pbp_a_hnumber	pbp_a_plan_identifier	segment_id	pbp_a_ben_cov	pbp_a_plan_type	orgtype	bid_id	version	pbp_b17a_bendesc_yn	pbp_b17a_bendesc_ehc	pbp_b17a_bendesc_amo_rex	pbp_b17a_bendesc_lim_rex	pbp_b17a_bendesc_num_rex	pbp_b17a_bendesc_per_rex	pbp_b17a_addl_service_other	pbp_b17a_bendesc_amo_other	pbp_b17a_bendesc_lim_other	pbp_b17a_bendesc_num_other	pbp_b17a_bendesc_per_other	pbp_b17a_maxplan_yn	pbp_b17a_maxplan_in_oon	pbp_b17a_maxplan_amt	pbp_b17a_maxplan_per	pbp_b17a_maxenr_yn	pbp_b17a_maxenr_amt	pbp_b17a_maxenr_per	pbp_b17a_coins_yn	pbp_b17a_coins_ehc	pbp_b17a_coins_pct_mc_min	pbp_b17a_coins_pct_mc_max	pbp_b17a_coins_pct_rex_min	pbp_b17a_coins_pct_rex_max	pbp_b17a_coins_pct_other_min	pbp_b17a_coins_pct_other_max	pbp_b17a_copay_yn	pbp_b17a_copay_ehc	pbp_b17a_copay_amt_mc_min	pbp_b17a_copay_amt_mc_max	pbp_b17a_copay_amt_rex_min	pbp_b17a_copay_amt_rex_max	pbp_b17a_copay_amt_other_min	pbp_b17a_copay_amt_other_max	pbp_b17a_ded_yn	pbp_b17a_ded_amt	pbp_b17a_auth_yn	pbp_b17a_refer_yn	pbp_d_opt_identifier
H0028	023	0	1	01	01	H0028_023_0	4	1	01	3	2	1	3						1		40.00	3	2			2								1	001			0.00	0.00			2		1	2	002
H0028	023	0	1	01	01	H0028_023_0	4	1	01	3	2	1	3						1		40.00	3	2			2								1	001			0.00	0.00			2		1	2	003
H0482	001	0	1	01	01	H0482_001_0	6	1	01	3	2	1	3						2				2			2								1	001			0.00	0.00			2		1	2	001
H0482	003	0	1	01	01	H0482_003_0	4	1	01	3	2	1	3						2				2			2								1	001			0.00	0.00			2		1	2	001
H0562	009	0	1	01	01	H0562_009_0	4	1	01	3	2	1	3						2				2			2								1	001			0.00	0.00			2		1	2	001
H0562	039	0	1	01	01	H0562_039_0	4	1	01	3	2	1	3						2				2			2								1	001			0.00	0.00			2		1	2	001
H0562	084	0	1	01	01	H0562_084_0	4	1	01	3	2	1	3						2				2			2								1	001			0.00	0.00			2		1	2	001
H2134	002	0	1	01	01	H2134_002_0	4	1	01	3	2	1	3						2				2			2								1	001			0.00	0.00			2		1	2	001
H2853	001	0	1	01	01	H2853_001_0	4	1	01	3	2	1	3						2				2			2								1	001			0.00	0.00			2		1	2	001
H2944	013	0	1	09	04	H2944_013_0	3	1	01	3	2	1	3						1	2	40.00	3	2			2								1	001			0.00	0.00			2				003
H2944	114	0	1	09	04	H2944_114_0	4	1	01	3	2	1	3						1	2	40.00	3	2			2								1	001			0.00	0.00			2				003
H2986	001	0	1	01	01	H2986_001_0	13	1	11	3	2	1	3	Retinal Screening	3	2	1	3	2				2			2								1	101			25.00	25.00	39.00	39.00	2		2	1	002
H2986	002	0	1	01	01	H2986_002_0	12	1	11	3	2	1	3	Retinal Screening	3	2	1	3	2				2			2								1	101			25.00	25.00	39.00	39.00	2		2	1	002
H2986	004	0	1	01	01	H2986_004_0	12	1	11	3	2	1	3	Retinal Screening	3	2	1	3	2				2			2								1	101			25.00	25.00	39.00	39.00	2		2	1	002
H2986	007	0	1	01	01	H2986_007_0	13	1	11	3	2	1	3	Retinal Screening	3	2	1	3	2				2			2								1	101			25.00	25.00	39.00	39.00	2		2	1	002
H3909	001	0	1	04	01	H3909_001_0	3	1	01	3	2	1	3						2				2			2								1	001			10.00	10.00			2		2	2	002
H3909	007	0	1	04	01	H3909_007_0	2	1	01	3	2	1	3						2				2			2								1	001			10.00	10.00			2		2	2	002
H3909	009	0	1	04	01	H3909_009_0	2	1	01	3	2	1	3						2				2			2								1	001			10.00	10.00			2		2	2	002
H4343	001	0	1	01	01	H4343_001_0	4	1	01	3	2	1	3						2				2			2								1	001			0.00	0.00			2		1	2	001
H4343	002	0	1	01	01	H4343_002_0	4	1	01	3	2	1	3						2				2			2								1	001			0.00	0.00			2		1	2	001
H5216	014	0	1	04	01	H5216_014_0	4	1	01	3	2	1	3						1	2	40.00	3	2			2								1	001			0.00	0.00			2		1	2	003
H5216	017	0	1	04	01	H5216_017_0	4	1	01	3	2	1	3						1	2	40.00	3	2			2								1	001			0.00	0.00			2		1	2	003
H5216	027	0	1	04	01	H5216_027_0	4	1	01	3	2	1	3						1	2	40.00	3	2			2								1	001			0.00	0.00			2		1	2	003
H5216	034	0	1	04	01	H5216_034_0	4	1	01	3	2	1	3						1	2	40.00	3	2			2								1	001			0.00	0.00			2		1	2	001
H5216	036	0	1	04	01	H5216_036_0	5	1	01	3	2	1	3						1	2	40.00	3	2			2								1	001			0.00	0.00			2		1	2	001
H5216	037	0	1	04	01	H5216_037_0	4	1	01	3	2	1	3						1	2	40.00	3	2			2								1	001			0.00	0.00			2		1	2	001
H5216	039	0	1	04	01	H5216_039_0	4	1	01	3	2	1	3						1	2	40.00	3	2			2								1	001			0.00	0.00			2		1	2	001
H5216	073	0	1	04	01	H5216_073_0	4	1	01	3	2	1	3						1	2	40.00	3	2			2								1	001			0.00	0.00			2		1	2	003
H5216	096	0	1	04	01	H5216_096_0	4	1	01	3	2	1	3						1	2	40.00	3	2			2								1	001			0.00	0.00			2		1	2	002
H5216	097	0	1	04	01	H5216_097_0	4	1	01	3	2	1	3						1	2	40.00	3	2			2								1	001			0.00	0.00			2		1	2	002
H5398	001	0	1	01	01	H5398_001_0	4	1	01	3	2	1	3						2				2			2								1	001			0.00	0.00			2		1	2	001
H5525	024	0	1	04	01	H5525_024_0	4	1	01	3	2	1	3						1	2	40.00	3	2			2								1	001			0.00	0.00			2		1	2	003
H5525	026	0	1	04	01	H5525_026_0	5	1	01	3	2	1	3						1	2	40.00	3	2			2								1	001			0.00	0.00			2		1	2	003
H5525	035	0	1	04	01	H5525_035_0	5	1	01	3	2	1	3						1	2	40.00	3	2			2								1	001			0.00	0.00			2		1	2	003
H5613	002	0		07	02	H5613_002_0	2	1	01	3	2	1	3						2				2			2								2								2		2	2	001
H5613	801	0		07	02	H5613_801_0	1	1	01	3	2	1	3						2				2			2								2								2		2	2	001
H5613	802	0		07	02	H5613_802_0	1	1	01	3	2	1	3						2				2			2								2								2		2	2	001
H5619	013	0	1	01	01	H5619_013_0	4	1	01	3	2	1	3						1		40.00	3	2			2								1	001			0.00	0.00			2		1	1	002
H5619	013	0	1	01	01	H5619_013_0	4	1	01	3	2	1	3						1		40.00	3	2			2								1	001			0.00	0.00			2		1	1	003
H5619	015	0	1	01	01	H5619_015_0	4	1	01	3	2	1	3						1		40.00	3	2			2								1	001			0.00	0.00			2		1	1	003
H5619	029	0	1	01	01	H5619_029_0	4	1	01	3	2	1	3						1		40.00	3	2			2								1	001			0.00	0.00			2		1	1	002
H5619	041	0	1	01	01	H5619_041_0	6	1	01	3	2	1	3						1		40.00	3	2			2								1	001			0.00	0.00			2		1	2	002
H5883	001	1	1	02	01	H5883_001_1	5	1	01	3	2	1	3						2				2			2								2								2		2	2	001
H5883	001	1	1	02	01	H5883_001_1	5	1	01	3	2	1	3						2				2			2								2								2		2	2	002
H5883	001	2	1	02	01	H5883_001_2	6	1	01	3	2	1	3						2				2			2								2								2		2	2	001
H5883	001	2	1	02	01	H5883_001_2	6	1	01	3	2	1	3						2				2			2								2								2		2	2	002
H5883	001	3	1	02	01	H5883_001_3	5	1	01	3	2	1	3						2				2			2								2								2		2	2	001
H5883	001	3	1	02	01	H5883_001_3	5	1	01	3	2	1	3						2				2			2								2								2		2	2	002
H5883	001	4	1	02	01	H5883_001_4	6	1	01	3	2	1	3						2				2			2								2								2		2	2	001
H5883	001	4	1	02	01	H5883_001_4	6	1	01	3	2	1	3						2				2			2								2								2		2	2	002
H5883	001	5	1	02	01	H5883_001_5	5	1	01	3	2	1	3						2				2			2								2								2		2	2	001
H5883	001	5	1	02	01	H5883_001_5	5	1	01	3	2	1	3						2				2			2								2								2		2	2	002
H5883	002	1	1	02	01	H5883_002_1	8	1	01	3	2	1	3						2				2			2								2								2		2	2	001
H5883	002	1	1	02	01	H5883_002_1	8	1	01	3	2	1	3						2				2			2								2								2		2	2	002
H5883	002	2	1	02	01	H5883_002_2	8	1	01	3	2	1	3						2				2			2								2								2		2	2	001
H5883	002	2	1	02	01	H5883_002_2	8	1	01	3	2	1	3						2				2			2								2								2		2	2	002
H5883	002	3	1	02	01	H5883_002_3	8	1	01	3	2	1	3						2				2			2								2								2		2	2	001
H5883	002	3	1	02	01	H5883_002_3	8	1	01	3	2	1	3						2				2			2								2								2		2	2	002
H5883	002	4	1	02	01	H5883_002_4	8	1	01	3	2	1	3						2				2			2								2								2		2	2	001
H5883	002	4	1	02	01	H5883_002_4	8	1	01	3	2	1	3						2				2			2								2								2		2	2	002
H5883	002	7	1	02	01	H5883_002_7	8	1	01	3	2	1	3						2				2			2								2								2		2	2	001
H5883	002	7	1	02	01	H5883_002_7	8	1	01	3	2	1	3						2				2			2								2								2		2	2	002
H5883	003	1	1	02	01	H5883_003_1	8	1	01	3	2	1	3						2				2			2								2								2		2	2	001
H5883	003	1	1	02	01	H5883_003_1	8	1	01	3	2	1	3						2				2			2								2								2		2	2	002
H5883	003	2	1	02	01	H5883_003_2	8	1	01	3	2	1	3						2				2			2								2								2		2	2	001
H5883	003	2	1	02	01	H5883_003_2	8	1	01	3	2	1	3						2				2			2								2								2		2	2	002
H5883	003	3	1	02	01	H5883_003_3	8	1	01	3	2	1	3						2				2			2								2								2		2	2	001
H5883	003	3	1	02	01	H5883_003_3	8	1	01	3	2	1	3						2				2			2								2								2		2	2	002
H5883	003	4	1	02	01	H5883_003_4	8	1	01	3	2	1	3						2				2			2								2								2		2	2	001
H5883	003	4	1	02	01	H5883_003_4	8	1	01	3	2	1	3						2				2			2								2								2		2	2	002
H5883	003	5	1	02	01	H5883_003_5	8	1	01	3	2	1	3						2				2			2								2								2		2	2	001
H5883	003	5	1	02	01	H5883_003_5	8	1	01	3	2	1	3						2				2			2								2								2		2	2	002
H5883	014	1	1	02	01	H5883_014_1	8	1	01	3	2	1	3						2				2			2								2								2		2	2	001
H5883	014	1	1	02	01	H5883_014_1	8	1	01	3	2	1	3						2				2			2								2								2		2	2	002
H5883	014	2	1	02	01	H5883_014_2	8	1	01	3	2	1	3						2				2			2								2								2		2	2	001
H5883	014	2	1	02	01	H5883_014_2	8	1	01	3	2	1	3						2				2			2								2								2		2	2	002
H5883	014	3	1	02	01	H5883_014_3	8	1	01	3	2	1	3						2				2			2								2								2		2	2	001
H5883	014	3	1	02	01	H5883_014_3	8	1	01	3	2	1	3						2				2			2								2								2		2	2	002
H5883	014	4	1	02	01	H5883_014_4	8	1	01	3	2	1	3						2				2			2								2								2		2	2	001
H5883	014	4	1	02	01	H5883_014_4	8	1	01	3	2	1	3						2				2			2								2								2		2	2	002
H5883	014	5	1	02	01	H5883_014_5	8	1	01	3	2	1	3						2				2			2								2								2		2	2	001
H5883	014	5	1	02	01	H5883_014_5	8	1	01	3	2	1	3						2				2			2								2								2		2	2	002
H5970	018	0	1	04	01	H5970_018_0	4	1	01	3	2	1	3						1	2	40.00	3	2			2								1	001			0.00	0.00			2		1	2	003
H6678	001	0	1	01	01	H6678_001_0	4	1	01	3	2	1	3						2				2			2								1	001			0.00	0.00			2		1	2	001
H6678	003	0	1	01	01	H6678_003_0	4	1	01	3	2	1	3						2				2			2								1	001			0.00	0.00			2		1	2	001
H7399	001	0	1	01	01	H7399_001_0	4	1	01	3	2	1	3						2				2			2								1	001			0.00	0.00			2		1	2	001
H7925	001	0	1	01	01	H7925_001_0	4	1	01	3	2	1	3						2				2			2								1	001			0.00	0.00			2		1	2	001
H8145	084	0	1	09	04	H8145_084_0	3	1	01	3	2	1	3						1	2	40.00	3	2			2								1	001			0.00	0.00			2				002
H8145	089	0	1	09	04	H8145_089_0	4	1	01	3	2	1	3						1	2	40.00	3	2			2								1	001			0.00	0.00			2				003
H8145	091	0	1	09	04	H8145_091_0	4	1	01	3	2	1	3						1	2	40.00	3	2			2								1	001			0.00	0.00			2				002
H8145	123	0	1	09	04	H8145_123_0	4	1	01	3	2	1	3						1	2	40.00	3	2			2								1	001			0.00	0.00			2				001
H8225	001	0	1	01	01	H8225_001_0	4	1	01	3	2	1	3						2				2			2								1	001			0.00	0.00			2		1	2	001
H8225	002	0	1	01	01	H8225_002_0	4	1	01	3	2	1	3						2				2			2								1	001			0.00	0.00			2		1	2	001
H8764	001	0	1	01	01	H8764_001_0	7	1	01	3	2	1	6						2				2			2								1	001			10.00	10.00			2		2	2	001
H8764	002	0	1	02	01	H8764_002_0	7	1	01	3	2	1	6						2				2			2								1	001			10.00	10.00			2		2	2	001
H8764	002	0	1	02	01	H8764_002_0	7	1	01	3	2	1	6						2				2			2								1	001			10.00	10.00			2		2	2	002
H8764	003	0	1	01	01	H8764_003_0	7	1	01	3	2	1	6						2				2			2								1	001			10.00	10.00			2		2	2	001
H8764	003	0	1	01	01	H8764_003_0	7	1	01	3	2	1	6						2				2			2								1	001			10.00	10.00			2		2	2	002
R7220	002	0	1	31	11	R7220_002_0	3	1	01	3	2	1	3						1	2	40.00	3	2			2								1	001			0.00	0.00			2		1	2	002
R7220	002	0	1	31	11	R7220_002_0	3	1	01	3	2	1	3						1	2	40.00	3	2			2								1	001			0.00	0.00			2		1	2	003
