CE_INFECT_Low_Low  0001 202610011  A001    C7831                                                                                                                                                                                                                                   000000000100000000000000 C7831 SDX LOW COMO HIPPSPOS4=2 Add               20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1KA21 GVF=00 GRC=00                07.2.261KA210000                                                                                  %
CE_INFECT_Low_Hi   0002 202610011  A001    C7831   C210                                                                                                                                                                                                                            000000000100000000000000 C7831 SDX High COMO HIPPSPOS4=3 Add              20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1KA31 GVF=00 GRC=00                07.2.261KA310000                                                                                  %
CE_INFECT_Low_No   0003 202610011  C7831                                                                                                                                                                                                                                           000000000100000000000000 GROUP=C7831 K                                    20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1KA11 GVF=00 GRC=00                07.2.261KA110000                                                                                  %
CE_INFECT_Low_Low  0004 202610011  A001    C7832                                                                                                                                                                                                                                   000000000100000000000000 C7832 SDX LOW COMO HIPPSPOS4=2 Add               20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1KA21 GVF=00 GRC=00                07.2.261KA210000                                                                                  %
CE_INFECT_Low_Hi   0005 202610011  A001    C7832   C186                                                                                                                                                                                                                            000000000100000000000000 C7832 SDX High COMO HIPPSPOS4=3 Add              20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1KA31 GVF=00 GRC=00                07.2.261KA310000                                                                                  %
CE_INFECT_Low_No   0006 202610011  C7832                                                                                                                                                                                                                                           000000000100000000000000 GROUP=C7832 K                                    20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1KA11 GVF=00 GRC=00                07.2.261KA110000                                                                                  %
CE_INFECT_Low_Low  0007 202610011  A001    C7983                                                                                                                                                                                                                                   000000000100000000000000 C7983 SDX LOW COMO HIPPSPOS4=2 Add               20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1KA21 GVF=00 GRC=00                07.2.261KA210000                                                                                  %
CE_INFECT_Low_Hi   0008 202610011  A001    C7983   N186                                                                                                                                                                                                                            000000000100000000000000 C7983 SDX High COMO HIPPSPOS4=3 Add              20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1KA31 GVF=00 GRC=00                07.2.261KA310000                                                                                  %
CE_INFECT_Low_No   0009 202610011  C7983                                                                                                                                                                                                                                           000000000100000000000000 GROUP=C7983 K                                    20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1KA11 GVF=00 GRC=00                07.2.261KA110000                                                                                  %
CE_INFECT_Low_No   0010 202610011  D6911                                                                                                                                                                                                                                           000000000100000000000000 GROUP=D6911 K                                    20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1KA11 GVF=00 GRC=00                07.2.261KA110000                                                                                  %
CE_INFECT_Low_No   0011 202610011  D6919                                                                                                                                                                                                                                           000000000100000000000000 GROUP=D6919 K                                    20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1KA11 GVF=00 GRC=00                07.2.261KA110000                                                                                  %
CE_INFECT_Low_Hi   0012 202610011  A001    E89830  G8101                                                                                                                                                                                                                           000000000100000000000000 E89830 SDX High COMO HIPPSPOS4=3 Add             20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1KA31 GVF=00 GRC=00                07.2.261KA310000                                                                                  %
CE_ENDOCRN_Low_No  0013 202610011  E89830                                                                                                                                                                                                                                          000000000100000000000000 GROUP=E89830 I                                   20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1IA11 GVF=00 GRC=00                07.2.261IA110000                                                                                  %
CE_ENDOCRN_Low_No  0014 202610011  E89838                                                                                                                                                                                                                                          000000000100000000000000 GROUP=E89838 I                                   20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1IA11 GVF=00 GRC=00                07.2.261IA110000                                                                                  %
CE_BHEALTH_Low_No  0015 202610011  F64A                                                                                                                                                                                                                                            000000000100000000000000 GROUP=F64A F                                     20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1FA11 GVF=00 GRC=00                07.2.261FA110000                                                                                  %
NOST_NA_NA_NA RC05 0016 202610011  I4200                                                                                                                                                                                                                                           000000000100000000000000 CLINICAL_GROUP=NA                                20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=00000 GVF=00 GRC=05                07.2.26000000005                                                                                  %
CE_INFECT_Low_No   0017 202610011  A001    I4200                                                                                                                                                                                                                                   000000000100000000000000 I4200 GROUP=NA Add IN SDX CLINICAL_GROUP=NA      20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1KA11 GVF=00 GRC=00                07.2.261KA110000                                                                                  %
CE_CARDIAC_Low_No  0018 202610011  I4201                                                                                                                                                                                                                                           000000000100000000000000 GROUP=I4201 H                                    20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1HA11 GVF=00 GRC=00                07.2.261HA110000                                                                                  %
CE_CARDIAC_Low_No  0019 202610011  I4209                                                                                                                                                                                                                                           000000000100000000000000 GROUP=I4209 H                                    20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1HA11 GVF=00 GRC=00                07.2.261HA110000                                                                                  %
CE_CARDIAC_Low_No  0020 202610011  I4281                                                                                                                                                                                                                                           000000000100000000000000 GROUP=I4281 H                                    20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1HA11 GVF=00 GRC=00                07.2.261HA110000                                                                                  %
CE_CARDIAC_Low_No  0021 202610011  I4289                                                                                                                                                                                                                                           000000000100000000000000 GROUP=I4289 H                                    20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1HA11 GVF=00 GRC=00                07.2.261HA110000                                                                                  %
CE_INFECT_Low_No   0022 202610011  A001    QA171                                                                                                                                                                                                                                   000000000100000000000000 QA171 GROUP=NA Add IN SDX CLINICAL_GROUP=NA      20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1KA11 GVF=00 GRC=00                07.2.261KA110000                                                                                  %
NOST_NA_NA_NA RC05 0023 202610011  QA1790                                                                                                                                                                                                                                          000000000100000000000000 CLINICAL_GROUP=NA                                20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=00000 GVF=00 GRC=05                07.2.26000000005                                                                                  %
CE_INFECT_Low_No   0024 202610011  A001    QA1790                                                                                                                                                                                                                                  000000000100000000000000 QA1790 GROUP=NA Add IN SDX CLINICAL_GROUP=NA     20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1KA11 GVF=00 GRC=00                07.2.261KA110000                                                                                  %
NOST_NA_NA_NA RC05 0025 202610011  QA1791                                                                                                                                                                                                                                          000000000100000000000000 CLINICAL_GROUP=NA                                20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=00000 GVF=00 GRC=05                07.2.26000000005                                                                                  %
CE_INFECT_Low_No   0026 202610011  A001    QA1791                                                                                                                                                                                                                                  000000000100000000000000 QA1791 GROUP=NA Add IN SDX CLINICAL_GROUP=NA     20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1KA11 GVF=00 GRC=00                07.2.261KA110000                                                                                  %
NOST_NA_NA_NA RC05 0027 202610011  QA1792                                                                                                                                                                                                                                          000000000100000000000000 CLINICAL_GROUP=NA                                20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=00000 GVF=00 GRC=05                07.2.26000000005                                                                                  %
CE_INFECT_Low_No   0028 202610011  A001    QA1792                                                                                                                                                                                                                                  000000000100000000000000 QA1792 GROUP=NA Add IN SDX CLINICAL_GROUP=NA     20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1KA11 GVF=00 GRC=00                07.2.261KA110000                                                                                  %
NOST_NA_NA_NA RC05 0029 202610011  QA1798                                                                                                                                                                                                                                          000000000100000000000000 CLINICAL_GROUP=NA                                20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=00000 GVF=00 GRC=05                07.2.26000000005                                                                                  %
CE_INFECT_Low_No   0030 202610011  A001    QA1798                                                                                                                                                                                                                                  000000000100000000000000 QA1798 GROUP=NA Add IN SDX CLINICAL_GROUP=NA     20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1KA11 GVF=00 GRC=00                07.2.261KA110000                                                                                  %
NOST_NA_NA_NA RC05 0031 202610011  R7872                                                                                                                                                                                                                                           000000000100000000000000 CLINICAL_GROUP=NA                                20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=00000 GVF=00 GRC=05                07.2.26000000005                                                                                  %
CE_INFECT_Low_No   0032 202610011  A001    R7872                                                                                                                                                                                                                                   000000000100000000000000 R7872 GROUP=NA Add IN SDX CLINICAL_GROUP=NA      20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1KA11 GVF=00 GRC=00                07.2.261KA110000                                                                                  %
CE_OTHER_Low_No    0033 202610011  T52811A                                                                                                                                                                                                                                         000000000100000000000000 GROUP=T52811A A                                  20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1AA11 GVF=00 GRC=00                07.2.261AA110000                                                                                  %
CE_OTHER_Low_No    0034 202610011  T52811D                                                                                                                                                                                                                                         000000000100000000000000 GROUP=T52811D A                                  20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1AA11 GVF=00 GRC=00                07.2.261AA110000                                                                                  %
CE_OTHER_Low_No    0035 202610011  T52811S                                                                                                                                                                                                                                         000000000100000000000000 GROUP=T52811S A                                  20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1AA11 GVF=00 GRC=00                07.2.261AA110000                                                                                  %
CE_OTHER_Low_No    0036 202610011  T52812A                                                                                                                                                                                                                                         000000000100000000000000 GROUP=T52812A A                                  20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1AA11 GVF=00 GRC=00                07.2.261AA110000                                                                                  %
CE_OTHER_Low_No    0037 202610011  T52812D                                                                                                                                                                                                                                         000000000100000000000000 GROUP=T52812D A                                  20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1AA11 GVF=00 GRC=00                07.2.261AA110000                                                                                  %
CE_OTHER_Low_No    0038 202610011  T52812S                                                                                                                                                                                                                                         000000000100000000000000 GROUP=T52812S A                                  20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1AA11 GVF=00 GRC=00                07.2.261AA110000                                                                                  %
CE_OTHER_Low_No    0039 202610011  T52813A                                                                                                                                                                                                                                         000000000100000000000000 GROUP=T52813A A                                  20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1AA11 GVF=00 GRC=00                07.2.261AA110000                                                                                  %
CE_OTHER_Low_No    0040 202610011  T52813D                                                                                                                                                                                                                                         000000000100000000000000 GROUP=T52813D A                                  20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1AA11 GVF=00 GRC=00                07.2.261AA110000                                                                                  %
CE_OTHER_Low_No    0041 202610011  T52813S                                                                                                                                                                                                                                         000000000100000000000000 GROUP=T52813S A                                  20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1AA11 GVF=00 GRC=00                07.2.261AA110000                                                                                  %
CE_OTHER_Low_No    0042 202610011  T52814A                                                                                                                                                                                                                                         000000000100000000000000 GROUP=T52814A A                                  20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1AA11 GVF=00 GRC=00                07.2.261AA110000                                                                                  %
NOST_NA_NA_NA RC03 0043 202610011  T528X2S                                                                                                                                                                                                                                         000000000100000000000000 T528X2S GROUP=NA Delete                          20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=00000 GVF=06 GRC=03                07.2.26000000603                                                                                  %
NOST_NA_NA_NA RC03 0044 202610011  T528X3A                                                                                                                                                                                                                                         000000000100000000000000 T528X3A GROUP=NA Delete                          20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=00000 GVF=06 GRC=03                07.2.26000000603                                                                                  %
NOST_NA_NA_NA RC03 0045 202610011  T528X3D                                                                                                                                                                                                                                         000000000100000000000000 T528X3D GROUP=NA Delete                          20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=00000 GVF=06 GRC=03                07.2.26000000603                                                                                  %
NOST_NA_NA_NA RC03 0046 202610011  T528X3S                                                                                                                                                                                                                                         000000000100000000000000 T528X3S GROUP=NA Delete                          20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=00000 GVF=06 GRC=03                07.2.26000000603                                                                                  %
NOST_NA_NA_NA RC03 0047 202610011  T528X4A                                                                                                                                                                                                                                         000000000100000000000000 T528X4A GROUP=NA Delete                          20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=00000 GVF=06 GRC=03                07.2.26000000603                                                                                  %
NOST_NA_NA_NA RC03 0048 202610011  T528X4D                                                                                                                                                                                                                                         000000000100000000000000 T528X4D GROUP=NA Delete                          20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=00000 GVF=06 GRC=03                07.2.26000000603                                                                                  %
NOST_NA_NA_NA RC03 0049 202610011  T528X4S                                                                                                                                                                                                                                         000000000100000000000000 T528X4S GROUP=NA Delete                          20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=00000 GVF=06 GRC=03                07.2.26000000603                                                                                  %
NOST_NA_NA_NA RC03 0050 202610011  Z681                                                                                                                                                                                                                                            000000000100000000000000 Z681 GROUP=NA Delete                             20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=00000 GVF=06 GRC=03                07.2.26000000603                                                                                  %
NOST_NA_NA_NA RC03 0051 202610011  Z87890                                                                                                                                                                                                                                          000000000100000000000000 Z87890 GROUP=NA Delete                           20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=00000 GVF=06 GRC=03                07.2.26000000603                                                                                  %
CE_INFECT_Low_No   0052 202610011  C759                                                                                                                                                                                                                                            000000000100000000000000 GROUP=C759 K                                     20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1KA11 GVF=00 GRC=00                07.2.261KA110000                                                                                  %
CE_WOUNDS_Low_No   0053 202610011  L02232                                                                                                                                                                                                                                          000000000100000000000000 GROUP=L02232 C                                   20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1CA11 GVF=00 GRC=00                07.2.261CA110000                                                                                  %
CE_INFECT_Low_Low  0054 202610011  A001    L03312                                                                                                                                                                                                                                  000000000100000000000000 L03312 SDX LOW COMO HIPPSPOS4=2 Modify           20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1KA21 GVF=00 GRC=00                07.2.261KA210000                                                                                  %
CE_INFECT_Low_Hi   0055 202610011  A001    L03312  N185                                                                                                                                                                                                                            000000000100000000000000 L03312 SDX High COMO HIPPSPOS4=3 Modify          20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1KA31 GVF=00 GRC=00                07.2.261KA310000                                                                                  %
CE_WOUNDS_Low_No   0056 202610011  L03312                                                                                                                                                                                                                                          000000000100000000000000 GROUP=L03312 C                                   20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1CA11 GVF=00 GRC=00                07.2.261CA110000                                                                                  %
CE_INFECT_Low_Low  0057 202610011  A001    L03322                                                                                                                                                                                                                                  000000000100000000000000 L03322 SDX LOW COMO HIPPSPOS4=2 Modify           20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1KA21 GVF=00 GRC=00                07.2.261KA210000                                                                                  %
CE_INFECT_Low_Hi   0058 202610011  A001    L03322  N182                                                                                                                                                                                                                            000000000100000000000000 L03322 SDX High COMO HIPPSPOS4=3 Modify          20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1KA31 GVF=00 GRC=00                07.2.261KA310000                                                                                  %
CE_WOUNDS_Low_No   0059 202610011  L03322                                                                                                                                                                                                                                          000000000100000000000000 GROUP=L03322 C                                   20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1CA11 GVF=00 GRC=00                07.2.261CA110000                                                                                  %
NOST_NA_NA_NA RC05 0060 202610011  Z2914                                                                                                                                                                                                                                           000000000100000000000000 CLINICAL_GROUP=NA                                20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=00000 GVF=00 GRC=05                07.2.26000000005                                                                                  %
CE_INFECT_Low_No   0061 202610011  A001    Z2914                                                                                                                                                                                                                                   000000000100000000000000 Z2914 GROUP=NA Modify IN SDX CLINICAL_GROUP=NA   20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=1KA11 GVF=00 GRC=00                07.2.261KA110000                                                                                  %
NOST_NA_NA_NA RC05 0062 20261001161I4200   O99411                                                                                                                                                                                                                                  111111111002020202020102Code First w/ Condition PDX                       20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=00000 GVF=05 GRC=05                07.2.26000000505                                                                                  %
NOST_NA_NA_NA RC05 0063 20261001161I4200   O9943                                                                                                                                                                                                                                   111111111002020202020102Code First w/ Condition PDX                       20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=00000 GVF=05 GRC=05                07.2.26000000505                                                                                  %
IE_CARDIAC_Med_No  0064 20261001161I4201   O99411                                                                                                                                                                                                                                  111111111002020202020102Code First w/ Condition PDX                       20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=2HB11 GVF=05 GRC=00                07.2.262HB110500                                                                                  %
IE_CARDIAC_Med_No  0065 20261001161I4201   O9943                                                                                                                                                                                                                                   111111111002020202020102Code First w/ Condition PDX                       20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=2HB11 GVF=05 GRC=00                07.2.262HB110500                                                                                  %
IE_CARDIAC_Med_No  0066 20261001161I4209   O99411                                                                                                                                                                                                                                  111111111002020202020102Code First w/ Condition PDX                       20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=2HB11 GVF=05 GRC=00                07.2.262HB110500                                                                                  %
IE_CARDIAC_Med_No  0067 20261001161I4209   O9943                                                                                                                                                                                                                                   111111111002020202020102Code First w/ Condition PDX                       20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=2HB11 GVF=05 GRC=00                07.2.262HB110500                                                                                  %
IE_CARDIAC_Med_No  0068 20261001161I4281   O99411                                                                                                                                                                                                                                  111111111002020202020102Code First w/ Condition PDX                       20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=2HB11 GVF=05 GRC=00                07.2.262HB110500                                                                                  %
IE_CARDIAC_Med_No  0069 20261001161I4281   O9943                                                                                                                                                                                                                                   111111111002020202020102Code First w/ Condition PDX                       20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=2HB11 GVF=05 GRC=00                07.2.262HB110500                                                                                  %
IE_CARDIAC_Med_No  0070 20261001161I4289   O99411                                                                                                                                                                                                                                  111111111002020202020102Code First w/ Condition PDX                       20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=2HB11 GVF=05 GRC=00                07.2.262HB110500                                                                                  %
IE_CARDIAC_Med_No  0071 20261001161I4289   O9943                                                                                                                                                                                                                                   111111111002020202020102Code First w/ Condition PDX                       20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=2HB11 GVF=05 GRC=00                07.2.262HB110500                                                                                  %
IE_MUSCRHB_Med_No  0072 20261001161S22008D S24101A                                                                                                                                                                                                                                 111111111002020202020102Code First w/ Condition PDX                       20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=2EB11 GVF=05 GRC=00                07.2.262EB110500                                                                                  %
IE_MUSCRHB_Med_No  0073 20261001161S22008D S24159S                                                                                                                                                                                                                                 111111111002020202020102Code First w/ Condition PDX                       20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=2EB11 GVF=05 GRC=00                07.2.262EB110500                                                                                  %
IE_MUSCRHB_Med_No  0074 20261001161S22008G S240XXA                                                                                                                                                                                                                                 111111111002020202020102Code First w/ Condition PDX                       20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=2EB11 GVF=05 GRC=00                07.2.262EB110500                                                                                  %
IE_MUSCRHB_Med_No  0075 20261001161S22008G S240XXS                                                                                                                                                                                                                                 111111111002020202020102Code First w/ Condition PDX                       20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=2EB11 GVF=05 GRC=00                07.2.262EB110500                                                                                  %
IE_MUSCRHB_Med_No  0076 20261001161S22008G S24101A                                                                                                                                                                                                                                 111111111002020202020102Code First w/ Condition PDX                       20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=2EB11 GVF=05 GRC=00                07.2.262EB110500                                                                                  %
IE_MUSCRHB_Med_No  0077 20261001161S22008G S24159S                                                                                                                                                                                                                                 111111111002020202020102Code First w/ Condition PDX                       20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=2EB11 GVF=05 GRC=00                07.2.262EB110500                                                                                  %
IE_MUSCRHB_Med_No  0078 20261001161S22008K S240XXA                                                                                                                                                                                                                                 111111111002020202020102Code First w/ Condition PDX                       20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=2EB11 GVF=05 GRC=00                07.2.262EB110500                                                                                  %
IE_MUSCRHB_Med_No  0079 20261001161S22008K S240XXS                                                                                                                                                                                                                                 111111111002020202020102Code First w/ Condition PDX                       20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=2EB11 GVF=05 GRC=00                07.2.262EB110500                                                                                  %
IE_MUSCRHB_Med_No  0080 20261001161S229XXK S24159S                                                                                                                                                                                                                                 111111111002020202020102Code First w/ Condition PDX                       20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=2EB11 GVF=05 GRC=00                07.2.262EB110500                                                                                  %
IE_MUSCRHB_Med_No  0081 20261001161S229XXS S240XXA                                                                                                                                                                                                                                 111111111002020202020102Code First w/ Condition PDX                       20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=2EB11 GVF=05 GRC=00                07.2.262EB110500                                                                                  %
IE_MUSCRHB_Med_No  0082 20261001161S229XXS S240XXS                                                                                                                                                                                                                                 111111111002020202020102Code First w/ Condition PDX                       20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=2EB11 GVF=05 GRC=00                07.2.262EB110500                                                                                  %
IE_MUSCRHB_Med_No  0083 20261001161S229XXS S24101A                                                                                                                                                                                                                                 111111111002020202020102Code First w/ Condition PDX                       20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=2EB11 GVF=05 GRC=00                07.2.262EB110500                                                                                  %
IE_MUSCRHB_Med_No  0084 20261001161S229XXS S24159S                                                                                                                                                                                                                                 111111111002020202020102Code First w/ Condition PDX                       20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=2EB11 GVF=05 GRC=00                07.2.262EB110500                                                                                  %
NOST_NA_NA_NA RC03 0085 20261001161Z8617   Z09                                                                                                                                                                                                                                     111111111002020202020102Code First w/ Condition PDX                       20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=00000 GVF=01 GRC=03                07.2.26000000103                                                                                  %
NOST_NA_NA_NA RC03 0086 20261001161Z878901 Z09                                                                                                                                                                                                                                     111111111002020202020102Code First w/ Condition PDX                       20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=00000 GVF=01 GRC=03                07.2.26000000103                                                                                  %
NOST_NA_NA_NA RC03 0087 20261001161Z878902 Z09                                                                                                                                                                                                                                     111111111002020202020102Code First w/ Condition PDX                       20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=00000 GVF=01 GRC=03                07.2.26000000103                                                                                  %
NOST_NA_NA_NA RC03 0088 20261001161Z878903 Z09                                                                                                                                                                                                                                     111111111002020202020102Code First w/ Condition PDX                       20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=00000 GVF=01 GRC=03                07.2.26000000103                                                                                  %
NOST_NA_NA_NA RC03 0089 20261001161Z878904 Z09                                                                                                                                                                                                                                     111111111002020202020102Code First w/ Condition PDX                       20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=00000 GVF=01 GRC=03                07.2.26000000103                                                                                  %
NOST_NA_NA_NA RC03 0090 20261001161Z878909 Z09                                                                                                                                                                                                                                     111111111002020202020102Code First w/ Condition PDX                       20261030                                                                                                                                                                                              VER=07.2.26 HIPPS=00000 GVF=01 GRC=03                07.2.26000000103                                                                                  %
