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"H0354",,"CIGNA HealthCare of Arizona, Inc.","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR"
"H0504",,"Blue Shield of California","0","23","23","0","0","0","0","0","0","0","0","0","12","24","36","0","0","0","7,064","4,417","11,481","1,272","504","1,776","0","23","23","0","0","0","0","0","0","0","0","0","12","24","36","0","0","0","7,064","4,417","11,481","1,272","504","1,776","0","0","0","0","0","0","75,000.00","13,065.00","472","7,717.96","9","9","75,000.00","13,065.00","472","7,717.96","9","9","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","6,249.00","1,346.00","1,968.00","1,743.96","1","0","14,428.00","4,398.00","3,307.00","7,492.17","2","1","20,677.00","5,744.00","5,275.00","9,236.13","3","1","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","2666631","910,247.00","953,515.00","1475184.77","286","260","1710044","676,193.00","518,575.00","1006702.44","206","238","4376675","1586440","1472090","2481887.21","492","498","255,739.00","113,072.00","111,685.00","171,067.01","22","16","97,881.00","52,434.00","39,834.00","71,801.10","11","11","353,620.00","165,506.00","151,519.00","242,868.11","33","27","350.82","122.74","127.84","197.41","444.18","396.74","381.91","150.18","113.16","220.15","550.72","625.6","362.42","132.98","122.36","205.9","483.93","482.13"
"H0523",,"Aetna Health of California, Inc.","360","192","552","60","0","60","96","36","132","72","24","96","408","360","768","192","108","300","1,896","1,428","3,324","852","312","1,164","360","192","552","60","0","60","96","36","132","72","24","96","408","360","768","192","108","300","1,872","1,416","3,288","852","312","1,164","292,248.00","99,830.00","100,504.00","88,625.00","34","8","208,630.00","56,255.00","46,392.00","48,979.00","17","7","500,878.00","156,085.00","146,896.00","137,604.00","51","15","16,616.00","10,923.00","12,959.00","19,081.00","2","0","0","0","0","0","0","0","16,616.00","10,923.00","12,959.00","19,081.00","2","0","66,002.00","12,748.00","9,464.00","17,391.00","6","0","55,172.00","11,771.00","17,568.00","5,007.00","2","1","121,174.00","24,519.00","27,032.00","22,398.00","8","1","37,803.00","10,518.00","10,480.00","11,977.00","3","1","0","3,391.00","72","6,370.00","0","0","37,803.00","13,909.00","10,552.00","18,347.00","3","1","246,454.00","70,945.00","74,734.00","121,878.00","26","0","186,610.00","47,672.00","61,310.00","75,278.00","18","2","433,064.00","118,617.00","136,044.00","197,156.00","44","2","19,911.00","16,079.00","12,530.00","35,123.00","3","2","11,245.00","11,459.00","3,065.00","15,015.00","2","0","31,156.00","27,538.00","15,595.00","50,138.00","5","2","988,507.00","294,886.00","377,667.00","386,767.00","86","16","805,212.00","242,336.00","309,686.00","315,507.00","60","12","1793719","537,222.00","687,353.00","702,274.00","146","28","259,633.00","72,064.00","117,138.00","105,900.00","21","6","242,501.00","33,329.00","68,615.00","68,492.00","17","0","502,134.00","105,393.00","185,753.00","174,392.00","38","6","489.63","149.39","181.78","201.11","551.83","100.61","613.57","165.13","205.98","218.4","565.85","107.32","537.3","155.44","191.09","207.77","557.22","103.19"
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"H0532",,"Western Health Advantage","108","24","132","12","0","12","0","0","0","12","0","12","24","24","48","0","0","0","252","132","384","108","36","144","108","24","132","12","0","12","0","0","0","12","0","12","24","24","48","0","0","0","252","132","384","108","36","144","146,392.00","34,083.00","12,215.00","36,088.30","16","27","0","4,510.00","2,441.00","18,025.57","0","1","146,392.00","38,593.00","14,656.00","54,113.87","16","28","0","1,097.00","897","996.06","0","0","0","0","0","0","0","0","0","1,097.00","897","996.06","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","3,050.00","351","3,675.60","0","2","0","0","0","0","0","0","0","3,050.00","351","3,675.60","0","2","0","2,369.00","36","4,266.28","0","3","8,432.00","4,695.00","2,144.00","5,805.64","2","2","8,432.00","7,064.00","2,180.00","10,071.92","2","5","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","12,071.00","17,736.00","26,580.00","61,628.80","2","10","18,871.00","10,437.00","6,861.00","38,980.36","2","4","30,942.00","28,173.00","33,441.00","100,609.16","4","14","48,294.00","7,082.00","5,006.00","21,110.36","3","5","0","3,038.00","2,396.00","12,408.91","0","0","48,294.00","10,120.00","7,402.00","33,519.27","3","5","400.69","126.78","87.37","247.61","488.37","1,093.02","126.4","105","64.08","348.24","222.22","388.89","319.75","120.35","80.5","277.3","409.84","885.25"
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"H0545",,"Inter Valley Health Plan","672","408","1,080","24","36","60","84","96","180","12","0","12","432","252","684","156","48","204","1,500","972","2,472","312","180","492","672","408","1,080","24","36","60","84","96","180","12","0","12","432","252","684","156","48","204","1,500","972","2,472","312","180","492","233,091.00","110,354.00","55,345.00","175,655.10","16","30","185,127.00","59,950.00","34,440.00","127,165.14","17","27","418,218.00","170,304.00","89,785.00","302,820.24","33","57","0","1,713.00","985","5,603.49","0","0","0","3,241.00","684","6,561.42","0","2","0","4,954.00","1,669.00","12,164.91","0","2","24,055.00","7,933.00","5,893.00","13,212.64","2","4","12,635.00","12,394.00","8,920.00","25,880.15","1","1","36,690.00","20,327.00","14,813.00","39,092.79","3","5","0","359","398","976.15","0","0","0","0","0","0","0","0","0","359","398","976.15","0","0","202,113.00","61,565.00","40,438.00","100,847.17","17","29","19,496.00","34,632.00","23,607.00","60,726.06","4","14","221,609.00","96,197.00","64,045.00","161,573.23","21","43","0","12,082.00","10,063.00","22,069.64","0","4","0","3,241.00","4,491.00","6,301.10","0","1","0","15,323.00","14,554.00","28,370.74","0","5","452,479.00","143,606.00","142,559.00","339,700.11","47","60","89,071.00","87,085.00","114,000.00","202,518.83","15","43","541,550.00","230,691.00","256,559.00","542,218.94","62","103","60,586.00","19,036.00","17,623.00","26,589.83","4","7","3,796.00","8,155.00","2,811.00","20,484.20","1","2","64,382.00","27,191.00","20,434.00","47,074.03","5","9","304.61","111.73","85.62","214.49","323.31","503.76","155.69","104.77","94.86","225.72","228.92","542.17","247.39","109.06","89.17","218.81","287.04","518.52"
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"H0564",,"Blue Cross of California dba Anthem Blue Cross","1,104","660","1,764","120","24","144","216","168","384","36","48","84","456","408","864","192","36","228","3,480","1,848","5,328","684","324","1,008","1,104","660","1,764","120","24","144","216","168","384","36","48","84","456","408","864","192","36","228","3,480","1,848","5,328","684","324","1,008","NR","141,567.00","NR","287,591.79","NR","133","NR","80,763.00","NR","185,133.07","NR","55","NR","222,330.00","NR","472,724.86","NR","188","NR","0","NR","31,796.31","NR","12","NR","1,027.00","NR","7,038.50","NR","1","NR","1,027.00","NR","38,834.81","NR","13","NR","26,139.00","NR","43,626.17","NR","24","NR","18,723.00","NR","31,285.33","NR","12","NR","44,862.00","NR","74,911.50","NR","36","NR","3,064.00","NR","2,472.35","NR","5","NR","1,477.00","NR","5,160.49","NR","4","NR","4,541.00","NR","7,632.84","NR","9","NR","35,654.00","NR","80,421.03","NR","17","NR","37,658.00","NR","64,151.14","NR","31","NR","73,312.00","NR","144,572.17","NR","48","NR","9,780.00","NR","14,955.41","NR","3","NR","1,681.00","NR","4,888.08","NR","0","NR","11,461.00","NR","19,843.49","NR","3","NR","246,196.00","NR","587,335.39","NR","142","NR","151,850.00","NR","340,233.31","NR","100","NR","398,046.00","NR","927,568.70","NR","242","NR","41,793.00","NR","81,267.39","NR","26","NR","13,370.00","NR","42,710.79","NR","21","NR","55,163.00","NR","123,978.18","NR","47","NR","80.18","NR","179.62","NR","690.84","NR","87.19","NR","193.57","NR","764.51","NR","82.7","NR","184.63","NR","717.26"
"H0571",,"Chinese Community Health Plan","192","144","336","0","12","12","72","0","72","12","0","12","132","132","264","12","36","48","1,272","540","1,812","192","72","264","192","144","336","0","12","12","72","0","72","12","0","12","132","132","264","12","36","48","1,272","540","1,812","192","72","264","123,007.00","36,694.00","35,513.00","45,664.16","9","15","65,623.00","26,920.00","11,831.00","26,978.13","12","3","188,630.00","63,614.00","47,344.00","72,642.29","21","18","0","0","0","0","0","0","0","625","9","5,195.49","0","0","0","625","9","5,195.49","0","0","98,590.00","11,816.00","4,996.00","9,677.16","5","2","0","0","0","0","0","0","98,590.00","11,816.00","4,996.00","9,677.16","5","2","75,000.00","4,979.00","1,480.00","846.43","1","4","0","0","0","0","0","0","75,000.00","4,979.00","1,480.00","846.43","1","4","7,080.00","13,768.00","3,479.00","17,909.06","2","2","7,450.00","11,617.00","3,036.00","19,764.41","2","1","14,530.00","25,385.00","6,515.00","37,673.47","4","3","0","1,015.00","1,552.00","1,295.18","0","0","0","2,164.00","5,312.00","2,166.55","0","0","0","3,179.00","6,864.00","3,461.73","0","0","409,197.00","131,213.00","95,995.00","212,277.78","25","37","115,504.00","55,044.00","35,281.00","95,996.78","10","15","524,701.00","186,257.00","131,276.00","308,274.56","35","52","10,306.00","9,137.00","2,082.00","11,003.64","2","1","0","3,195.00","1,776.00","4,766.78","0","1","10,306.00","12,332.00","3,858.00","15,770.42","2","2","383.85","110.73","77.02","158.53","280.25","388.54","201.47","106.37","61.16","165.46","307.69","256.41","323.32","109.29","71.75","160.83","289.36","344.68"
"H0602",,"Rocky Mountain Health Plans","1,020","612","1,632","108","72","180","216","60","276","120","12","132","264","264","528","108","12","120","4,236","2,136","6,372","1,979","552","2,531","936","564","1,500","108","72","180","192","60","252","96","12","108","252","252","504","96","12","108","3,967","2,016","5,983","1,819","552","2,371","563,485.00","167,446.00","171,503.00","383,731.75","52","67","430,910.00","145,290.00","207,133.00","223,947.80","40","75","994,395.00","312,736.00","378,636.00","607,679.55","92","142","0","6,367.00","2,192.00","15,688.89","0","1","4,836.00","5,644.00","339","15,047.03","1","2","4,836.00","12,011.00","2,531.00","30,735.92","1","3","182,588.00","25,437.00","39,793.00","61,359.29","14","12","111,053.00","12,576.00","36,446.00","12,099.23","7","0","293,641.00","38,013.00","76,239.00","73,458.52","21","12","101,101.00","14,963.00","37,716.00","28,196.51","6","7","4,646.00","1,393.00","1,922.00","995.03","1","0","105,747.00","16,356.00","39,638.00","29,191.54","7","7","103,026.00","36,112.00","37,752.00","83,124.12","11","15","95,389.00","29,473.00","38,362.00","61,499.81","9","7","198,415.00","65,585.00","76,114.00","144,623.93","20","22","39,736.00","4,490.00","21,098.00","14,210.86","2","4","3,796.00","1,857.00","1,615.00","1,697.33","1","0","43,532.00","6,347.00","22,713.00","15,908.19","3","4","1234683","419,386.00","742,355.00","1009435.63","102","135","1049106","280,561.00","485,407.00","605,295.59","78","111","2283789","699,947.00","1227762","1614731.22","180","246","556,012.00","117,482.00","264,163.00","286,931.71","30","74","65,298.00","45,001.00","76,991.00","106,111.42","10","11","621,310.00","162,483.00","341,154.00","393,043.13","40","85","345.38","98.33","163.53","252.17","323.44","469.51","474.47","140.27","228.01","290.03","474.19","664.52","386.17","111.59","183.91","264.34","371.08","531.14"
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"H1013",,"Vista Healthplan of South Florida, Inc.","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR"
"H1016",,"AvMed, Inc. dba AvMed Health Plans","840","588","1,428","120","36","156","132","72","204","48","0","48","1,032","1,019","2,051","60","132","192","4,895","2,831","7,726","732","300","1,032","840","588","1,428","120","36","156","132","72","204","48","0","48","1,032","1,008","2,040","60","132","192","4,895","2,831","7,726","732","300","1,032","717,272.00","210,909.00","95,920.00","192,576.50","71","30","733,374.00","170,281.00","152,634.00","185,584.29","73","33","1450646","381,190.00","248,554.00","378,160.79","144","63","234,685.00","27,300.00","23,003.00","18,700.66","20","4","16,278.00","3,575.00","94","5,894.83","2","0","250,963.00","30,875.00","23,097.00","24,595.49","22","4","61,228.00","19,914.00","49,725.00","26,343.05","5","6","20,335.00","12,963.00","22,769.00","25,833.31","2","4","81,563.00","32,877.00","72,494.00","52,176.36","7","10","0","4,038.00","10,566.00","6,575.61","0","2","0","0","0","0","0","0","0","4,038.00","10,566.00","6,575.61","0","2","128,902.00","119,330.00","150,612.00","190,701.88","15","19","192,875.00","153,319.00","173,170.00","195,796.97","30","26","321,777.00","272,649.00","323,782.00","386,498.85","45","45","0","3,338.00","4,236.00","4,473.21","0","0","0","15,499.00","35,600.00","22,001.32","0","1","0","18,837.00","39,836.00","26,474.53","0","1","1574469","638,908.00","828,617.00","857,060.65","149","142","959,038.00","412,826.00","372,065.00","633,397.28","86","95","2533507","1051734","1200682","1490457.93","235","237","212,327.00","63,468.00","114,720.00","96,152.23","16","19","102,387.00","35,449.00","31,552.00","45,111.65","12","14","314,714.00","98,917.00","146,272.00","141,263.88","28","33","372.68","138.34","162.54","177.2","421.43","338.97","406.65","161.49","158.27","224.2","494.17","417.03","385.85","147.32","160.89","195.4","449.64","369.25"
"H1019",,"CarePlus Health Plans, Inc.","4,020","2,208","6,228","144","60","204","240","156","396","36","12","48","2,327","2,819","5,146","192","216","408","11,946","8,743","20,689","1,164","360","1,524","3,984","2,208","6,192","144","60","204","240","156","396","36","12","48","2,327","2,819","5,146","192","216","408","11,910","8,731","20,641","1,164","360","1,524","1938903","1002943","83,144.00","1164238","594","288","1280054","603,251.00","29,361.00","711,279.00","466","236","3218957","1606194","112,505.00","1875517","1,060","524","51,842.00","15,115.00","4,756.00","25,245.00","9","5","4,668.00","7,400.00","541","7,871.00","5","1","56,510.00","22,515.00","5,297.00","33,116.00","14","6","111,612.00","48,963.00","4,978.00","61,566.00","44","15","72,519.00","30,576.00","3,713.00","45,161.00","16","6","184,131.00","79,539.00","8,691.00","106,727.00","60","21","32,522.00","11,238.00","390","6,922.00","2","0","7,830.00","3,933.00","390","1,115.00","2","1","40,352.00","15,171.00","780","8,037.00","4","1","634,874.00","362,179.00","35,044.00","591,174.00","209","119","736,469.00","424,826.00","40,662.00","721,092.00","263","148","1371343","787,005.00","75,706.00","1312266","472","267","22,284.00","13,910.00","971","25,832.00","12","7","10,343.00","19,794.00","532","41,065.00","4","7","32,627.00","33,704.00","1,503.00","66,897.00","16","14","2574012","1641899","174,598.00","2781586","969","595","2197431","1451052","89,535.00","2184106","842","513","4771443","3092951","264,133.00","4965692","1,811","1,108","96,525.00","97,173.00","13,932.00","176,248.00","39","24","89,345.00","52,708.00","5,072.00","57,774.00","35","20","185,870.00","149,881.00","19,004.00","234,022.00","74","44","272.19","159.12","15.84","241.68","1,122.93","629.63","301.82","177.96","11.65","258.86","1,344.59","767.39","284.65","167.05","14.08","248.92","1,216.18","687.58"
"H1026",,"Health Options Inc.","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR"
"H1032",,"WellCare of Florida, Inc.","4,473","2,843","7,316","192","96","288","407","405","812","24","0","24","3,621","3,415","7,036","288","144","432","14,207","9,713","23,920","1,762","766","2,528","4,341","2,819","7,160","180","96","276","383","394","777","12","0","12","3,392","3,319","6,711","276","144","420","13,699","9,554","23,253","1,702","766","2,468","3383730","790,458.00","581,207.00","1184480.23","313","589","2798954","577,699.00","355,888.00","873,865.98","244","508","6182684","1368157","937,095.00","2058346.21","557","1,097","83,374.00","15,760.00","19,145.00","26,750.27","6","13","59,593.00","10,607.00","12,898.00","22,690.99","3","10","142,967.00","26,367.00","32,043.00","49,441.26","9","23","582,638.00","78,466.00","50,722.00","76,706.94","41","79","391,331.00","74,965.00","65,963.00","101,483.35","38","80","973,969.00","153,431.00","116,685.00","178,190.29","79","159","5,946.00","2,685.00","3,017.00","4,674.82","1","2","0","0","0","0","0","0","5,946.00","2,685.00","3,017.00","4,674.82","1","2","1846211","430,813.00","318,184.00","743,617.95","149","313","1408074","413,686.00","271,575.00","889,380.60","145","405","3254285","844,499.00","589,759.00","1632998.55","294","718","111,559.00","25,154.00","27,916.00","54,068.59","8","25","11,752.00","10,693.00","5,711.00","17,560.05","1","5","123,311.00","35,847.00","33,627.00","71,628.64","9","30","5465685","1443450","1471704","2924459.18","458","921","3559577","1079962","780,504.00","2295574.35","358","835","9025262","2523412","2252208","5220033.53","816","1,756","300,727.00","103,358.00","128,677.00","220,570.06","36","78","257,270.00","75,011.00","57,589.00","105,325.05","19","73","557,997.00","178,369.00","186,266.00","325,895.11","55","151","471.69","115.73","104.13","218.28","486.27","970.61","488.24","129.02","89.18","251.92","557.82","1,322.75","478.48","121.18","98","232.28","515.63","1,115.12"
"H1035",,"Florida Health Care Plan, Inc.","1,379","756","2,135","96","12","108","132","108","240","0","24","24","336","408","744","48","12","60","6,658","4,451","11,109","924","432","1,356","1,379","756","2,135","96","12","108","132","108","240","0","24","24","336","408","744","48","12","60","6,638","4,451","11,089","924","432","1,356","1150797","290,258.00","265,811.00","422,906.54","140","67","649,778.00","178,949.00","108,832.00","278,616.33","68","38","1800575","469,207.00","374,643.00","701,522.88","208","105","0","6,302.00","904","11,878.29","0","1","0","1,925.00","696","2,958.09","0","0","0","8,227.00","1,600.00","14,836.38","0","1","144,103.00","22,303.00","28,750.00","26,242.26","16","1","96,134.00","17,029.00","10,506.00","27,713.52","9","7","240,237.00","39,332.00","39,256.00","53,955.78","25","8","0","0","0","0","0","0","8,228.00","1,695.00","785","1,807.95","2","0","8,228.00","1,695.00","785","1,807.95","2","0","160,540.00","52,068.00","52,218.00","83,847.08","18","14","177,778.00","66,958.00","50,143.00","114,148.15","23","25","338,318.00","119,026.00","102,361.00","197,995.22","41","39","5,190.00","4,437.00","3,455.00","5,962.67","1","1","0","1,515.00","1,765.00","2,287.13","0","0","5,190.00","5,952.00","5,220.00","8,249.80","1","1","1959150","737,688.00","744,038.00","1400220.64","220","189","2438594","678,717.00","555,051.00","1179150.63","249","215","4397744","1416405","1299089","2579371.27","469","404","246,479.00","69,112.00","75,245.00","101,989.52","21","28","42,545.00","34,120.00","26,171.00","77,634.43","6","5","289,024.00","103,232.00","101,416.00","179,623.96","27","33","382.98","123.49","122.26","214.91","521.47","377.31","550.23","158.13","121.55","271.53","690.63","561.02","448.74","137.11","121.98","237.2","587.98","449.54"
"H1036",,"Humana Medical Plan, Inc. - Florida","9,119","5,611","14,730","264","119","383","1,104","696","1,800","132","12","144","8,418","6,007","14,425","563","387","950","47,649","41,884","89,533","3,665","2,940","6,605","9,119","5,600","14,719","264","119","383","1,104","696","1,800","132","12","144","8,418","6,007","14,425","563","387","950","47,640","41,884","89,524","3,665","2,940","6,605","3854970","888,730.00","76,048.00","2024843","927","579","2468620","568,770.00","42,482.00","1539143","566","387","6323590","1457500","118,530.00","3563986","1,493","966","16,960.00","14,113.00","390","27,017.00","8","12","73,699.00","8,525.00","1,170.00","19,339.00","20","6","90,659.00","22,638.00","1,560.00","46,356.00","28","18","354,651.00","115,350.00","18,188.00","250,692.00","133","62","164,690.00","72,115.00","7,927.00","164,623.00","72","39","519,341.00","187,465.00","26,115.00","415,315.00","205","101","59,968.00","8,330.00","1,670.00","19,741.00","12","5","0","572","0","5,261.00","0","0","59,968.00","8,902.00","1,670.00","25,002.00","12","5","2041487","575,698.00","53,279.00","1469482","433","354","1565823","441,022.00","32,511.00","1293965","349","271","3607310","1016720","85,790.00","2763447","782","625","46,238.00","20,172.00","1,201.00","63,396.00","12","6","20,032.00","18,384.00","106","58,395.00","8","7","66,270.00","38,556.00","1,307.00","121,791.00","20","13","12783369","3038198","223,169.00","8214299","2,687","1,980","13314199","3019064","208,782.00","9415649","2,552","2,129","26097568","6057262","431,951.00","17629948","5,239","4,109","387,672.00","141,431.00","11,389.00","347,069.00","89","74","196,859.00","115,657.00","11,115.00","461,077.00","56","59","584,531.00","257,088.00","22,504.00","808,146.00","145","133","275.62","67.72","5.43","175.12","727.81","519.84","308.8","73.61","5.27","224.78","754.06","603.16","290.5","70.36","5.36","197.39","739.58","557.21"
"H1045",,"Preferred Care Partners Health Plan","947","372","1,319","60","48","108","180","36","216","24","12","36","912","816","1,728","96","108","204","6,503","3,804","10,307","1,068","480","1,548","947","372","1,319","60","48","108","180","36","216","24","12","36","912","816","1,728","96","108","204","6,503","3,804","10,307","1,068","480","1,548","225,889.00","154,375.00","0","325,581.00","124","55","147,072.00","71,389.00","0","151,604.00","77","35","372,961.00","225,764.00","0","477,185.00","201","90","0","4,921.00","0","14,840.00","2","2","0","4,504.00","0","9,066.00","2","2","0","9,425.00","0","23,906.00","4","4","26,343.00","23,329.00","0","60,813.00","18","7","4,448.00","3,909.00","0","8,868.00","4","3","30,791.00","27,238.00","0","69,681.00","22","10","0","1,633.00","0","5,717.00","0","1","0","522","0","3,194.00","0","0","0","2,155.00","0","8,911.00","0","1","100,550.00","103,974.00","0","258,372.00","68","32","124,683.00","110,926.00","0","267,407.00","79","47","225,233.00","214,900.00","0","525,779.00","147","79","11,388.00","8,090.00","0","13,920.00","7","2","18,193.00","13,396.00","0","20,283.00","7","7","29,581.00","21,486.00","0","34,203.00","14","9","946,046.00","644,292.00","0","1897008","393","212","598,875.00","454,443.00","493","1164816","303","196","1544921","1098735","493","3061824","696","408","93,228.00","69,902.00","0","210,260.00","22","20","31,434.00","40,221.00","0","104,906.00","23","15","124,662.00","110,123.00","0","315,166.00","45","35","143.35","103.22","0","284.63","777.12","405.72","162.91","123.2","0.09","304.82","1,046.51","644.82","150.53","110.55","0.03","292.04","875.99","493.47"
"H1076",,"Vista Healthplan","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR"
"H1080",,"UnitedHealthCare of Florida - Gulf Coast Region","1,500","672","2,172","84","36","120","168","60","228","12","12","24","840","755","1,595","240","95","335","8,890","5,904","14,794","1,908","888","2,796","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","1467706","311,505.00","268,673.00","NR","135","61","979,211.00","202,059.00","116,057.00","NR","102","31","2446917","513,564.00","384,730.00","NR","237","92","21,038.00","6,997.00","13,705.00","NR","2","0","3,717.00","2,410.00","168","NR","1","1","24,755.00","9,407.00","13,873.00","NR","3","1","109,142.00","25,130.00","32,069.00","NR","10","4","25,496.00","6,032.00","4,450.00","NR","5","2","134,638.00","31,162.00","36,519.00","NR","15","6","0","716","2,187.00","NR","0","0","0","591","27","NR","0","0","0","1,307.00","2,214.00","NR","0","0","291,095.00","90,157.00","173,721.00","NR","42","27","387,513.00","115,666.00","182,304.00","NR","43","38","678,608.00","205,823.00","356,025.00","NR","85","65","74,541.00","20,232.00","38,678.00","NR","6","3","8,787.00","9,745.00","5,251.00","NR","2","9","83,328.00","29,977.00","43,929.00","NR","8","12","3047856","1019646","1253903","NR","357","214","2461262","795,935.00","838,678.00","NR","281","183","5509118","1815581","2092581","NR","638","397","464,271.00","124,896.00","212,814.00","NR","45","27","101,262.00","59,310.00","101,555.00","NR","12","17","565,533.00","184,206.00","314,369.00","NR","57","44","401.38","117.23","146.29","NR","525.14","295.56","471.06","141.5","148.24","NR","635.48","400.38","427.98","126.5","147.04","NR","567.26","335.57"
"H1099",,"Health First Health Plans, Inc.","2,385","1,223","3,608","204","36","240","228","192","420","72","0","72","456","648","1,104","36","0","36","7,653","5,394","13,047","1,403","576","1,979","2,373","1,223","3,596","195","36","231","195","36","231","72","0","72","456","648","1,104","36","0","36","7,622","5,382","13,004","1,391","576","1,967","1865782","485,650.00","575,203.00","723,555.46","172","54","1275673","327,380.00","294,747.00","404,593.46","103","51","3141455","813,030.00","869,950.00","1128148.92","275","105","120,212.00","24,834.00","43,732.00","22,239.58","10","6","6,438.00","8,338.00","11,958.00","8,912.80","1","0","126,650.00","33,172.00","55,690.00","31,152.38","11","6","180,960.00","42,031.00","50,479.00","52,524.96","14","3","91,560.00","33,228.00","40,462.00","50,423.70","10","8","272,520.00","75,259.00","90,941.00","102,948.66","24","11","3,303.00","5,252.00","10,375.00","7,252.76","1","4","0","0","0","0","0","0","3,303.00","5,252.00","10,375.00","7,252.76","1","4","198,067.00","74,657.00","111,227.00","112,567.13","23","17","300,815.00","114,022.00","88,015.00","192,969.81","30","33","498,882.00","188,679.00","199,242.00","305,536.94","53","50","3,680.00","2,809.00","2,342.00","10,658.69","1","1","0","0","0","0","0","0","3,680.00","2,809.00","2,342.00","10,658.69","1","1","2381162","952,521.00","1622100","1662372.14","250","209","2703516","857,120.00","1144020","1438226.73","253","186","5084678","1809641","2766120","3100598.87","503","395","445,311.00","123,639.00","217,168.00","205,982.02","36","27","117,932.00","49,910.00","157,375.00","79,036.54","12","12","563,243.00","173,549.00","374,543.00","285,018.56","48","39","417.98","137.6","211.68","226.67","489.19","309.72","557.19","172.26","215.22","275.18","608.25","431.28","472.76","151.24","213.07","245.61","536.04","357.55"
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"H1417",,"Health Alliance Medical Plans","36","36","72","0","0","0","24","12","36","0","0","0","12","0","12","0","0","0","180","96","276","72","23","95","24","36","60","0","0","0","24","12","36","0","0","0","12","0","12","0","0","0","168","96","264","48","23","71","61,181.00","11,853.00","4,310.00","17,649.92","9","20","38,306.00","6,168.00","3,256.00","16,316.14","5","8","99,487.00","18,021.00","7,566.00","33,966.06","14","28","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","41,067.00","3,480.00","6,888.00","7,379.14","3","6","17,031.00","5,218.00","372","8,897.94","1","2","58,098.00","8,698.00","7,260.00","16,277.08","4","8","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","279","9","1,418.93","0","0","0","0","0","0","0","0","0","279","9","1,418.93","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","85,170.00","14,978.00","23,459.00","42,440.75","9","14","52,130.00","12,776.00","11,919.00","45,026.80","5","8","137,300.00","27,754.00","35,378.00","87,467.55","14","22","9,888.00","4,299.00","5,790.00","10,834.52","2","6","0","1,323.00","535","2,347.83","0","0","9,888.00","5,622.00","6,325.00","13,182.35","2","6","608.97","107.68","124.86","288.85","851.85","1,703.70","643.51","152.6","96.3","434.66","790.42","1,293.41","620.72","122.96","115.15","343.82","830.96","1,564.15"
"H1418",,"Humana Insurance Company","36","0","36","12","0","12","0","0","0","0","0","0","12","0","12","0","0","0","168","132","300","24","24","48","36","0","36","12","0","12","0","0","0","0","0","0","12","0","12","0","0","0","168","132","300","24","24","48","8,392.00","1,932.00","0","18,221.00","2","1","0","0","0","0","0","0","8,392.00","1,932.00","0","18,221.00","2","1","0","174","0","1,035.00","0","0","0","0","0","0","0","0","0","174","0","1,035.00","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","886","0","3,152.00","0","0","0","0","0","0","0","0","0","886","0","3,152.00","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","37,977.00","7,809.00","0","40,408.00","11","1","80,220.00","9,724.00","645","27,282.00","16","8","118,197.00","17,533.00","645","67,690.00","27","9","0","385","0","3,962.00","0","1","0","596","0","2,533.00","0","0","0","981","0","6,495.00","0","1","184","44.39","0","264.99","619.05","142.86","514.23","66.15","4.13","191.12","1,230.77","615.38","310.27","52.71","1.58","236.75","852.94","323.53"
"H1463",,"Health Alliance Medical Plans","516","360","876","60","12","72","72","108","180","0","0","0","120","71","191","24","12","36","2,063","1,140","3,203","348","168","516","384","300","684","48","0","48","72","108","180","0","0","0","108","52","160","24","0","24","1,338","972","2,310","144","108","252","684,625.00","109,545.00","60,870.00","181,335.11","114","145","473,270.00","67,073.00","65,671.00","144,516.50","47","81","1157895","176,618.00","126,541.00","325,851.61","161","226","27,320.00","5,807.00","5,685.00","12,476.54","4","8","55,106.00","1,535.00","5,846.00","106.47","2","4","82,426.00","7,342.00","11,531.00","12,583.01","6","12","37,965.00","9,534.00","9,683.00","23,422.68","3","11","75,567.00","16,293.00","9,457.00","43,285.80","13","18","113,532.00","25,827.00","19,140.00","66,708.48","16","29","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","126,768.00","14,461.00","23,833.00","34,250.18","11","7","36,038.00","8,132.00","11,020.00","18,517.74","3","5","162,806.00","22,593.00","34,853.00","52,767.92","14","12","34,008.00","2,113.00","4,553.00","4,067.67","1","5","0","648","426","609.68","0","0","34,008.00","2,761.00","4,979.00","4,677.35","1","5","838,004.00","189,429.00","266,773.00","376,238.46","94","134","562,531.00","119,004.00","171,200.00","369,793.40","59","91","1400535","308,433.00","437,973.00","746,031.86","153","225","115,832.00","18,630.00","40,201.00","43,425.79","12","17","18,413.00","13,864.00","23,532.00","25,630.80","4","14","134,245.00","32,494.00","63,733.00","69,056.59","16","31","582.12","109.12","128.5","318.8","895.41","1,225.10","652.55","121.08","153.48","391.21","820.95","1,366.11","608.09","113.53","137.71","349.28","867.95","1,277.10"
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"H1849",,"Anthem Health Plans Kentucky, Inc. dba Anthem Blue Cross and Blue Shield in Kentucky","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR"
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"H1961",,"Peoples Health Network","3,584","2,302","5,886","263","107","370","467","264","731","48","12","60","899","755","1,654","108","72","180","11,212","7,241","18,453","1,680","684","2,364","3,584","2,302","5,886","263","107","370","467","264","731","48","12","60","899","755","1,654","108","72","180","11,212","7,241","18,453","1,680","684","2,364","3045986","662,190.00","499,477.00","1245729.16","280","561","1591543","379,537.00","275,598.00","892,245.21","166","405","4637529","1041727","775,075.00","2137974.37","446","966","28,536.00","18,478.00","7,827.00","62,869.44","5","18","15,137.00","7,906.00","6,961.00","25,059.23","2","5","43,673.00","26,384.00","14,788.00","87,928.67","7","23","275,042.00","67,190.00","48,324.00","140,613.61","30","73","125,461.00","34,541.00","23,110.00","77,015.46","10","27","400,503.00","101,731.00","71,434.00","217,629.07","40","100","19,608.00","3,532.00","3,169.00","11,563.18","1","3","4,854.00","2,055.00","2,564.00","5,432.06","1","2","24,462.00","5,587.00","5,733.00","16,995.24","2","5","237,752.00","88,433.00","86,855.00","280,108.03","32","47","273,266.00","96,749.00","95,038.00","247,359.32","32","81","511,018.00","185,182.00","181,893.00","527,467.35","64","128","39,264.00","10,831.00","8,856.00","27,709.05","6","12","8,883.00","6,865.00","5,467.00","25,543.40","2","5","48,147.00","17,696.00","14,323.00","53,252.45","8","17","3302285","1077316","1131696","3116348.76","357","791","2452626","829,129.00","656,257.00","2307901.79","259","589","5754911","1906445","1787953","5424250.55","616","1,380","167,943.00","99,480.00","129,077.00","322,168.53","23","65","112,659.00","50,363.00","49,265.00","154,644.02","21","43","280,602.00","149,843.00","178,342.00","476,812.55","44","108","389.71","111.03","104.88","285.15","482.34","1,031.71","400.84","123.03","97.43","326.59","517.27","1,213.95","393.99","115.65","102.01","301.11","495.79","1,101.89"
"H2001",,"UnitedHealthcare Insurance Company - Maine","48","0","48","0","0","0","0","0","0","0","0","0","12","0","12","12","0","12","96","84","180","23","12","35","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","71,670.00","13,175.00","11,504.00","NR","8","1","0","0","0","NR","0","0","71,670.00","13,175.00","11,504.00","NR","8","1","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","75,000.00","3,636.00","7,921.00","NR","3","4","0","0","0","NR","0","0","75,000.00","3,636.00","7,921.00","NR","3","4","0","424","1,339.00","NR","0","0","0","0","0","NR","0","0","0","424","1,339.00","NR","0","0","41,202.00","8,175.00","7,953.00","NR","4","1","0","5,806.00","7,622.00","NR","0","3","41,202.00","13,981.00","15,575.00","NR","4","4","0","1,192.00","1,210.00","NR","0","0","4,212.00","276","2,674.00","NR","1","0","4,212.00","1,468.00","3,884.00","NR","1","0","983.62","139.28","156.69","NR","942.41","376.96","43.88","63.35","107.25","NR","125","375","669.28","113.88","140.15","NR","668.99","376.31"
"H2108",,"Bravo Health Mid-Atlantic, Inc.","563","753","1,316","12","0","12","36","24","60","0","0","0","96","192","288","0","12","12","1,379","2,265","3,644","168","192","360","563","753","1,316","12","0","12","36","24","60","0","0","0","96","192","288","0","12","12","1,379","2,265","3,644","168","192","360","309,635.00","159,258.00","78,207.00","171,625.10","0","51","800,614.00","271,817.00","107,596.00","267,971.10","0","86","1110249","431,075.00","185,803.00","439,596.20","0","137","0","1,783.00","438","1,153.99","0","1","0","0","0","0","0","0","0","1,783.00","438","1,153.99","0","1","13,137.00","5,217.00","1,190.00","4,349.50","0","1","0","5,728.00","2,440.00","4,172.33","0","1","13,137.00","10,945.00","3,630.00","8,521.83","0","2","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","71,240.00","25,118.00","9,374.00","31,865.82","0","8","104,337.00","38,429.00","19,533.00","43,800.27","0","11","175,577.00","63,547.00","28,907.00","75,666.09","0","19","0","0","0","0","0","0","6,919.00","1,217.00","408","5,448.07","0","0","6,919.00","1,217.00","408","5,448.07","0","0","488,468.00","262,915.00","133,677.00","285,856.87","0","121","933,386.00","500,408.00","230,058.00","612,828.25","0","168","1421854","763,323.00","363,735.00","898,685.12","0","289","59,959.00","18,215.00","8,875.00","31,237.33","0","14","10,986.00","14,752.00","2,453.00","32,177.84","0","10","70,945.00","32,967.00","11,328.00","63,415.17","0","24","418.12","209.63","102.82","233.4","0","1,043.48","539.92","242.1","105.44","281.09","0","963.35","491.69","229.24","104.4","262.21","0","995.08"
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"H3208",,"Blue Cross and Blue Shield of New Mexico","12","0","12","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","48","12","60","12","0","12","12","0","12","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","48","12","60","12","0","12","27,865.00","5,891.00","1,790.00","992","3","2","0","0","0","0","0","0","27,865.00","5,891.00","1,790.00","992","3","2","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","47,196.00","5,693.00","12,045.00","12,783.00","2","1","22,714.00","2,738.00","1,959.00","5,468.00","2","0","69,910.00","8,431.00","14,004.00","18,251.00","4","1","0","414","539","3,878.00","0","0","0","0","0","0","0","0","0","414","539","3,878.00","0","0","1,042.51","166.64","199.64","245.18","833.33","500","1,892.83","228.17","163.25","455.67","2,000.00","0","1,163.99","175.43","194.44","275.25","1,000.00","428.57"
"H3251",,"Lovelace Health System, Inc. d.b.a. Lovelace Health Plan","996","444","1,440","108","12","120","180","228","408","60","12","72","312","288","600","96","0","96","5,184","2,736","7,920","984","324","1,308","996","444","1,440","108","12","120","180","228","408","60","12","72","312","288","600","96","0","96","5,184","2,736","7,920","984","324","1,308","975,525.00","172,432.00","148,057.00","252,370.66","56","64","463,561.00","75,507.00","83,126.00","116,448.47","39","45","1439086","247,939.00","231,183.00","368,819.13","95","109","17,028.00","7,155.00","7,236.00","22,049.16","2","2","75,000.00","9,784.00","6,930.00","3,295.84","6","3","92,028.00","16,939.00","14,166.00","25,345.00","8","5","101,429.00","23,398.00","29,816.00","39,189.42","14","11","168,934.00","29,983.00","36,298.00","54,381.97","14","17","270,363.00","53,381.00","66,114.00","93,571.39","28","28","60,239.00","5,793.00","5,190.00","4,516.23","4","5","4,854.00","832","1,346.00","1,266.75","1","1","65,093.00","6,625.00","6,536.00","5,782.98","5","6","134,911.00","26,251.00","38,897.00","50,485.47","11","11","146,955.00","39,100.00","29,075.00","66,484.99","15","27","281,866.00","65,351.00","67,972.00","116,970.46","26","38","11,880.00","6,535.00","21,905.00","15,972.44","2","3","0","0","0","0","0","0","11,880.00","6,535.00","21,905.00","15,972.44","2","3","1614015","480,348.00","729,786.00","985,783.06","155","194","1208788","329,059.00","430,039.00","677,530.92","99","128","2822803","809,407.00","1159825","1663313.98","254","322","178,092.00","59,005.00","81,400.00","118,194.02","16","37","163,910.00","28,756.00","18,713.00","37,584.38","13","9","342,002.00","87,761.00","100,113.00","155,778.40","29","46","390.55","98.6","134.13","187.95","393.94","495.45","551.93","126.86","149.73","236.65","554.9","682.49","445.1","108.15","139.4","204.41","448.35","558.68"
"H3305",,"Rochester Area Health Maintenance Organization d.b.a. Preferred Care","3,623","2,484","6,107","288","84","372","912","360","1,272","155","12","167","1,476","972","2,448","300","84","384","25,411","12,213","37,624","5,004","1,380","6,384","2,764","1,839","4,603","192","72","264","720","216","936","107","12","119","1,200","798","1,998","204","64","268","19,512","9,130","28,642","3,942","1,050","4,992","4090394","609,662.00","363,510.00","776,408.11","380","596","2602611","425,040.00","209,864.00","684,230.43","258","428","6693005","1034702","573,374.00","1460638.54","638","1,024","72,036.00","18,307.00","17,170.00","28,042.00","9","6","21,576.00","8,650.00","7,355.00","12,301.33","2","5","93,612.00","26,957.00","24,525.00","40,343.33","11","11","677,664.00","113,245.00","117,142.00","155,114.40","71","124","476,208.00","48,758.00","42,977.00","32,911.48","44","78","1153872","162,003.00","160,119.00","188,025.88","115","202","43,768.00","11,717.00","10,256.00","15,197.62","7","14","17,788.00","1,434.00","4,286.00","981.26","2","0","61,556.00","13,151.00","14,542.00","16,178.88","9","14","519,903.00","139,247.00","130,200.00","257,370.88","71","113","423,941.00","104,085.00","83,670.00","210,254.40","52","76","943,844.00","243,332.00","213,870.00","467,625.28","123","189","66,939.00","17,655.00","15,399.00","21,581.57","11","17","0","3,588.00","3,014.00","12,924.29","1","0","66,939.00","21,243.00","18,413.00","34,505.86","12","17","6070732","1927866","1845057","3510301.84","694","1,041","3037492","1083908","906,007.00","2192854.08","363","637","9108224","3011774","2751064","5703155.92","1,057","1,678","503,096.00","252,725.00","274,283.00","436,088.24","67","122","208,316.00","75,396.00","69,737.00","154,251.83","23","42","711,412.00","328,121.00","344,020.00","590,340.07","90","164","324.05","83.15","74.61","181.56","422.93","656.35","385.92","99.54","75.44","250.41","508.27","863.72","343.92","88.41","74.87","203.26","450.35","722.96"
"H3307",,"Oxford Health Plans of New York","3,840","2,040","5,880","468","240","708","444","156","600","192","12","204","3,456","2,652","6,108","756","468","1,224","19,596","14,112","33,708","4,848","2,904","7,752","3,840","2,040","5,880","468","240","708","444","144","588","192","12","204","3,456","2,652","6,108","744","468","1,212","19,548","14,064","33,612","4,824","2,880","7,704","4036735","826,264.00","595,543.00","1243335.48","319","97","2349712","470,873.00","256,750.00","651,495.25","168","41","6386447","1297137","852,293.00","1894830.73","487","138","273,947.00","48,808.00","74,560.00","100,658.07","20","6","90,933.00","30,121.00","16,300.00","46,221.83","11","2","364,880.00","78,929.00","90,860.00","146,879.90","31","8","338,751.00","67,280.00","45,208.00","127,317.35","23","3","170,480.00","29,049.00","18,659.00","58,993.64","14","4","509,231.00","96,329.00","63,867.00","186,310.99","37","7","140,423.00","29,928.00","28,398.00","42,595.56","8","2","0","1,005.00","27","3,101.03","0","0","140,423.00","30,933.00","28,425.00","45,696.59","8","2","1054690","443,298.00","402,971.00","901,198.40","93","51","570,086.00","359,482.00","203,946.00","621,028.57","54","43","1624776","802,780.00","606,917.00","1522226.97","147","94","179,722.00","76,569.00","65,980.00","108,213.39","21","10","120,384.00","40,547.00","30,353.00","106,080.65","15","7","300,106.00","117,116.00","96,333.00","214,294.04","36","17","6885606","2369421","1916673","5010215.29","604","252","5369717","1962206","1420008","3813521.29","472","249","12255323","4331627","3336681","8823736.58","1,076","501","772,589.00","364,355.00","334,128.00","741,531.52","74","51","428,067.00","257,335.00","166,287.00","397,850.62","45","29","1200656","621,690.00","500,415.00","1139382.14","119","80","407.22","125.77","103.08","246.9","415","168.57","402.91","139.51","93.53","253.26","413.92","199.26","405.49","131.29","99.24","249.45","414.57","180.91"
"H3312",,"Aetna Health Inc. (New York)","876","432","1,308","84","36","120","156","132","288","12","48","60","484","516","1,000","132","72","204","2,796","2,652","5,448","744","360","1,104","840","408","1,248","60","36","96","156","108","264","12","48","60","460","492","952","120","60","180","2,519","2,448","4,967","624","312","936","1053675","177,253.00","203,119.00","197,990.00","57","28","530,164.00","109,937.00","124,397.00","114,428.00","48","19","1583839","287,190.00","327,516.00","312,418.00","105","47","128,175.00","18,570.00","27,987.00","21,530.00","6","1","0","2,658.00","283","8,471.00","0","0","128,175.00","21,228.00","28,270.00","30,001.00","6","1","106,960.00","20,755.00","26,469.00","41,861.00","8","2","75,145.00","13,297.00","11,860.00","23,043.00","6","5","182,105.00","34,052.00","38,329.00","64,904.00","14","7","28,719.00","842","5,200.00","2,133.00","1","1","21,372.00","4,550.00","2,269.00","8,280.00","2","0","50,091.00","5,392.00","7,469.00","10,413.00","3","1","111,619.00","64,821.00","36,461.00","105,556.00","10","6","374,461.00","70,021.00","116,825.00","118,018.00","23","2","486,080.00","134,842.00","153,286.00","223,574.00","33","8","22,502.00","17,063.00","36,447.00","20,221.00","4","3","59,091.00","7,444.00","13,833.00","12,561.00","3","0","81,593.00","24,507.00","50,280.00","32,782.00","7","3","1330784","335,646.00","451,429.00","583,373.00","82","33","1351554","384,634.00","457,715.00","609,793.00","100","52","2682338","720,280.00","909,144.00","1193166","182","85","107,978.00","44,071.00","74,112.00","81,919.00","5","12","96,172.00","32,615.00","50,869.00","52,605.00","8","8","204,150.00","76,686.00","124,981.00","134,524.00","13","20","547.01","128.51","162.99","220.12","392.88","195.31","590.39","147.16","183.16","242.13","536.72","242.94","566.34","136.82","171.98","230.01","456.99","216.53"
"H3327",,"Touchstone Health, Inc","72","36","108","0","0","0","0","0","0","0","0","0","12","12","24","12","0","12","276","168","444","48","12","60","72","36","108","0","0","0","0","0","0","0","0","0","12","12","24","12","0","12","276","168","444","48","12","60","153,930.00","17,193.00","36,365.00","33,875.95","8","4","118,507.00","9,632.00","5,146.00","15,520.53","12","12","272,437.00","26,825.00","41,511.00","49,396.48","20","16","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","1,875.00","395","2,949.10","0","0","14,760.00","2,657.00","2,037.00","1,168.95","2","1","14,760.00","4,532.00","2,432.00","4,118.05","2","1","19,578.00","1,256.00","1,696.00","1,295.36","3","3","0","0","0","0","0","0","19,578.00","1,256.00","1,696.00","1,295.36","3","3","152,220.00","32,566.00","57,217.00","59,843.29","11","15","144,968.00","20,831.00","35,572.00","34,060.66","14","3","297,188.00","53,397.00","92,789.00","93,903.95","25","18","10,864.00","5,000.00","5,827.00","5,349.00","1","2","3,884.00","1,126.00","459","3,612.10","1","1","14,748.00","6,126.00","6,286.00","8,961.10","2","3","801.41","137.83","241.67","245.98","657.14","685.71","1,237.36","150.2","189.54","238.43","1,526.32","894.74","954.8","142.19","223.32","243.33","962.96","759.26"
"H3330",,"HIP Health Plan of New York","8,766","6,167","14,933","719","372","1,091","924","648","1,572","132","72","204","4,403","3,539","7,942","444","336","780","38,094","28,242","66,336","4,944","3,048","7,992","8,662","6,110","14,772","711","354","1,065","902","639","1,541","132","72","204","4,340","3,502","7,842","444","336","780","37,524","27,836","65,360","4,896","3,023","7,919","10142178","1854794","1301476","2448007.21","913","305","8674893","1443565","780,842.00","1924773.74","714","206","18817071","3298359","2082318","4372780.95","1,627","511","475,192.00","91,937.00","50,525.00","131,444.16","47","10","188,076.00","52,078.00","22,990.00","62,388.09","18","6","663,268.00","144,015.00","73,515.00","193,832.25","65","16","930,662.00","160,809.00","116,124.00","238,504.16","78","23","1086297","144,158.00","98,473.00","177,439.99","89","13","2016959","304,967.00","214,597.00","415,944.15","167","36","108,166.00","11,810.00","13,366.00","23,469.34","10","1","34,306.00","6,698.00","3,650.00","9,879.78","4","1","142,472.00","18,508.00","17,016.00","33,349.12","14","2","2130778","576,796.00","518,683.00","1026069.98","230","90","1820002","495,350.00","381,232.00","928,027.28","194","103","3950780","1072146","899,915.00","1954097.26","424","193","46,711.00","33,628.00","38,467.00","63,619.67","7","6","172,233.00","34,459.00","32,489.00","43,493.41","11","0","218,944.00","68,087.00","70,956.00","107,113.08","18","6","16188684","4548202","3922557","8295098.32","1,402","764","14194858","3754024","2743062","7171716.98","1,340","706","30383542","8302226","6665619","15466815.3","2,742","1,470","1412163","376,193.00","370,507.00","680,747.79","120","74","826,874.00","266,227.00","194,620.00","533,561.78","76","55","2239037","642,420.00","565,127.00","1214309.57","196","129","538.02","131.01","108.37","224.04","576.52","261.46","636.37","146.06","100.35","259.15","691.87","308.32","579.4","137.34","105","238.82","625.05","281.17"
"H3335",,"Univera Healthcare","636","240","876","48","12","60","132","24","156","24","12","36","132","204","336","24","12","36","4,188","1,980","6,168","1,164","312","1,476","636","240","876","48","12","60","132","23","155","24","12","36","132","204","336","24","12","36","4,188","1,980","6,168","1,164","312","1,476","863,950.00","132,450.00","108,029.00","178,186.96","79","124","279,426.00","38,275.00","13,941.00","79,853.76","20","34","1143376","170,725.00","121,970.00","258,040.72","99","158","29,490.00","7,339.00","3,983.00","4,762.36","2","2","0","781","1,521.00","5,055.04","0","0","29,490.00","8,120.00","5,504.00","9,817.40","2","2","50,498.00","10,941.00","13,133.00","29,625.17","10","16","11,100.00","3,314.00","1,961.00","6,348.55","1","4","61,598.00","14,255.00","15,094.00","35,973.72","11","20","0","769","18","3,564.88","0","0","0","669","9","2,387.31","0","0","0","1,438.00","27","5,952.19","0","0","19,733.00","9,952.00","6,322.00","19,941.98","3","7","159,612.00","22,764.00","19,753.00","45,711.45","24","35","179,345.00","32,716.00","26,075.00","65,653.43","27","42","12,964.00","1,937.00","1,736.00","4,637.51","2","5","0","1,888.00","1,455.00","2,800.94","0","0","12,964.00","3,825.00","3,191.00","7,438.45","2","5","1084597","344,964.00","404,639.00","895,319.37","120","212","1110024","227,646.00","182,473.00","552,971.61","103","191","2194621","572,610.00","587,112.00","1448290.98","223","403","182,226.00","61,255.00","99,041.00","190,723.05","22","31","111,411.00","20,706.00","16,953.00","55,271.67","10","20","293,637.00","81,961.00","115,994.00","245,994.72","32","51","353.41","89.73","100.33","209","449.91","750.47","597.84","113.03","85.15","268.48","678.11","1,218.88","428.15","96.86","95.69","227.19","519.69","893.7"
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"H3370",,"Empire HealthChoice HMO, Inc. d/b/a Empire BlueCross BlueShield HMO","1,475","938","2,413","384","132","516","60","72","132","48","24","72","1,236","911","2,147","708","360","1,068","15,011","10,559","25,570","7,788","4,572","12,360","1,420","902","2,322","372","120","492","60","72","132","48","24","72","1,236","899","2,135","708","348","1,056","14,537","10,223","24,760","7,531","4,392","11,923","2812755","493,410.00","383,182.00","420,117.00","206","35","1952588","340,900.00","205,352.00","322,024.00","153","32","4765343","834,310.00","588,534.00","742,141.00","359","67","366,007.00","70,927.00","46,927.00","78,534.00","27","8","83,845.00","24,555.00","15,032.00","23,068.00","7","0","449,852.00","95,482.00","61,959.00","101,602.00","34","8","110,158.00","15,397.00","11,945.00","12,982.00","11","0","54,944.00","16,953.00","10,294.00","36,479.00","6","1","165,102.00","32,350.00","22,239.00","49,461.00","17","1","49,256.00","8,243.00","8,525.00","8,862.00","5","0","0","1,940.00","1,018.00","7,185.00","0","0","49,256.00","10,183.00","9,543.00","16,047.00","5","0","432,365.00","158,408.00","193,047.00","256,631.00","55","20","446,806.00","139,874.00","122,658.00","227,836.00","43","15","879,171.00","298,282.00","315,705.00","484,467.00","98","35","187,800.00","65,381.00","68,019.00","114,338.00","17","5","132,413.00","36,462.00","32,447.00","49,921.00","16","7","320,213.00","101,843.00","100,466.00","164,259.00","33","12","7695641","2118702","2211431","3294206","653","243","6350478","1722332","1448727","2568861","559","233","14046119","3841034","3660158","5863067","1,212","476","1572084","653,408.00","736,350.00","1093978","157","99","1055510","439,675.00","463,847.00","756,146.00","93","55","2627594","1093083","1200197","1850124","250","154","495.17","134.18","137.01","203.75","508.12","184.2","573.58","154.98","130.88","235.07","599.04","234.29","526.28","142.43","134.58","216.15","544.2","204.07"
"H3379",,"UnitedHealthcare Insurance Company of New York, Inc.","240","180","420","0","12","12","60","24","84","0","0","0","204","192","396","24","12","36","1,896","1,272","3,168","492","204","696","240","180","420","0","12","12","60","24","84","0","0","0","204","192","396","24","12","36","1,896","1,272","3,168","492","204","696","192,902.00","35,442.00","36,829.00","51,784.00","20","4","299,075.00","46,454.00","12,812.00","65,881.00","18","1","491,977.00","81,896.00","49,641.00","117,665.00","38","5","0","0","0","0","0","0","10,768.00","2,252.00","347","1,106.00","1","0","10,768.00","2,252.00","347","1,106.00","1","0","86,661.00","13,174.00","19,282.00","11,204.00","4","3","51,347.00","7,424.00","1,378.00","7,627.00","2","3","138,008.00","20,598.00","20,660.00","18,831.00","6","6","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","150,194.00","30,080.00","20,456.00","50,213.00","13","1","27,381.00","20,358.00","18,894.00","38,323.00","5","0","177,575.00","50,438.00","39,350.00","88,536.00","18","1","4,999.00","1,228.00","1,358.00","1,545.00","1","0","0","1,496.00","0","2,075.00","0","0","4,999.00","2,724.00","1,358.00","3,620.00","1","0","763,496.00","196,386.00","210,169.00","409,529.00","74","26","800,843.00","175,203.00","102,077.00","271,580.00","65","19","1564339","371,589.00","312,246.00","681,109.00","139","45","79,895.00","36,957.00","31,980.00","72,365.00","7","7","20,134.00","17,293.00","14,042.00","36,218.00","4","2","100,029.00","54,250.00","46,022.00","108,583.00","11","9","438.32","107.43","109.76","204.61","489.71","168.72","637.95","142.66","78.88","223","601.27","158.23","516.98","121.31","97.59","211.86","533.67","164.59"
"H3384",,"BlueCross BlueShield of Western New York","1,884","1,331","3,215","192","24","216","300","276","576","72","12","84","936","588","1,524","84","36","120","11,112","7,544","18,656","2,025","683","2,708","969","578","1,547","108","12","120","162","132","294","60","0","60","503","276","779","48","12","60","5,868","3,362","9,230","937","274","1,211","2139529","325,632.00","286,037.00","293,000.99","229","263","2110859","311,830.00","162,643.00","215,275.46","351","268","4250388","637,462.00","448,680.00","508,276.45","580","531","51,356.00","14,497.00","10,809.00","22,237.79","9","24","56,943.00","3,192.00","6,797.00","2,246.78","2","1","108,299.00","17,689.00","17,606.00","24,484.57","11","25","345,321.00","56,086.00","70,517.00","49,649.17","34","39","153,455.00","34,998.00","15,438.00","34,284.77","14","21","498,776.00","91,084.00","85,955.00","83,933.94","48","60","38,700.00","6,670.00","4,742.00","8,224.14","6","7","8,560.00","2,320.00","1,889.00","0","1","1","47,260.00","8,990.00","6,631.00","8,224.14","7","8","457,321.00","89,124.00","106,538.00","96,000.91","49","37","202,899.00","70,408.00","49,015.00","69,303.16","21","31","660,220.00","159,532.00","155,553.00","165,304.07","70","68","32,637.00","7,317.00","23,134.00","8,188.17","2","5","0","2,335.00","190","2,532.66","0","1","32,637.00","9,652.00","23,324.00","10,720.83","2","6","3926952","1022783","1090220","1344032.34","447","545","3078571","777,319.00","713,065.00","893,700.04","499","443","7005523","1800102","1803285","2237732.38","946","988","245,273.00","105,030.00","138,589.00","144,282.83","28","30","74,499.00","39,432.00","43,067.00","44,850.69","8","23","319,772.00","144,462.00","181,656.00","189,133.52","36","53","435.84","97.99","104.22","227.11","581.03","686.54","541.81","118.34","94.54","271.67","1,024.59","902.23","476.88","105.87","100.47","242.67","752.8","770.07"
"H3388",,"Capital District Physicians Health Plan, Inc.","648","360","1,008","84","36","120","72","36","108","24","12","36","684","540","1,224","72","48","120","4,475","3,804","8,279","852","408","1,260","367","123","490","84","36","120","36","24","60","12","12","24","384","348","732","36","12","48","2,620","2,198","4,818","601","228","829","452,994.00","125,937.00","97,864.00","141,753.00","38","18","197,087.00","65,905.00","36,181.00","41,469.00","21","7","650,081.00","191,842.00","134,045.00","183,222.00","59","25","84,990.00","18,947.00","9,517.00","25,571.00","5","3","0","1,268.00","876","10,606.00","0","2","84,990.00","20,215.00","10,393.00","36,177.00","5","5","46,241.00","8,541.00","3,324.00","14,561.00","3","5","90,291.00","9,968.00","2,773.00","5,018.00","15","5","136,532.00","18,509.00","6,097.00","19,579.00","18","10","0","1,720.00","184","3,568.00","0","0","15,210.00","1,934.00","2,101.00","3,222.00","1","0","15,210.00","3,654.00","2,285.00","6,790.00","1","0","408,610.00","89,780.00","93,825.00","93,846.00","30","17","308,531.00","80,867.00","93,733.00","132,687.00","29","19","717,141.00","170,647.00","187,558.00","226,533.00","59","36","30,451.00","5,456.00","10,549.00","8,438.00","7","1","9,120.00","3,673.00","3,777.00","2,403.00","1","2","39,571.00","9,129.00","14,326.00","10,841.00","8","3","1443706","478,671.00","582,612.00","683,882.00","126","97","1378818","449,775.00","474,455.00","738,196.00","142","164","2822524","928,446.00","1057067","1422078","268","261","94,860.00","57,811.00","75,341.00","103,527.00","11","15","61,213.00","34,518.00","31,206.00","39,756.00","8","9","156,073.00","92,329.00","106,547.00","143,283.00","19","24","370.69","113.86","126.35","259.7","382","270.87","392.88","123.55","123.02","326.52","496.57","475.97","380.27","118.04","124.91","287.67","431.43","359.36"
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"H3456",,"UnitedHealthcare of North Carolina, Inc.","2,076","1,235","3,311","299","95","394","240","180","420","84","24","108","348","276","624","36","24","60","10,103","5,842","15,945","2,376","924","3,300","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","1941388","327,518.00","275,861.00","NR","158","161","1229806","223,348.00","175,070.00","NR","112","76","3171194","550,866.00","450,931.00","NR","270","237","101,793.00","24,489.00","41,218.00","NR","12","13","104,019.00","18,140.00","11,091.00","NR","14","15","205,812.00","42,629.00","52,309.00","NR","26","28","416,360.00","48,518.00","58,514.00","NR","36","15","106,134.00","20,551.00","23,150.00","NR","13","7","522,494.00","69,069.00","81,664.00","NR","49","22","69,496.00","7,201.00","15,738.00","NR","4","2","11,649.00","1,647.00","1,323.00","NR","2","0","81,145.00","8,848.00","17,061.00","NR","6","2","221,082.00","37,639.00","29,067.00","NR","17","55","170,153.00","35,311.00","33,990.00","NR","18","12","391,235.00","72,950.00","63,057.00","NR","35","67","34,008.00","2,012.00","6,635.00","NR","1","0","0","910","9","NR","0","0","34,008.00","2,922.00","6,644.00","NR","1","0","3874173","874,550.00","1373713","NR","313","374","2421750","634,509.00","697,879.00","NR","240","257","6295923","1509059","2071592","NR","553","631","449,813.00","134,149.00","189,961.00","NR","38","29","189,143.00","57,595.00","78,651.00","NR","21","28","638,956.00","191,744.00","268,612.00","NR","59","57","456.76","93.57","127.92","NR","446.47","500.45","492.17","115.35","118.74","NR","586.05","551.16","469.36","101.32","124.65","NR","496.15","518.5"
"H3619",,"Humana Insurance Company","60","12","72","0","0","0","0","24","24","0","0","0","12","12","24","0","0","0","444","384","828","72","72","144","60","12","72","0","0","0","0","24","24","0","0","0","12","12","24","0","0","0","444","373","817","72","72","144","3,296.00","5,067.00","1,834.00","5,184.00","5","2","0","571","0","1,225.00","0","0","3,296.00","5,638.00","1,834.00","6,409.00","5","2","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","5,948.00","617","390","3,103.00","3","2","5,948.00","617","390","3,103.00","3","2","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","23,018.00","1,943.00","0","1,759.00","2","0","0","384","0","2,209.00","0","0","23,018.00","2,327.00","0","3,968.00","2","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","200,859.00","33,586.00","644","78,091.00","44","22","152,594.00","26,423.00","390","78,730.00","26","19","353,453.00","60,009.00","1,034.00","156,821.00","70","41","0","2,086.00","0","7,351.00","0","1","0","3,250.00","281","11,033.00","2","1","0","5,336.00","281","18,384.00","2","2","386.35","72.59","4.21","157.12","1,040.82","510.2","314.57","61.99","2.11","195.33","738.1","523.81","353.22","67.7","3.24","174.55","901.1","516.48"
"H3623",,"Aetna Health Inc. (Ohio)","12","36","48","0","0","0","0","12","12","0","0","0","12","24","36","0","0","0","156","96","252","12","0","12","12","36","48","0","0","0","0","12","12","0","0","0","12","24","36","0","0","0","156","96","252","12","0","12","30,995.00","4,223.00","3,125.00","4,163.00","3","0","85,016.00","10,927.00","11,936.00","14,185.00","5","2","116,011.00","15,150.00","15,061.00","18,348.00","8","2","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","10,010.00","2,454.00","508","3,948.00","2","0","10,010.00","2,454.00","508","3,948.00","2","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","624","4,215.00","2,938.00","0","0","9,656.00","2,078.00","11,434.00","5,644.00","1","0","9,656.00","2,702.00","15,649.00","8,582.00","1","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","99,326.00","17,012.00","34,941.00","35,213.00","4","2","29,276.00","9,296.00","20,449.00","33,619.00","3","2","128,602.00","26,308.00","55,390.00","68,832.00","7","4","0","805","1,274.00","1,378.00","0","0","0","0","0","0","0","0","0","805","1,274.00","1,378.00","0","0","678.76","118.04","226.85","227.56","437.5","125","797.37","147.35","263.85","341.64","785.71","285.71","734.11","131.72","244.12","280.8","600","200"
"H3653",,"Paramount Care, Inc. dba Paramount Health Care","1,283","684","1,967","60","36","96","156","131","287","36","24","60","552","360","912","24","36","60","4,620","3,648","8,268","588","360","948","1,247","660","1,907","60","36","96","108","119","227","24","24","48","528","348","876","24","36","60","4,368","3,531","7,899","504","360","864","1573649","258,121.00","161,471.00","296,355.61","133","176","558,740.00","112,979.00","76,754.00","152,747.73","67","119","2132389","371,100.00","238,225.00","449,103.34","200","295","4,521.00","4,726.00","6,483.00","6,011.26","1","3","64,125.00","4,434.00","7,037.00","5,965.20","1","2","68,646.00","9,160.00","13,520.00","11,976.46","2","5","194,262.00","28,528.00","23,919.00","19,045.87","16","29","63,349.00","18,431.00","13,990.00","33,407.48","6","17","257,611.00","46,959.00","37,909.00","52,453.35","22","46","8,313.00","2,218.00","3,093.00","2,335.07","1","2","19,526.00","2,618.00","2,728.00","984.86","3","6","27,839.00","4,836.00","5,821.00","3,319.93","4","8","178,387.00","59,439.00","40,163.00","93,170.88","28","64","79,868.00","38,253.00","35,731.00","58,655.15","10","40","258,255.00","97,692.00","75,894.00","151,826.03","38","104","0","923","289","3,408.56","0","2","0","1,746.00","3,012.00","6,672.48","0","0","0","2,669.00","3,301.00","10,081.04","0","2","1837789","460,104.00","579,676.00","739,675.79","196","309","1646560","426,964.00","412,369.00","691,249.61","190","286","3484349","887,068.00","992,045.00","1430925.4","386","595","95,718.00","34,449.00","53,068.00","73,521.34","9","16","5,238.00","14,696.00","27,083.00","43,784.60","1","4","100,956.00","49,145.00","80,151.00","117,305.94","10","20","531.85","115.93","118.62","179.74","629.59","985.38","461.72","117.47","109.62","194.26","631.94","1,077.48","502.46","116.58","114.85","185.94","630.58","1,023.97"
"H3655",,"Community Insurance Company dba Anthem Blue Cross and Blue Shield in Ohio","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR"
"H3659",,"UnitedHealthCare of Ohio, Inc.","2,928","2,627","5,555","360","84","444","312","216","528","60","36","96","792","900","1,692","108","36","144","13,123","10,063","23,186","2,256","1,020","3,276","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","3136006","514,461.00","427,121.00","NR","306","212","3503088","627,559.00","419,598.00","NR","322","226","6639094","1142020","846,719.00","NR","628","438","113,409.00","26,191.00","22,308.00","NR","11","10","44,813.00","10,446.00","7,893.00","NR","4","6","158,222.00","36,637.00","30,201.00","NR","15","16","350,698.00","41,754.00","42,409.00","NR","26","15","164,865.00","25,242.00","33,802.00","NR","17","9","515,563.00","66,996.00","76,211.00","NR","43","24","26,919.00","5,495.00","4,819.00","NR","3","4","6,105.00","1,388.00","1,234.00","NR","1","0","33,024.00","6,883.00","6,053.00","NR","4","4","459,560.00","94,379.00","112,169.00","NR","43","27","330,907.00","98,269.00","122,063.00","NR","42","59","790,467.00","192,648.00","234,232.00","NR","85","86","49,509.00","7,659.00","12,768.00","NR","6","4","0","2,106.00","172","NR","0","1","49,509.00","9,765.00","12,940.00","NR","6","5","5924984","1267900","1630661","NR","514","461","5167707","1168513","1234930","NR","472","408","11092691","2436413","2865591","NR","986","869","618,014.00","138,662.00","203,358.00","NR","47","40","265,362.00","60,450.00","76,772.00","NR","20","17","883,376.00","199,112.00","280,130.00","NR","67","57","535.59","105.15","123.16","NR","575.35","465.22","632.95","133.09","126.58","NR","703.24","581.5","577.36","117.14","124.63","NR","630.22","515.11"
"H3660",,"SummaCare, Inc.","648","552","1,200","72","12","84","96","84","180","24","0","24","288","288","576","36","12","48","3,552","2,256","5,808","936","228","1,164","648","540","1,188","72","12","84","84","84","168","24","0","24","264","276","540","24","12","36","3,480","2,244","5,724","924","228","1,152","897,406.00","142,878.00","114,196.00","213,698.00","81","56","517,123.00","95,672.00","81,843.00","196,932.00","56","28","1414529","238,550.00","196,039.00","410,630.00","137","84","50,190.00","7,090.00","17,239.00","12,531.00","7","2","0","1,637.00","374","2,868.00","0","0","50,190.00","8,727.00","17,613.00","15,399.00","7","2","71,666.00","11,823.00","11,920.00","17,459.00","7","0","82,397.00","11,273.00","12,943.00","24,162.00","4","2","154,063.00","23,096.00","24,863.00","41,621.00","11","2","0","814","0","6,626.00","0","0","0","0","0","0","0","0","0","814","0","6,626.00","0","0","257,055.00","32,421.00","43,943.00","62,977.00","21","12","159,601.00","37,908.00","41,094.00","84,131.00","17","5","416,656.00","70,329.00","85,037.00","147,108.00","38","17","14,254.00","5,769.00","4,455.00","4,148.00","2","2","0","937","2,084.00","2,043.00","0","0","14,254.00","6,706.00","6,539.00","6,191.00","2","2","1653256","373,322.00","376,287.00","795,961.00","148","94","1142083","249,847.00","233,817.00","653,713.00","110","71","2795339","623,169.00","610,104.00","1449674","258","165","230,424.00","67,564.00","61,459.00","160,494.00","24","19","50,367.00","18,372.00","17,827.00","49,282.00","8","3","280,791.00","85,936.00","79,286.00","209,776.00","32","22","561.62","113.53","111.38","230.78","615.71","392.78","568.64","121.11","113.63","298.33","681.82","381.12","564.27","116.39","112.23","256.51","640.69","388.38"
"H3664",,"McKinley Life Insurance Company d.b.a. PrimeTime Health Plan","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR"
"H3668",,"Mt. Carmel Health Plan, Inc.","1,908","1,488","3,396","120","84","204","180","36","216","48","12","60","900","636","1,536","108","72","180","8,879","5,292","14,171","1,428","588","2,016","1,908","1,488","3,396","120","84","204","180","36","216","48","12","60","900","636","1,536","108","72","180","8,879","5,292","14,171","1,428","588","2,016","1621201","361,943.00","420,009.00","494,565.20","107","242","1685362","352,216.00","390,221.00","485,023.25","127","256","3306563","714,159.00","810,230.00","979,588.45","234","498","5,146.00","11,374.00","6,646.00","21,166.21","1","6","56,667.00","15,363.00","7,735.00","13,434.36","6","11","61,813.00","26,737.00","14,381.00","34,600.57","7","17","251,810.00","33,346.00","41,438.00","53,606.64","18","29","17,925.00","3,332.00","4,239.00","9,832.87","1","2","269,735.00","36,678.00","45,677.00","63,439.51","19","31","4,854.00","3,217.00","4,598.00","8,416.40","1","2","0","174","9","1,076.34","0","0","4,854.00","3,391.00","4,607.00","9,492.74","1","2","510,971.00","128,121.00","255,253.00","188,736.54","40","90","252,607.00","84,286.00","102,413.00","166,561.54","16","55","763,578.00","212,407.00","357,666.00","355,298.08","56","145","8,302.00","7,244.00","12,179.00","21,659.75","2","1","0","4,492.00","3,082.00","19,476.50","0","4","8,302.00","11,736.00","15,261.00","41,136.25","2","5","2487320","867,645.00","1652275","1699085.22","185","477","2023879","625,942.00","992,121.00","1280618.85","149","403","4511199","1493587","2644396","2979704.07","334","880","305,209.00","96,915.00","199,263.00","159,843.31","20","43","138,729.00","41,921.00","89,605.00","90,714.09","6","19","443,938.00","138,836.00","288,868.00","250,557.40","26","62","382.79","111.25","190.97","195.05","330.71","786.97","508.67","137.39","193.64","251.8","445.91","1,096.49","430.23","121.1","191.98","216.44","374.12","903.62"
"H3672",,"The Health Plan of the Upper Ohio Valley, Inc.","900","564","1,464","144","36","180","96","96","192","36","0","36","348","276","624","36","60","96","2,183","1,355","3,538","660","168","828","758","532","1,290","132","36","168","96","96","192","36","0","36","312","276","588","36","48","84","1,872","1,307","3,179","240","168","408","819,383.00","193,119.00","148,590.00","194,293.00","72","55","555,963.00","124,966.00","74,877.00","131,410.00","54","34","1375346","318,085.00","223,467.00","325,703.00","126","89","27,979.00","13,906.00","14,664.00","22,142.00","4","1","4,862.00","2,981.00","1,523.00","4,745.00","1","3","32,841.00","16,887.00","16,187.00","26,887.00","5","4","12,379.00","4,866.00","5,106.00","13,339.00","2","0","125,067.00","16,209.00","9,092.00","19,181.00","11","3","137,446.00","21,075.00","14,198.00","32,520.00","13","3","6,130.00","2,054.00","2,673.00","5,389.00","1","2","0","0","0","0","0","0","6,130.00","2,054.00","2,673.00","5,389.00","1","2","114,478.00","37,480.00","41,835.00","57,722.00","14","15","183,261.00","43,513.00","42,240.00","64,648.00","19","27","297,739.00","80,993.00","84,075.00","122,370.00","33","42","33,339.00","2,628.00","7,455.00","6,654.00","2","1","55,798.00","9,780.00","12,347.00","7,577.00","5","10","89,137.00","12,408.00","19,802.00","14,231.00","7","11","626,611.00","192,304.00","206,364.00","337,450.00","69","49","328,815.00","129,713.00","87,973.00","298,306.00","37","51","955,426.00","322,017.00","294,337.00","635,756.00","106","100","129,865.00","38,691.00","55,632.00","54,343.00","12","14","19,928.00","8,832.00","16,712.00","21,100.00","2","5","149,793.00","47,523.00","72,344.00","75,443.00","14","19","402.04","110.16","109.54","198.54","479.67","373.38","498.51","131.5","95.8","222.07","605.87","624.66","437.46","118","104.5","208.29","526.01","465.65"
"H3706",,"GlobalHealth, Inc.","264","180","444","12","0","12","24","60","84","0","0","0","60","60","120","24","0","24","684","588","1,272","108","84","192","264","180","444","12","0","12","24","60","84","0","0","0","60","60","120","24","0","24","684","588","1,272","108","84","192","282,241.00","39,488.00","65,695.00","113,384.07","25","10","189,001.00","17,924.00","15,901.00","48,227.08","15","17","471,242.00","57,412.00","81,596.00","161,611.15","40","27","34,783.00","4,948.00","4,356.00","5,267.05","3","2","0","0","0","0","0","0","34,783.00","4,948.00","4,356.00","5,267.05","3","2","15,665.00","1,423.00","1,530.00","8,347.25","2","1","15,564.00","5,248.00","16,151.00","20,050.73","3","2","31,229.00","6,671.00","17,681.00","28,397.98","5","3","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","34,423.00","6,975.00","11,553.00","18,894.87","5","0","62,931.00","7,841.00","11,818.00","18,952.43","5","5","97,354.00","14,816.00","23,371.00","37,847.30","10","5","10,676.00","1,332.00","9,281.00","9,092.57","3","0","0","0","0","0","0","0","10,676.00","1,332.00","9,281.00","9,092.57","3","0","481,377.00","52,597.00","61,470.00","151,929.74","39","30","521,962.00","52,096.00","76,446.00","145,838.46","44","31","1003339","104,693.00","137,916.00","297,768.20","83","61","37,813.00","5,745.00","9,583.00","12,517.89","7","2","51,103.00","3,740.00","4,695.00","5,632.62","3","1","88,916.00","9,485.00","14,278.00","18,150.51","10","3","762.74","95.67","139","271.63","857.14","459.18","864.77","89.35","128.61","245.58","864.2","691.36","808.91","92.81","134.3","259.84","860.34","564.25"
"H3709",,"CommunityCare Managed Healthcare Plans of Oklahoma","12","12","24","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","60","12","72","0","0","0","12","12","24","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","48","12","60","0","0","0","9,300.00","2,274.00","1,130.00","2,307.23","1","2","42,491.00","1,864.00","0","9,727.89","3","3","51,791.00","4,138.00","1,130.00","12,035.12","4","5","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","3,679.00","3,181.00","5,886.90","0","1","3,185.00","1,152.00","3,759.00","3,381.58","1","0","3,185.00","4,831.00","6,940.00","9,268.48","1","1","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","129.17","82.68","59.88","136.57","166.67","500","1,903.17","125.67","156.63","546.23","2,000.00","1,500.00","572.67","93.43","84.06","253.61","625","750"
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"H3755",,"CommunityCare Managed Healthcare Plans of Oklahoma","1,404","1,019","2,423","132","72","204","252","48","300","12","36","48","576","240","816","72","36","108","6,228","3,600","9,828","1,440","528","1,968","1,248","995","2,243","108","60","168","216","24","240","0","12","12","504","216","720","36","36","72","5,376","3,396","8,772","1,188","504","1,692","1359783","206,668.00","233,690.00","383,592.73","120","104","1599989","198,540.00","170,122.00","370,115.26","140","116","2959772","405,208.00","403,812.00","753,707.99","260","220","36,973.00","8,143.00","12,367.00","16,088.59","3","2","81,777.00","7,368.00","17,622.00","7,864.50","4","1","118,750.00","15,511.00","29,989.00","23,953.09","7","3","138,847.00","27,840.00","29,880.00","49,564.60","19","15","52,742.00","4,916.00","7,144.00","5,196.61","3","2","191,589.00","32,756.00","37,024.00","54,761.21","22","17","0","384","10,248.00","0","0","0","19,397.00","2,916.00","3,668.00","208.9","2","2","19,397.00","3,300.00","13,916.00","208.9","2","2","233,586.00","55,682.00","71,793.00","115,174.71","32","35","188,840.00","35,567.00","59,779.00","68,577.54","23","20","422,426.00","91,249.00","131,572.00","183,752.25","55","55","44,765.00","7,002.00","15,581.00","20,542.08","6","3","22,142.00","2,596.00","11,712.00","12,659.48","3","1","66,907.00","9,598.00","27,293.00","33,201.56","9","4","2786943","509,635.00","921,522.00","1126150.6","242","240","2043187","361,303.00","657,804.00","868,237.01","208","199","4830130","870,938.00","1579326","1994387.61","450","439","366,852.00","72,902.00","171,758.00","184,322.55","36","26","156,898.00","34,441.00","58,847.00","80,757.44","19","19","523,750.00","107,343.00","230,605.00","265,079.99","55","45","491.08","87.81","145","218.47","543.3","504.15","746.54","116.09","176.86","269.62","864.67","774.33","581.89","97.86","156.33","237.74","657.53","600.19"
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"H3810",,"Mid Rogue Independent Physician Association","48","108","156","0","0","0","0","0","0","0","0","0","48","60","108","0","0","0","264","84","348","24","12","36","48","108","156","0","0","0","0","0","0","0","0","0","48","60","108","0","0","0","228","84","312","24","12","36","8,728.00","16,242.00","2,923.00","22,708.12","1","2","65,780.00","39,196.00","6,718.00","80,312.91","6","13","74,508.00","55,438.00","9,641.00","103,021.03","7","15","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","9,172.00","20,055.00","17,907.00","11,630.92","1","17","46,367.00","20,776.00","36,463.00","29,599.51","3","12","55,539.00","40,831.00","54,370.00","41,230.43","4","29","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","229,975.00","33,212.00","24,438.00","49,706.45","15","19","102,473.00","24,520.00","27,027.00","29,753.00","7","13","332,448.00","57,732.00","51,465.00","79,459.45","22","32","0","922","152","2,991.94","0","0","0","2,789.00","3,667.00","7,581.75","0","0","0","3,711.00","3,819.00","10,573.69","0","0","645.51","183.41","118.28","250.11","531.25","1,187.50","812.95","330.61","279.83","557.75","727.27","1,727.27","713.73","243.38","184.1","382.82","611.11","1,407.41"
"H3811",,"Samaritan Advantage Health Plans","60","96","156","12","0","12","24","0","24","12","0","12","0","60","60","12","0","12","312","204","516","36","12","48","60","96","156","12","0","12","24","0","24","12","0","12","0","60","60","12","0","12","300","192","492","12","0","12","21,079.00","12,526.00","5,692.00","21,324.36","4","8","80,065.00","13,589.00","15,325.00","40,221.37","7","6","101,144.00","26,115.00","21,017.00","61,545.73","11","14","0","279","9","5,365.72","0","0","0","0","0","0","0","0","0","279","9","5,365.72","0","0","0","3,208.00","342","866.3","0","2","0","0","0","0","0","0","0","3,208.00","342","866.3","0","2","17,721.00","2,611.00","3,740.00","9,470.75","2","0","0","0","0","0","0","0","17,721.00","2,611.00","3,740.00","9,470.75","2","0","0","0","0","0","0","0","25,776.00","5,989.00","11,095.00","13,804.51","1","2","25,776.00","5,989.00","11,095.00","13,804.51","1","2","3,796.00","2,411.00","1,599.00","4,702.96","1","0","0","0","0","0","0","0","3,796.00","2,411.00","1,599.00","4,702.96","1","0","90,951.00","37,735.00","29,073.00","57,898.66","9","15","45,991.00","18,413.00","15,641.00","59,533.26","5","13","136,942.00","56,148.00","44,714.00","117,431.92","14","28","0","730","207","2,114.91","0","1","0","174","9","0","0","0","0","904","216","2,114.91","0","1","285.36","127.14","86.88","235.52","410.26","666.67","408.15","102.59","113.09","326.32","419.35","677.42","339.74","116.27","98.49","276.03","414.29","671.43"
"H3812",,"UnitedHealthcare Insurance Company - Oregon","48","48","96","12","12","24","24","0","24","0","0","0","36","0","36","24","0","24","132","132","264","72","0","72","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","63,318.00","5,862.00","6,507.00","NR","3","1","87,866.00","15,438.00","5,906.00","NR","13","6","151,184.00","21,300.00","12,413.00","NR","16","7","16,844.00","1,838.00","1,666.00","NR","1","3","0","2,566.00","3,315.00","NR","0","0","16,844.00","4,404.00","4,981.00","NR","1","3","16,126.00","2,444.00","5,115.00","NR","2","1","0","0","0","NR","0","0","16,126.00","2,444.00","5,115.00","NR","2","1","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","48,873.00","3,148.00","4,481.00","NR","1","2","0","0","0","NR","0","0","48,873.00","3,148.00","4,481.00","NR","1","2","0","1,303.00","2,517.00","NR","0","1","0","0","0","NR","0","0","0","1,303.00","2,517.00","NR","0","1","56,882.00","9,562.00","10,609.00","NR","6","1","37,714.00","13,867.00","19,137.00","NR","5","7","94,596.00","23,429.00","29,746.00","NR","11","8","0","4,780.00","1,610.00","NR","0","1","0","0","0","NR","0","0","0","4,780.00","1,610.00","NR","0","1","580.58","83.15","93.41","NR","448.28","344.83","654.06","165.99","147.7","NR","1,125.00","812.5","606.71","112.61","112.71","NR","688.89","511.11"
"H3813",,"ODS Health Plan, Inc.","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","99","46","145","50","0","50","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","99","46","145","50","0","50","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","8,100.00","9,985.00","6,271.00","33,395.00","1","1","23,900.00","3,878.00","3,618.00","7,699.00","1","1","32,000.00","13,863.00","9,889.00","41,094.00","2","2","11,880.00","2,001.00","3,404.00","4,886.00","1","1","0","0","0","0","0","0","11,880.00","2,001.00","3,404.00","4,886.00","1","1","134.09","80.44","64.93","256.92","161.07","161.07","519.57","84.3","78.65","167.37","260.87","260.87","225.03","81.35","68.17","235.79","184.62","184.62"
"H3814",,"ATRIO Health Plans, Inc.","180","360","540","24","0","24","0","24","24","0","0","0","12","48","60","0","12","12","359","659","1,018","24","60","84","180","360","540","24","0","24","0","24","24","0","0","0","12","48","60","0","12","12","359","659","1,018","24","60","84","172,268.00","0","0","104,429.27","21","14","613,044.00","0","0","200,531.65","65","39","785,312.00","0","0","304,960.91","86","53","15,768.00","0","0","9,770.43","4","2","0","0","0","0","0","0","15,768.00","0","0","9,770.43","4","2","0","0","0","0","0","0","121,995.00","0","0","14,428.71","6","2","121,995.00","0","0","14,428.71","6","2","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","4,538.34","0","2","20,863.00","0","0","22,843.27","4","2","20,863.00","0","0","27,381.61","4","4","0","0","0","0","0","0","5,968.00","0","0","660.51","1","0","5,968.00","0","0","660.51","1","0","275,195.00","0","0","146,686.16","36","13","502,598.00","0","0","267,147.08","53","85","777,793.00","0","0","413,833.23","89","98","0","0","0","1,309.51","0","0","48,360.00","0","0","12,838.66","4","5","48,360.00","0","0","14,148.18","4","5","773.34","0","0","445.3","1,222.04","621.04","1,128.83","0","0","445.79","1,372.31","1,372.31","1,007.98","0","0","445.62","1,321.23","1,116.91"
"H3815",,"Honored Citizens Choice Health Plan, Inc.","0","0","0","0","0","0","0","0","0","0","0","0","36","0","36","0","0","0","48","11","59","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","36","0","36","0","0","0","48","11","59","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","3,884.00","4,380.00","960","4,415.00","1","2","0","0","0","0","0","0","3,884.00","4,380.00","960","4,415.00","1","2","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","99,122.00","15,677.00","3,833.00","4,370.00","18","6","0","1,112.00","103","4,296.00","0","0","99,122.00","16,789.00","3,936.00","8,666.00","18","6","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","1,226.26","238.77","57.06","104.58","2,714.29","1,142.86","0","101.09","9.36","390.55","0","0","1,084.27","222.83","51.54","137.69","2,400.00","1,010.53"
"H3817",,"Regence BlueCross BlueShield of Oregon","492","324","816","156","48","204","36","84","120","36","0","36","336","72","408","120","24","144","1,968","1,164","3,132","768","192","960","492","324","816","156","48","204","36","84","120","36","0","36","336","72","408","120","24","144","1,968","1,164","3,132","768","192","960","519,934.00","111,364.00","108,945.00","141,724.89","38","22","311,459.00","64,483.00","78,855.00","99,729.74","24","27","831,393.00","175,847.00","187,800.00","241,454.63","62","49","125,263.00","15,607.00","28,851.00","30,107.77","5","2","19,464.00","6,349.00","3,307.00","7,123.88","1","0","144,727.00","21,956.00","32,158.00","37,231.65","6","2","58,924.00","4,374.00","12,866.00","7,270.54","3","2","99,152.00","18,909.00","9,978.00","28,943.93","9","8","158,076.00","23,283.00","22,844.00","36,214.47","12","10","14,290.00","3,972.00","7,254.00","2,626.18","2","2","0","0","0","0","0","0","14,290.00","3,972.00","7,254.00","2,626.18","2","2","178,379.00","38,434.00","63,141.00","65,554.00","18","15","71,741.00","11,238.00","18,627.00","20,913.73","4","3","250,120.00","49,672.00","81,768.00","86,467.73","22","18","21,470.00","6,882.00","13,545.00","23,636.70","2","1","0","1,950.00","2,629.00","3,279.62","0","0","21,470.00","8,832.00","16,174.00","26,916.32","2","1","896,676.00","208,787.00","287,802.00","431,920.86","81","69","684,116.00","152,129.00","170,271.00","296,934.27","55","48","1580792","360,916.00","458,073.00","728,855.13","136","117","157,866.00","46,632.00","78,292.00","118,940.68","19","22","21,015.00","10,535.00","17,741.00","31,022.44","4","5","178,881.00","57,167.00","96,033.00","149,963.12","23","27","504.29","111.47","153.55","210.07","515.34","414.11","632.57","139.2","157.97","255.74","610.06","572.33","546.35","120.56","155","225.04","546.39","465.98"
"H3818",,"FamilyCare Health Plans","48","60","108","0","0","0","0","12","12","0","0","0","24","24","48","0","0","0","96","60","156","12","24","36","48","60","108","0","0","0","0","12","12","0","0","0","24","24","48","0","0","0","96","60","156","12","24","36","55,989.00","7,753.00","8,478.00","16,208.64","3","2","36,147.00","9,447.00","7,934.00","28,510.17","3","11","92,136.00","17,200.00","16,412.00","44,718.81","6","13","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","484","9","2,950.05","0","0","0","484","9","2,950.05","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","2,781.00","2,716.00","8,424.37","0","1","19,546.00","5,943.00","6,695.00","11,496.51","2","14","19,546.00","8,724.00","9,411.00","19,920.88","2","15","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","36,116.00","16,646.00","13,797.00","32,368.27","5","14","21,303.00","11,917.00","8,963.00","28,511.32","4","12","57,419.00","28,563.00","22,760.00","60,879.59","9","26","0","146","0","778.63","0","1","0","900","386","4,750.52","0","2","0","1,046.00","386","5,529.15","0","3","511.69","151.81","138.84","321","533.33","1,200.00","427.76","159.39","133.26","423.44","600","2,600.00","469.73","155.6","136.05","372.22","566.67","1,900.00"
"H3851",,"Regence BlueCross BlueShield of Oregon","1,044","600","1,644","168","84","252","132","72","204","36","12","48","552","384","936","132","0","132","4,020","2,376","6,396","1,140","324","1,464","1,044","600","1,644","168","84","252","132","72","204","36","12","48","552","384","936","132","0","132","4,020","2,376","6,396","1,140","324","1,464","875,237.00","156,725.00","178,268.00","90,144.55","63","238","397,718.00","98,879.00","102,388.00","87,201.89","41","195","1272955","255,604.00","280,656.00","177,346.44","104","433","46,277.00","8,741.00","14,026.00","14,446.68","4","22","39,519.00","11,789.00","9,442.00","3,595.99","3","18","85,796.00","20,530.00","23,468.00","18,042.67","7","40","116,945.00","15,095.00","29,099.00","11,921.04","8","94","24,281.00","5,841.00","3,340.00","2,792.18","3","14","141,226.00","20,936.00","32,439.00","14,713.22","11","108","18,660.00","2,754.00","5,664.00","0","2","5","8,313.00","820","1,597.00","1,773.55","1","1","26,973.00","3,574.00","7,261.00","1,773.55","3","6","266,681.00","49,421.00","91,519.00","24,093.39","17","85","204,042.00","41,591.00","65,370.00","53,722.94","16","114","470,723.00","91,012.00","156,889.00","77,816.33","33","199","72,974.00","8,499.00","23,855.00","3,798.30","5","17","0","0","0","0","0","0","72,974.00","8,499.00","23,855.00","3,798.30","5","17","1390731","303,049.00","560,278.00","275,681.07","109","542","730,608.00","209,136.00","293,056.00","190,562.50","76","481","2121339","512,185.00","853,334.00","466,243.57","185","1,023","390,955.00","63,125.00","140,703.00","53,879.21","31","143","134,030.00","19,359.00","29,144.00","19,313.96","11","105","524,985.00","82,484.00","169,847.00","73,193.17","42","248","439.99","84.08","144.44","65.61","397.01","1,903.65","399.41","100.58","130.93","93.19","470.4","2,890.97","425.87","89.82","139.74","75.2","422.54","2,247.02"
"H3864",,"Clear Choice Health Plans, Inc.","348","252","600","84","12","96","72","36","108","24","24","48","252","96","348","24","12","36","2,256","1,283","3,539","780","300","1,080","276","192","468","60","12","72","48","0","48","0","24","24","120","24","144","24","12","36","1,487","983","2,470","420","192","612","256,162.00","84,003.00","74,291.00","104,530.19","22","37","339,619.00","71,027.00","81,037.00","99,644.74","26","16","595,781.00","155,030.00","155,328.00","204,174.93","48","53","60,824.00","6,925.00","22,200.00","14,537.55","2","2","0","207","27","0","0","0","60,824.00","7,132.00","22,227.00","14,537.55","2","2","0","9,990.00","7,690.00","13,266.15","0","3","57,840.00","4,153.00","9,258.00","462.33","2","0","57,840.00","14,143.00","16,948.00","13,728.48","2","3","24,752.00","6,502.00","14,187.00","1,082.81","1","1","16,484.00","3,584.00","4,910.00","1,467.27","3","1","41,236.00","10,086.00","19,097.00","2,550.07","4","2","107,382.00","33,981.00","73,077.00","22,724.27","12","8","92,565.00","10,609.00","18,908.00","7,213.48","6","3","199,947.00","44,590.00","91,985.00","29,937.76","18","11","3,303.00","3,396.00","2,380.00","4,220.57","1","1","0","1,346.00","90","3,583.03","0","1","3,303.00","4,742.00","2,470.00","7,803.61","1","2","435,190.00","234,846.00","332,102.00","338,522.42","48","72","512,862.00","192,247.00","172,347.00","237,450.54","51","56","948,052.00","427,093.00","504,449.00","575,972.97","99","128","192,118.00","54,473.00","94,304.00","61,756.08","14","21","28,403.00","23,534.00","23,109.00","23,159.54","4","7","220,521.00","78,007.00","117,413.00","84,915.62","18","28","281.18","113.05","161.52","230.24","312.5","453.13","519.99","152.21","153.69","259.19","547.89","500.25","363.37","126.53","158.82","241","393.51","469.34"
"H3907",,"UPMC Health Plan, Inc.","3,262","2,424","5,686","228","36","264","588","420","1,008","60","0","60","804","840","1,644","96","48","144","16,183","10,762","26,945","2,352","864","3,216","2,472","2,104","4,576","192","36","228","440","381","821","48","0","48","624","729","1,353","72","24","96","11,924","8,789","20,713","1,563","557","2,120","4527537","779,739.00","510,737.00","1020455.61","597","764","3935662","714,865.00","354,395.00","1049741.69","750","657","8463199","1494604","865,132.00","2070197.3","1,347","1,421","115,669.00","23,766.00","18,960.00","30,105.28","19","12","20,250.00","2,932.00","377","1,057.40","1","2","135,919.00","26,698.00","19,337.00","31,162.68","20","14","453,783.00","104,208.00","109,619.00","151,807.11","61","73","270,036.00","64,499.00","67,246.00","129,411.98","46","62","723,819.00","168,707.00","176,865.00","281,219.09","107","135","80,610.00","8,109.00","13,446.00","6,989.12","9","11","0","0","0","0","0","0","80,610.00","8,109.00","13,446.00","6,989.12","9","11","317,678.00","102,010.00","88,291.00","184,686.47","86","81","405,716.00","106,699.00","113,760.00","265,998.22","97","98","723,394.00","208,709.00","202,051.00","450,684.69","183","179","12,551.00","6,138.00","13,650.00","5,932.33","4","0","0","2,035.00","860","2,784.55","0","0","12,551.00","8,173.00","14,510.00","8,716.88","4","0","6649770","1632340","1734075","3292761.85","858","1,232","6007145","1381620","1279362","3150439.16","865","1,137","12656915","3013960","3013437","6443201.01","1,723","2,369","314,871.00","125,111.00","128,305.00","292,912.88","39","76","249,358.00","60,144.00","83,209.00","102,797.42","33","27","564,229.00","185,255.00","211,514.00","395,710.30","72","103","529.1","117.99","111.02","287.61","851.65","1,144.87","707.3","151.54","123.37","372.6","1,396.91","1,545.80","599.5","131.24","115.9","323.41","1,067.06","1,303.26"
"H3909",,"QCC Insurance Company (Personal Choice)","1,548","540","2,088","204","48","252","492","288","780","144","36","180","108","72","180","24","48","72","11,975","7,019","18,994","3,022","1,163","4,185","1,538","540","2,078","204","48","252","492","288","780","133","36","169","108","72","180","24","48","72","11,771","6,990","18,761","2,990","1,136","4,126","485,204.00","414,176.00","357,931.00","488,416.00","212","80","173,697.00","144,109.00","85,151.00","183,857.00","68","13","658,901.00","558,285.00","443,082.00","672,273.00","280","93","65,161.00","38,505.00","49,414.00","35,235.00","28","7","3,617.00","5,717.00","2,102.00","11,088.00","2","0","68,778.00","44,222.00","51,516.00","46,323.00","30","7","94,429.00","85,744.00","54,448.00","114,637.00","36","11","100,604.00","60,338.00","100,964.00","93,522.00","36","6","195,033.00","146,082.00","155,412.00","208,159.00","72","17","4,710.00","9,182.00","28,998.00","16,189.00","2","8","1,628.00","3,024.00","70","4,196.00","1","1","6,338.00","12,206.00","29,068.00","20,385.00","3","9","9,745.00","13,528.00","24,166.00","18,445.00","4","0","15,104.00","16,178.00","34,443.00","23,985.00","6","4","24,849.00","29,706.00","58,609.00","42,430.00","10","4","0","1,328.00","3,928.00","4,945.00","0","0","0","2,408.00","518","6,886.00","0","0","0","3,736.00","4,446.00","11,831.00","0","0","1378737","1557015","1854373","2816307","523","216","964,530.00","1041074","925,542.00","1930600","437","184","2343267","2598089","2779915","4746907","960","400","229,063.00","255,651.00","276,905.00","452,554.00","67","44","60,644.00","96,616.00","77,175.00","175,870.00","21","12","289,707.00","352,267.00","354,080.00","628,424.00","88","56","129.42","135.59","151.29","228.66","597.36","250.73","143.24","148.63","133.05","265.34","743.65","286.52","134.18","140.08","145","241.38","647.79","263.07"
"H3912",,"UnitedHealthcare Insurance Co. for Evercare - PA","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","12","0","12","0","0","0","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","0","729","94","NR","0","0","0","0","0","NR","0","0","0","729","94","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","0","60.75","7.83","NR","0","0","NA","NA","NA","NR","NA","NA","0","60.75","7.83","NR","0","0"
"H3916",,"Keystone Health Plan West, Inc.","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR"
"H3920",,"Unison Health Plan of Pennsylvania, Inc.","972","1,200","2,172","36","36","72","96","84","180","0","0","0","180","252","432","12","0","12","3,264","3,443","6,707","372","204","576","972","1,200","2,172","36","36","72","96","84","180","0","0","0","180","252","432","12","0","12","3,264","3,443","6,707","372","204","576","1815416","244,643.00","189,109.00","378,896.17","153","350","2075870","300,117.00","171,608.00","558,799.21","153","327","3891286","544,760.00","360,717.00","937,695.38","306","677","42,516.00","5,135.00","4,999.00","6,270.92","3","9","59,924.00","3,432.00","1,643.00","6,830.21","2","3","102,440.00","8,567.00","6,642.00","13,101.13","5","12","42,427.00","8,857.00","8,174.00","37,648.59","3","20","110,187.00","13,502.00","7,820.00","38,266.18","11","31","152,614.00","22,359.00","15,994.00","75,914.77","14","51","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","67,755.00","20,312.00","46,962.00","75,492.45","9","23","169,566.00","36,613.00","51,557.00","96,895.94","16","39","237,321.00","56,925.00","98,519.00","172,388.39","25","62","0","279","0","2,155.06","0","1","0","0","0","0","0","0","0","279","0","2,155.06","0","1","1883946","362,701.00","364,047.00","1025549.25","187","914","3137438","480,648.00","554,382.00","1397840.76","260","662","5021384","843,349.00","918,429.00","2423390.01","447","1,576","65,323.00","14,722.00","21,109.00","96,792.68","7","33","32,410.00","9,642.00","4,733.00","45,864.67","2","8","97,733.00","24,364.00","25,842.00","142,657.35","9","41","794.28","133.14","128.63","329.04","880.78","3,284.67","1,070.20","161.71","151.7","410.9","1,020.89","2,460.24","936.14","147.83","140.49","371.13","952.81","2,860.80"
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"H3931",,"Aetna Health Inc. (Pennsylvania)","1,560","924","2,484","180","60","240","486","263","749","42","12","54","996","528","1,524","180","36","216","9,480","5,627","15,107","2,164","705","2,869","1,437","836","2,273","180","60","240","427","251","678","42","12","54","888","468","1,356","132","24","156","8,757","5,078","13,835","2,032","613","2,645","2244521","344,258.00","345,362.00","377,439.00","176","38","1727759","259,180.00","208,278.00","278,038.00","127","40","3972280","603,438.00","553,640.00","655,477.00","303","78","137,327.00","17,520.00","26,987.00","21,498.00","10","4","9,166.00","6,620.00","5,675.00","17,938.00","2","5","146,493.00","24,140.00","32,662.00","39,436.00","12","9","471,844.00","57,555.00","58,795.00","98,772.00","25","11","338,634.00","41,606.00","71,226.00","54,495.00","16","4","810,478.00","99,161.00","130,021.00","153,267.00","41","15","48,696.00","4,006.00","12,200.00","6,378.00","1","0","21,390.00","2,320.00","6,450.00","5,206.00","2","0","70,086.00","6,326.00","18,650.00","11,584.00","3","0","449,796.00","103,715.00","140,371.00","174,152.00","38","23","414,499.00","72,548.00","86,112.00","107,116.00","31","8","864,295.00","176,263.00","226,483.00","281,268.00","69","31","240,440.00","13,281.00","56,567.00","24,458.00","12","1","4,154.00","2,398.00","169","2,444.00","1","0","244,594.00","15,679.00","56,736.00","26,902.00","13","1","5162649","1040283","1662492","1833509","363","175","3645795","784,450.00","943,873.00","1212856","296","116","8808444","1824733","2606365","3046365","659","291","623,782.00","150,912.00","240,621.00","295,738.00","46","26","127,282.00","51,936.00","58,099.00","96,132.00","15","12","751,064.00","202,848.00","298,720.00","391,870.00","61","38","621.62","114.76","168.57","203.81","533.67","221.1","771.14","149.73","169.21","241.65","721.03","272.23","674.08","127.03","168.79","216.89","599.41","239.04"
"H3949",,"Bravo Health Pennsylvania, Inc.","720","1,032","1,752","36","36","72","48","96","144","0","24","24","120","264","384","12","0","12","2,110","2,743","4,853","216","203","419","720","1,032","1,752","36","36","72","48","96","144","0","24","24","120","264","384","12","0","12","2,110","2,743","4,853","216","203","419","344,489.00","230,790.00","82,294.00","169,714.54","0","73","282,500.00","343,126.00","91,309.00","283,646.21","0","102","626,989.00","573,916.00","173,603.00","453,360.75","0","175","10,864.00","16,319.00","3,134.00","3,738.74","0","3","0","9,049.00","3,537.00","7,612.76","0","6","10,864.00","25,368.00","6,671.00","11,351.50","0","9","0","4,849.00","1,492.00","6,644.97","0","1","18,439.00","17,944.00","3,067.00","21,109.70","0","5","18,439.00","22,793.00","4,559.00","27,754.67","0","6","0","0","0","0","0","0","0","988","1,950.00","2,803.35","0","0","0","988","1,950.00","2,803.35","0","0","10,734.00","19,919.00","4,936.00","28,262.58","0","6","9,060.00","62,057.00","63,029.00","55,528.91","0","28","19,794.00","81,976.00","67,965.00","83,791.49","0","34","0","138","0","1,402.76","0","0","0","0","0","0","0","0","0","138","0","1,402.76","0","0","376,002.00","398,507.00","227,215.00","405,520.46","0","122","354,376.00","529,962.00","222,261.00","613,841.57","0","189","730,378.00","928,469.00","449,476.00","1019362.03","0","311","0","19,829.00","9,074.00","16,712.28","0","4","0","20,068.00","7,305.00","26,335.66","0","6","0","39,897.00","16,379.00","43,047.94","0","10","227.5","211.63","100.6","193.75","0","768.85","151.06","223.55","89.24","229.85","0","916.78","183.61","218.48","94.07","214.47","0","853.79"
"H3952",,"Keystone Health Plan East, Inc.","5,470","3,886","9,356","864","252","1,116","1,908","1,344","3,252","444","264","708","192","468","660","48","84","132","36,560","27,134","63,694","10,892","5,255","16,147","5,345","3,828","9,173","840","240","1,080","1,870","1,291","3,161","428","264","692","192","444","636","48","82","130","35,514","26,615","62,129","10,442","5,091","15,533","1821901","1182181","692,330.00","1537181","778","236","1570760","933,004.00","574,240.00","1346232","667","200","3392661","2115185","1266570","2883413","1,445","436","138,709.00","83,298.00","72,996.00","147,041.00","49","20","37,946.00","36,448.00","11,037.00","54,226.00","18","8","176,655.00","119,746.00","84,033.00","201,267.00","67","28","405,097.00","221,039.00","204,454.00","402,896.00","146","58","381,130.00","237,374.00","129,027.00","393,129.00","156","72","786,227.00","458,413.00","333,481.00","796,025.00","302","130","58,526.00","32,193.00","22,114.00","69,570.00","24","13","20,382.00","17,106.00","9,252.00","59,594.00","11","12","78,908.00","49,299.00","31,366.00","129,164.00","35","25","3,948.00","10,023.00","15,444.00","38,140.00","2","2","32,689.00","41,574.00","6,052.00","115,386.00","20","10","36,637.00","51,597.00","21,496.00","153,526.00","22","12","0","1,367.00","0","3,277.00","0","0","6,040.00","7,005.00","2,181.00","5,851.00","4","1","6,040.00","8,372.00","2,181.00","9,128.00","4","1","5164726","3771333","3238173","7266759","2,024","926","4335253","3142839","2418790","7218241","1,832","885","9499979","6914172","5656963","14485000","3,856","1,811","916,516.00","657,019.00","661,925.00","1410094","315","172","463,666.00","372,531.00","411,384.00","874,232.00","162","109","1380182","1029550","1073309","2284326","477","281","150.94","105.69","87.05","198.89","710.49","303.74","177.01","123.76","92.07","265.93","890.22","402.31","161.55","113.04","89.09","226.32","783.63","343.85"
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"H3959",,"HealthAmerica Pennsylvania, Inc./HealthAssurance Pennsylvania, Inc.","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR"
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"H4577",,"WellCare Health Insurance of Illinois, Inc.","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR"
"H4590",,"PacifiCare of Texas, Inc.","8,174","5,538","13,712","684","360","1,044","660","612","1,272","132","60","192","3,957","2,934","6,891","648","348","996","28,383","17,825","46,208","4,800","1,979","6,779","8,122","5,503","13,625","684","360","1,044","660","612","1,272","132","60","192","3,929","2,934","6,863","648","348","996","28,163","17,731","45,894","4,753","1,945","6,698","8586801","1526668","1681243","2176904","773","550","6295140","1165461","1050371","1890053","607","442","14881941","2692129","2731614","4066957","1,380","992","229,949.00","60,757.00","80,147.00","109,604.00","27","25","142,052.00","31,471.00","45,550.00","69,419.00","19","14","372,001.00","92,228.00","125,697.00","179,023.00","46","39","506,488.00","93,175.00","150,047.00","151,244.00","45","32","632,535.00","107,665.00","131,141.00","150,118.00","64","32","1139023","200,840.00","281,188.00","301,362.00","109","64","39,378.00","10,052.00","11,564.00","17,013.00","5","6","36,980.00","4,801.00","11,953.00","6,340.00","2","0","76,358.00","14,853.00","23,517.00","23,353.00","7","6","1626254","408,664.00","593,707.00","841,798.00","157","141","1497530","351,131.00","479,519.00","786,193.00","159","130","3123784","759,795.00","1073226","1627991","316","271","206,216.00","47,194.00","71,111.00","98,182.00","22","20","79,940.00","29,747.00","31,691.00","77,476.00","12","15","286,156.00","76,941.00","102,802.00","175,658.00","34","35","10383166","2762273","4493068","5729268","1,039","968","7363382","1976370","2658537","4463501","751","864","17746548","4738643","7151605","10192769","1,790","1,832","950,799.00","282,015.00","537,999.00","624,061.00","110","99","273,473.00","139,341.00","164,612.00","361,724.00","35","61","1224272","421,356.00","702,611.00","985,785.00","145","160","474.92","109.42","160.61","207.01","550.95","465.7","550.35","128.34","154.21","264.63","667.25","630.43","503.93","116.7","158.15","229.2","595.69","529.07"
"H4604",,"UnitedHealthcare of Utah, Inc.","108","48","156","35","0","35","12","0","12","12","0","12","23","0","23","0","0","0","408","156","564","204","36","240","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","107,066.00","13,412.00","16,815.00","NR","13","3","34,102.00","6,360.00","19,361.00","NR","3","5","141,168.00","19,772.00","36,176.00","NR","16","8","18,014.00","3,932.00","25,398.00","NR","2","1","0","0","0","NR","0","0","18,014.00","3,932.00","25,398.00","NR","2","1","6,849.00","711","1,302.00","NR","1","0","0","0","0","NR","0","0","6,849.00","711","1,302.00","NR","1","0","14,519.00","402","3,001.00","NR","2","0","0","0","0","NR","0","0","14,519.00","402","3,001.00","NR","2","0","0","778","45","NR","0","4","0","0","0","NR","0","0","0","778","45","NR","0","4","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","155,478.00","26,163.00","32,277.00","NR","14","13","21,345.00","11,439.00","16,451.00","NR","4","13","176,823.00","37,602.00","48,728.00","NR","18","26","46,831.00","8,351.00","27,788.00","NR","5","3","6,849.00","1,076.00","1,303.00","NR","1","1","53,680.00","9,427.00","29,091.00","NR","6","4","434.86","67.02","132.95","NR","553.62","359.1","259.57","78.65","154.65","NR","400","950","394.48","69.7","137.95","NR","518.23","495.2"
"H4605",,"Regence BlueCross BlueShield of Utah","276","60","336","60","0","60","48","12","60","24","0","24","60","36","96","36","24","60","1,032","408","1,440","383","192","575","276","60","336","60","0","60","48","12","60","24","0","24","60","36","96","36","24","60","1,032","408","1,440","383","192","575","150,826.00","41,153.00","59,634.00","72,830.28","14","9","15,284.00","6,978.00","9,323.00","26,252.02","2","2","166,110.00","48,131.00","68,957.00","99,082.30","16","11","39,060.00","3,520.00","13,433.00","13,415.57","1","0","0","0","0","0","0","0","39,060.00","3,520.00","13,433.00","13,415.57","1","0","38,397.00","4,599.00","10,106.00","5,717.58","5","1","0","2,031.00","2,443.00","0","0","2","38,397.00","6,630.00","12,549.00","5,717.58","5","3","0","875","45","3,347.96","0","1","0","0","0","0","0","0","0","875","45","3,347.96","0","1","44,001.00","4,959.00","11,277.00","16,416.31","4","0","36,119.00","8,773.00","9,943.00","4,800.34","4","2","80,120.00","13,732.00","21,220.00","21,216.65","8","2","0","1,856.00","719","4,591.16","0","2","0","1,188.00","1,724.00","5,982.10","0","0","0","3,044.00","2,443.00","10,573.26","0","2","302,396.00","91,556.00","140,764.00","196,497.07","27","18","104,151.00","47,011.00","51,051.00","126,754.76","10","7","406,547.00","138,567.00","191,815.00","323,251.83","37","25","54,006.00","22,882.00","37,758.00","45,395.44","10","10","68,559.00","11,693.00","20,776.00","43,680.61","4","2","122,565.00","34,575.00","58,534.00","89,076.05","14","12","327.61","89.32","142.65","186.67","381.45","256.38","306.17","106.11","130.14","283.43","327.87","245.9","321.69","93.95","139.19","213.38","366.65","253.49"
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"H5005",,"PacifiCare of Washington, Inc.","1,236","900","2,136","252","84","336","204","228","432","60","24","84","659","348","1,007","144","72","216","5,676","3,708","9,384","1,584","528","2,112","1,226","900","2,126","252","84","336","204","228","432","60","24","84","659","348","1,007","144","72","216","5,676","3,708","9,384","1,584","528","2,112","837,610.00","190,169.00","273,020.00","291,773.00","82","57","1200213","219,495.00","254,432.00","290,433.00","118","71","2037823","409,664.00","527,452.00","582,206.00","200","128","190,019.00","28,606.00","47,052.00","39,161.00","12","12","65,535.00","15,331.00","6,842.00","23,489.00","9","0","255,554.00","43,937.00","53,894.00","62,650.00","21","12","164,976.00","26,062.00","47,192.00","58,246.00","16","5","215,977.00","46,665.00","39,462.00","80,314.00","21","10","380,953.00","72,727.00","86,654.00","138,560.00","37","15","55,019.00","4,143.00","8,608.00","9,665.00","4","2","0","558","216","5,097.00","0","0","55,019.00","4,701.00","8,824.00","14,762.00","4","2","200,299.00","62,750.00","133,922.00","128,299.00","24","24","219,372.00","52,419.00","88,146.00","115,985.00","22","43","419,671.00","115,169.00","222,068.00","244,284.00","46","67","25,955.00","12,326.00","23,131.00","27,979.00","4","3","14,752.00","5,448.00","3,776.00","10,792.00","1","2","40,707.00","17,774.00","26,907.00","38,771.00","5","5","1441993","519,584.00","788,438.00","1235421","149","158","1710960","421,760.00","606,777.00","990,235.00","173","139","3152953","941,344.00","1395215","2225656","322","297","378,097.00","105,720.00","148,607.00","202,422.00","29","33","105,267.00","39,844.00","68,131.00","87,647.00","12","12","483,364.00","145,564.00","216,738.00","290,069.00","41","45","335.61","96.73","149.77","203.26","391.24","359.45","599.47","136.04","181.23","272.23","725.05","564.15","434.59","111.47","161.57","229.15","516.46","436.24"
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"H5009",,"Regence BlueShield","168","60","228","72","24","96","12","12","24","48","0","48","84","60","144","12","24","36","732","384","1,116","228","48","276","168","60","228","72","24","96","12","12","24","48","0","48","84","60","144","12","24","36","732","384","1,116","228","48","276","125,838.00","39,972.00","37,015.00","56,097.79","14","15","19,090.00","8,211.00","6,498.00","18,561.71","4","14","144,928.00","48,183.00","43,513.00","74,659.50","18","29","53,811.00","18,303.00","5,675.00","11,380.95","6","2","0","2,559.00","451","12,456.50","0","2","53,811.00","20,862.00","6,126.00","23,837.45","6","4","4,854.00","1,136.00","1,938.00","2,241.11","1","0","0","893","45","2,146.17","0","0","4,854.00","2,029.00","1,983.00","4,387.28","1","0","0","2,516.00","2,474.00","8,367.91","0","13","0","0","0","0","0","0","0","2,516.00","2,474.00","8,367.91","0","13","68,703.00","14,415.00","15,740.00","21,210.22","6","4","30,412.00","9,749.00","13,510.00","19,925.94","3","4","99,115.00","24,164.00","29,250.00","41,136.16","9","8","0","211","540","1,627.47","0","0","0","4,727.00","1,798.00","3,492.35","0","3","0","4,938.00","2,338.00","5,119.82","0","3","91,098.00","60,533.00","61,188.00","174,138.96","8","38","207,919.00","55,651.00","37,055.00","109,550.26","17","33","299,017.00","116,184.00","98,243.00","283,689.22","25","71","23,312.00","11,753.00","12,262.00","33,756.29","3","3","28,656.00","2,703.00","855","10,283.93","2","14","51,968.00","14,456.00","13,117.00","44,040.22","5","17","271.1","109.76","100.91","227.74","336.28","663.72","467.45","138.06","98.39","288.26","509.8","1,372.55","332.16","118.56","100.12","246.56","390.24","884.15"
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"H5106",,"Keystone Health Plan West, Inc.","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR"
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"H5211",,"Security Health Plan of Wisconsin, Inc","36","12","48","24","0","24","0","0","0","12","0","12","24","12","36","0","0","0","3,563","1,535","5,098","1,356","552","1,908","24","0","24","12","0","12","0","0","0","0","0","0","7","0","7","0","0","0","1,688","908","2,596","674","239","913","37,865.00","10,172.00","4,385.00","8,395.00","4","2","0","1,627.00","532","1,175.00","0","0","37,865.00","11,799.00","4,917.00","9,570.00","4","2","64,987.00","3,629.00","15,506.00","680","1","0","0","0","0","0","0","0","64,987.00","3,629.00","15,506.00","680","1","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","598","27","1,132.00","0","0","0","0","0","0","0","0","0","598","27","1,132.00","0","0","54,015.00","2,826.00","14,479.00","1,243.00","2","0","0","1,770.00","1,074.00","103","0","0","54,015.00","4,596.00","15,553.00","1,346.00","2","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","1703281","352,797.00","471,305.00","432,791.00","162","99","897,770.00","167,019.00","211,302.00","276,096.00","82","61","2601051","519,816.00","682,607.00","708,887.00","244","160","401,757.00","85,328.00","154,702.00","152,693.00","40","14","256,436.00","44,073.00","59,166.00","67,509.00","21","14","658,193.00","129,401.00","213,868.00","220,202.00","61","28","451.03","90.8","131.69","248.21","500.1","275.17","546.76","101.61","128.88","300.68","585.5","426.34","479.39","94","130.86","265.15","525.4","319.96"
"H5214",,"Humana Insurance Company","24","12","36","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","132","108","240","36","12","48","24","12","36","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","132","108","240","36","12","48","0","1,748.00","0","2,131.00","0","2","4,892.00","381","52","944","1","2","4,892.00","2,129.00","52","3,075.00","1","4","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","32,849.00","13,425.00","644","35,717.00","7","7","14,352.00","3,549.00","0","17,014.00","2","2","47,201.00","16,974.00","644","52,731.00","9","9","0","907","0","3,954.00","1","0","0","547","0","11,995.00","0","0","0","1,454.00","0","15,949.00","1","0","171.09","83.75","3.35","217.72","500","562.5","145.79","33.92","0.39","226.92","272.73","363.64","160.78","63.45","2.15","221.47","407.41","481.48"
"H5215",,"Network Health Plan","204","84","288","132","0","132","0","24","24","12","0","12","60","12","72","12","0","12","1,080","695","1,775","348","120","468","144","84","228","108","0","108","0","24","24","0","0","0","48","12","60","12","0","12","852","575","1,427","216","108","324","147,465.00","24,671.00","26,486.00","35,348.10","14","9","65,947.00","12,765.00","15,940.00","17,577.78","8","7","213,412.00","37,436.00","42,426.00","52,925.88","22","16","38,973.00","12,508.00","15,087.00","19,953.82","5","3","0","0","0","0","0","0","38,973.00","12,508.00","15,087.00","19,953.82","5","3","0","0","0","0","0","0","4,999.00","1,124.00","2,323.00","3,940.34","1","0","4,999.00","1,124.00","2,323.00","3,940.34","1","0","0","348","31","0","0","0","0","0","0","0","0","0","0","348","31","0","0","0","38,533.00","4,973.00","8,668.00","6,186.07","3","2","8,804.00","765","4,150.00","4,449.28","1","0","47,337.00","5,738.00","12,818.00","10,635.35","4","2","0","262","1,211.00","801","0","0","0","0","0","0","0","0","0","262","1,211.00","801","0","0","196,789.00","84,939.00","128,853.00","157,707.98","40","42","341,459.00","55,783.00","91,407.00","101,204.04","27","25","538,248.00","140,722.00","220,260.00","258,912.02","67","67","62,673.00","20,425.00","37,850.00","36,257.30","7","7","43,246.00","8,213.00","11,200.00","9,926.16","6","8","105,919.00","28,638.00","49,050.00","46,183.46","13","15","262.14","80.15","118.07","185.69","448.05","409.09","496.74","84.12","133.71","170.73","551.87","513.37","340.96","81.49","123.32","180.19","482.93","444.13"
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"H5417",,"UnitedHealthCare Insurance Co. for EverCare - Florida","12","12","24","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","24","84","108","12","0","12","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","21,035.00","5,763.00","2,746.00","NR","5","0","8,810.00","1,174.00","198","NR","2","0","29,845.00","6,937.00","2,944.00","NR","7","0","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","78,050.00","7,980.00","8,010.00","NR","10","0","143,459.00","16,005.00","3,665.00","NR","20","3","221,509.00","23,985.00","11,675.00","NR","30","3","61,776.00","1,124.00","894","NR","1","0","0","0","0","NR","0","0","61,776.00","1,124.00","894","NR","1","0","3,351.27","309.73","242.71","NR","4,000.00","0","1,586.14","178.95","40.24","NR","2,750.00","375","2,174.51","222.54","107.73","NR","3,166.67","250"
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"H5422",,"Blue Cross Blue Shield of Georgia","24","12","36","12","0","12","12","0","12","0","0","0","0","0","0","0","0","0","48","84","132","24","0","24","24","12","36","12","0","12","12","0","12","0","0","0","0","0","0","0","0","0","48","84","132","24","0","24","NR","9,621.00","NR","6,675.04","NR","24","NR","674","NR","4,788.71","NR","1","NR","10,295.00","NR","11,463.75","NR","25","NR","402","NR","589.45","NR","0","NR","0","NR","0","NR","0","NR","402","NR","589.45","NR","0","NR","813","NR","1,350.76","NR","0","NR","0","NR","0","NR","0","NR","813","NR","1,350.76","NR","0","NR","0","NR","0","NR","0","NR","0","NR","0","NR","0","NR","0","NR","0","NR","0","NR","0","NR","0","NR","0","NR","0","NR","0","NR","0","NR","0","NR","0","NR","0","NR","0","NR","0","NR","0","NR","0","NR","0","NR","0","NR","0","NR","0","NR","0","NR","2,520.00","NR","7,659.30","NR","0","NR","9,940.00","NR","7,626.23","NR","7","NR","12,460.00","NR","15,285.53","NR","7","NR","561","NR","11,271.46","NR","1","NR","0","NR","0","NR","0","NR","561","NR","11,271.46","NR","1","NR","115.98","NR","229.55","NR","2,500.00","NR","110.56","NR","129.32","NR","1,000.00","NR","113.57","NR","185","NR","1,833.33"
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"H5428",,"Health Plan of San Mateo","432","456","888","72","12","84","60","24","84","0","0","0","84","144","228","0","0","0","1,128","1,056","2,184","144","108","252","432","456","888","72","12","84","60","24","84","0","0","0","84","144","228","0","0","0","1,128","1,056","2,184","144","108","252","217,169.00","83,704.00","44,935.00","441,197.21","24","48","524,719.00","116,420.00","74,993.00","509,463.98","36","57","741,888.00","200,124.00","119,928.00","950,661.19","60","105","26,402.00","6,243.00","1,965.00","47,301.93","2","3","12,768.00","3,338.00","1,429.00","15,000.00","2","2","39,170.00","9,581.00","3,394.00","62,301.93","4","5","23,820.00","7,674.00","5,785.00","39,281.48","2","6","0","2,460.00","3,598.00","21,010.64","0","0","23,820.00","10,134.00","9,383.00","60,292.12","2","6","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","48,816.00","17,349.00","13,480.00","95,125.18","2","10","77,697.00","27,775.00","35,383.00","161,346.78","6","22","126,513.00","45,124.00","48,863.00","256,471.96","8","32","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","700,801.00","182,690.00","169,912.00","1171682.78","80","167","510,551.00","164,612.00","151,040.00","1125935.39","66","96","1211352","347,302.00","320,952.00","2297618.17","146","263","39,532.00","9,058.00","22,251.00","93,665.41","2","7","10,062.00","6,563.00","6,524.00","94,059.67","1","3","49,594.00","15,621.00","28,775.00","187,725.08","3","10","550.28","159.75","134.55","983.47","700","1,506.25","631","178.43","151.65","1,070.45","740","1,200.00","589.34","168.79","142.82","1,025.56","719.35","1,358.06"
"H5429",,"Universal Health Care","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR"
"H5430",,"ONECare by Care1st HealthPlan Arizona","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR"
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"H5435",,"UnitedHealthcare Insurance Company","1,486","768","2,254","96","60","156","84","120","204","84","12","96","420","276","696","120","12","132","6,141","3,896","10,037","1,716","540","2,256","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","1868149","267,900.00","261,458.00","NR","148","87","1674076","227,055.00","148,897.00","NR","131","80","3542225","494,955.00","410,355.00","NR","279","167","91,252.00","11,741.00","6,471.00","NR","5","2","43,626.00","5,934.00","3,918.00","NR","3","7","134,878.00","17,675.00","10,389.00","NR","8","9","239,719.00","32,020.00","31,985.00","NR","13","9","166,131.00","14,701.00","25,850.00","NR","8","6","405,850.00","46,721.00","57,835.00","NR","21","15","108,886.00","8,737.00","16,526.00","NR","6","3","0","419","9","NR","0","0","108,886.00","9,156.00","16,535.00","NR","6","3","185,162.00","32,202.00","56,557.00","NR","15","12","137,092.00","29,071.00","33,306.00","NR","7","7","322,254.00","61,273.00","89,863.00","NR","22","19","29,429.00","5,541.00","15,336.00","NR","3","1","38,718.00","1,435.00","9,066.00","NR","2","1","68,147.00","6,976.00","24,402.00","NR","5","2","3272023","610,429.00","944,926.00","NR","286","278","2685224","475,353.00","576,126.00","NR","235","227","5957247","1085782","1521052","NR","521","505","497,685.00","86,923.00","178,540.00","NR","31","31","102,587.00","31,157.00","45,681.00","NR","11","11","600,272.00","118,080.00","224,221.00","NR","42","42","620.11","104.02","148.99","NR","599.59","500.25","852.82","138.13","148.29","NR","838.14","715.69","703.67","116.27","148.74","NR","685.24","577.6"
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"H5507",,"UnitedHealthCare of the Midwest, Inc.","252","192","444","12","0","12","12","24","36","0","0","0","96","72","168","24","12","36","1,403","803","2,206","276","168","444","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","265,234.00","53,473.00","46,313.00","NR","29","17","313,531.00","53,638.00","55,398.00","NR","30","18","578,765.00","107,111.00","101,711.00","NR","59","35","0","328","0","NR","0","0","0","0","0","NR","0","0","0","328","0","NR","0","0","2,532.00","1,173.00","2,710.00","NR","1","1","23,900.00","2,441.00","1,290.00","NR","1","0","26,432.00","3,614.00","4,000.00","NR","2","1","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","59,434.00","8,189.00","17,579.00","NR","5","1","112,272.00","10,664.00","25,951.00","NR","8","2","171,706.00","18,853.00","43,530.00","NR","13","3","21,911.00","2,302.00","5,179.00","NR","2","1","0","693","27","NR","0","0","21,911.00","2,995.00","5,206.00","NR","2","1","810,737.00","146,089.00","221,659.00","NR","59","37","564,476.00","91,064.00","102,349.00","NR","45","38","1375213","237,153.00","324,008.00","NR","104","75","48,026.00","12,415.00","11,761.00","NR","2","3","3,584.00","7,081.00","17,238.00","NR","1","1","51,610.00","19,496.00","28,999.00","NR","3","4","582.11","107.94","147.08","NR","566.75","346.99","800.76","130.28","159.13","NR","802.52","557.04","665.16","116.42","151.66","NR","656.31","426.78"
"H5508",,"ADVANTAGE Health Solutions, Inc","252","180","432","24","12","36","12","0","12","0","0","0","84","60","144","0","0","0","588","516","1,104","83","48","131","252","180","432","24","12","36","12","0","12","0","0","0","84","60","144","0","0","0","588","516","1,104","83","48","131","0","33,146.00","42,364.00","83,146.34","0","20","0","30,524.00","9,214.00","82,367.99","0","15","0","63,670.00","51,578.00","165,514.34","0","35","0","739","1,183.00","2,784.10","0","0","0","575","1,532.00","3,828.51","0","0","0","1,314.00","2,715.00","6,612.61","0","0","0","210","0","0","0","2","0","0","0","0","0","0","0","210","0","0","0","2","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","15,820.00","14,572.00","31,971.24","0","10","0","9,702.00","11,949.00","7,879.08","0","4","0","25,522.00","26,521.00","39,850.33","0","14","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","43,610.00","46,593.00","114,293.24","0","14","0","77,685.00","80,832.00","130,153.14","0","66","0","121,295.00","127,425.00","244,446.37","0","80","0","3,692.00","13,999.00","1,360.79","0","3","0","1,922.00","2,417.00","8,582.59","0","1","0","5,614.00","16,416.00","9,943.38","0","4","0","93.21","113.82","223.93","0","563.76","0","147.56","129.83","285.31","0","1,264.71","0","117.07","120.85","250.87","0","871.44"
"H5509",,"Coventry Health and Life Insurance Company","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR"
"H5510",,"Aetna Life Insurance Company (MD/DC)","384","156","540","12","0","12","108","48","156","12","0","12","180","192","372","36","24","60","1,440","1,212","2,652","336","48","384","384","156","540","12","0","12","108","48","156","12","0","12","180","192","372","36","24","60","1,440","1,212","2,652","324","48","372","714,681.00","98,752.00","132,797.00","105,309.00","56","12","162,877.00","24,359.00","55,977.00","49,169.00","15","1","877,558.00","123,111.00","188,774.00","154,478.00","71","13","0","210","0","0","0","0","0","0","0","0","0","0","0","210","0","0","0","0","100,451.00","10,246.00","25,573.00","26,199.00","6","0","148,072.00","13,848.00","32,807.00","11,527.00","12","7","248,523.00","24,094.00","58,380.00","37,726.00","18","7","23,501.00","1,476.00","5,332.00","984","2","0","0","0","0","0","0","0","23,501.00","1,476.00","5,332.00","984","2","0","45,915.00","16,105.00","31,281.00","42,660.00","4","9","102,926.00","23,371.00","39,168.00","37,923.00","10","10","148,841.00","39,476.00","70,449.00","80,583.00","14","19","0","2,260.00","6,713.00","4,459.00","0","0","0","1,072.00","1,042.00","1,887.00","0","0","0","3,332.00","7,755.00","6,346.00","0","0","662,065.00","143,788.00","259,344.00","293,784.00","42","24","761,695.00","165,637.00","281,695.00","310,858.00","53","31","1423760","309,425.00","541,039.00","604,642.00","95","55","33,903.00","15,942.00","21,916.00","57,000.00","2","4","0","2,943.00","9,928.00","8,299.00","0","3","33,903.00","18,885.00","31,844.00","65,299.00","2","7","630.19","115.14","192.57","212.5","535.89","234.45","699.74","137.64","250.37","249.8","642.86","371.43","658.09","124.17","215.75","227.5","578.8","289.4"
"H5512",,"Aetna Life Insurance Company (New Jersey)","576","360","936","84","24","108","96","84","180","60","0","60","456","468","924","84","36","120","2,784","1,800","4,584","605","228","833","576","360","936","84","24","108","96","84","180","60","0","60","456","468","924","84","36","120","2,784","1,800","4,584","605","228","833","819,694.00","154,668.00","134,552.00","174,892.00","62","16","678,479.00","108,070.00","95,775.00","125,914.00","51","21","1498173","262,738.00","230,327.00","300,806.00","113","37","45,762.00","10,934.00","10,767.00","16,077.00","4","1","18,025.00","3,393.00","4,248.00","4,269.00","2","0","63,787.00","14,327.00","15,015.00","20,346.00","6","1","22,070.00","12,222.00","5,712.00","25,025.00","1","3","103,996.00","23,593.00","15,918.00","15,370.00","7","4","126,066.00","35,815.00","21,630.00","40,395.00","8","7","20,904.00","7,765.00","3,444.00","26,483.00","2","1","0","0","0","0","0","0","20,904.00","7,765.00","3,444.00","26,483.00","2","1","234,493.00","62,242.00","71,195.00","88,149.00","20","13","297,953.00","71,647.00","104,080.00","164,433.00","21","10","532,446.00","133,889.00","175,275.00","252,582.00","41","23","33,492.00","6,609.00","159","5,020.00","3","2","0","2,574.00","5,188.00","2,995.00","0","0","33,492.00","9,183.00","5,347.00","8,015.00","3","2","1249685","322,794.00","508,664.00","596,961.00","101","77","1038497","273,903.00","321,999.00","490,157.00","92","46","2288182","596,697.00","830,663.00","1087118","193","123","91,993.00","40,121.00","81,329.00","97,879.00","9","17","78,277.00","15,182.00","33,157.00","44,992.00","5","1","170,270.00","55,303.00","114,486.00","142,871.00","14","18","530.68","130.11","171.93","217.17","510.85","328.77","738.41","166.12","193.46","282.71","712","328","611.15","144.06","180.27","242.56","588.77","328.47"
"H5516",,"UnitedHealthcare of North Carolina, Inc.","120","60","180","36","12","48","12","24","36","24","12","36","24","24","48","0","0","0","768","444","1,212","348","72","420","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","180,616.00","24,019.00","13,607.00","NR","11","3","109,519.00","20,998.00","7,626.00","NR","7","4","290,135.00","45,017.00","21,233.00","NR","18","7","44,066.00","5,059.00","10,676.00","NR","2","2","35,955.00","1,823.00","1,348.00","NR","1","0","80,021.00","6,882.00","12,024.00","NR","3","2","0","973","265","NR","0","0","24,382.00","5,197.00","5,792.00","NR","2","1","24,382.00","6,170.00","6,057.00","NR","2","1","0","1,514.00","647","NR","0","1","0","840","9,953.00","NR","0","1","0","2,354.00","10,600.00","NR","0","2","0","1,438.00","45","NR","0","0","75,000.00","6,480.00","6,696.00","NR","5","0","75,000.00","7,918.00","6,741.00","NR","5","0","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","322,522.00","75,581.00","112,352.00","NR","33","17","333,284.00","51,258.00","63,123.00","NR","26","22","655,806.00","126,839.00","175,475.00","NR","59","39","201,931.00","20,780.00","45,884.00","NR","6","1","17,601.00","3,475.00","9,553.00","NR","2","0","219,532.00","24,255.00","55,437.00","NR","8","1","562.41","97.12","137.74","NR","468.47","216.22","919.35","139","160.63","NR","796.3","518.52","679.23","110.83","145.24","NR","575.76","315.15"
"H5517",,"Carelink Health Plans, Inc.","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR"
"H5520",,"Health Net Life Insurance Company","804","480","1,284","156","48","204","168","84","252","36","0","36","324","216","540","84","12","96","3,312","1,716","5,028","876","228","1,104","712","432","1,144","120","36","156","132","72","204","24","0","24","276","192","468","60","12","72","2,947","1,608","4,555","696","204","900","993,214.00","152,403.00","203,790.00","145,417.75","66","61","731,802.00","95,696.00","124,294.00","117,849.97","46","25","1725016","248,099.00","328,084.00","263,267.72","112","86","145,241.00","22,217.00","23,685.00","16,193.04","11","14","69,932.00","5,600.00","26,936.00","6,229.84","2","6","215,173.00","27,817.00","50,621.00","22,422.88","13","20","200,858.00","18,603.00","38,226.00","17,498.75","12","5","158,450.00","14,944.00","24,361.00","14,680.77","11","6","359,308.00","33,547.00","62,587.00","32,179.52","23","11","74,655.00","5,586.00","7,487.00","2,775.06","2","0","0","0","0","0","0","0","74,655.00","5,586.00","7,487.00","2,775.06","2","0","155,775.00","32,170.00","87,204.00","54,142.87","14","12","74,372.00","20,512.00","22,937.00","38,182.17","8","16","230,147.00","52,682.00","110,141.00","92,325.04","22","28","4,246.00","4,861.00","2,991.00","18,063.11","1","4","6,984.00","1,923.00","2,715.00","3,540.23","1","0","11,230.00","6,784.00","5,706.00","21,603.34","2","4","1282225","245,110.00","576,640.00","414,558.00","93","122","607,767.00","148,822.00","257,661.00","284,450.07","46","58","1889992","393,932.00","834,301.00","699,008.07","139","180","197,134.00","41,859.00","76,959.00","68,554.41","13","12","66,151.00","13,816.00","42,622.00","22,569.27","6","9","263,285.00","55,675.00","119,581.00","91,123.68","19","21","530.1","90.77","176.56","148.42","441.67","479.17","616.18","108.23","180.15","190.73","517.24","517.24","558.15","96.46","177.73","162.79","466.29","491.57"
"H5521",,"Aetna Life Insurance Company (Pennsylvania)","276","216","492","36","0","36","96","12","108","12","12","24","144","156","300","36","12","48","2,040","1,356","3,396","348","120","468","276","216","492","36","0","36","96","12","108","12","12","24","144","156","300","36","12","48","2,040","1,356","3,396","348","120","468","436,868.00","72,543.00","52,072.00","86,225.00","29","12","274,375.00","58,640.00","59,274.00","62,597.00","23","14","711,243.00","131,183.00","111,346.00","148,822.00","52","26","54,186.00","6,714.00","8,405.00","6,383.00","2","0","0","0","0","0","0","0","54,186.00","6,714.00","8,405.00","6,383.00","2","0","152,453.00","23,188.00","30,529.00","25,094.00","9","3","0","594","0","2,580.00","0","0","152,453.00","23,782.00","30,529.00","27,674.00","9","3","28,719.00","1,332.00","1,538.00","1,871.00","1","0","0","174","0","2,659.00","0","0","28,719.00","1,506.00","1,538.00","4,530.00","1","0","0","10,289.00","19,215.00","42,049.00","0","2","143,339.00","18,342.00","34,079.00","37,680.00","5","3","143,339.00","28,631.00","53,294.00","79,729.00","5","5","8,606.00","2,210.00","2,086.00","8,035.00","2","0","0","617","800","1,010.00","0","0","8,606.00","2,827.00","2,886.00","9,045.00","2","0","947,144.00","238,319.00","362,825.00","461,934.00","62","56","765,837.00","168,661.00","223,231.00","333,954.00","67","25","1712981","406,980.00","586,056.00","795,888.00","129","81","84,627.00","24,303.00","46,117.00","54,691.00","3","0","15,415.00","8,955.00","9,049.00","24,695.00","2","3","100,042.00","33,258.00","55,166.00","79,386.00","5","3","573.16","126.81","174.96","229.68","433.73","293.17","636.39","135.87","173.27","246.91","617.83","286.62","597.61","130.31","174.31","236.34","504.93","290.64"
"H5522",,"HealthAmerica Pennsylvania, Inc./HealthAssurance Pennsylvania, Inc.","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR"
"H5525",,"OSF Health Plans, Inc.","779","360","1,139","96","0","96","120","48","168","60","12","72","180","84","264","72","12","84","3,707","1,764","5,471","780","192","972","779","360","1,139","96","0","96","120","48","168","60","12","72","180","84","264","72","12","84","3,707","1,764","5,471","780","192","972","807,064.00","139,127.00","128,805.00","265,717.05","70","123","479,832.00","82,783.00","45,255.00","148,974.52","44","105","1286896","221,910.00","174,060.00","414,691.57","114","228","73,632.00","5,237.00","23,089.00","26,934.94","2","0","0","0","0","0","0","0","73,632.00","5,237.00","23,089.00","26,934.94","2","0","37,773.00","11,377.00","15,091.00","32,216.85","6","12","13,885.00","3,128.00","6,732.00","2,270.92","3","5","51,658.00","14,505.00","21,823.00","34,487.77","9","17","11,652.00","5,004.00","7,238.00","14,843.10","5","4","0","276","18","2,712.83","0","0","11,652.00","5,280.00","7,256.00","17,555.93","5","4","159,680.00","27,440.00","23,904.00","35,203.06","12","22","35,446.00","12,639.00","17,346.00","37,346.59","8","10","195,126.00","40,079.00","41,250.00","72,549.65","20","32","39,051.00","3,890.00","8,491.00","12,175.60","3","0","0","296","528","1,298.56","0","0","39,051.00","4,186.00","9,019.00","13,474.16","3","0","1047192","327,300.00","360,859.00","779,782.03","111","239","462,855.00","158,747.00","206,157.00","491,680.73","42","101","1510047","486,047.00","567,016.00","1271462.76","153","340","111,460.00","35,661.00","52,325.00","107,769.14","13","28","31,336.00","9,706.00","12,093.00","40,238.82","4","5","142,796.00","45,367.00","64,418.00","148,007.96","17","33","394.81","95.79","106.97","219.99","459.79","886.43","413.98","108.24","116.56","293.09","490.29","1,097.09","400.54","99.52","109.84","241.85","468.91","949.43"
"H5526",,"BlueCross BlueShield of Western New York","756","336","1,092","84","24","108","60","12","72","12","0","12","264","240","504","60","36","96","3,540","1,872","5,412","636","144","780","416","184","600","48","24","72","48","0","48","12","0","12","132","156","288","24","24","48","2,433","1,140","3,573","394","96","490","655,030.00","148,867.00","139,500.00","143,541.63","84","107","415,528.00","63,341.00","49,748.00","51,973.80","45","51","1070558","212,208.00","189,248.00","195,515.43","129","158","69,378.00","10,847.00","13,208.00","6,587.30","9","19","14,350.00","2,856.00","368","5,121.61","4","4","83,728.00","13,703.00","13,576.00","11,708.91","13","23","51,525.00","22,808.00","31,310.00","12,036.72","7","13","16,650.00","1,169.00","227","0","2","2","68,175.00","23,977.00","31,537.00","12,036.72","9","15","4,854.00","525","1,198.00","979.48","1","2","0","0","0","0","0","0","4,854.00","525","1,198.00","979.48","1","2","82,065.00","28,318.00","25,394.00","32,295.97","8","10","15,949.00","20,054.00","38,927.00","33,765.23","4","3","98,014.00","48,372.00","64,321.00","66,061.20","12","13","9,998.00","3,755.00","6,169.00","3,335.16","2","1","0","1,320.00","682","527.72","0","0","9,998.00","5,075.00","6,851.00","3,862.88","2","1","976,837.00","297,636.00","302,094.00","530,231.09","125","146","570,243.00","200,129.00","224,663.00","294,334.59","112","100","1547080","497,765.00","526,757.00","824,565.68","237","246","48,095.00","31,683.00","25,478.00","51,671.97","8","10","3,522.00","8,477.00","9,142.00","13,411.44","1","3","51,617.00","40,160.00","34,620.00","65,083.41","9","13","350.66","100.6","100.58","222.61","541.02","682.93","388.98","111.62","121.53","245.77","756.76","734.23","363.3","104.23","107.49","229.94","612.18","699.85"
"H5528",,"GHI HMO Select, Inc. d/b/a GHI HMO","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR"
"H5529",,"Community Insurance Company dba Anthem Blue Cross and Blue Shield in Ohio","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR"
"H5532",,"UnitedHealthCare of Florida - Gulf Coast Region","60","24","84","0","0","0","12","24","36","0","0","0","48","60","108","0","0","0","492","384","876","108","84","192","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","72,988.00","16,766.00","23,600.00","NR","9","1","75,000.00","17,423.00","5,034.00","NR","2","0","147,988.00","34,189.00","28,634.00","NR","11","1","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","0","490","3,353.00","NR","0","0","58,023.00","14,730.00","4,148.00","NR","4","5","58,023.00","15,220.00","7,501.00","NR","4","5","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","28,367.00","8,083.00","10,731.00","NR","3","1","33,266.00","15,623.00","14,246.00","NR","5","2","61,633.00","23,706.00","24,977.00","NR","8","3","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","106,710.00","55,901.00","96,067.00","NR","14","13","143,115.00","58,009.00","55,773.00","NR","16","12","249,825.00","113,910.00","151,840.00","NR","30","25","9,282.00","9,525.00","16,098.00","NR","2","1","52,585.00","9,768.00","7,295.00","NR","3","2","61,867.00","19,293.00","23,393.00","NR","5","3","301.87","126.06","208.12","NR","466.67","266.67","628.45","200.61","150.17","NR","625","437.5","447.02","159.2","182.36","NR","537.04","342.59"
"H5533",,"UPMC Health Plan, Inc.","36","72","108","0","0","0","12","0","12","0","0","0","24","12","36","0","0","0","468","168","636","108","36","144","36","72","108","0","0","0","12","0","12","0","0","0","24","12","36","0","0","0","468","168","636","108","24","132","18,663.00","4,887.00","2,147.00","19,307.84","2","9","40,348.00","13,001.00","7,519.00","10,398.85","19","8","59,011.00","17,888.00","9,666.00","29,706.69","21","17","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","279","9","2,781.17","0","0","0","0","0","0","0","0","0","279","9","2,781.17","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","1,211.00","465","1,759.76","0","0","0","1,724.00","321","0","0","0","0","2,935.00","786","1,759.76","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","82,397.00","34,542.00","32,770.00","123,000.91","10","17","50,532.00","15,622.00","11,184.00","24,570.98","8","5","132,929.00","50,164.00","43,954.00","147,571.89","18","22","12,792.00","6,205.00","10,172.00","12,058.89","2","5","7,756.00","2,818.00","1,841.00","3,780.06","1","2","20,548.00","9,023.00","12,013.00","15,838.95","3","7","175.7","72.72","70.31","245.23","259.26","574.07","342.49","115.16","72.45","140.4","1,166.67","625","227.02","85.78","70.97","213.92","538.46","589.74"
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"H5884",,"BlueCross BlueShield of Tennessee, Inc.","275","156","431","24","24","48","24","0","24","0","0","0","120","36","156","60","12","72","1,355","395","1,750","240","72","312","253","156","409","24","24","48","24","0","24","0","0","0","120","24","144","60","12","72","1,344","395","1,739","216","72","288","234,452.00","43,280.00","33,789.00","89,445.22","16","19","163,262.00","23,075.00","19,878.00","62,637.38","15","19","397,714.00","66,355.00","53,667.00","152,082.60","31","38","5,572.00","1,982.00","631","6,102.85","1","8","0","1,835.00","4,482.00","4,335.11","0","0","5,572.00","3,817.00","5,113.00","10,437.96","1","8","12,978.00","1,269.00","2,074.00","5,475.41","1","1","0","0","0","0","0","0","12,978.00","1,269.00","2,074.00","5,475.41","1","1","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","18,860.00","12,355.00","29,979.00","54,211.02","3","12","0","2,223.00","2,158.00","3,372.48","0","5","18,860.00","14,578.00","32,137.00","57,583.50","3","17","11,195.00","4,302.00","1,933.00","27,504.23","1","2","0","207","399","2,252.36","0","0","11,195.00","4,509.00","2,332.00","29,756.59","1","2","438,446.00","110,672.00","245,838.00","409,643.81","37","39","123,439.00","40,648.00","36,484.00","132,277.04","11","12","561,885.00","151,320.00","282,322.00","541,920.85","48","51","22,669.00","11,661.00","12,957.00","48,118.17","4","7","0","4,400.00","8,635.00","18,775.00","0","4","22,669.00","16,061.00","21,592.00","66,893.17","4","11","354.71","88.43","155.96","313.82","360.34","503.34","412.52","104.16","103.65","327.45","448.92","690.65","369.09","92.34","142.94","317.24","382.38","549.95"
"H5887",,"First Medical Health Plan Inc.","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA"
"H5928",,"Care1st Health Plan","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","11","11","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","11","11","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","3,762.00","9,656.00","1,148.46","0","1","0","3,762.00","9,656.00","1,148.46","0","1","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","NA","NA","NA","NA","NA","NA","0","342","877.82","104.41","0","1,090.91","0","342","877.82","104.41","0","1,090.91"
"H5932",,"Gateway Health Plan, Inc.","1,595","2,267","3,862","96","48","144","204","192","396","24","12","36","204","395","599","12","48","60","4,773","6,452","11,225","612","408","1,020","1,595","2,267","3,862","96","48","144","204","192","396","24","12","36","204","395","599","12","48","60","4,773","6,452","11,225","612","408","1,020","2444567","391,501.00","229,971.00","651,550.85","270","344","3719509","617,619.00","430,091.00","1125056.16","353","378","6164076","1009120","660,062.00","1776607.01","623","722","79,934.00","11,095.00","24,833.00","21,436.01","6","18","13,716.00","3,564.00","768","7,885.43","2","5","93,650.00","14,659.00","25,601.00","29,321.44","8","23","229,509.00","38,891.00","52,666.00","75,971.59","22","45","236,148.00","38,543.00","41,502.00","61,001.06","23","23","465,657.00","77,434.00","94,168.00","136,972.65","45","68","9,578.00","1,723.00","3,962.00","6,730.49","2","3","6,069.00","467","2,498.00","536.48","1","1","15,647.00","2,190.00","6,460.00","7,266.97","3","4","114,553.00","32,227.00","28,981.00","76,351.15","15","19","290,951.00","53,684.00","105,482.00","142,810.36","37","46","405,504.00","85,911.00","134,463.00","219,161.51","52","65","0","421","36","682.68","0","0","9,612.00","1,965.00","345","12,934.10","1","1","9,612.00","2,386.00","381","13,616.78","1","1","3434579","687,753.00","681,393.00","1883713.95","387","579","6295296","1157516","1173428","2571655.88","612","873","9729875","1845269","1854821","4455369.83","999","1,452","291,092.00","54,675.00","61,133.00","138,178.65","29","52","125,787.00","32,943.00","33,888.00","109,360.11","16","28","416,879.00","87,618.00","95,021.00","247,538.76","45","80","878.17","162.01","144.01","379.6","1,166.49","1,691.49","1,089.09","194.08","182.04","410.43","1,276.73","1,655.47","997.63","180.17","165.55","397.06","1,228.92","1,671.09"
"H5938",,"Capital Health Plan, Inc.","336","288","624","24","0","24","72","12","84","24","0","24","360","264","624","48","24","72","2,637","1,968","4,605","936","492","1,428","336","288","624","24","0","24","72","12","84","24","0","24","360","264","624","48","24","72","2,622","1,968","4,590","936","492","1,428","117,921.00","64,999.00","35,353.00","134,091.78","13","9","232,593.00","64,196.00","31,880.00","102,144.43","20","8","350,514.00","129,195.00","67,233.00","236,236.21","33","17","0","2,200.00","992","5,141.26","0","3","0","0","0","0","0","0","0","2,200.00","992","5,141.26","0","3","19,860.00","10,502.00","7,233.00","22,455.01","2","8","19,068.00","3,874.00","11,089.00","5,819.55","1","0","38,928.00","14,376.00","18,322.00","28,274.56","3","8","0","873","10","3,613.47","0","0","0","0","0","0","0","0","0","873","10","3,613.47","0","0","165,767.00","50,192.00","66,400.00","118,702.04","14","14","186,804.00","50,235.00","49,141.00","92,122.89","9","32","352,571.00","100,427.00","115,541.00","210,824.93","23","46","19,704.00","4,625.00","21,063.00","17,414.69","1","1","17,055.00","3,745.00","2,274.00","3,758.23","1","1","36,759.00","8,370.00","23,337.00","21,172.93","2","2","623,718.00","311,588.00","340,148.00","784,495.44","51","65","427,045.00","242,066.00","299,225.00","642,625.62","47","83","1050763","553,654.00","639,373.00","1427121.06","98","148","66,133.00","53,677.00","80,940.00","185,311.22","7","10","91,206.00","45,111.00","48,073.00","93,793.93","10","12","157,339.00","98,788.00","129,013.00","279,105.15","17","22","228.33","112.39","124.44","287.48","238","297.5","319.48","134.26","144.91","308.49","346.46","535.43","265.45","121.29","132.78","296.05","282.16","394.39"
"H5969",,"AlohaCare","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR"
"H5985",,"Abrazo Advantage Health Plan","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR"
"H5995",,"Marion Polk Community Health Plan Advantage","96","228","324","0","12","12","24","24","48","0","0","0","48","84","132","24","12","36","359","360","719","36","36","72","96","228","324","0","12","12","24","24","48","0","0","0","48","84","132","24","12","36","359","360","719","36","36","72","66,029.00","20,344.00","16,015.00","59,267.45","9","22","170,473.00","41,850.00","39,128.00","127,792.97","24","47","236,502.00","62,194.00","55,143.00","187,060.42","33","69","0","0","0","0","0","0","0","909","468","15,000.00","0","0","0","909","468","15,000.00","0","0","20,851.00","3,351.00","3,528.00","14,223.04","2","4","5,969.00","4,247.00","6,071.00","7,514.59","2","4","26,820.00","7,598.00","9,599.00","21,737.63","4","8","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","31,238.00","4,488.00","3,908.00","21,283.56","3","3","64,797.00","13,153.00","29,003.00","34,707.08","9","16","96,035.00","17,641.00","32,911.00","55,990.64","12","19","4,999.00","1,920.00","1,848.00","13,626.16","1","1","0","384","27","2,160.14","0","0","4,999.00","2,304.00","1,875.00","15,786.30","1","1","239,265.00","35,969.00","34,020.00","119,112.86","21","48","203,758.00","43,358.00","28,205.00","155,720.62","27","65","443,023.00","79,327.00","62,225.00","274,833.48","48","113","0","2,005.00","551","10,273.49","0","1","13,416.00","3,025.00","991","12,618.29","1","2","13,416.00","5,030.00","1,542.00","22,891.78","1","3","617.35","115.97","101.99","405.09","735.95","1,614.99","606.37","141.44","137.42","470.26","1,000.00","2,126.98","611.17","130.31","121.94","441.77","884.59","1,903.20"
"H6360",,"Kaiser Foundation Health Plan of Ohio","1,756","1,283","3,039","178","60","238","240","144","384","24","36","60","93","84","177","24","0","24","7,372","5,537","12,909","1,668","513","2,181","1,756","1,283","3,039","178","60","238","240","144","384","24","36","60","93","84","177","24","0","24","7,372","5,537","12,909","1,668","513","2,181","439,108.00","273,236.00","239,451.00","555,067.00","99","117","331,782.00","182,708.00","130,888.00","437,848.00","76","102","770,890.00","455,944.00","370,339.00","992,915.00","175","219","18,367.00","12,429.00","11,302.00","39,556.00","3","4","7,148.00","7,462.00","12,769.00","10,752.00","2","7","25,515.00","19,891.00","24,071.00","50,308.00","5","11","150,724.00","38,494.00","37,581.00","61,781.00","60","10","33,904.00","13,913.00","12,893.00","23,562.00","7","17","184,628.00","52,407.00","50,474.00","85,343.00","67","27","8,798.00","1,337.00","3,911.00","6,354.00","2","1","0","2,001.00","1,438.00","4,363.00","0","0","8,798.00","3,338.00","5,349.00","10,717.00","2","1","6,804.00","7,519.00","5,700.00","25,670.00","2","4","2,396.00","11,084.00","14,312.00","25,727.00","2","3","9,200.00","18,603.00","20,012.00","51,397.00","4","7","5,832.00","1,541.00","5,850.00","3,948.00","1","0","0","0","0","0","0","0","5,832.00","1,541.00","5,850.00","3,948.00","1","0","853,498.00","529,358.00","554,727.00","1713336","173","220","780,722.00","455,531.00","458,723.00","1402817","152","179","1634220","984,889.00","1013450","3116153","325","399","107,183.00","69,881.00","84,585.00","249,665.00","21","31","52,958.00","22,729.00","15,934.00","60,247.00","7","10","160,141.00","92,610.00","100,519.00","309,912.00","28","41","140.05","82.24","83.06","233.85","381.51","408.98","157.88","90.82","84.49","256.67","385.53","498.37","147.23","85.69","83.63","243.04","383.13","444.98"
"H6499",,"WellCare Health Insurance of New York, Inc.","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR"
"H8742",,"Abri Health Plan","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA","NA"
"H9001",,"Fallon Community Health Plan","1,139","624","1,763","132","36","168","60","108","168","24","24","48","756","420","1,176","84","60","144","9,671","5,685","15,356","2,817","1,176","3,993","971","600","1,571","132","36","168","36","96","132","24","24","48","648","396","1,044","72","60","132","8,247","5,421","13,668","2,340","1,119","3,459","1094540","189,668.00","165,093.00","253,299.00","103","62","1033239","131,974.00","106,803.00","248,458.00","83","38","2127779","321,642.00","271,896.00","501,757.00","186","100","57,553.00","17,161.00","9,864.00","27,332.00","8","9","13,229.00","4,211.00","1,993.00","18,055.00","1","1","70,782.00","21,372.00","11,857.00","45,387.00","9","10","106,898.00","9,951.00","17,169.00","7,509.00","8","3","47,117.00","15,372.00","12,307.00","19,049.00","7","8","154,015.00","25,323.00","29,476.00","26,558.00","15","11","17,230.00","3,209.00","3,110.00","5,630.00","2","3","0","1,764.00","1,691.00","2,078.00","0","2","17,230.00","4,973.00","4,801.00","7,708.00","2","5","408,058.00","88,763.00","104,436.00","144,607.00","33","30","229,163.00","51,711.00","34,316.00","108,846.00","21","32","637,221.00","140,474.00","138,752.00","253,453.00","54","62","17,868.00","6,389.00","7,710.00","10,783.00","2","4","0","2,596.00","169","12,787.00","0","0","17,868.00","8,985.00","7,879.00","23,570.00","2","4","3901759","919,229.00","856,550.00","1872829","372","288","2821811","623,864.00","482,731.00","1558004","278","238","6723570","1543093","1339281","3430833","650","526","809,947.00","177,245.00","219,465.00","308,890.00","66","61","304,053.00","87,391.00","67,495.00","165,422.00","34","26","1114000","264,636.00","286,960.00","474,312.00","100","87","436.82","96.14","94.22","210.98","485.46","375.94","546.98","112.98","86.99","275.12","625.6","509.04","476.09","102.14","91.64","235.56","535.41","423.39"
"H9003",,"Kaiser Foundation Health Plan of the Northwest, Inc.","3,480","3,946","7,426","240","564","804","360","588","948","60","180","240","780","1,152","1,932","132","275","407","7,736","14,511","22,247","1,212","4,727","5,939","3,468","3,939","7,407","240","564","804","350","581","931","60","180","240","780","1,144","1,924","132","275","407","7,718","14,483","22,201","1,212","4,693","5,905","3041028","273,407.00","128,822.00","1515306","778","174","3023114","224,183.00","81,179.00","1564513","815","211","6064142","497,590.00","210,001.00","3079819","1,593","385","379,493.00","32,684.00","16,341.00","135,867.00","90","23","86,186.00","10,881.00","4,547.00","60,010.00","19","6","465,679.00","43,565.00","20,888.00","195,877.00","109","29","467,025.00","30,775.00","6,406.00","159,345.00","125","11","337,588.00","22,472.00","7,060.00","131,883.00","109","11","804,613.00","53,247.00","13,466.00","291,228.00","234","22","83,968.00","6,850.00","5,470.00","39,930.00","20","7","7,432.00","2,797.00","901","5,449.00","3","2","91,400.00","9,647.00","6,371.00","45,379.00","23","9","646,986.00","64,395.00","31,338.00","386,810.00","187","46","439,635.00","50,219.00","19,247.00","291,095.00","138","34","1086621","114,614.00","50,585.00","677,905.00","325","80","139,861.00","11,846.00","14,744.00","56,619.00","52","5","60,210.00","6,444.00","1,991.00","15,368.00","20","1","200,071.00","18,290.00","16,735.00","71,987.00","72","6","3593435","554,420.00","234,814.00","3486683","922","247","2181598","348,052.00","121,697.00","2268665","674","220","5775033","902,472.00","356,511.00","5755348","1,596","467","813,127.00","145,516.00","77,573.00","712,908.00","215","77","105,685.00","32,757.00","14,526.00","178,655.00","39","14","918,812.00","178,273.00","92,099.00","891,563.00","254","91","654.64","79.99","36.82","465.15","2,047.71","505.71","240.58","26.9","9.68","174.63","840.46","230.81","385.71","45.51","19.19","276.48","1,263.60","327.17"
"H9005",,"Group Health, Inc.","84","48","132","0","0","0","12","12","24","0","0","0","24","0","24","0","0","0","132","156","288","72","48","120","84","48","132","0","0","0","12","12","24","0","0","0","24","0","24","0","0","0","132","156","288","72","48","120","131,510.00","28,329.00","29,412.00","27,714.37","15","7","78,884.00","21,078.00","7,015.00","22,888.72","11","9","210,394.00","49,407.00","36,427.00","50,603.09","26","16","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","791","1,523.00","3,078.75","0","0","8,176.00","2,590.00","531","3,245.11","2","0","8,176.00","3,381.00","2,054.00","6,323.86","2","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","75,000.00","13,326.00","9,033.00","9,750.12","7","1","0","0","0","0","0","0","75,000.00","13,326.00","9,033.00","9,750.12","7","1","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","158,111.00","33,100.00","26,927.00","28,440.08","13","1","128,484.00","28,273.00","27,326.00","48,064.66","23","5","286,595.00","61,373.00","54,253.00","76,504.74","36","6","13,969.00","4,463.00","4,710.00","10,123.45","2","0","18,658.00","5,107.00","922","5,883.90","3","0","32,627.00","9,570.00","5,632.00","16,007.35","5","0","1,168.49","246.94","221","244.16","1,370.37","333.33","887.13","216.09","135.58","303.34","1,772.73","636.36","1,042.16","233.09","182.65","270.73","1,551.02","469.39"
"H9011",,"UnitedHealthCare of Florida, Inc.","108","72","180","0","0","0","12","0","12","0","12","12","120","84","204","24","36","60","864","684","1,548","240","72","312","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","206,024.00","35,516.00","21,353.00","NR","24","17","157,194.00","34,938.00","23,791.00","NR","15","8","363,218.00","70,454.00","45,144.00","NR","39","25","0","0","0","NR","0","0","0","0","0","NR","0","0","0","0","0","NR","0","0","7,616.00","1,986.00","1,198.00","NR","1","0","0","0","0","NR","0","0","7,616.00","1,986.00","1,198.00","NR","1","0","0","0","0","NR","0","0","5,758.00","2,504.00","0","NR","2","0","5,758.00","2,504.00","0","NR","2","0","29,876.00","11,988.00","14,965.00","NR","3","3","14,183.00","17,013.00","8,542.00","NR","3","2","44,059.00","29,001.00","23,507.00","NR","6","5","0","2,102.00","597","NR","0","2","0","5,720.00","9,551.00","NR","0","1","0","7,822.00","10,148.00","NR","0","3","388,203.00","136,635.00","116,633.00","NR","33","24","112,429.00","87,585.00","52,223.00","NR","13","18","500,632.00","224,220.00","168,856.00","NR","46","42","31,177.00","21,474.00","26,128.00","NR","4","6","0","5,977.00","4,151.00","NR","0","1","31,177.00","27,451.00","30,279.00","NR","4","7","484.57","153.29","132.22","NR","570.18","456.14","301.63","160.14","102.35","NR","412.5","375","409.13","156.12","119.9","NR","505.15","422.68"
"H9047",,"Providence Health Plans - Oregon","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR","NR"
"H9101",,"Elderplan, Inc.","1,104","768","1,872","84","0","84","84","12","96","0","12","12","600","360","960","96","60","156","4,800","3,958","8,758","516","408","924","1,104","768","1,872","84","0","84","84","12","96","0","12","12","600","360","960","96","60","156","4,800","3,958","8,758","516","408","924","1690820","229,593.00","145,969.00","358,869.00","123","27","915,647.00","161,230.00","114,838.00","280,148.00","89","26","2606467","390,823.00","260,807.00","639,017.00","212","53","60,671.00","6,952.00","9,014.00","16,795.00","5","1","0","0","0","0","0","0","60,671.00","6,952.00","9,014.00","16,795.00","5","1","98,542.00","11,900.00","13,932.00","35,113.00","8","2","8,140.00","1,686.00","1,859.00","1,654.00","1","0","106,682.00","13,586.00","15,791.00","36,767.00","9","2","0","0","0","0","0","0","13,992.00","935","390","295","2","0","13,992.00","935","390","295","2","0","216,606.00","69,231.00","88,375.00","151,695.00","19","19","35,593.00","42,679.00","18,161.00","100,416.00","6","17","252,199.00","111,910.00","106,536.00","252,111.00","25","36","44,780.00","9,725.00","10,255.00","21,663.00","5","2","28,236.00","4,201.00","3,234.00","5,168.00","2","0","73,016.00","13,926.00","13,489.00","26,831.00","7","2","2179333","545,903.00","466,660.00","1182753","202","147","1601848","447,745.00","372,819.00","1031470","160","90","3781181","993,648.00","839,479.00","2214223","362","237","122,184.00","38,091.00","33,523.00","71,993.00","15","4","155,828.00","26,888.00","21,556.00","60,817.00","11","8","278,012.00","64,979.00","55,079.00","132,810.00","26","12","605.84","125.12","105.4","252.45","621.09","332.78","494.67","122.87","95.53","265.32","583","303.33","557.63","124.15","101.12","258.04","604.57","320.01"
"H9103",,"Kaiser Foundation Health Plan of the Northwest, Inc.","612","480","1,092","48","48","96","36","48","84","0","0","0","84","72","156","0","0","0","780","1,128","1,908","168","204","372","612","480","1,092","48","48","96","36","48","84","0","0","0","84","72","156","0","0","0","780","1,128","1,908","168","204","372","394,430.00","33,163.00","17,405.00","236,125.00","76","27","782,760.00","43,363.00","12,548.00","371,369.00","188","35","1177190","76,526.00","29,953.00","607,494.00","264","62","95,188.00","3,068.00","0","17,978.00","22","3","15,194.00","2,064.00","3,654.00","25,592.00","3","0","110,382.00","5,132.00","3,654.00","43,570.00","25","3","34,205.00","2,840.00","892","11,993.00","15","0","33,126.00","2,944.00","4","22,859.00","10","4","67,331.00","5,784.00","896","34,852.00","25","4","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","81,482.00","5,640.00","564","35,015.00","19","3","48,446.00","7,713.00","3,661.00","29,487.00","11","7","129,928.00","13,353.00","4,225.00","64,502.00","30","10","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","385,897.00","51,166.00","23,785.00","412,208.00","85","20","274,276.00","36,542.00","10,411.00","320,063.00","97","25","660,173.00","87,708.00","34,196.00","732,271.00","182","45","9,349.00","7,016.00","2,141.00","51,582.00","3","4","6,261.00","5,683.00","73","40,699.00","3","3","15,610.00","12,699.00","2,214.00","92,281.00","6","7","579.02","59.54","25.92","442.65","1,527.78","395.83","585.89","49.65","15.33","409.13","1,890.91","448.48","582.69","54.26","20.26","424.75","1,721.68","423.95"
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