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_b7b_bendesc_yn	pbp_b7b_bendesc_ehc	pbp_b7b_bendesc_amo_rc	pbp_b7b_bendesc_lim_rc	pbp_b7b_bendesc_num_rc	pbp_b7b_bendesc_per_rc	pbp_b7b_bendesc_per_rc_d	pbp_b7b_addl_service_other	pbp_b7b_bendesc_amo_other	pbp_b7b_bendesc_lim_other	pbp_b7b_bendesc_num_other	pbp_b7b_bendesc_per_other	pbp_b7b_bendesc_per_other_d	pbp_b7b_maxplan_yn	pbp_b7b_maxplan_amt	pbp_b7b_maxplan_per	pbp_b7b_maxplan_per_d	pbp_b7b_maxenr_yn	pbp_b7b_maxenr_amt	pbp_b7b_maxenr_per	pbp_b7b_maxenr_per_d	pbp_b7b_coins_yn	pbp_b7b_coins_ehc	pbp_b7b_coins_pct_mc_min	pbp_b7b_coins_pct_mc_max	pbp_b7b_coins_pct_rc_min	pbp_b7b_coins_pct_rc_max	pbp_b7b_coins_pct_other_min	pbp_b7b_coins_pct_other_max	pbp_b7b_copay_yn	pbp_b7b_copay_ehc	pbp_b7b_copay_mc_amt_min	pbp_b7b_copay_mc_amt_max	pbp_b7b_copay_rc_amt_min	pbp_b7b_copay_rc_amt_max	pbp_b7b_copay_other_amt_min	pbp_b7b_copay_other_amt_max	pbp_b7b_ded_yn	pbp_b7b_ded_amt	pbp_b7b_auth_yn	pbp_b7b_refer_yn	pbp_b7f_bendesc_yn	pbp_b7f_bendesc_rf	pbp_b7f_bendesc_amo_rf	pbp_b7f_bendesc_lim_rf	pbp_b7f_bendesc_amt_rf	pbp_b7f_bendesc_per_rf	pbp_b7f_bendesc_per_rf_d	pbp_b7f_maxplan_yn	pbp_b7f_maxplan_amt	pbp_b7f_maxplan_per	pbp_b7f_maxplan_per_d	pbp_b7f_maxenr_yn	pbp_b7f_maxenr_amt	pbp_b7f_maxenr_per	pbp_b7f_maxenr_per_d	pbp_b7f_coins_yn	pbp_b7f_coins_ehc	pbp_b7f_coins_pct_mc_min	pbp_b7f_coins_pct_mc_max	pbp_b7f_coins_pct_rf_min	pbp_b7f_coins_pct_rf_max	pbp_b7f_ded_yn	pbp_b7f_ded_amt	pbp_b7f_copay_yn	pbp_b7f_copay_ehc	pbp_b7f_copay_mc_amt_min	pbp_b7f_copay_mc_amt_max	pbp_b7f_copay_rf_amt_min	pbp_b7f_copay_rf_amt_max	pbp_b7f_auth_yn	pbp_b7f_refer_yn
H0523	801	0	1	01	01	H0523_801_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H0523	801	0	1	01	01	H0523_801_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H0523	805	0	1	01	01	H0523_805_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H0523	805	0	1	01	01	H0523_805_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H0628	801	0	1	01	01	H0628_801_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H0628	801	0	1	01	01	H0628_801_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H0628	802	0	1	01	01	H0628_802_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H0628	802	0	1	01	01	H0628_802_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H1019	001	0	1	02	01	H1019_001_0	6	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H1019	006	0	1	01	01	H1019_006_0	5	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H1019	098	0	1	01	01	H1019_098_0	6	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H1019	103	1	1	01	01	H1019_103_1	6	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H1019	103	2	1	01	01	H1019_103_2	6	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H1019	108	0	1	01	01	H1019_108_0	8	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H1019	113	0	1	01	01	H1019_113_0	5	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H1019	117	0	1	01	01	H1019_117_0	5	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H1019	124	0	1	01	01	H1019_124_0	5	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H1019	130	0	1	01	01	H1019_130_0	5	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H1019	147	2	1	01	01	H1019_147_2	6	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H1019	151	2	1	01	01	H1019_151_2	5	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H1036	054	0	1	01	01	H1036_054_0	5	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H1036	062	0	1	01	01	H1036_062_0	6	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H1036	065	0	1	01	01	H1036_065_0	6	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H1036	077	0	1	01	01	H1036_077_0	7	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H1036	102	0	1	01	01	H1036_102_0	7	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H1036	209	0	1	01	01	H1036_209_0	7	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H1036	210	0	1	01	01	H1036_210_0	8	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H1036	213	0	1	01	01	H1036_213_0	7	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H1036	214	0	1	01	01	H1036_214_0	7	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H1036	230	0	1	01	01	H1036_230_0	6	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H1036	233	0	1	02	01	H1036_233_0	4	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H1036	285	0	1	01	01	H1036_285_0	8	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H1036	291	0	1	02	01	H1036_291_0	4	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H1036	301	0	1	01	01	H1036_301_0	6	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H1036	302	0	1	01	01	H1036_302_0	5	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H1036	304	0	1	01	01	H1036_304_0	7	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H1036	314	0	1	01	01	H1036_314_0	8	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H1036	315	0	1	01	01	H1036_315_0	5	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H1036	316	0	1	01	01	H1036_316_0	5	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H1109	801	0	1	01	01	H1109_801_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H1109	801	0	1	01	01	H1109_801_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H1109	802	0	1	01	01	H1109_802_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H1109	802	0	1	01	01	H1109_802_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H1206	003	0	1	02	01	H1206_003_0	3	1																																										1	1	2	2	6	3		2								2						2		1	10			0.00	0.00	2	2
H1206	801	0	1	01	01	H1206_801_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H1206	801	0	1	01	01	H1206_801_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H1206	802	0	1	01	01	H1206_802_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H1206	802	0	1	01	01	H1206_802_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H1304	001	0	1	04	01	H1304_001_0	5	1																																										1	1	2	2	6	3		2								2								1	10			0.00	0.00	2	2
H1304	004	0	1	04	01	H1304_004_0	8	1																																										1	1	2	2	6	3		2								2								1	10			0.00	0.00	2	2
H1304	011	1	1	04	01	H1304_011_1	7	1																																										1	1	2	2	6	3		2								2								1	10			0.00	0.00	2	2
H1304	011	2	1	04	01	H1304_011_2	7	1																																										1	1	2	2	6	3		2								2								1	10			0.00	0.00	2	2
H1304	013	0	1	04	01	H1304_013_0	8	1																																										1	1	2	2	6	3		2								2								1	10			0.00	0.00	2	2
H1304	803	0	1	04	01	H1304_803_0	2	1																																										1	1	2	2	6	3		2								2								1	10			0.00	0.00	2	2
H1304	804	0	1	04	01	H1304_804_0	2	1																																										1	1	2	2	6	3		2								2								1	10			0.00	0.00	2	2
H1304	805	0	1	04	01	H1304_805_0	2	1																																										1	1	2	2	6	3		2								2								1	10			0.00	0.00	2	2
H1304	806	0	1	04	01	H1304_806_0	2	1																																										1	1	2	2	6	3		2								2								1	10			0.00	0.00	2	2
H1608	001	0	1	04	01	H1608_001_0	3	1																																										1	1	2	2	6	3		2								2						2		1	10			0.00	0.00	2	2
H1608	016	0	1	04	01	H1608_016_0	3	1																																										1	1	2	2	6	3		2								2						2		1	10			0.00	0.00	2	2
H1608	801	0	1	04	01	H1608_801_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H1608	801	0	1	04	01	H1608_801_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H1608	802	0	1	04	01	H1608_802_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H1608	802	0	1	04	01	H1608_802_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H1609	001	0	1	02	01	H1609_001_0	3	1																																										1	1	2	2	6	3		2								2						2		1	10			0.00	0.00	2	2
H1609	801	0	1	01	01	H1609_801_0	2	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H1609	801	0	1	01	01	H1609_801_0	2	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H1609	807	0	1	01	01	H1609_807_0	2	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H1609	807	0	1	01	01	H1609_807_0	2	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H1692	801	0	1	01	01	H1692_801_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H1692	801	0	1	01	01	H1692_801_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H1692	802	0	1	01	01	H1692_802_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H1692	802	0	1	01	01	H1692_802_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H1969	002	0	1	01	01	H1969_002_0	8	1																																										1	1	2	2	6	3		2								2								1	10			0.00	0.00	2	2
H1997	013	0	1	01	01	H1997_013_0	7	1																																										1	1	2	2	6	3		2								2								1	10			0.00	0.00	2	2
H2056	801	0	1	01	01	H2056_801_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H2056	801	0	1	01	01	H2056_801_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H2056	802	0	1	01	01	H2056_802_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H2056	802	0	1	01	01	H2056_802_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H2235	001	0	1	01	01	H2235_001_0	10	1																																										1	1	2	2	4	3		2								2								2						2	2
H2235	003	0	1	01	01	H2235_003_0	10	1																																										1	1	2	2	6	3		2								2								2						2	2
H2663	026	0	1	02	01	H2663_026_0	2	1																																										1	1	2	2	6	3		2								2						2		1	10			0.00	0.00	2	2
H2663	052	0	1	01	01	H2663_052_0	4	2																																										1	1	2	2	6	3		2								2						2		1	10			0.00	0.00	2	2
H2663	061	0	1	02	01	H2663_061_0	2	1																																										1	1	2	2	6	3		2								2						2		1	10			0.00	0.00	2	2
H2663	805	0	1	01	01	H2663_805_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H2663	805	0	1	01	01	H2663_805_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H2663	810	0	1	01	01	H2663_810_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H2663	810	0	1	01	01	H2663_810_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H2875	001	0	1	02	01	H2875_001_0	5	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H3146	001	0	1	02	01	H3146_001_0	2	2																																										1	1	2	2	6	3		2								2						2		1	10			0.00	0.00	2	2
H3146	002	0	1	01	01	H3146_002_0	5	2																																										1	1	2	2	6	3		2								2						2		1	10			0.00	0.00	2	2
H3146	003	0	1	01	01	H3146_003_0	3	2																																										1	1	2	2	6	3		2								2						2		1	10			0.00	0.00	2	2
H3146	004	0	1	02	01	H3146_004_0	3	2																																										1	1	2	2	6	3		2								2						2		1	10			0.00	0.00	2	2
H3146	006	0	1	01	01	H3146_006_0	4	3																																										1	1	2	2	6	3		2								2						2		1	10			0.00	0.00	2	2
H3146	008	0	1	01	01	H3146_008_0	4	2																																										1	1	2	2	6	3		2								2						2		1	10			0.00	0.00	2	2
H3146	018	0	1	01	01	H3146_018_0	3	2																																										1	1	2	2	6	3		2								2						2		1	10			0.00	0.00	2	2
H3146	801	0	1	01	01	H3146_801_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H3146	801	0	1	01	01	H3146_801_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H3146	802	0	1	01	01	H3146_802_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H3146	802	0	1	01	01	H3146_802_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H3152	801	0	1	01	01	H3152_801_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H3152	801	0	1	01	01	H3152_801_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H3152	804	0	1	01	01	H3152_804_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H3152	804	0	1	01	01	H3152_804_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H3192	001	0	1	02	01	H3192_001_0	2	1																																										1	1	2	2	6	3		2								2						2		1	10			0.00	0.00	2	2
H3192	801	0	1	01	01	H3192_801_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H3192	801	0	1	01	01	H3192_801_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H3192	802	0	1	01	01	H3192_802_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H3192	802	0	1	01	01	H3192_802_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H3219	801	0	1	04	01	H3219_801_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H3219	801	0	1	04	01	H3219_801_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H3219	802	0	1	04	01	H3219_802_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H3219	802	0	1	04	01	H3219_802_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H3288	801	0	1	04	01	H3288_801_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H3288	801	0	1	04	01	H3288_801_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H3288	802	0	1	04	01	H3288_802_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H3288	802	0	1	04	01	H3288_802_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H3312	801	0	1	01	01	H3312_801_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H3312	801	0	1	01	01	H3312_801_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H3312	804	0	1	01	01	H3312_804_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H3312	804	0	1	01	01	H3312_804_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H3597	801	0	1	01	01	H3597_801_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H3597	801	0	1	01	01	H3597_801_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H3597	802	0	1	01	01	H3597_802_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H3597	802	0	1	01	01	H3597_802_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H3748	801	0	1	01	01	H3748_801_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H3748	801	0	1	01	01	H3748_801_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H3748	802	0	1	01	01	H3748_802_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H3748	802	0	1	01	01	H3748_802_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H3815	007	0	1	01	01	H3815_007_0	16	2	1	01	2	2	12	3								2								2								2										2	2																															
H3817	008	1	1	04	01	H3817_008_1	5	1																																										1	1	2	2	6	3		2								2								1	10			0.00	0.00	2	2
H3817	008	2	1	04	01	H3817_008_2	6	1																																										1	1	2	2	6	3		2								2								1	10			0.00	0.00	2	2
H3817	008	4	1	04	01	H3817_008_4	5	1																																										1	1	2	2	6	3		2								2								1	10			0.00	0.00	2	2
H3817	009	1	1	04	01	H3817_009_1	6	1																																										1	1	2	2	6	3		2								2								1	10			0.00	0.00	2	2
H3817	009	2	1	04	01	H3817_009_2	6	1																																										1	1	2	2	6	3		2								2								1	10			0.00	0.00	2	2
H3817	010	0	1	04	01	H3817_010_0	5	1																																										1	1	2	2	6	3		2								2								1	10			0.00	0.00	2	2
H3817	011	1	1	04	01	H3817_011_1	5	1																																										1	1	2	2	6	3		2								2								1	10			0.00	0.00	2	2
H3817	011	2	1	04	01	H3817_011_2	5	1																																										1	1	2	2	6	3		2								2								1	10			0.00	0.00	2	2
H3817	011	3	1	04	01	H3817_011_3	5	1																																										1	1	2	2	6	3		2								2								1	10			0.00	0.00	2	2
H3817	801	0	1	04	01	H3817_801_0	2	1																																										1	1	2	2	6	3		2								2								1	10			0.00	0.00	2	2
H3817	802	0	1	04	01	H3817_802_0	2	1																																										1	1	2	2	6	3		2								2								1	10			0.00	0.00	2	2
H3817	803	0	1	04	01	H3817_803_0	2	1																																										1	1	2	2	6	3		2								2								1	10			0.00	0.00	2	2
H3817	804	0	1	04	01	H3817_804_0	2	1																																										1	1	2	2	6	3		2								2								1	10			0.00	0.00	2	2
H3928	801	0	1	01	01	H3928_801_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H3928	801	0	1	01	01	H3928_801_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H3928	803	0	1	01	01	H3928_803_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H3928	803	0	1	01	01	H3928_803_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H3931	801	0	1	01	01	H3931_801_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H3931	801	0	1	01	01	H3931_801_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H3931	804	0	1	01	01	H3931_804_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H3931	804	0	1	01	01	H3931_804_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H3959	803	0	1	01	01	H3959_803_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H3959	803	0	1	01	01	H3959_803_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H3959	804	0	1	01	01	H3959_804_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H3959	804	0	1	01	01	H3959_804_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H4141	015	0	1	01	01	H4141_015_0	4	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H4141	017	5	1	01	01	H4141_017_5	4	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H4141	023	0	1	01	01	H4141_023_0	4	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H4461	022	0	1	01	01	H4461_022_0	6	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H4461	038	0	1	01	01	H4461_038_0	5	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H4523	801	0	1	01	01	H4523_801_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H4523	801	0	1	01	01	H4523_801_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H4523	802	0	1	01	01	H4523_802_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H4523	802	0	1	01	01	H4523_802_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H4605	001	0	1	04	01	H4605_001_0	5	1																																										1	1	2	2	6	3		2								2								1	10			0.00	0.00	2	2
H4605	002	0	1	04	01	H4605_002_0	6	1																																										1	1	2	2	6	3		2								2								1	10			0.00	0.00	2	2
H4605	004	0	1	04	01	H4605_004_0	6	1																																										1	1	2	2	6	3		2								2								1	10			0.00	0.00	2	2
H4605	801	0	1	04	01	H4605_801_0	2	1																																										1	1	2	2	6	3		2								2								1	10			0.00	0.00	2	2
H4605	802	0	1	04	01	H4605_802_0	2	1																																										1	1	2	2	6	3		2								2								1	10			0.00	0.00	2	2
H4605	803	0	1	04	01	H4605_803_0	2	1																																										1	1	2	2	6	3		2								2								1	10			0.00	0.00	2	2
H4605	804	0	1	04	01	H4605_804_0	2	1																																										1	1	2	2	6	3		2								2								1	10			0.00	0.00	2	2
H4711	801	0	1	01	01	H4711_801_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H4711	801	0	1	01	01	H4711_801_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H4711	802	0	1	01	01	H4711_802_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H4711	802	0	1	01	01	H4711_802_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H4835	801	0	1	01	01	H4835_801_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H4835	801	0	1	01	01	H4835_801_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H4835	802	0	1	01	01	H4835_802_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H4835	802	0	1	01	01	H4835_802_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H4982	801	0	1	01	01	H4982_801_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H4982	801	0	1	01	01	H4982_801_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H4982	802	0	1	01	01	H4982_802_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H4982	802	0	1	01	01	H4982_802_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H5009	002	0	1	04	01	H5009_002_0	6	1																																										1	1	2	2	6	3		2								2								1	10			0.00	0.00	2	2
H5009	011	1	1	04	01	H5009_011_1	5	1																																										1	1	2	2	6	3		2								2								1	10			0.00	0.00	2	2
H5009	011	2	1	04	01	H5009_011_2	5	1																																										1	1	2	2	6	3		2								2								1	10			0.00	0.00	2	2
H5009	801	0	1	04	01	H5009_801_0	2	1																																										1	1	2	2	6	3		2								2								1	10			0.00	0.00	2	2
H5009	802	0	1	04	01	H5009_802_0	2	1																																										1	1	2	2	6	3		2								2								1	10			0.00	0.00	2	2
H5009	803	0	1	04	01	H5009_803_0	2	1																																										1	1	2	2	6	3		2								2								1	10			0.00	0.00	2	2
H5009	804	0	1	04	01	H5009_804_0	2	1																																										1	1	2	2	6	3		2								2								1	10			0.00	0.00	2	2
H5010	001	0	1	04	01	H5010_001_0	4	1																																										1	1	2	2	6	3		2								2								1	10			0.00	0.00	2	2
H5010	011	0	1	04	01	H5010_011_0	7	1																																										1	1	2	2	6	3		2								2								1	10			0.00	0.00	2	2
H5178	002	0	1	01	01	H5178_002_0	5	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H5216	142	2	1	04	01	H5216_142_2	4	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H5216	242	0	1	04	01	H5216_242_0	7	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H5216	243	0	1	04	01	H5216_243_0	9	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H5216	257	0	1	04	01	H5216_257_0	4	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H5216	277	0	1	04	01	H5216_277_0	4	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H5216	317	0	1	04	01	H5216_317_0	3	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H5216	347	0	1	04	01	H5216_347_0	4	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H5216	362	0	1	04	01	H5216_362_0	6	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H5216	369	0	1	04	01	H5216_369_0	6	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H5216	391	0	1	04	01	H5216_391_0	4	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H5216	400	0	1	04	01	H5216_400_0	6	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H5216	401	0	1	04	01	H5216_401_0	6	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H5216	402	0	1	04	01	H5216_402_0	6	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H5216	413	0	1	04	01	H5216_413_0	6	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H5216	416	0	1	04	01	H5216_416_0	6	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H5216	419	0	1	04	01	H5216_419_0	6	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H5216	444	0	1	04	01	H5216_444_0	5	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H5216	446	0	1	04	01	H5216_446_0	6	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H5216	447	0	1	04	01	H5216_447_0	6	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H5302	809	0	1	01	01	H5302_809_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H5302	809	0	1	01	01	H5302_809_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H5302	810	0	1	01	01	H5302_810_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H5302	810	0	1	01	01	H5302_810_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H5325	001	0	1	01	01	H5325_001_0	3	2																																										1	1	2	2	6	3		2								2						2		1	10			0.00	0.00	2	2
H5325	003	0	1	01	01	H5325_003_0	3	2																																										1	1	2	2	6	3		2								2						2		1	10			0.00	0.00	2	2
H5521	016	0	1	04	01	H5521_016_0	2	1																																										1	1	2	2	6	3		2								2						2		1	10			0.00	0.00	2	2
H5521	081	0	1	04	01	H5521_081_0	3	1																																										1	1	2	2	6	3		2								2						2		1	10			0.00	0.00	2	2
H5521	086	0	1	04	01	H5521_086_0	2	1																																										1	1	2	2	6	3		2								2						2		1	10			0.00	0.00	2	2
H5521	170	0	1	04	01	H5521_170_0	2	1																																										1	1	2	2	6	3		2								2						2		1	10			0.00	0.00	2	2
H5521	801	0	1	04	01	H5521_801_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5521	801	0	1	04	01	H5521_801_0	1	1	1	11	2	1				At plan sponsor's discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5521	802	0	1	04	01	H5521_802_0	1	1	1	11	2	1				at plan sponsor's discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5521	802	0	1	04	01	H5521_802_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5521	805	0	2	04	01	H5521_805_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5521	805	0	2	04	01	H5521_805_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5521	806	0	2	04	01	H5521_806_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5521	806	0	2	04	01	H5521_806_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5521	809	0	1	04	01	H5521_809_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5521	809	0	1	04	01	H5521_809_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5521	810	0	1	04	01	H5521_810_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5521	810	0	1	04	01	H5521_810_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5521	812	0	1	04	01	H5521_812_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5521	812	0	1	04	01	H5521_812_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5521	814	0	2	04	01	H5521_814_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5521	814	0	2	04	01	H5521_814_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5521	815	0	2	04	01	H5521_815_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5521	815	0	2	04	01	H5521_815_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5521	816	0	2	04	01	H5521_816_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5521	816	0	2	04	01	H5521_816_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5521	817	0	1	04	01	H5521_817_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5521	817	0	1	04	01	H5521_817_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5521	818	0	2	04	01	H5521_818_0	1	1	1	11	2	1				at plan sponsor's discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5521	818	0	2	04	01	H5521_818_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5521	819	0	1	04	01	H5521_819_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5521	819	0	1	04	01	H5521_819_0	1	1	1	11	2	1				at plan sponsor's discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5521	820	0	1	04	01	H5521_820_0	1	1	1	11	2	1				at plan sponsor's discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5521	820	0	1	04	01	H5521_820_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5521	821	0	1	04	01	H5521_821_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5521	821	0	1	04	01	H5521_821_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5521	822	0	1	04	01	H5521_822_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5521	822	0	1	04	01	H5521_822_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5521	823	0	2	04	01	H5521_823_0	1	1	1	11	2	1				at plan sponsor's discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5521	823	0	2	04	01	H5521_823_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5521	824	0	2	04	01	H5521_824_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5521	824	0	2	04	01	H5521_824_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5521	825	0	1	04	01	H5521_825_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5521	825	0	1	04	01	H5521_825_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5521	826	0	2	04	01	H5521_826_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5521	826	0	2	04	01	H5521_826_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5521	827	0	2	04	01	H5521_827_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5521	827	0	2	04	01	H5521_827_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5521	828	0	2	04	01	H5521_828_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5521	828	0	2	04	01	H5521_828_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5521	829	0	1	04	01	H5521_829_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5521	829	0	1	04	01	H5521_829_0	1	1	1	11	2	1				at plan sponsor's discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5521	830	0	2	04	01	H5521_830_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5521	830	0	2	04	01	H5521_830_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5521	831	0	1	04	01	H5521_831_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5521	831	0	1	04	01	H5521_831_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5521	832	0	1	04	01	H5521_832_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5521	832	0	1	04	01	H5521_832_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5521	833	0	1	04	01	H5521_833_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5521	833	0	1	04	01	H5521_833_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5521	834	0	1	04	01	H5521_834_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5521	834	0	1	04	01	H5521_834_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5521	835	0	2	04	01	H5521_835_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5521	835	0	2	04	01	H5521_835_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5521	836	0	1	04	01	H5521_836_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5521	836	0	1	04	01	H5521_836_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5521	837	0	1	04	01	H5521_837_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5521	837	0	1	04	01	H5521_837_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5522	802	0	1	04	01	H5522_802_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5522	802	0	1	04	01	H5522_802_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5522	803	0	1	04	01	H5522_803_0	1	1	1	11	2	1				at plan sponsor's discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5522	803	0	1	04	01	H5522_803_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5522	808	0	2	04	01	H5522_808_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5522	808	0	2	04	01	H5522_808_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5522	809	0	2	04	01	H5522_809_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5522	809	0	2	04	01	H5522_809_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5522	810	0	1	04	01	H5522_810_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5522	810	0	1	04	01	H5522_810_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5522	811	0	1	04	01	H5522_811_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5522	811	0	1	04	01	H5522_811_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5522	813	0	2	04	01	H5522_813_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5522	813	0	2	04	01	H5522_813_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5522	814	0	2	04	01	H5522_814_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5522	814	0	2	04	01	H5522_814_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5522	815	0	1	04	01	H5522_815_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5522	815	0	1	04	01	H5522_815_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5522	816	0	1	04	01	H5522_816_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5522	816	0	1	04	01	H5522_816_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5522	817	0	2	04	01	H5522_817_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5522	817	0	2	04	01	H5522_817_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5522	818	0	2	04	01	H5522_818_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5522	818	0	2	04	01	H5522_818_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5522	819	0	1	04	01	H5522_819_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5522	819	0	1	04	01	H5522_819_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5522	820	0	1	04	01	H5522_820_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5522	820	0	1	04	01	H5522_820_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5522	821	0	1	04	01	H5522_821_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5522	821	0	1	04	01	H5522_821_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5522	822	0	2	04	01	H5522_822_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5522	822	0	2	04	01	H5522_822_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5522	823	0	1	04	01	H5522_823_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5522	823	0	1	04	01	H5522_823_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5522	824	0	2	04	01	H5522_824_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5522	824	0	2	04	01	H5522_824_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5522	825	0	2	04	01	H5522_825_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5522	825	0	2	04	01	H5522_825_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5522	826	0	2	04	01	H5522_826_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5522	826	0	2	04	01	H5522_826_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5522	827	0	2	04	01	H5522_827_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5522	827	0	2	04	01	H5522_827_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5522	828	0	1	04	01	H5522_828_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5522	828	0	1	04	01	H5522_828_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5522	829	0	2	04	01	H5522_829_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5522	829	0	2	04	01	H5522_829_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5522	830	0	1	04	01	H5522_830_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5522	830	0	1	04	01	H5522_830_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5522	831	0	1	04	01	H5522_831_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5522	831	0	1	04	01	H5522_831_0	1	1	1	11	2	1				at plan sponsor's discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5522	832	0	1	04	01	H5522_832_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5522	832	0	1	04	01	H5522_832_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5522	833	0	1	04	01	H5522_833_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5522	833	0	1	04	01	H5522_833_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	001			20	20			2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5522	834	0	2	04	01	H5522_834_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5522	834	0	2	04	01	H5522_834_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5522	835	0	1	04	01	H5522_835_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5522	835	0	1	04	01	H5522_835_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5522	836	0	1	04	01	H5522_836_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H5522	836	0	1	04	01	H5522_836_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H5525	036	0	1	04	01	H5525_036_0	4	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H5525	050	0	1	04	01	H5525_050_0	4	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H5525	083	0	1	04	01	H5525_083_0	4	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H5593	001	0	1	01	01	H5593_001_0	4	2																																										1	1	2	2	6	3		2								2						2		1	10			0.00	0.00	2	2
H5593	801	0	1	01	01	H5593_801_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H5593	801	0	1	01	01	H5593_801_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H5593	802	0	1	01	01	H5593_802_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H5593	802	0	1	01	01	H5593_802_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H5619	054	0	1	02	01	H5619_054_0	7	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H5619	135	0	1	01	01	H5619_135_0	4	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H5619	157	0	1	01	01	H5619_157_0	4	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H5619	173	0	1	01	01	H5619_173_0	3	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H5793	801	0	1	01	01	H5793_801_0	2	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H5793	801	0	1	01	01	H5793_801_0	2	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H5793	802	0	1	01	01	H5793_802_0	2	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H5793	802	0	1	01	01	H5793_802_0	2	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H5826	006	0	1	01	01	H5826_006_0	3	1																																										1	1	2	2	8	3		2								2								2						2	2
H5826	009	0	1	01	01	H5826_009_0	4	1																																										1	1	2	2	8	3		2								2								2						2	2
H5826	010	0	1	01	01	H5826_010_0	4	3																																										1	1	2	2	8	3		2								2								2						2	2
H5826	014	0	1	01	01	H5826_014_0	4	2																																										1	1	2	2	8	3		2								2								2						2	2
H5826	017	0	1	01	01	H5826_017_0	4	1																																										1	1	2	2	8	3		2								2								2						2	2
H6237	009	0	1	01	01	H6237_009_0	5	1																																										1	1	2	2	6	3		2								2								1	10			0.00	0.00	2	2
H6622	061	0	1	02	01	H6622_061_0	4	1	1	01	2	1										2								2								2										1	2	1	1	2	1				2								2								2						1	2
H7149	801	0	1	01	01	H7149_801_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H7149	801	0	1	01	01	H7149_801_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H7149	802	0	1	01	01	H7149_802_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H7149	802	0	1	01	01	H7149_802_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H7301	013	0	1	04	01	H7301_013_0	2	1																																										1	1	2	2	6	3		2								2						2		1	10			0.00	0.00	2	2
H7301	801	0	1	04	01	H7301_801_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H7301	801	0	1	04	01	H7301_801_0	1	1	1	11	2	1				at plan sponsor's discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H7301	803	0	1	04	01	H7301_803_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H7301	803	0	1	04	01	H7301_803_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H8145	069	0	1	09	04	H8145_069_0	3	1	1	01	2	1										2								2								2										2	2	1	1	2	1				2								2								2						2	2
H8332	801	0	1	01	01	H8332_801_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H8332	801	0	1	01	01	H8332_801_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H8332	802	0	1	01	01	H8332_802_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H8332	802	0	1	01	01	H8332_802_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H8649	801	0	1	01	01	H8649_801_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H8649	801	0	1	01	01	H8649_801_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H8649	803	0	1	01	01	H8649_803_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H8649	803	0	1	01	01	H8649_803_0	1	1	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								2								2										2	1	1	1	2	1				2								2								2						2	1
H9431	801	0	1	04	01	H9431_801_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H9431	801	0	1	04	01	H9431_801_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
H9431	802	0	1	04	01	H9431_802_0	1	1	1	11	2	1				At plan sponsor discretion	2	1				2								2								2										2	2	1	1	2	1				2								2								2						2	2
H9431	802	0	1	04	01	H9431_802_0	1	2	1	11	2	1				Non-Medicare (Other Chiropractic Services)	2	1				2								1	101			20	20	20	20	2										2	2	1	1	2	1				2								1	10			20	20			2						2	2
