								1	001	14c;		2		2			2	
H4004	061	0	1	01	01	H4004_061_0	7	5	2		00000000001000	CARDIOVASCULAR DISORDERS							1	001	14c;		2		2			2	
H5522	001	0	1	04	01	H5522_001_0	3	1	1	0001000000									1	001	10b;13c;	2	2		2			2	
H5522	005	0	1	04	01	H5522_005_0	2	1	1	0001000000									1	001	10b;13c;	2	2		2			2	
H5533	003	0	1	04	01	H5533_003_0	7	1	2		01110000000000								2		13c;	2	1	13c;	2			2	
H5533	003	0	1	04	01	H5533_003_0	7	2	1	0011000000									1	001	13b;	2	1	13b;	2			2	
H5533	003	0	1	04	01	H5533_003_0	7	3	1	0101000000									1	001	13b;	2	1	13b;	2			2	
H5533	005	0	1	04	01	H5533_005_0	7	1	2		01110000000000								2		13c;	2	1	13c;	2			2	
H5533	005	0	1	04	01	H5533_005_0	7	2	1	0011000000									1	001	13b;	2	1	13b;	2			2	
H5533	005	0	1	04	01	H5533_005_0	7	3	1	0101000000									1	001	13b;	2	1	13b;	2			2	
H5533	007	0	1	04	01	H5533_007_0	5	1	2		01110000000000								2		13c;	2	1	13c;	2			2	
H5533	008	0	1	04	01	H5533_008_0	5	1	2		01110000000000								2		13c;	2	1	13c;	2			2	
H5591	001	0	1	02	01	H5591_001_0	7	1	2		00000000001000	Opiate Use DIsorder							1	001	13a;13d;	1	2		1	1		1	200.00
H5591	001	0	1	02	01	H5591_001_0	7	2	2		01000000000000								1	001	14c;	2	2		2			2	
H5591	001	0	1	02	01	H5591_001_0	7	3	2		00000000001000	Chronic Pain Syndrome							1	001	13a;13d;	1	2		1	1		1	200.00
H5591	003	0	1	01	01	H5591_003_0	9	1	2		00000000001000	Opiate Use DIsorder							1	001	13a;13d;		2		1	1		1	200.00
H5591	003	0	1	01	01	H5591_003_0	9	2	2		01000000000000								1	001	14c;		2		2			2	
H5591	003	0	1	01	01	H5591_003_0	9	3	2		00000000001000	Chronic Pain Syndrome							1	001	13a;13d;		2		1	1		1	200.00
H5591	005	0	1	02	01	H5591_005_0	7	1	2		00000000001000	Opiate Use DIsorder							1	001	13a;13d;	1	2		1	1		1	200.00
H5591	005	0	1	02	01	H5591_005_0	7	2	2		01000000000000								1	001	14c;	2	2		2			2	
H5591	005	0	1	02	01	H5591_005_0	7	3	2		00000000001000	Chronic Pain Syndrome							1	001	13a;13d;	1	2		1	1		1	200.00
H5591	006	1	1	02	01	H5591_006_1	7	1	2		00000000001000	Opiate Use DIsorder							1	001	13a;13d;	1	2		1	1		1	200.00
H5591	006	1	1	02	01	H5591_006_1	7	2	2		01000000000000								1	001	14c;	2	2		2			2	
H5591	006	1	1	02	01	H5591_006_1	7	3	2		00000000001000	Chronic Pain Syndrome							1	001	13a;13d;	1	2		1	1		1	200.00
H5591	006	2	1	02	01	H5591_006_2	7	1	2		00000000001000	Opiate Use DIsorder							1	001	13a;13d;	1	2		1	1		1	200.00
H5591	006	2	1	02	01	H5591_006_2	7	2	2		01000000000000								1	001	14c;	2	2		2			2	
H5591	006	2	1	02	01	H5591_006_2	7	3	2		00000000001000	Chronic Pain Syndrome							1	001	13a;13d;	1	2		1	1		1	200.00
H5591	007	0	1	01	01	H5591_007_0	6	1	2		00000000001000	Opiate Use Disorder							1	001	13a;13d;		2		1	1		1	200.00
H5591	007	0	1	01	01	H5591_007_0	6	2	2		00000000001000	Chronic Pain Syndrome							1	001	13a;13d;		2		1	1		1	200.00
H5591	009	0	1	01	01	H5591_009_0	6	1	2		00000000001000	Opiate Use DIsorder							1	001	13a;13d;		2		1	1		1	200.00
H5591	009	0	1	01	01	H5591_009_0	6	2	2		01000000000000								1	001	14c;		2		2			2	
H5591	009	0	1	01	01	H5591_009_0	6	3	2		00000000001000	Chronic Pain Syndrome							1	001	13a;13d;		2		1	1		1	200.00
H5591	013	0	1	01	01	H5591_013_0	6	1	2		00000000001000	Opiate Use DIsorder							1	001	13a;13d;		2		1	1		1	200.00
H5591	013	0	1	01	01	H5591_013_0	6	2	2		01000000000000								1	001	14c;		2		2			2	
H5591	013	0	1	01	01	H5591_013_0	6	3	2		00000000001000	Chronic Pain Syndrome							1	001	13a;13d;		2		1	1		1	200.00
H5852	001	0	1	01	01	H5852_001_0	4	1	2		00000000001000	Cancer							2		10b;		2		2			2	
H5852	001	0	1	01	01	H5852_001_0	4	2	2		00000000001000	End Stage Renal Dialysis (ESRD)							2		10b;		2		2			2	
H7220	002	0	1	01	01	H7220_002_0	3	1	1	0001000000									1	001	13d;		2		2			2	
H7220	004	0	1	02	01	H7220_004_0	6	1	1	0001000000									1	001	13d;	2	2		2			2	
H7220	009	1	1	01	01	H7220_009_1	4	1	1	0001000000									1	001	13d;		2		2			2	
H7220	009	2	1	01	01	H7220_009_2	4	1	1	0001000000									1	001	13d;		2		2			2	
H7220	009	3	1	01	01	H7220_009_3	4	1	1	0001000000									1	001	13d;		2		2			2	
H7522	001	0	1	04	01	H7522_001_0	8	1	2		01000000000000								1	001	14c;	2	2		2			2	
H7522	001	0	1	04	01	H7522_001_0	8	2	2		00100000000000								1	001	14c;	2	2		2			2	
H7522	001	0	1	04	01	H7522_001_0	8	3	2		00010000000000								1	001	14c;	2	2		2			2	
H7522	001	0	1	04	01	H7522_001_0	8	4	2		00000010000000								1	001	14c;	2	2		2			2	
H7522	001	0	1	04	01	H7522_001_0	8	5	2		00000000001000	CARDIOVASCULAR DISORDERS							1	001	14c;	2	2		2			2	
H9615	007	0	1	04	01	H9615_007_0	7	1	2		00000100000000								2		13b;	2	1	13b;	2			2	
H9615	007	0	1	04	01	H9615_007_0	7	2	2		00001000000000								2		14c;	2	1	14c;	2			1	250.00
H9615	008	0	1	04	01	H9615_008_0	7	1	2		00000100000000								2		13b;	2	1	13b;	2			2	
H9615	008	0	1	04	01	H9615_008_0	7	2	2		00001000000000								2		14c;	2	1	14c;	2			1	250.00
H9615	009	0	1	04	01	H9615_009_0	7	1	2		00000100000000								2		13b;	2	1	13b;	2			2	
H9615	009	0	1	04	01	H9615_009_0	7	2	2		00001000000000								2		14c;	2	1	14c;	2			1	250.00
H9615	010	0	1	04	01	H9615_010_0	7	1	2		00000100000000								2		13b;	2	1	13b;	2			2	
H9615	010	0	1	04	01	H9615_010_0	7	2	2		00001000000000								2		14c;	2	1	14c;	2			1	250.00
H9615	012	0	1	04	01	H9615_012_0	7	1	2		00000100000000								2		13b;	2	1	13b;	2			2	
H9615	012	0	1	04	01	H9615_012_0	7	2	2		00001000000000								2		14c;	2	1	14c;	2			1	250.00
R0802	001	0	1	31	11	R0802_001_0	7	1	2		00000000001000	Opiate Use DIsorder							1	001	13a;13d;	1	2		1	1		1	200.00
R0802	001	0	1	31	11	R0802_001_0	7	2	2		01000000000000								1	001	14c;	2	2		2			2	
R0802	001	0	1	31	11	R0802_001_0	7	3	2		00000000001000	Chronic Pain Syndrome							1	001	13a;13d;	1	2		1	1		1	200.00
