pbp_a_hnumber	pbp_a_plan_identifier	segment_id	pbp_a_ben_cov	pbp_a_plan_type	orgtype	bid_id	version	pbp_c_vt_grp_type	pbp_c_vt_grp_id	pbp_c_vt_outpt_bendesc_cats	pbp_c_vt_group_lbl	pbp_c_vt_outpt_coins_yn	pbp_c_vt_outpt_coins_min_pct	pbp_c_vt_outpt_coins_max_pct	pbp_c_vt_outpt_coins_cov	pbp_c_vt_outpt_copay_yn	pbp_c_vt_outpt_copay_min_amt	pbp_c_vt_outpt_copay_max_amt
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H0151	023	0	1	01	01	H0151_023_0	5	1	6	0000000000000011000000000000000000000000000000		1	0	20	2	1	0.00	15.00
H0151	023	0	1	01	01	H0151_023_0	5	1	7	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
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H0151	801	0	1	01	01	H0151_801_0	4	1	9	0000001010110000000000000000000000000000000000		2				1	30.00	30.00
H0151	801	0	1	01	01	H0151_801_0	4	1	7	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H0151	801	0	1	01	01	H0151_801_0	4	1	6	0000000000000011000000000000000000000000000000		1	0	25	2	1	0.00	15.00
H0151	801	0	1	01	01	H0151_801_0	4	1	5	0000010000000000000000000000000001000000000000		2				1	20.00	20.00
H0151	801	0	1	01	01	H0151_801_0	4	1	4	0000000000000000000000000100000000000000100000		1	30	30	2	2		
H0151	801	0	1	01	01	H0151_801_0	4	1	8	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
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H0316	002	0	1	01	01	H0316_002_0	5	1	8	0000001010110000000000000000000000000000000000		2				1	25.00	25.00
H0316	002	0	1	01	01	H0316_002_0	5	1	7	0000010000000000000000000000000001000000000000		2				1	5.00	5.00
H0316	002	0	1	01	01	H0316_002_0	5	1	6	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H0316	002	0	1	01	01	H0316_002_0	5	1	1	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H0316	002	0	1	01	01	H0316_002_0	5	1	4	0000000000000000000000111100000000000000100000		1	30	30	2	2		
H0316	002	0	1	01	01	H0316_002_0	5	1	3	0000000000000011000000000000000000000000000000		1	0	25	2	1	0.00	15.00
H0316	002	0	1	01	01	H0316_002_0	5	1	2	0010000100000100110100000000000000000000000000		1	25	25	2	2		
H0316	002	0	1	01	01	H0316_002_0	5	1	10	0100000000000000000000000000000000000000000000		2				1	150.00	150.00
H0316	002	0	1	01	01	H0316_002_0	5	1	5	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
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H0316	005	0	1	01	01	H0316_005_0	6	1	7	0000010000000000000000000000000001000000000000		2				1	10.00	10.00
H0316	005	0	1	01	01	H0316_005_0	6	1	6	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H0316	005	0	1	01	01	H0316_005_0	6	1	5	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H0316	005	0	1	01	01	H0316_005_0	6	1	4	0000000000000011000000000000000000000000000000		1	0	30	2	1	0.00	15.00
H0316	005	0	1	01	01	H0316_005_0	6	1	3	0010000100000100111100111100000000000000100000		1	30	30	2	2		
H0316	005	0	1	01	01	H0316_005_0	6	1	2	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H0316	005	0	1	01	01	H0316_005_0	6	1	1	0100000000000000000000000000000000000000000000		2				1	180.00	180.00
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H0316	010	0	1	01	01	H0316_010_0	2	1	1	0100000000000000000000000000000000000000000000		2				1	125.00	125.00
H0316	010	0	1	01	01	H0316_010_0	2	1	8	0000001010110000000000000000000000000000000000		2				1	15.00	15.00
H0316	010	0	1	01	01	H0316_010_0	2	1	7	0000010000000000000000000000000001000000000000		2				1	5.00	5.00
H0316	010	0	1	01	01	H0316_010_0	2	1	10	0000100000000000000000000010000010111111000000		2				2		
H0316	010	0	1	01	01	H0316_010_0	2	1	5	0010000100000100110100000000000000000000000000		1	15	15	2	2		
H0316	010	0	1	01	01	H0316_010_0	2	1	4	0000000000000011000000000000000000000000000000		1	0	15	2	1	0.00	15.00
H0316	010	0	1	01	01	H0316_010_0	2	1	3	0000000000000000000000111100000000000000100000		1	30	30	2	2		
H0316	010	0	1	01	01	H0316_010_0	2	1	2	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H0316	010	0	1	01	01	H0316_010_0	2	1	6	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H0316	011	0	1	01	01	H0316_011_0	2	1	9	0000100000000000000000000010000010111111000000		2				2		
H0316	011	0	1	01	01	H0316_011_0	2	1	8	0000001010100000000000000000000000000000000000		2				1	25.00	25.00
H0316	011	0	1	01	01	H0316_011_0	2	1	7	0000010000000000000000000000000001000000000000		2				1	10.00	10.00
H0316	011	0	1	01	01	H0316_011_0	2	1	6	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H0316	011	0	1	01	01	H0316_011_0	2	1	5	0000000000000011000000000000000000000000000000		1	0	20	2	1	0.00	15.00
H0316	011	0	1	01	01	H0316_011_0	2	1	4	0010000100000100110100000000000000000000000000		1	20	20	2	2		
H0316	011	0	1	01	01	H0316_011_0	2	1	3	0000000000000000000000111100000000000000100000		1	30	30	2	2		
H0316	011	0	1	01	01	H0316_011_0	2	1	2	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H0316	011	0	1	01	01	H0316_011_0	2	1	10	0000000001001000000000000000000000000000000000		2				1	30.00	40.00
H0316	011	0	1	01	01	H0316_011_0	2	1	1	0100000000000000000000000000000000000000000000		2				1	155.00	155.00
H0316	801	0	1	01	01	H0316_801_0	3	1	1	0100000000000000000000000000000000000000000000		2				1	150.00	150.00
H0316	801	0	1	01	01	H0316_801_0	3	1	10	0000000000000000000000000100000000000000100000		1	30	30	2	2		
H0316	801	0	1	01	01	H0316_801_0	3	1	2	0010000100000100110100111000000000000000000000		1	25	25	2	2		
H0316	801	0	1	01	01	H0316_801_0	3	1	3	0000000000000011000000000000000000000000000000		1	0	25	2	1	0.00	15.00
H0316	801	0	1	01	01	H0316_801_0	3	1	9	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H0316	801	0	1	01	01	H0316_801_0	3	1	5	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H0316	801	0	1	01	01	H0316_801_0	3	1	6	0000010000000000000000000000000001000000000000		2				1	10.00	10.00
H0316	801	0	1	01	01	H0316_801_0	3	1	7	0000001010110000000000000000000000000000000000		2				1	35.00	35.00
H0316	801	0	1	01	01	H0316_801_0	3	1	8	0000100000000000000000000010000110111111000000		2				2		
H0316	801	0	1	01	01	H0316_801_0	3	1	4	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H0317	001	0	1	04	01	H0317_001_0	5	2	1	0111111111101111111110111110000000000000101111		1	20	20	6	2		
H0317	002	0	1	04	01	H0317_002_0	7	2	1	0111111111101111111110111110000000000000101111		1	20	20	6	2		
H0401	002	0	1	02	01	H0401_002_0	9	1	3	0000000000000000000000110100000000000000100000		1	30	30	6	2		
H0401	002	0	1	02	01	H0401_002_0	9	1	2	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H0401	002	0	1	02	01	H0401_002_0	9	1	10	0000001010110000000000000000000000000000000000		2				1	30.00	30.00
H0401	002	0	1	02	01	H0401_002_0	9	1	1	0100000000000000000000000000000000000000000000		2				1	135.00	135.00
H0401	002	0	1	02	01	H0401_002_0	9	1	9	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H0401	002	0	1	02	01	H0401_002_0	9	1	5	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H0401	002	0	1	02	01	H0401_002_0	9	1	6	0000000000000011000000000000000000000000000000		1	0	20	6	1	0.00	15.00
H0401	002	0	1	02	01	H0401_002_0	9	1	7	0000010000000000000000000000000001000000000000		2				1	15.00	15.00
H0401	002	0	1	02	01	H0401_002_0	9	1	8	0000100000000000000000000010000110111111000000		2				2		
H0401	002	0	1	02	01	H0401_002_0	9	1	4	0010000100000100100100000000000000000000000000		1	20	20	6	2		
H0401	003	0	1	02	01	H0401_003_0	8	1	3	0000000000000000000000111100000000000000100000		1	30	30	2	2		
H0401	003	0	1	02	01	H0401_003_0	8	1	2	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H0401	003	0	1	02	01	H0401_003_0	8	1	10	0000100000000000000000000010000110111111000000		2				2		
H0401	003	0	1	02	01	H0401_003_0	8	1	1	0100000000000000000000000000000000000000000000		2				1	135.00	135.00
H0401	003	0	1	02	01	H0401_003_0	8	1	4	0010000100000100110100000000000000000000000000		1	20	20	2	2		
H0401	003	0	1	02	01	H0401_003_0	8	1	9	0000001010110000000000000000000000000000000000		2				1	30.00	30.00
H0401	003	0	1	02	01	H0401_003_0	8	1	8	0000010000000000000000000000000001000000000000		2				1	15.00	15.00
H0401	003	0	1	02	01	H0401_003_0	8	1	7	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H0401	003	0	1	02	01	H0401_003_0	8	1	6	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H0401	003	0	1	02	01	H0401_003_0	8	1	5	0000000000000011000000000000000000000000000000		1	0	20	2	1	0.00	15.00
H0401	801	0	1	01	01	H0401_801_0	6	1	1	0100000000000000000000000000000000000000000000		2				1	140.00	140.00
H0401	801	0	1	01	01	H0401_801_0	6	1	10	0000000000000000000000111000000000000000000000		1	25	25	2	2		
H0401	801	0	1	01	01	H0401_801_0	6	1	2	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H0401	801	0	1	01	01	H0401_801_0	6	1	3	0000000000000000000000000100000000000000100000		1	30	30	2	2		
H0401	801	0	1	01	01	H0401_801_0	6	1	9	0000100000000000000000000000000110111111000000		2				2		
H0401	801	0	1	01	01	H0401_801_0	6	1	7	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H0401	801	0	1	01	01	H0401_801_0	6	1	6	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H0401	801	0	1	01	01	H0401_801_0	6	1	5	0000000000000011000000000000000000000000000000		1	0	20	2	1	0.00	15.00
H0401	801	0	1	01	01	H0401_801_0	6	1	4	0010000100000100110100000000000000000000000000		1	20	20	2	2		
H0401	801	0	1	01	01	H0401_801_0	6	1	8	0000011010110000000000000000000001000000000000		2				1	35.00	35.00
H0602	001	0	1	18	06	H0602_001_0	2	1	1	0111111111111111111111111110000111111111101111	Travel program	1	0	20	3	1	0.00	400.00
H0602	002	0	1	18	06	H0602_002_0	2	1	1	0111111111111111111111111110000111111111101111	Travel program	1	0	20	3	1	0.00	400.00
H0602	003	0	1	18	06	H0602_003_0	2	1	1	0111111111111111111111111110000111111111101111	Travel program	1	0	20	3	1	0.00	300.00
H0602	007	0	1	18	06	H0602_007_0	2	1	1	0111111111111111111111111110000111111111101111	Travel program	1	0	20	3	1	0.00	500.00
H0602	008	0	1	18	06	H0602_008_0	2	1	1	0111111111111111111111111110000111111111101111	Travel program	1	0	20	3	1	0.00	400.00
H0602	009	0	1	18	06	H0602_009_0	2	1	1	0111111111111111111111111110000111111111101111	Travel program	1	0	20	3	1	0.00	500.00
H0602	013	0	1	18	06	H0602_013_0	2	1	1	0111111111111111111111111110000111111111101111	Travel program	1	0	20	3	1	0.00	500.00
H0602	014	0	1	18	06	H0602_014_0	2	1	1	0111111111111111111111111110000111111111101111	Travel program	1	0	20	3	1	0.00	300.00
H0602	017	0	1	18	06	H0602_017_0	3	1	1	0111111111111111111111111110000111111111101111	Travel program	1	0	20	3	1	0.00	400.00
H0602	018	0	1	18	06	H0602_018_0	3	1	1	0111111111111111111111111110000111111111101111	Travel program	1	0	20	3	1	0.00	400.00
H0602	019	0	1	18	06	H0602_019_0	3	1	1	0111111111111111111111111110000111111111101111	Travel program	1	0	20	3	1	0.00	300.00
H0602	020	0	1	18	06	H0602_020_0	3	1	1	0111111111111111111111111110000111111111101111	Travel program	1	0	20	3	1	0.00	500.00
H0602	021	0	1	18	06	H0602_021_0	3	1	1	0111111111111111111111111110000111111111101111	Travel program	1	0	20	3	1	0.00	400.00
H0602	022	0	1	18	06	H0602_022_0	3	1	1	0111111111111111111111111110000111111111101111	Travel program	1	0	20	3	1	0.00	500.00
H0602	023	0	1	18	06	H0602_023_0	3	1	1	0111111111111111111111111110000111111111101111	Travel program	1	0	20	3	1	0.00	500.00
H0602	024	0	1	18	06	H0602_024_0	3	1	1	0111111111111111111111111110000111111111101111	Travel program	1	0	20	3	1	0.00	300.00
H0602	027	0	1	18	06	H0602_027_0	2	1	1	0111111111111111111111111110000111111111101111	Travel program	1	0	20	3	1	0.00	500.00
H0602	028	0	1	18	06	H0602_028_0	2	1	1	0111111111111111111111111110000111111111101111	Travel program	1	0	20	3	1	0.00	800.00
H0602	029	0	1	18	06	H0602_029_0	2	1	1	0111111111111111111111111110000111111111101111	Travel program	1	0	20	3	1	0.00	800.00
H0602	030	0	1	18	06	H0602_030_0	2	1	1	0111111111111111111111111110000111111111101111	Travel program	1	0	20	3	1	0.00	500.00
H0602	031	0	1	18	06	H0602_031_0	2	1	1	0111111111111111111111111110000111111111101111	Travel program	1	0	20	3	1	0.00	400.00
H0602	032	0	1	18	06	H0602_032_0	1	1	1	0111111111111111111111111110000111111111101111	Travel program	1	0	20	3	1	0.00	500.00
H0602	033	0	1	18	06	H0602_033_0	1	1	1	0111111111111111111111111110000111111111101111	Travel program	1	0	20	3	1	0.00	400.00
H0602	034	0	1	18	06	H0602_034_0	1	1	1	0111111111111111111111111110000111111111101111	Travel program	1	0	20	3	1	0.00	800.00
H0602	035	0	1	18	06	H0602_035_0	1	1	1	0111111111111111111111111110000111111111101111	Travel program	1	0	20	3	1	0.00	800.00
H0623	001	0	1	04	01	H0623_001_0	4	2	1	0111111111101111111110111110000000000000101111	Foreign	1	20	20	6	2		
H0623	002	0	1	04	01	H0623_002_0	4	2	1	0111111111101111111110111110000000000000101111	Foreign	1	20	20	6	2		
H0623	003	0	1	04	01	H0623_003_0	4	2	1	0111111111101111111110111110000000000000101111	Foreign	1	20	20	6	2		
H0624	002	0	1	01	01	H0624_002_0	8	1	1	0100000000000000000000000000000000000000000000	Group 1	2				1	100.00	100.00
H0624	002	0	1	01	01	H0624_002_0	8	1	9	0000000001001000001000000000000000000000000000	Group 9	2				1	30.00	40.00
H0624	002	0	1	01	01	H0624_002_0	8	1	8	0010001110110100000100000000000000000000000000	Group 8	2				1	30.00	30.00
H0624	002	0	1	01	01	H0624_002_0	8	1	7	0001000000000000000000000000000000000000000000	Group 7	2				1	60.00	60.00
H0624	002	0	1	01	01	H0624_002_0	8	1	6	0000000000000011000000000000000000000000000000	Group 6	1	0	20	2	1	0.00	15.00
H0624	002	0	1	01	01	H0624_002_0	8	1	5	0000000000000000110000000000000000000000000000	Group 5	2				1	150.00	150.00
H0624	002	0	1	01	01	H0624_002_0	8	1	4	0000000000000000000000111100000000000000100000	Group 4	1	30	30	2	2		
H0624	002	0	1	01	01	H0624_002_0	8	1	3	0000000000000000000010000000000000000000000000	Group 3	2				1	175.00	175.00
H0624	002	0	1	01	01	H0624_002_0	8	1	2	0000100000000000000000000010000110111111000000	Group 2	2				2		
H0624	002	0	1	01	01	H0624_002_0	8	1	10	0000010000000000000000000000000001000000000000	Group 10	2				1	10.00	10.00
H0624	003	0	1	01	01	H0624_003_0	5	1	8	0010001110110100000100000000000000000000000000	Group 8	2				1	30.00	30.00
H0624	003	0	1	01	01	H0624_003_0	5	1	7	0001000000000000000000000000000000000000000000	Group 7	2				1	60.00	60.00
H0624	003	0	1	01	01	H0624_003_0	5	1	6	0000000000000011000000000000000000000000000000	Group 6	1	0	20	2	1	0.00	15.00
H0624	003	0	1	01	01	H0624_003_0	5	1	5	0000000000000000110000000000000000000000000000	Group 5	2				1	150.00	150.00
H0624	003	0	1	01	01	H0624_003_0	5	1	9	0000000001001000001000000000000000000000000000	Group 9	2				1	30.00	40.00
H0624	003	0	1	01	01	H0624_003_0	5	1	3	0000000000000000000010000000000000000000000000	Group 3	2				1	175.00	175.00
H0624	003	0	1	01	01	H0624_003_0	5	1	2	0000100000000000000000000010000110111111000000	Group 2	2				2		
H0624	003	0	1	01	01	H0624_003_0	5	1	10	0000010000000000000000000000000001000000000000	Group 10	2				1	10.00	10.00
H0624	003	0	1	01	01	H0624_003_0	5	1	1	0100000000000000000000000000000000000000000000	Group 1	2				1	100.00	100.00
H0624	003	0	1	01	01	H0624_003_0	5	1	4	0000000000000000000000111100000000000000100000	Group 4	1	30	30	2	2		
H1013	011	0	1	01	01	H1013_011_0	6	1	1	0000010010000000000000000000000000000000000000	Physician Travel Benefit	2				1	20.00	20.00
H1013	021	0	1	01	01	H1013_021_0	4	1	1	0000010010000000000000000000000000000000000000	Physician Travel Benefit	2				1	15.00	15.00
H1013	022	0	1	01	01	H1013_022_0	4	1	1	0000010010000000000000000000000000000000000000	Physician Travel Benefit	2				1	20.00	20.00
H1013	023	0	1	01	01	H1013_023_0	4	1	1	0000010010000000000000000000000000000000000000	Physician Travel Benefit	2				1	15.00	15.00
H1013	024	0	1	01	01	H1013_024_0	7	1	1	0000010010000000000000000000000000000000000000	Physician Travel Benefit	2				2		
H1076	003	0	1	01	01	H1076_003_0	4	1	1	0000010010000000000000000000000000000000000000	Physician Travel Benefit	2				1	15.00	15.00
H1076	010	0	1	01	01	H1076_010_0	7	1	1	0000010010000000000000000000000000000000000000	Physician Travel Benefit	2				1	20.00	20.00
H1076	011	0	1	01	01	H1076_011_0	9	1	1	0000010010000000000000000000000000000000000000	Physician Travel Benefit	2				2		
H1076	016	0	1	01	01	H1076_016_0	4	1	1	0000010010000000000000000000000000000000000000	Physician Travel Benefit	2				1	20.00	20.00
H1080	004	0	1	01	01	H1080_004_0	11	1	4	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H1080	004	0	1	01	01	H1080_004_0	11	1	3	0100000000000000000000000000000000000000000000		2				1	160.00	160.00
H1080	004	0	1	01	01	H1080_004_0	11	1	2	0010000100000100110100000000000000000000100000		1	20	20	2	2		
H1080	004	0	1	01	01	H1080_004_0	11	1	10	0000000000000011000000000000000000000000000000		1	20	30	6	1	0.00	15.00
H1080	004	0	1	01	01	H1080_004_0	11	1	1	0000100000000000000000000010000110111111000000		2				2		
H1080	004	0	1	01	01	H1080_004_0	11	1	5	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H1080	004	0	1	01	01	H1080_004_0	11	1	9	0000000000000000000000111100000000000000100000		1	30	30	2	2		
H1080	004	0	1	01	01	H1080_004_0	11	1	8	0000010000000000000000000000000001000000000000		2				1	10.00	10.00
H1080	004	0	1	01	01	H1080_004_0	11	1	7	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H1080	004	0	1	01	01	H1080_004_0	11	1	6	0000001010110000000000000000000000000000000000		2				1	20.00	20.00
H1080	011	0	1	02	01	H1080_011_0	12	1	1	0000100000000000000000000010000110111111000000		2				2		
H1080	011	0	1	02	01	H1080_011_0	12	1	10	0000010000000000000000000000000001000000000000		2				1	15.00	15.00
H1080	011	0	1	02	01	H1080_011_0	12	1	2	0000000000000000000000111100000000000000100000		1	30	30	2	2		
H1080	011	0	1	02	01	H1080_011_0	12	1	3	0010000100000100110100000000000000000000000000		1	15	25	2	2		
H1080	011	0	1	02	01	H1080_011_0	12	1	9	0000000000000011000000000000000000000000000000		1	15	25	2	1	0.00	15.00
H1080	011	0	1	02	01	H1080_011_0	12	1	8	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H1080	011	0	1	02	01	H1080_011_0	12	1	7	0100000000000000000000000000000000000000000000		2				1	150.00	150.00
H1080	011	0	1	02	01	H1080_011_0	12	1	6	0000001010110000000000000000000000000000000000		2				1	28.00	28.00
H1080	011	0	1	02	01	H1080_011_0	12	1	5	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H1080	011	0	1	02	01	H1080_011_0	12	1	4	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H1080	037	0	1	01	01	H1080_037_0	2	1	1	0000100000000000000000000010000110111111000000		2				2		
H1080	037	0	1	01	01	H1080_037_0	2	1	9	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H1080	037	0	1	01	01	H1080_037_0	2	1	8	0100000000000000000000000000000000000000000000		2				1	160.00	160.00
H1080	037	0	1	01	01	H1080_037_0	2	1	7	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H1080	037	0	1	01	01	H1080_037_0	2	1	6	0000010000000000000000000000000001000000000000		2				1	10.00	10.00
H1080	037	0	1	01	01	H1080_037_0	2	1	5	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H1080	037	0	1	01	01	H1080_037_0	2	1	4	0010000100000100110100000000000000000000000000		1	20	20	2	2		
H1080	037	0	1	01	01	H1080_037_0	2	1	3	0000001010110000000000000000000000000000000000		2				1	20.00	20.00
H1080	037	0	1	01	01	H1080_037_0	2	1	2	0000000000000000000000111100000000000000100000		1	30	30	2	2		
H1080	037	0	1	01	01	H1080_037_0	2	1	10	0000000000000011000000000000000000000000000000		1	0	20	2	1	0.00	15.00
H1080	038	0	1	02	01	H1080_038_0	7	1	1	0000000000000000000000111100000000000000100000		1	30	30	2	2		
H1080	038	0	1	02	01	H1080_038_0	7	1	10	0000000000000011000000000000000000000000000000		1	15	25	2	1	0.00	15.00
H1080	038	0	1	02	01	H1080_038_0	7	1	9	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H1080	038	0	1	02	01	H1080_038_0	7	1	8	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H1080	038	0	1	02	01	H1080_038_0	7	1	7	0100000000000000000000000000000000000000000000		2				1	150.00	150.00
H1080	038	0	1	02	01	H1080_038_0	7	1	6	0000010000000000000000000000000001000000000000		2				1	15.00	15.00
H1080	038	0	1	02	01	H1080_038_0	7	1	5	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H1080	038	0	1	02	01	H1080_038_0	7	1	4	0000001010110000000000000000000000000000000000		2				1	25.00	25.00
H1080	038	0	1	02	01	H1080_038_0	7	1	3	0010000100000100110100000000000000000000000000		1	15	25	2	2		
H1080	038	0	1	02	01	H1080_038_0	7	1	2	0000100000000000000000000010000110111111000000		2				2		
H1080	801	0	1	01	01	H1080_801_0	4	1	8	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H1080	801	0	1	01	01	H1080_801_0	4	1	1	0000100000000000000000000010000010111111000000		2				2		
H1080	801	0	1	01	01	H1080_801_0	4	1	10	0000000000000000000000000100000000000000100000		1	30	30	2	2		
H1080	801	0	1	01	01	H1080_801_0	4	1	2	0000000100000100100100111100000000000000000000		1	25	25	2	2		
H1080	801	0	1	01	01	H1080_801_0	4	1	9	0000001010110000000000000000000000000000000000		2				1	35.00	35.00
H1080	801	0	1	01	01	H1080_801_0	4	1	4	0000000000000011000000000000000000000000000000		1	0	25	2	1	0.00	15.00
H1080	801	0	1	01	01	H1080_801_0	4	1	5	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H1080	801	0	1	01	01	H1080_801_0	4	1	6	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H1080	801	0	1	01	01	H1080_801_0	4	1	7	0100000000000000000000000000000000000000000000		2				1	150.00	150.00
H1080	801	0	1	01	01	H1080_801_0	4	1	3	0000010000000000000000000000000001000000000000		2				1	30.00	30.00
H1111	002	0	1	02	01	H1111_002_0	8	1	6	0001000000000000000000000000000000000000000000	Group Six	2				1	60.00	60.00
H1111	002	0	1	02	01	H1111_002_0	8	1	5	0000100000000000000000000010000110111111000000	Group Five	2				2		
H1111	002	0	1	02	01	H1111_002_0	8	1	8	0000010000000000000000000000000001000000000000		2				1	15.00	15.00
H1111	002	0	1	02	01	H1111_002_0	8	1	9	0000001010110000000000000000000000000000000000		2				1	30.00	30.00
H1111	002	0	1	02	01	H1111_002_0	8	1	7	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H1111	002	0	1	02	01	H1111_002_0	8	1	4	0000000000000011000000000000000000000000000000	Group Four	1	0	30	2	1	0.00	15.00
H1111	002	0	1	02	01	H1111_002_0	8	1	3	0010000100000100110100110100000000000000100000	Group Three	1	30	30	2	2		
H1111	002	0	1	02	01	H1111_002_0	8	1	2	0000000000000000000010000000000000000000000000	Group Two	2				1	175.00	175.00
H1111	002	0	1	02	01	H1111_002_0	8	1	1	0100000000000000000000000000000000000000000000	Group one	2				1	150.00	150.00
H1111	003	0	1	02	01	H1111_003_0	8	1	6	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H1111	003	0	1	02	01	H1111_003_0	8	1	1	0100000000000000000000000000000000000000000000		2				1	150.00	150.00
H1111	003	0	1	02	01	H1111_003_0	8	1	8	0000010000000000000000000000000001000000000000		2				1	15.00	15.00
H1111	003	0	1	02	01	H1111_003_0	8	1	9	0000001010110000000000000000000000000000000000		2				1	30.00	30.00
H1111	003	0	1	02	01	H1111_003_0	8	1	7	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H1111	003	0	1	02	01	H1111_003_0	8	1	2	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H1111	003	0	1	02	01	H1111_003_0	8	1	3	0010000100000100110100111100000000000000100000		1	30	30	2	2		
H1111	003	0	1	02	01	H1111_003_0	8	1	4	0000000000000011000000000000000000000000000000		1	0	30	2	1	0.00	15.00
H1111	003	0	1	02	01	H1111_003_0	8	1	5	0000100000000000000000000010000110111111000000		2				2		
H1111	801	0	1	01	01	H1111_801_0	3	1	6	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H1111	801	0	1	01	01	H1111_801_0	3	1	7	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H1111	801	0	1	01	01	H1111_801_0	3	1	8	0000010000000000000000000000000001000000000000		2				1	30.00	30.00
H1111	801	0	1	01	01	H1111_801_0	3	1	9	0000001010110000000000000000000000000000000000		2				1	35.00	35.00
H1111	801	0	1	01	01	H1111_801_0	3	1	1	0100000000000000000000000000000000000000000000		2				1	160.00	160.00
H1111	801	0	1	01	01	H1111_801_0	3	1	4	0010000100000100110100111100000000000000100000		1	30	30	2	2		
H1111	801	0	1	01	01	H1111_801_0	3	1	3	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H1111	801	0	1	01	01	H1111_801_0	3	1	2	0000100000000000000000000010000110111111000000		2				2		
H1111	801	0	1	01	01	H1111_801_0	3	1	5	0000000000000011000000000000000000000000000000		1	0	30	2	1	0.00	15.00
H1254	801	0	1	09	04	H1254_801_0	5	2	1	0000000000000000000011000000000000000000000000	Emergency Travel	2				2		
H1286	002	0	1	02	01	H1286_002_0	6	1	1	0100000000000000000000000000000000000000000000		2				1	150.00	150.00
H1286	002	0	1	02	01	H1286_002_0	6	1	9	0000001010110000000000000000000000000000000000		2				1	20.00	20.00
H1286	002	0	1	02	01	H1286_002_0	6	1	5	0000000000000011000000000000000000000000000000		1	0	30	2	1	0.00	15.00
H1286	002	0	1	02	01	H1286_002_0	6	1	7	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H1286	002	0	1	02	01	H1286_002_0	6	1	6	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H1286	002	0	1	02	01	H1286_002_0	6	1	3	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H1286	002	0	1	02	01	H1286_002_0	6	1	4	0010000100000100110100111100000000000000100000		1	30	30	2	2		
H1286	002	0	1	02	01	H1286_002_0	6	1	2	0000100000000000000000000010000110111111000000		2				2		
H1286	002	0	1	02	01	H1286_002_0	6	1	8	0000010000000000000000000000000001000000000000		2				1	5.00	5.00
H1286	003	0	1	02	01	H1286_003_0	4	1	5	0000000000000011000000000000000000000000000000		1	0	20	2	1	0.00	15.00
H1286	003	0	1	02	01	H1286_003_0	4	1	9	0000001010110000000000000000000000000000000000		2				1	15.00	15.00
H1286	003	0	1	02	01	H1286_003_0	4	1	8	0000010000000000000000000000000001000000000000		2				1	8.00	8.00
H1286	003	0	1	02	01	H1286_003_0	4	1	7	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H1286	003	0	1	02	01	H1286_003_0	4	1	6	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H1286	003	0	1	02	01	H1286_003_0	4	1	4	0010000100000100110100000000000000000000000000		1	20	20	2	2		
H1286	003	0	1	02	01	H1286_003_0	4	1	3	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H1286	003	0	1	02	01	H1286_003_0	4	1	2	0000100000000000000000000010000110111111000000		2				2		
H1286	003	0	1	02	01	H1286_003_0	4	1	10	0000000000000000000000111100000000000000100000		1	30	30	2	2		
H1286	003	0	1	02	01	H1286_003_0	4	1	1	0100000000000000000000000000000000000000000000		2				1	100.00	100.00
H1286	004	0	1	02	01	H1286_004_0	7	1	5	0000000000000011000000000000000000000000000000		1	0	30	2	1	0.00	15.00
H1286	004	0	1	02	01	H1286_004_0	7	1	4	0010000100000100110100111100000000000000100000		1	30	30	2	2		
H1286	004	0	1	02	01	H1286_004_0	7	1	3	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H1286	004	0	1	02	01	H1286_004_0	7	1	6	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H1286	004	0	1	02	01	H1286_004_0	7	1	1	0100000000000000000000000000000000000000000000		2				1	150.00	150.00
H1286	004	0	1	02	01	H1286_004_0	7	1	8	0000010000000000000000000000000001000000000000		2				1	10.00	10.00
H1286	004	0	1	02	01	H1286_004_0	7	1	9	0000001010110000000000000000000000000000000000		2				1	25.00	25.00
H1286	004	0	1	02	01	H1286_004_0	7	1	2	0000100000000000000000000010000110111111000000		2				2		
H1286	004	0	1	02	01	H1286_004_0	7	1	7	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H1286	005	0	1	02	01	H1286_005_0	4	1	7	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H1286	005	0	1	02	01	H1286_005_0	4	1	8	0000010000000000000000000000000001000000000000		2				1	8.00	8.00
H1286	005	0	1	02	01	H1286_005_0	4	1	9	0000001010110000000000000000000000000000000000		2				1	15.00	15.00
H1286	005	0	1	02	01	H1286_005_0	4	1	1	0100000000000000000000000000000000000000000000		2				1	100.00	100.00
H1286	005	0	1	02	01	H1286_005_0	4	1	5	0000000000000011000000000000000000000000000000		1	0	20	2	1	0.00	15.00
H1286	005	0	1	02	01	H1286_005_0	4	1	4	0010000100000100110100000000000000000000000000		1	20	20	2	2		
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H1286	801	0	1	02	01	H1286_801_0	7	1	2	0000100000000000000000000010000110111111000000		2				2		
H1286	801	0	1	02	01	H1286_801_0	7	1	1	0100000000000000000000000000000000000000000000		2				1	150.00	150.00
H1286	801	0	1	02	01	H1286_801_0	7	1	8	0000011010110000000000000000000001000000000000		2				1	35.00	35.00
H1286	801	0	1	02	01	H1286_801_0	7	1	7	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H1286	801	0	1	02	01	H1286_801_0	7	1	6	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H1286	801	0	1	02	01	H1286_801_0	7	1	4	0010000100000100110100111100000000000000100000		1	30	30	2	2		
H1286	801	0	1	02	01	H1286_801_0	7	1	5	0000000000000011000000000000000000000000000000		1	0	30	2	1	0.00	15.00
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H1303	001	0	1	04	01	H1303_001_0	6	1	8	0000001010110000000000000000000000000000000000		2				1	25.00	25.00
H1303	001	0	1	04	01	H1303_001_0	6	1	7	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H1303	001	0	1	04	01	H1303_001_0	6	1	6	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H1303	001	0	1	04	01	H1303_001_0	6	1	1	0100000000000000000000000000000000000000000000		2				1	150.00	150.00
H1303	001	0	1	04	01	H1303_001_0	6	1	4	0010000100000100110100111100000000000000100000		1	30	30	2	2		
H1303	001	0	1	04	01	H1303_001_0	6	1	3	0000100000000000000000000010000110111111000000		2				2		
H1303	001	0	1	04	01	H1303_001_0	6	1	2	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H1303	001	0	1	04	01	H1303_001_0	6	1	5	0000000000000011000000000000000000000000000000		1	0	30	2	1	0.00	15.00
H1303	003	0	1	04	01	H1303_003_0	3	1	8	0000001010110000000000000000000000000000000000		2				1	15.00	15.00
H1303	003	0	1	04	01	H1303_003_0	3	1	7	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H1303	003	0	1	04	01	H1303_003_0	3	1	6	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H1303	003	0	1	04	01	H1303_003_0	3	1	5	0000000000000011000000000000000000000000000000		1	0	20	2	1	0.00	15.00
H1303	003	0	1	04	01	H1303_003_0	3	1	4	0000000000000000000000111100000000000000100000		1	30	30	2	2		
H1303	003	0	1	04	01	H1303_003_0	3	1	3	0000100000000000000000000010000110111111000000		2				2		
H1303	003	0	1	04	01	H1303_003_0	3	1	2	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H1303	003	0	1	04	01	H1303_003_0	3	1	10	0000010000000000000000000000000001000000000000		2				1	8.00	8.00
H1303	003	0	1	04	01	H1303_003_0	3	1	9	0010000100000100110100000000000000000000000000		1	20	20	2	2		
H1303	003	0	1	04	01	H1303_003_0	3	1	1	0100000000000000000000000000000000000000000000		2				1	100.00	100.00
H1303	801	0	1	04	01	H1303_801_0	5	1	1	0100000000000000000000000000000000000000000000		2				1	150.00	150.00
H1303	801	0	1	04	01	H1303_801_0	5	1	2	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H1303	801	0	1	04	01	H1303_801_0	5	1	3	0000100000000000000000000010000110111111000000		2				2		
H1303	801	0	1	04	01	H1303_801_0	5	1	4	0010000100000100110100111100000000000000100000		1	30	30	2	2		
H1303	801	0	1	04	01	H1303_801_0	5	1	5	0000000000000011000000000000000000000000000000		1	0	30	2	1	0.00	15.00
H1303	801	0	1	04	01	H1303_801_0	5	1	6	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H1303	801	0	1	04	01	H1303_801_0	5	1	7	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H1303	801	0	1	04	01	H1303_801_0	5	1	8	0000011010110000000000000000000001000000000000		2				1	35.00	35.00
H1407	001	0	1	09	04	H1407_001_0	7	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1407	003	0	1	09	04	H1407_003_0	7	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1418	002	0	1	04	01	H1418_002_0	6	2	1	0111111111101111111110111110000000000000101111		1	20	20	6	2		
H1509	001	0	1	04	01	H1509_001_0	5	1	9	0010000100000100110100000000000000000000000000		1	20	20	2	2		
H1509	001	0	1	04	01	H1509_001_0	5	1	1	0100000000000000000000000000000000000000000000		2				1	135.00	135.00
H1509	001	0	1	04	01	H1509_001_0	5	1	10	0000010000000000000000000000000001000000000000		2				1	10.00	10.00
H1509	001	0	1	04	01	H1509_001_0	5	1	2	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H1509	001	0	1	04	01	H1509_001_0	5	1	8	0000001010110000000000000000000000000000000000		2				1	30.00	30.00
H1509	001	0	1	04	01	H1509_001_0	5	1	4	0000000000000000000000111100000000000000100000		1	30	30	2	2		
H1509	001	0	1	04	01	H1509_001_0	5	1	5	0000000000000011000000000000000000000000000000		1	0	20	2	1	0.00	15.00
H1509	001	0	1	04	01	H1509_001_0	5	1	6	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H1509	001	0	1	04	01	H1509_001_0	5	1	7	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H1509	001	0	1	04	01	H1509_001_0	5	1	3	0000100000000000000000000010000110111111000000		2				2		
H1509	003	0	1	04	01	H1509_003_0	4	1	3	0000100000000000000000000010000110111111000000		2				2		
H1509	003	0	1	04	01	H1509_003_0	4	1	9	0010000100000100110100000000000000000000000000		1	20	20	2	2		
H1509	003	0	1	04	01	H1509_003_0	4	1	8	0000001010110000000000000000000000000000000000		2				1	30.00	30.00
H1509	003	0	1	04	01	H1509_003_0	4	1	7	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H1509	003	0	1	04	01	H1509_003_0	4	1	6	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H1509	003	0	1	04	01	H1509_003_0	4	1	5	0000000000000011000000000000000000000000000000		1	0	20	2	1	0.00	15.00
H1509	003	0	1	04	01	H1509_003_0	4	1	4	0000000000000000000000111100000000000000100000		1	30	30	2	2		
H1509	003	0	1	04	01	H1509_003_0	4	1	2	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H1509	003	0	1	04	01	H1509_003_0	4	1	10	0000010000000000000000000000000001000000000000		2				1	10.00	10.00
H1509	003	0	1	04	01	H1509_003_0	4	1	1	0100000000000000000000000000000000000000000000		2				1	135.00	135.00
H1509	801	0	1	04	01	H1509_801_0	4	1	5	0000000000000011000000000000000000000000000000		1	0	30	2	1	0.00	15.00
H1509	801	0	1	04	01	H1509_801_0	4	1	4	0010000100000100110100111100000000000000100000		1	30	30	2	2		
H1509	801	0	1	04	01	H1509_801_0	4	1	3	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H1509	801	0	1	04	01	H1509_801_0	4	1	2	0000100000000000000000000010000110111111000000		2				2		
H1509	801	0	1	04	01	H1509_801_0	4	1	8	0000011010110000000000000000000001000000000000		2				1	35.00	35.00
H1509	801	0	1	04	01	H1509_801_0	4	1	1	0100000000000000000000000000000000000000000000		2				1	150.00	150.00
H1509	801	0	1	04	01	H1509_801_0	4	1	7	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H1509	801	0	1	04	01	H1509_801_0	4	1	6	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H1510	001	0	1	04	01	H1510_001_0	3	2	1	0111111111101111111110111110000000000000101111	Foreign	1	20	20	6	2		
H1716	001	0	1	04	01	H1716_001_0	3	1	1	0111111111101111111110111110000000000000101101		2				1	0.00	0.00
H1717	001	0	1	04	01	H1717_001_0	7	1	4	0000000000000000000000111100000000000000100000		1	30	30	2	2		
H1717	001	0	1	04	01	H1717_001_0	7	1	7	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H1717	001	0	1	04	01	H1717_001_0	7	1	8	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H1717	001	0	1	04	01	H1717_001_0	7	1	9	0000010000000000000000000000000001000000000000		2				1	15.00	15.00
H1717	001	0	1	04	01	H1717_001_0	7	1	5	0010000100000100110100000000000000000000000000		1	20	20	2	2		
H1717	001	0	1	04	01	H1717_001_0	7	1	6	0000000000000011000000000000000000000000000000		1	0	20	2	1	0.00	15.00
H1717	001	0	1	04	01	H1717_001_0	7	1	3	0000100000000000000000000010000110111111000000		2				2		
H1717	001	0	1	04	01	H1717_001_0	7	1	2	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H1717	001	0	1	04	01	H1717_001_0	7	1	10	0000001010110000000000000000000000000000000000		2				1	25.00	25.00
H1717	001	0	1	04	01	H1717_001_0	7	1	1	0100000000000000000000000000000000000000000000		2				1	135.00	135.00
H1717	003	0	1	04	01	H1717_003_0	5	1	6	0000010000000000000000000000000001000000000000		2				1	15.00	15.00
H1717	003	0	1	04	01	H1717_003_0	5	1	10	0010000100000100110100000000000000000000000000		1	20	20	2	2		
H1717	003	0	1	04	01	H1717_003_0	5	1	8	0000000000000000000000000010000110111111000000		2				2		
H1717	003	0	1	04	01	H1717_003_0	5	1	9	0100000000000000000000000000000000000000000000		2				1	135.00	135.00
H1717	003	0	1	04	01	H1717_003_0	5	1	7	0000001010110000000000000000000000000000000000		2				1	25.00	25.00
H1717	003	0	1	04	01	H1717_003_0	5	1	2	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H1717	003	0	1	04	01	H1717_003_0	5	1	3	0000000000000011000000000000000000000000000000		1	0	20	2	1	0.00	15.00
H1717	003	0	1	04	01	H1717_003_0	5	1	4	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H1717	003	0	1	04	01	H1717_003_0	5	1	5	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H1717	003	0	1	04	01	H1717_003_0	5	1	1	0000000000000000000000111100000000000000100000		1	30	30	2	2		
H1717	801	0	1	04	01	H1717_801_0	8	1	6	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H1717	801	0	1	04	01	H1717_801_0	8	1	7	0000000000000011000000000000000000000000000000		1	0	30	2	1	0.00	15.00
H1717	801	0	1	04	01	H1717_801_0	8	1	8	0000001010110000000000000000000000000000000000		2				1	30.00	30.00
H1717	801	0	1	04	01	H1717_801_0	8	1	9	0000010000000000000000000000000001000000000000		2				1	25.00	25.00
H1717	801	0	1	04	01	H1717_801_0	8	1	1	0100000000000000000000000000000000000000000000		2				1	135.00	135.00
H1717	801	0	1	04	01	H1717_801_0	8	1	4	0010000100000100110100000100000000000000100000		1	30	30	2	2		
H1717	801	0	1	04	01	H1717_801_0	8	1	3	0000100000000000000000000010000110111111000000		2				2		
H1717	801	0	1	04	01	H1717_801_0	8	1	2	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H1717	801	0	1	04	01	H1717_801_0	8	1	10	0000000000000000000000111000000000000000000000		1	25	25	2	2		
H1717	801	0	1	04	01	H1717_801_0	8	1	5	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H1804	147	0	1	09	04	H1804_147_0	5	2	1	0111111111101111111110111110000000000000100000	Foreign	1	20	20	6	2		
H1804	153	0	1	09	04	H1804_153_0	3	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	154	0	1	09	04	H1804_154_0	3	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	155	0	1	09	04	H1804_155_0	3	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	156	0	1	09	04	H1804_156_0	4	2	1	0111111111101111111110111110000000000000100000	Foreign	1	20	20	6	2		
H1804	157	0	1	09	04	H1804_157_0	4	2	1	0111111111101111111110111110000000000000100000	Foreign	1	20	20	6	2		
H1804	158	0	1	09	04	H1804_158_0	3	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	159	0	1	09	04	H1804_159_0	3	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	160	0	1	09	04	H1804_160_0	3	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	161	0	1	09	04	H1804_161_0	5	2	1	0111111111101111111110111110000000000000100000	Foreign	1	20	20	6	2		
H1804	162	0	1	09	04	H1804_162_0	4	2	1	0111111111101111111110111110000000000000100000	Foreign	1	20	20	6	2		
H1804	163	0	1	09	04	H1804_163_0	4	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	164	0	1	09	04	H1804_164_0	3	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	165	0	1	09	04	H1804_165_0	3	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	166	0	1	09	04	H1804_166_0	3	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	167	0	1	09	04	H1804_167_0	3	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	168	0	1	09	04	H1804_168_0	3	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	170	0	1	09	04	H1804_170_0	7	2	1	0111111111101111111110111110000000000000100000	Foreign	1	20	20	6	2		
H1804	172	0	1	09	04	H1804_172_0	5	2	1	0111111111101111111110111110000000000000100000	Foreign	1	20	20	6	2		
H1804	174	0	1	09	04	H1804_174_0	5	2	1	0111111111101111111110111110000000000000100000	Foreign	1	20	20	6	2		
H1804	176	0	1	09	04	H1804_176_0	5	2	1	0111111111101111111110111110000000000000100000	Foreign	1	20	20	6	2		
H1804	178	0	1	09	04	H1804_178_0	4	2	1	0111111111101111111110111110000000000000100000	Foreign	1	20	20	6	2		
H1804	181	0	1	09	04	H1804_181_0	4	2	1	0111111111101111111110111110000000000000100000	Foreign	1	20	20	6	2		
H1804	184	0	1	09	04	H1804_184_0	3	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	185	0	1	09	04	H1804_185_0	4	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	186	0	1	09	04	H1804_186_0	3	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	187	0	1	09	04	H1804_187_0	4	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	188	0	1	09	04	H1804_188_0	3	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	189	0	1	09	04	H1804_189_0	3	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	193	0	1	09	04	H1804_193_0	3	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	194	0	1	09	04	H1804_194_0	4	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	195	0	1	09	04	H1804_195_0	3	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	196	0	1	09	04	H1804_196_0	4	2	1	0111111111101111111110111110000000000000100000	Foreign	1	20	20	6	2		
H1804	197	0	1	09	04	H1804_197_0	4	2	1	0111111111101111111110111110000000000000100000	Foreign	1	20	20	6	2		
H1804	198	0	1	09	04	H1804_198_0	4	2	1	0111111111101111111110111110000000000000100000	Foreign	1	20	20	6	2		
H1804	199	0	1	09	04	H1804_199_0	5	2	1	0111111111101111111110111110000000000000100000	Foreign	1	20	20	6	2		
H1804	200	0	1	09	04	H1804_200_0	4	2	1	0111111111101111111110111110000000000000100000	Foreign	1	20	20	6	2		
H1804	201	0	1	09	04	H1804_201_0	6	2	1	0111111111101111111110111110000000000000100000	Foreign	1	20	20	6	2		
H1804	202	0	1	09	04	H1804_202_0	3	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	203	0	1	09	04	H1804_203_0	3	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	204	0	1	09	04	H1804_204_0	5	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	205	0	1	09	04	H1804_205_0	3	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	206	0	1	09	04	H1804_206_0	3	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	207	0	1	09	04	H1804_207_0	4	2	1	0111111111101111111110111110000000000000100000	Foreign	1	20	20	6	2		
H1804	208	0	1	09	04	H1804_208_0	4	2	1	0111111111101111111110111110000000000000100000	Foreign	1	20	20	6	2		
H1804	209	0	1	09	04	H1804_209_0	4	2	1	0111111111101111111110111110000000000000100000	Foreign	1	20	20	6	2		
H1804	210	0	1	09	04	H1804_210_0	4	2	1	0111111111101111111110111110000000000000100000	Foreign	1	20	20	6	2		
H1804	213	0	1	09	04	H1804_213_0	6	2	1	0111111111101111111110111110000000000000100000	Foreign	1	20	20	6	2		
H1804	214	0	1	09	04	H1804_214_0	4	2	1	0111111111101111111110111110000000000000100000	Foreign	1	20	20	6	2		
H1804	216	0	1	09	04	H1804_216_0	3	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	217	0	1	09	04	H1804_217_0	3	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	218	0	1	09	04	H1804_218_0	3	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	219	0	1	09	04	H1804_219_0	3	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	220	0	1	09	04	H1804_220_0	3	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	221	0	1	09	04	H1804_221_0	3	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	222	0	1	09	04	H1804_222_0	3	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	223	0	1	09	04	H1804_223_0	4	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	224	0	1	09	04	H1804_224_0	3	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	225	0	1	09	04	H1804_225_0	4	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	226	0	1	09	04	H1804_226_0	4	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	230	0	1	09	04	H1804_230_0	3	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	231	0	1	09	04	H1804_231_0	3	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	232	0	1	09	04	H1804_232_0	3	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	233	0	1	09	04	H1804_233_0	3	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	234	0	1	09	04	H1804_234_0	3	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	235	0	1	09	04	H1804_235_0	3	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	236	0	1	09	04	H1804_236_0	4	2	1	0111111111101111111110111110000000000000100000	Foreign	1	20	20	6	2		
H1804	237	0	1	09	04	H1804_237_0	4	2	1	0111111111101111111110111110000000000000100000	Foreign	1	20	20	6	2		
H1804	238	0	1	09	04	H1804_238_0	7	2	1	0111111111101111111110111110000000000000100000	Foreign	1	20	20	6	2		
H1804	239	0	1	09	04	H1804_239_0	6	2	1	0111111111101111111110111110000000000000100000	Foreign	1	20	20	6	2		
H1804	240	0	1	09	04	H1804_240_0	6	2	1	0111111111101111111110111110000000000000100000	Foreign	1	20	20	6	2		
H1804	241	0	1	09	04	H1804_241_0	4	2	1	0111111111101111111110111110000000000000100000	Foreign	1	20	20	6	2		
H1804	243	0	1	09	04	H1804_243_0	3	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	246	0	1	09	04	H1804_246_0	3	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1804	248	0	1	09	04	H1804_248_0	3	2	1	0111111111101111111110111110000000000000100000	Foreign	1	20	20	6	2		
H1804	250	0	1	09	04	H1804_250_0	7	2	1	0111111111101111111110111110000000000000100000	Foreign	1	20	20	6	2		
H1804	252	0	1	09	04	H1804_252_0	3	2	1	0111111111101111111110111110000000000000100000	Foreign	1	20	20	6	2		
H1804	255	0	1	09	04	H1804_255_0	3	2	1	0111111111101111111110111110000000000000100000	Foreign	1	20	20	6	2		
H1804	258	0	1	09	04	H1804_258_0	3	2	1	0111111111101111111110111110000000000000100000	Foreign	1	20	20	6	2		
H1804	261	0	1	09	04	H1804_261_0	3	2	1	0111111111101111111110111110000000000000100000	Foreign	1	20	20	6	2		
H1804	264	0	1	09	04	H1804_264_0	3	2	1	0111111111101111111110111110000000000000100000	Foreign	1	20	20	6	2		
H1804	267	0	1	09	04	H1804_267_0	3	2	1	0111111111101111111110111110000000000000100000	Foreign	1	20	20	6	2		
H1804	270	0	1	09	04	H1804_270_0	3	2	1	0111111111101111111110111110000000000000100000	Foreign	1	20	20	6	2		
H1804	274	0	1	09	04	H1804_274_0	3	2	1	0111111111101111111110111110000000000000100000	Foreign	1	20	20	6	2		
H1804	275	0	1	09	04	H1804_275_0	3	2	1	0111111111101111111110111110000000000000100000	Foreign	1	20	20	6	2		
H1806	001	0	1	04	01	H1806_001_0	3	2	1	0111111111101111111110111110000000000000101111		1	20	20	6	2		
H1806	002	0	1	04	01	H1806_002_0	3	2	1	0111111111101111111110111110000000000000101111		1	20	20	6	2		
H1906	006	0	1	09	04	H1906_006_0	4	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1906	007	0	1	09	04	H1906_007_0	4	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1906	008	0	1	09	04	H1906_008_0	4	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H1961	001	0	1	01	01	H1961_001_0	2	1	2	0000011110110100000000000000000000000000000000	Physician Office Visits & Therapy	2				1	25.00	25.00
H1961	001	0	1	01	01	H1961_001_0	2	1	1	0011000000010011010110001110000000000000100000	Radiology, Lab, Xray, Ambu, Blood, etc	2				2		
H1961	001	0	1	01	01	H1961_001_0	2	1	3	0000000001001000001000000000000000000000000000	Mental Health & Substance Abuse	1	0	50	1	1	0.00	10.00
H1961	001	0	1	01	01	H1961_001_0	2	1	4	0000000000000000000000100000000000000000000000	DME incl transfusion	1	0	5	1	2		
H1961	001	0	1	01	01	H1961_001_0	2	1	5	0000000000000000100000000000000000000000000000	Outpatient Surgery	2				1	150.00	150.00
H1961	001	0	1	01	01	H1961_001_0	2	1	6	0000100000000000000000000000000000000000000000	Home Health	1	10	10	1	2		
H1961	001	0	1	01	01	H1961_001_0	2	1	7	0000000000000000000000010000000000000000000000	Prosthetics Med Supplies	1	20	20	1	2		
H1961	001	0	1	01	01	H1961_001_0	2	1	8	0100000000000000000000000000000000000000000000	SNF	2				1	0.00	50.00
H1961	003	0	1	01	01	H1961_003_0	4	1	1	0111111111111111111110111110000000000000100000		2				2		
H2001	001	0	1	04	01	H2001_001_0	7	1	5	0000000100000100110100000000000000000000000000		1	20	20	2	2		
H2001	001	0	1	04	01	H2001_001_0	7	1	4	0000000000000000000000111100000000000000100000		1	30	30	2	2		
H2001	001	0	1	04	01	H2001_001_0	7	1	7	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H2001	001	0	1	04	01	H2001_001_0	7	1	8	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H2001	001	0	1	04	01	H2001_001_0	7	1	9	0000010000000000000000000000000001000000000000		2				1	15.00	15.00
H2001	001	0	1	04	01	H2001_001_0	7	1	6	0000000000000011000000000000000000000000000000		1	0	20	2	1	0.00	15.00
H2001	001	0	1	04	01	H2001_001_0	7	1	3	0000100000000000000000000010000110111111000000		2				2		
H2001	001	0	1	04	01	H2001_001_0	7	1	2	0000001010110000000000000000000000000000000000		2				1	25.00	25.00
H2001	001	0	1	04	01	H2001_001_0	7	1	1	0100000000000000000010000000000000000000000000		2				1	175.00	175.00
H2001	003	0	1	04	01	H2001_003_0	6	1	4	0000000000000000000000111100000000000000100000		1	30	30	2	2		
H2001	003	0	1	04	01	H2001_003_0	6	1	1	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H2001	003	0	1	04	01	H2001_003_0	6	1	6	0000000000000011000000000000000000000000000000		1	0	15	2	1	0.00	15.00
H2001	003	0	1	04	01	H2001_003_0	6	1	7	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H2001	003	0	1	04	01	H2001_003_0	6	1	8	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H2001	003	0	1	04	01	H2001_003_0	6	1	9	0000010000000000000000000000000001000000000000		2				1	10.00	10.00
H2001	003	0	1	04	01	H2001_003_0	6	1	5	0010000100000100110100000000000000000000000000		1	15	15	2	2		
H2001	003	0	1	04	01	H2001_003_0	6	1	10	0100000000000000000000000000000000000000000000		2				1	75.00	75.00
H2001	003	0	1	04	01	H2001_003_0	6	1	2	0000001010110000000000000000000000000000000000		2				1	20.00	20.00
H2001	003	0	1	04	01	H2001_003_0	6	1	3	0000100000000000000000000010000110111111000000		2				2		
H2001	005	0	1	04	01	H2001_005_0	5	1	5	0010000100000100110100000000000000000000000000		1	20	20	2	2		
H2001	005	0	1	04	01	H2001_005_0	5	1	1	0100000000000000000010000000000000000000000000		2				1	175.00	175.00
H2001	005	0	1	04	01	H2001_005_0	5	1	7	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H2001	005	0	1	04	01	H2001_005_0	5	1	8	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H2001	005	0	1	04	01	H2001_005_0	5	1	9	0000010000000000000000000000000001000000000000		2				1	15.00	15.00
H2001	005	0	1	04	01	H2001_005_0	5	1	6	0000000000000011000000000000000000000000000000		1	0	20	2	1	0.00	15.00
H2001	005	0	1	04	01	H2001_005_0	5	1	2	0000001010110000000000000000000000000000000000		2				1	25.00	25.00
H2001	005	0	1	04	01	H2001_005_0	5	1	3	0000100000000000000000000010000110111111000000		2				2		
H2001	005	0	1	04	01	H2001_005_0	5	1	4	0000000000000000000000111100000000000000100000		1	30	30	2	2		
H2001	006	0	1	04	01	H2001_006_0	5	1	4	0000000000000000000000111100000000000000100000		1	30	30	2	2		
H2001	006	0	1	04	01	H2001_006_0	5	1	1	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H2001	006	0	1	04	01	H2001_006_0	5	1	6	0000000000000011000000000000000000000000000000		1	0	15	2	1	0.00	15.00
H2001	006	0	1	04	01	H2001_006_0	5	1	7	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H2001	006	0	1	04	01	H2001_006_0	5	1	8	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H2001	006	0	1	04	01	H2001_006_0	5	1	9	0000010000000000000000000000000001000000000000		2				1	10.00	10.00
H2001	006	0	1	04	01	H2001_006_0	5	1	5	0010000100000100110100000000000000000000000000		1	15	15	2	2		
H2001	006	0	1	04	01	H2001_006_0	5	1	10	0100000000000000000000000000000000000000000000		2				1	75.00	75.00
H2001	006	0	1	04	01	H2001_006_0	5	1	2	0000001010110000000000000000000000000000000000		2				1	20.00	20.00
H2001	006	0	1	04	01	H2001_006_0	5	1	3	0000100000000000000000000010000110111111000000		2				2		
H2001	801	0	1	04	01	H2001_801_0	5	1	4	0010000100000100110100000000000000000000000000		1	20	20	2	2		
H2001	801	0	1	04	01	H2001_801_0	5	1	6	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H2001	801	0	1	04	01	H2001_801_0	5	1	7	0000000000000011000000000000000000000000000000		1	0	20	2	1	0.00	15.00
H2001	801	0	1	04	01	H2001_801_0	5	1	8	0000010000000000000000000000000001000000000000		2				1	15.00	15.00
H2001	801	0	1	04	01	H2001_801_0	5	1	3	0000100000000000000000000010000110111111000000		2				2		
H2001	801	0	1	04	01	H2001_801_0	5	1	5	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H2001	801	0	1	04	01	H2001_801_0	5	1	1	0100000000000000000010000000000000000000000000		2				1	175.00	175.00
H2001	801	0	1	04	01	H2001_801_0	5	1	2	0000001010110000000000000000000000000000000000		2				1	25.00	25.00
H2001	801	0	1	04	01	H2001_801_0	5	1	9	0000000000000000000000111100000000000000100000		1	30	30	6	2		
H2450	001	0	1	18	06	H2450_001_0	3	1	1	0111111111111111111111111111111111111111100000	Outpatient services and SNF	1	0	20	1	1	0.00	10.00
H2450	001	0	1	18	06	H2450_001_0	3	1	2	1000000000000000000000000000000000000000000111	Vision & Hearing Services	1	0	20	1	1	0.00	10.00
H2450	002	0	1	18	06	H2450_002_0	3	1	1	0111111111111111111111111111111111111111100000	Outpatient services and SNF	1	0	20	1	2		
H2450	002	0	1	18	06	H2450_002_0	3	1	2	1000000000000000000000000000000000000000000111	Vision & Hearing Services	1	0	20	1	1	0.00	10.00
H2450	005	0	1	18	06	H2450_005_0	3	1	1	0111111111111111111111111111111111111111100000	Outpatient services and SNF	1	0	20	1	2		
H2450	005	0	1	18	06	H2450_005_0	3	1	2	1000000000000000000000000000000000000000000111	Vision & Hearing Services	2				2		
H2450	006	0	1	18	06	H2450_006_0	3	1	2	1000000000000000000000000000000000000000000111	Vision & Hearing Services	2				2		
H2450	006	0	1	18	06	H2450_006_0	3	1	1	0111111111111111111111111111111111111111100000	Outpatient services and SNF	1	0	20	1	2		
H2450	007	0	1	18	06	H2450_007_0	3	1	2	1000000000000000000000000000000000000000000111	Vision & Hearing Services	1	0	20	1	1	0.00	10.00
H2450	007	0	1	18	06	H2450_007_0	3	1	1	0111111111111111111111111111111111111111100000	Outpatient services and SNF	1	0	20	1	1	0.00	10.00
H2462	004	0	1	18	06	H2462_004_0	7	1	1	0011011111111111111110111110000000000101100101	Us Travel 20% Coinsurance	1	20	20	2	2		
H2462	005	0	1	18	06	H2462_005_0	6	1	1	0011011111111111111110111110000000000101100101	Us Travel 20% Coinsurance	1	20	20	2	2		
H2462	006	0	1	18	06	H2462_006_0	7	1	1	0011011111111111111110111110000000000101100101	Us Travel 20% Coinsurance	1	20	20	2	2		
H2462	007	0	1	18	06	H2462_007_0	6	1	1	0010011110110100001000000001000000000101000101	Office Visit Related	2				1	15.00	15.00
H2462	007	0	1	18	06	H2462_007_0	6	1	2	0000000000000000000000111000000000000000100000	Medical Supplies & Part B Drugs	1	20	20	2	2		
H2462	007	0	1	18	06	H2462_007_0	6	1	3	0000000001001000000000000000000000000000000000	Mental Health & Psychiatric Therapy	2				1	7.50	15.00
H2462	008	0	1	18	06	H2462_008_0	5	1	3	0000000001001000000000000000000000000000000000	Mental Health & Psychiatric Therapy	2				1	7.50	15.00
H2462	008	0	1	18	06	H2462_008_0	5	1	1	0010011110110100001000000001000000000101000101	Office Visit Related	2				1	15.00	15.00
H2462	008	0	1	18	06	H2462_008_0	5	1	2	0000000000000000000000111000000000000000100000	Medical Supplies & Part B Drugs	1	20	20	2	2		
H2462	009	0	1	18	06	H2462_009_0	4	1	3	0000000001001000000000000000000000000000000000	Mental Health & Psychiatric Therapy	2				1	7.50	15.00
H2462	009	0	1	18	06	H2462_009_0	4	1	1	0010011110110100001000000001000000000101000101	Office Visit Related	2				1	15.00	15.00
H2462	009	0	1	18	06	H2462_009_0	4	1	2	0000000000000000000000111000000000000000100000	Medical Supplies & Part B Drugs	1	20	20	2	2		
H2462	010	0	1	18	06	H2462_010_0	7	1	1	0000000000000000000000111000000000000000100000	Medical Supplies & Diabetic Monitoring	1	20	20	2	2		
H2462	011	0	1	18	06	H2462_011_0	5	1	1	0000000000000000000000111000000000000000100000	Medical Supplies & Diabetic Monitoring	1	20	20	2	2		
H2462	012	0	1	18	06	H2462_012_0	4	1	1	0000000000000000000000111000000000000000100000	Medical Supplies & Diabetic Monitoring	1	20	20	2	2		
H2654	004	0	1	01	01	H2654_004_0	12	1	8	0100000000000000000000000000000000000000000000		2				1	85.00	85.00
H2654	004	0	1	01	01	H2654_004_0	12	1	7	0010000100000100110100111000000000000000000000		1	25	25	2	2		
H2654	004	0	1	01	01	H2654_004_0	12	1	9	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H2654	004	0	1	01	01	H2654_004_0	12	1	1	0000100000000000000000000010000110111111000000		2				2		
H2654	004	0	1	01	01	H2654_004_0	12	1	10	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H2654	004	0	1	01	01	H2654_004_0	12	1	2	0000000000000000000000000100000000000000100000		1	30	30	2	2		
H2654	004	0	1	01	01	H2654_004_0	12	1	3	0000000000000011000000000000000000000000000000		1	0	25	2	1	0.00	15.00
H2654	004	0	1	01	01	H2654_004_0	12	1	4	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H2654	004	0	1	01	01	H2654_004_0	12	1	5	0000010000000000000000000000000001000000000000		2				1	15.00	15.00
H2654	004	0	1	01	01	H2654_004_0	12	1	6	0000001010110000000000000000000000000000000000		2				1	30.00	30.00
H2654	010	0	1	01	01	H2654_010_0	9	1	1	0000100000000000000000000010000110111111000000		2				2		
H2654	010	0	1	01	01	H2654_010_0	9	1	8	0100000000000000000000000000000000000000000000		2				1	135.00	135.00
H2654	010	0	1	01	01	H2654_010_0	9	1	7	0000000000000011000000000000000000000000000000		1	0	20	2	1	0.00	15.00
H2654	010	0	1	01	01	H2654_010_0	9	1	6	0000001010110000000000000000000000000000000000		2				1	25.00	25.00
H2654	010	0	1	01	01	H2654_010_0	9	1	9	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H2654	010	0	1	01	01	H2654_010_0	9	1	4	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H2654	010	0	1	01	01	H2654_010_0	9	1	3	0010000100000100110100000000000000000000000000		1	20	20	2	2		
H2654	010	0	1	01	01	H2654_010_0	9	1	2	0000000000000000000000111100000000000000100000		1	30	30	2	2		
H2654	010	0	1	01	01	H2654_010_0	9	1	10	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H2654	010	0	1	01	01	H2654_010_0	9	1	5	0000010000000000000000000000000001000000000000		2				1	10.00	10.00
H2654	013	0	1	02	01	H2654_013_0	11	1	8	0100000000000000000000000000000000000000000000		2				1	85.00	85.00
H2654	013	0	1	02	01	H2654_013_0	11	1	7	0000000000000011000000000000000000000000000000		1	0	25	2	1	0.00	15.00
H2654	013	0	1	02	01	H2654_013_0	11	1	6	0000001010110000000000000000000000000000000000		2				1	30.00	30.00
H2654	013	0	1	02	01	H2654_013_0	11	1	5	0000010000000000000000000000000001000000000000		2				1	5.00	15.00
H2654	013	0	1	02	01	H2654_013_0	11	1	4	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H2654	013	0	1	02	01	H2654_013_0	11	1	3	0010000100000100110100000000000000000000000000		1	25	25	2	2		
H2654	013	0	1	02	01	H2654_013_0	11	1	2	0000000000000000000000111110000000000000000000		1	30	30	2	2		
H2654	013	0	1	02	01	H2654_013_0	11	1	10	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H2654	013	0	1	02	01	H2654_013_0	11	1	1	0000100000000000000000000010000110111111000000		2				2		
H2654	013	0	1	02	01	H2654_013_0	11	1	9	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H2654	020	0	1	01	01	H2654_020_0	7	1	3	0010000100000100110100000000000000000000000000		1	25	25	2	2		
H2654	020	0	1	01	01	H2654_020_0	7	1	2	0000000000000000000000111100000000000000100000		1	30	30	2	2		
H2654	020	0	1	01	01	H2654_020_0	7	1	10	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H2654	020	0	1	01	01	H2654_020_0	7	1	1	0000100000000000000000000010000110111111000000		2				2		
H2654	020	0	1	01	01	H2654_020_0	7	1	9	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H2654	020	0	1	01	01	H2654_020_0	7	1	5	0000010000000000000000000000000001000000000000		2				1	5.00	15.00
H2654	020	0	1	01	01	H2654_020_0	7	1	6	0000001010110000000000000000000000000000000000		2				1	30.00	30.00
H2654	020	0	1	01	01	H2654_020_0	7	1	7	0000000000000011000000000000000000000000000000		1	0	25	2	1	0.00	15.00
H2654	020	0	1	01	01	H2654_020_0	7	1	8	0100000000000000000000000000000000000000000000		2				1	85.00	85.00
H2654	020	0	1	01	01	H2654_020_0	7	1	4	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H2654	021	0	1	01	01	H2654_021_0	7	1	3	0010000100000100110100000000000000000000000000		1	20	20	2	2		
H2654	021	0	1	01	01	H2654_021_0	7	1	2	0000000000000000000000111100000000000000100000		1	30	30	2	2		
H2654	021	0	1	01	01	H2654_021_0	7	1	10	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H2654	021	0	1	01	01	H2654_021_0	7	1	1	0000100000000000000000000010000110111111000000		2				2		
H2654	021	0	1	01	01	H2654_021_0	7	1	4	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H2654	021	0	1	01	01	H2654_021_0	7	1	9	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H2654	021	0	1	01	01	H2654_021_0	7	1	8	0100000000000000000000000000000000000000000000		2				1	135.00	135.00
H2654	021	0	1	01	01	H2654_021_0	7	1	7	0000000000000011000000000000000000000000000000		1	0	20	2	1	15.00	15.00
H2654	021	0	1	01	01	H2654_021_0	7	1	6	0000001010110000000000000000000000000000000000		2				1	25.00	25.00
H2654	021	0	1	01	01	H2654_021_0	7	1	5	0000010000000000000000000000000001000000000000		2				1	10.00	10.00
H2654	022	0	1	02	01	H2654_022_0	8	1	1	0000100000000000000000000010000110111111000000		2				2		
H2654	022	0	1	02	01	H2654_022_0	8	1	10	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H2654	022	0	1	02	01	H2654_022_0	8	1	2	0000000000000000000000111100000000000000100000		1	30	30	2	2		
H2654	022	0	1	02	01	H2654_022_0	8	1	3	0010000100000100110100000000000000000000000000		1	25	25	2	2		
H2654	022	0	1	02	01	H2654_022_0	8	1	9	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H2654	022	0	1	02	01	H2654_022_0	8	1	7	0000000000000011000000000000000000000000000000		1	0	25	2	1	0.00	15.00
H2654	022	0	1	02	01	H2654_022_0	8	1	6	0000001010110000000000000000000000000000000000		2				1	30.00	30.00
H2654	022	0	1	02	01	H2654_022_0	8	1	5	0000010000000000000000000000000001000000000000		2				1	5.00	15.00
H2654	022	0	1	02	01	H2654_022_0	8	1	4	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H2654	022	0	1	02	01	H2654_022_0	8	1	8	0100000000000000000000000000000000000000000000		2				1	85.00	85.00
H2654	801	0	1	01	01	H2654_801_0	3	1	1	0000100000000000000000000010000110111111000000		2				2		
H2654	801	0	1	01	01	H2654_801_0	3	1	2	0000000000000000000000000100000000000000100000		1	30	30	2	2		
H2654	801	0	1	01	01	H2654_801_0	3	1	3	0000000000000011000000000000000000000000000000		1	0	25	6	1	0.00	15.00
H2654	801	0	1	01	01	H2654_801_0	3	1	4	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H2654	801	0	1	01	01	H2654_801_0	3	1	9	0000010000000000000000000000000001000000000000		2				1	40.00	40.00
H2654	801	0	1	01	01	H2654_801_0	3	1	6	0100000000000000000000000000000000000000000000		2				1	150.00	150.00
H2654	801	0	1	01	01	H2654_801_0	3	1	7	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H2654	801	0	1	01	01	H2654_801_0	3	1	8	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H2654	801	0	1	01	01	H2654_801_0	3	1	5	0000001010110000000000000000000000000000000000		2				1	50.00	50.00
H2654	802	0	1	01	01	H2654_802_0	2	1	4	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H2654	802	0	1	01	01	H2654_802_0	2	1	5	0000001010110000000000000000000000000000000000		2				1	50.00	50.00
H2654	802	0	1	01	01	H2654_802_0	2	1	6	0100000000000000000000000000000000000000000000		2				1	150.00	150.00
H2654	802	0	1	01	01	H2654_802_0	2	1	7	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H2654	802	0	1	01	01	H2654_802_0	2	1	8	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H2654	802	0	1	01	01	H2654_802_0	2	1	9	0000010000000000000000000000000001000000000000		2				1	40.00	40.00
H2654	802	0	1	01	01	H2654_802_0	2	1	1	0000100000000000000000000010000110111111000000		2				2		
H2654	802	0	1	01	01	H2654_802_0	2	1	2	0000000000000000000000000100000000000000100000		1	30	30	2	2		
H2654	802	0	1	01	01	H2654_802_0	2	1	3	0000000000000011000000000000000000000000000000		1	0	25	6	1	0.00	15.00
H2654	803	0	1	01	01	H2654_803_0	3	1	1	0000100000000000000000000010000110111111000000		2				2		
H2654	803	0	1	01	01	H2654_803_0	3	1	10	0000000000000000000000000100000000000000100000		1	30	30	2	2		
H2654	803	0	1	01	01	H2654_803_0	3	1	9	0000010000000000000000000000000001000000000000		2				1	25.00	25.00
H2654	803	0	1	01	01	H2654_803_0	3	1	8	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H2654	803	0	1	01	01	H2654_803_0	3	1	7	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H2654	803	0	1	01	01	H2654_803_0	3	1	6	0100000000000000000000000000000000000000000000		2				1	150.00	150.00
H2654	803	0	1	01	01	H2654_803_0	3	1	5	0000001010110000000000000000000000000000000000		2				1	35.00	35.00
H2654	803	0	1	01	01	H2654_803_0	3	1	4	0000000000000011000000000000000000000000000000		1	0	25	2	1	0.00	15.00
H2654	803	0	1	01	01	H2654_803_0	3	1	3	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H2654	803	0	1	01	01	H2654_803_0	3	1	2	0010000100000100110100111000000000000000000000		1	25	25	2	2		
H2654	804	0	1	01	01	H2654_804_0	2	1	1	0000100000000000000000000010000110111111000010		2				2		
H2654	804	0	1	01	01	H2654_804_0	2	1	8	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H2654	804	0	1	01	01	H2654_804_0	2	1	7	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H2654	804	0	1	01	01	H2654_804_0	2	1	6	0100000000000000000000000000000000000000000000		2				1	150.00	150.00
H2654	804	0	1	01	01	H2654_804_0	2	1	9	0000010000000000000000000000000001000000000000		2				1	25.00	25.00
H2654	804	0	1	01	01	H2654_804_0	2	1	4	0000000000000011000000000000000000000000000000		1	0	25	2	1	0.00	15.00
H2654	804	0	1	01	01	H2654_804_0	2	1	3	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H2654	804	0	1	01	01	H2654_804_0	2	1	2	0010000100000100110100111000000000000000000000		1	25	25	2	2		
H2654	804	0	1	01	01	H2654_804_0	2	1	10	0000000000000000000000000100000000000000100000		1	30	30	2	2		
H2654	804	0	1	01	01	H2654_804_0	2	1	5	0000001010110000000000000000000000000000001101		2				1	35.00	35.00
H2802	001	0	1	01	01	H2802_001_0	13	1	8	0000010000000000000000000000000001000000000000		2				1	20.00	20.00
H2802	001	0	1	01	01	H2802_001_0	13	1	7	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H2802	001	0	1	01	01	H2802_001_0	13	1	9	0000001010110000000000000000000000000000000000		2				1	30.00	30.00
H2802	001	0	1	01	01	H2802_001_0	13	1	1	0100000000000000000000000000000000000000000000		2				1	150.00	150.00
H2802	001	0	1	01	01	H2802_001_0	13	1	10	0000000000000000000000000100000000000000100000		1	30	30	2	2		
H2802	001	0	1	01	01	H2802_001_0	13	1	2	0000100000000000000000000010000110111111000000		2				2		
H2802	001	0	1	01	01	H2802_001_0	13	1	3	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H2802	001	0	1	01	01	H2802_001_0	13	1	4	0010000100000100110100111000000000000000000000		1	25	25	2	2		
H2802	001	0	1	01	01	H2802_001_0	13	1	5	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H2802	001	0	1	01	01	H2802_001_0	13	1	6	0000000000000011000000000000000000000000000000		1	0	25	2	1	5.00	15.00
H2802	004	0	1	01	01	H2802_004_0	8	1	1	0100000000000000000000000000000000000000000000		2				1	150.00	150.00
H2802	004	0	1	01	01	H2802_004_0	8	1	8	0000010000000000000000000000000001000000000000		2				1	20.00	20.00
H2802	004	0	1	01	01	H2802_004_0	8	1	7	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H2802	004	0	1	01	01	H2802_004_0	8	1	6	0000000000000011000000000000000000000000000000		1	0	25	2	1	0.00	15.00
H2802	004	0	1	01	01	H2802_004_0	8	1	9	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H2802	004	0	1	01	01	H2802_004_0	8	1	4	0000000000000000000000111100000000000000100000		1	30	30	2	2		
H2802	004	0	1	01	01	H2802_004_0	8	1	3	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H2802	004	0	1	01	01	H2802_004_0	8	1	2	0000100000000000000000000010000110111111000000		2				2		
H2802	004	0	1	01	01	H2802_004_0	8	1	10	0000001010110000000000000000000000000000000000		2				1	30.00	30.00
H2802	004	0	1	01	01	H2802_004_0	8	1	5	0010000100000100110100000000000000000000000000		1	25	25	2	2		
H2803	001	0	1	02	01	H2803_001_0	9	1	8	0000000001001000001000000000000000000000000000	Group 8	2				1	30.00	40.00
H2803	001	0	1	02	01	H2803_001_0	9	1	7	0001000000000000000000000000000000000000000000	Group 7	2				1	60.00	60.00
H2803	001	0	1	02	01	H2803_001_0	9	1	6	0000000000000000000000000100000000000000100000	Group 6	1	30	30	2	2		
H2803	001	0	1	02	01	H2803_001_0	9	1	5	0000000000000011000000000000000000000000000000	Group 5	1	0	25	2	1	5.00	15.00
H2803	001	0	1	02	01	H2803_001_0	9	1	4	0010000100000100110100111000000000000000000000	Group 4	1	25	25	2	2		
H2803	001	0	1	02	01	H2803_001_0	9	1	3	0000000000000000000010000000000000000000000000	Group 3	2				1	175.00	175.00
H2803	001	0	1	02	01	H2803_001_0	9	1	2	0000100000000000000000000010000110111111000000	Group 2	2				2		
H2803	001	0	1	02	01	H2803_001_0	9	1	10	0000010000000000000000000000000001000000000000	Group 10	2				1	20.00	20.00
H2803	001	0	1	02	01	H2803_001_0	9	1	1	0100000000000000000000000000000000000000000000	Group 1	2				1	150.00	150.00
H2803	001	0	1	02	01	H2803_001_0	9	1	9	0000001010110000000000000000000000000000000000	Group 9	2				1	30.00	30.00
H2803	002	0	1	02	01	H2803_002_0	12	1	3	0000000000000000000010000000000000000000000000	Group 3	2				1	175.00	175.00
H2803	002	0	1	02	01	H2803_002_0	12	1	2	0000100000000000000000000010000110111111000000	Group 2	2				2		
H2803	002	0	1	02	01	H2803_002_0	12	1	10	0000010000000000000000000000000001000000000000	Group 10	2				1	20.00	20.00
H2803	002	0	1	02	01	H2803_002_0	12	1	1	0100000000000000000000000000000000000000000000	Group 1	2				1	150.00	150.00
H2803	002	0	1	02	01	H2803_002_0	12	1	9	0000001010110000000000000000000000000000000000	Group 9	2				1	30.00	30.00
H2803	002	0	1	02	01	H2803_002_0	12	1	5	0000000000000011000000000000000000000000000000	Group 5	1	0	25	2	1	5.00	15.00
H2803	002	0	1	02	01	H2803_002_0	12	1	6	0000000000000000000000000100000000000000100000	Group 6	1	30	30	2	2		
H2803	002	0	1	02	01	H2803_002_0	12	1	7	0001000000000000000000000000000000000000000000	Group 7	2				1	60.00	60.00
H2803	002	0	1	02	01	H2803_002_0	12	1	8	0000000001001000001000000000000000000000000000	Group 8	2				1	30.00	40.00
H2803	002	0	1	02	01	H2803_002_0	12	1	4	0010000100000100110100111000000000000000000000	Group 4	1	25	25	2	2		
H2803	005	0	1	02	01	H2803_005_0	6	1	3	0000000000000000000010000000000000000000000000	Group 3	2				1	175.00	175.00
H2803	005	0	1	02	01	H2803_005_0	6	1	2	0000100000000000000000000010000110111111000000	Group 2	2				2		
H2803	005	0	1	02	01	H2803_005_0	6	1	10	0000010000000000000000000000000001000000000000	Group 10	2				1	20.00	20.00
H2803	005	0	1	02	01	H2803_005_0	6	1	1	0100000000000000000000000000000000000000000000	Group 1	2				1	150.00	150.00
H2803	005	0	1	02	01	H2803_005_0	6	1	4	0010000100000100110100010000000000000000000000	Group 4	1	25	25	2	2		
H2803	005	0	1	02	01	H2803_005_0	6	1	9	0000000001001000001000000000000000000000000000	Group 9	2				1	30.00	40.00
H2803	005	0	1	02	01	H2803_005_0	6	1	8	0000001000110000000000000000000000000000000000	Group 8	2				1	30.00	30.00
H2803	005	0	1	02	01	H2803_005_0	6	1	7	0001000000000000000000000000000000000000000000	Group 7	2				1	60.00	60.00
H2803	005	0	1	02	01	H2803_005_0	6	1	6	0000000000000000000000111100000000000000100000	Group 6	1	30	30	2	2		
H2803	005	0	1	02	01	H2803_005_0	6	1	5	0000000000000011000000000000000000000000000000	Group 5	1	0	20	2	1	0.00	15.00
H2803	006	0	1	02	01	H2803_006_0	9	1	1	0100000000000000000000000000000000000000000000	Group 1	2				1	150.00	150.00
H2803	006	0	1	02	01	H2803_006_0	9	1	10	0000010000000000000000000000000001000000000000	Group 10	2				1	20.00	20.00
H2803	006	0	1	02	01	H2803_006_0	9	1	2	0000100000000000000000000010000110111111000000	Group 2	2				2		
H2803	006	0	1	02	01	H2803_006_0	9	1	3	0000000000000000000010000000000000000000000000	Group 3	2				1	175.00	175.00
H2803	006	0	1	02	01	H2803_006_0	9	1	9	0000000001001000001000000000000000000000000000	Group 9	2				1	30.00	40.00
H2803	006	0	1	02	01	H2803_006_0	9	1	7	0001000000000000000000000000000000000000000000	Group 7	2				1	60.00	60.00
H2803	006	0	1	02	01	H2803_006_0	9	1	6	0000000000000000000000111100000000000000100000	Group 6	1	30	30	2	2		
H2803	006	0	1	02	01	H2803_006_0	9	1	5	0000000000000011000000000000000000000000000000	Group 5	1	0	20	2	1	0.00	15.00
H2803	006	0	1	02	01	H2803_006_0	9	1	4	0010000100000100110100010000000000000000000000	Group 4	1	25	25	2	2		
H2803	006	0	1	02	01	H2803_006_0	9	1	8	0000001000110000000000000000000000000000000000	Group 8	2				1	30.00	30.00
H2803	801	0	1	02	01	H2803_801_0	5	1	4	0010000100000100110100111000000000000000000000	Group 4	1	25	25	2	2		
H2803	801	0	1	02	01	H2803_801_0	5	1	5	0000000000000011000000000000000000000000000000	Group 5	1	0	25	2	1	0.00	15.00
H2803	801	0	1	02	01	H2803_801_0	5	1	6	0000000000000000000000000100000000000000100000	Group 6	1	30	30	2	2		
H2803	801	0	1	02	01	H2803_801_0	5	1	7	0001000000000000000000000000000000000000000000	Group 7	2				1	60.00	60.00
H2803	801	0	1	02	01	H2803_801_0	5	1	8	0000000001001000001000000000000000000000000000	Group 8	2				1	30.00	40.00
H2803	801	0	1	02	01	H2803_801_0	5	1	9	0000010000000000000000000000000001000000000000	Group 9	2				1	20.00	20.00
H2803	801	0	1	02	01	H2803_801_0	5	1	1	0100000000000000000000000000000000000000000000	Group 1	2				1	165.00	165.00
H2803	801	0	1	02	01	H2803_801_0	5	1	10	0000001010110000000000000000000000000000000000	Group 10	2				1	30.00	30.00
H2803	801	0	1	02	01	H2803_801_0	5	1	2	0000100000000000000000000010000110111111000000	Group 2	2				2		
H2803	801	0	1	02	01	H2803_801_0	5	1	3	0000000000000000000010000000000000000000000000	Group 3	2				1	175.00	175.00
H3351	001	0	1	01	01	H3351_001_0	3	1	1	1010111110110111110111111110000111111111111111		1	20	20	2	2		
H3351	002	0	1	01	01	H3351_002_0	4	1	1	1010111110110111110111111110000111111111111111		1	20	20	2	2		
H3351	006	0	1	01	01	H3351_006_0	5	1	1	1010111110110111110111111110000111111111111111		1	20	20	2	2		
H3351	007	0	1	01	01	H3351_007_0	2	1	1	1010111110110111110111111110000111111111111111		1	20	20	2	2		
H3351	008	0	1	01	01	H3351_008_0	2	1	1	1010111110110111110111111110000111111111111111		1	20	20	2	2		
H3351	009	0	1	01	01	H3351_009_0	2	1	1	1010111110110111110111111110000111111111111111		1	20	20	2	2		
H3379	001	0	1	01	01	H3379_001_0	5	1	6	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H3379	001	0	1	01	01	H3379_001_0	5	1	7	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H3379	001	0	1	01	01	H3379_001_0	5	1	5	0000000000000011000000000000000000000000000000		1	0	20	2	1	0.00	15.00
H3379	001	0	1	01	01	H3379_001_0	5	1	4	0010000100000100110100000000000000000000000000		1	20	20	2	2		
H3379	001	0	1	01	01	H3379_001_0	5	1	3	0000000000000000000000111100000000000000100000		1	30	30	1	2		
H3379	001	0	1	01	01	H3379_001_0	5	1	2	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H3379	001	0	1	01	01	H3379_001_0	5	1	10	0000100000000000000000000010000110111111000000		2				2		
H3379	001	0	1	01	01	H3379_001_0	5	1	1	0100000000000000000000000000000000000000000000		2				1	125.00	125.00
H3379	001	0	1	01	01	H3379_001_0	5	1	8	0000010000000000000000000000000001000000000000		2				1	5.00	5.00
H3379	001	0	1	01	01	H3379_001_0	5	1	9	0000001010110000000000000000000000000000000000		2				1	15.00	15.00
H3379	005	0	1	01	01	H3379_005_0	5	1	3	0001000001001000001000000000000000000000000000		1	50	50	2	2		
H3379	005	0	1	01	01	H3379_005_0	5	1	2	0000000000000011000000000000000000000000000000		2				1	0.00	8.00
H3379	005	0	1	01	01	H3379_005_0	5	1	1	0000000000000000000000111100000000000000100000		1	20	20	2	2		
H3379	005	0	1	01	01	H3379_005_0	5	1	5	0110110000000000110010000000000011100000000000		2				2		
H3379	005	0	1	01	01	H3379_005_0	5	1	4	0000001010110000000000000000000000000000000000		2				1	10.00	10.00
H3379	007	0	1	01	01	H3379_007_0	7	1	6	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H3379	007	0	1	01	01	H3379_007_0	7	1	7	0000010000000000000000000000000001000000000000		2				1	10.00	10.00
H3379	007	0	1	01	01	H3379_007_0	7	1	8	0000001010110000000000000000000000000000000000		2				1	30.00	30.00
H3379	007	0	1	01	01	H3379_007_0	7	1	5	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H3379	007	0	1	01	01	H3379_007_0	7	1	4	0000000000000011000000000000000000000000000000		1	0	30	2	1	0.00	15.00
H3379	007	0	1	01	01	H3379_007_0	7	1	3	0010000100000100110100111100000000000000100000		1	30	30	2	2		
H3379	007	0	1	01	01	H3379_007_0	7	1	9	0000100000000000000000000010000110111111000000		2				2		
H3379	007	0	1	01	01	H3379_007_0	7	1	1	0100000000000000000000000000000000000000000000		2				1	180.00	180.00
H3379	007	0	1	01	01	H3379_007_0	7	1	2	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H3379	012	0	1	01	01	H3379_012_0	5	1	1	0100000000000000000000000000000000000000000000		2				1	180.00	180.00
H3379	012	0	1	01	01	H3379_012_0	5	1	2	0010000100000100110100111100000000000000100000		1	30	30	2	2		
H3379	012	0	1	01	01	H3379_012_0	5	1	3	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H3379	012	0	1	01	01	H3379_012_0	5	1	4	0000000000000011000000000000000000000000000000		1	0	30	2	1	0.00	15.00
H3379	012	0	1	01	01	H3379_012_0	5	1	5	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H3379	012	0	1	01	01	H3379_012_0	5	1	6	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
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H3659	802	0	1	01	01	H3659_802_0	2	1	6	0000010000000000000000000000000001000000000000		2				1	35.00	35.00
H3659	802	0	1	01	01	H3659_802_0	2	1	9	0010000100000100110100111000000000000000000000		1	25	25	2	2		
H3659	802	0	1	01	01	H3659_802_0	2	1	4	0000000000000011000000000000000000000000000000		1	0	25	2	1	0.00	15.00
H3659	802	0	1	01	01	H3659_802_0	2	1	3	0100000000000000000010000000000000000000000000		2				1	175.00	175.00
H3659	802	0	1	01	01	H3659_802_0	2	1	2	0000000000000000000000000100000000000000100000		1	30	30	2	2		
H3659	802	0	1	01	01	H3659_802_0	2	1	5	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H3812	001	0	1	04	01	H3812_001_0	5	1	1	0100000000000000000000000000000000000000000000		2				1	150.00	150.00
H3812	001	0	1	04	01	H3812_001_0	5	1	2	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H3812	001	0	1	04	01	H3812_001_0	5	1	3	0000100000000000000000000010000110111111000000		2				2		
H3812	001	0	1	04	01	H3812_001_0	5	1	4	0010000100000100110100111100000000000000100000		1	30	30	2	2		
H3812	001	0	1	04	01	H3812_001_0	5	1	8	0000001010110000000000000000000000000000000000		2				1	25.00	25.00
H3812	001	0	1	04	01	H3812_001_0	5	1	6	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H3812	001	0	1	04	01	H3812_001_0	5	1	7	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H3812	001	0	1	04	01	H3812_001_0	5	1	9	0000010000000000000000000000000001000000000000		2				1	10.00	10.00
H3812	001	0	1	04	01	H3812_001_0	5	1	5	0000000000000011000000000000000000000000000000		1	0	30	2	1	0.00	15.00
H3812	003	0	1	04	01	H3812_003_0	7	1	9	0010000100000100110100000000000000000000000000		1	20	20	2	2		
H3812	003	0	1	04	01	H3812_003_0	7	1	8	0000001010110000000000000000000000000000000000		2				1	15.00	15.00
H3812	003	0	1	04	01	H3812_003_0	7	1	7	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H3812	003	0	1	04	01	H3812_003_0	7	1	6	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H3812	003	0	1	04	01	H3812_003_0	7	1	5	0000000000000011000000000000000000000000000000		1	0	20	2	1	0.00	15.00
H3812	003	0	1	04	01	H3812_003_0	7	1	2	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H3812	003	0	1	04	01	H3812_003_0	7	1	3	0000100000000000000000000010000110111111000000		2				2		
H3812	003	0	1	04	01	H3812_003_0	7	1	4	0000000000000000000000111100000000000000100000		1	30	30	2	2		
H3812	003	0	1	04	01	H3812_003_0	7	1	10	0000010000000000000000000000000001000000000000		2				1	8.00	8.00
H3812	003	0	1	04	01	H3812_003_0	7	1	1	0100000000000000000000000000000000000000000000		2				1	100.00	100.00
H3812	801	0	1	04	01	H3812_801_0	4	1	5	0000000000000011000000000000000000000000000000		1	0	30	2	1	0.00	15.00
H3812	801	0	1	04	01	H3812_801_0	4	1	4	0010000100000100110100111100000000000000100000		1	30	30	2	2		
H3812	801	0	1	04	01	H3812_801_0	4	1	3	0000100000000000000000000010000110111111000000		2				2		
H3812	801	0	1	04	01	H3812_801_0	4	1	2	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H3812	801	0	1	04	01	H3812_801_0	4	1	1	0100000000000000000000000000000000000000000000		2				1	150.00	150.00
H3812	801	0	1	04	01	H3812_801_0	4	1	6	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H3812	801	0	1	04	01	H3812_801_0	4	1	7	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H3812	801	0	1	04	01	H3812_801_0	4	1	8	0000011010110000000000000000000001000000000000		2				1	35.00	35.00
H3813	001	0	1	04	01	H3813_001_0	8	1	1	0000000000000000110000000000000000000000000000	$400 Outpatient facility	1	10	10	2	1	400.00	400.00
H3813	001	0	1	04	01	H3813_001_0	8	1	2	0001000001001000000000000000000000000000000000	$25 Group/$35 Individual Sessions	2				1	25.00	35.00
H3813	001	0	1	04	01	H3813_001_0	8	1	3	0000011100110100000100000000000000000110000001	$20 copayment	2				1	20.00	20.00
H3813	001	0	1	04	01	H3813_001_0	8	1	4	0000000000000001000000011000000000000001000000	$10 copayment	2				1	10.00	10.00
H3813	001	0	1	04	01	H3813_001_0	8	1	5	0000000000000000000000100100000010000000101000	10% Coinsurance	1	10	10	2	2		
H3813	001	0	1	04	01	H3813_001_0	8	1	6	0000000010000000000000000000000000000000000000	$35 copayment	2				1	35.00	35.00
H3813	001	0	1	04	01	H3813_001_0	8	1	7	0000000000000010000000000000000000000000000000	0 - 10% max copayment $100/Rad tx $35.00	1	0	10	2	1	0.00	100.00
H3813	001	0	1	04	01	H3813_001_0	8	1	8	0100000000000000000000000000000000000000000000	$0 - $50 copayment	2				1	0.00	50.00
H3813	001	0	1	04	01	H3813_001_0	8	1	9	0000000000000000000010000000000000000000000000	$50	2				1	50.00	50.00
H3813	002	0	1	04	01	H3813_002_0	7	1	4	0000000000000001000000011000000000000001000000	$10 copayment	2				1	10.00	10.00
H3813	002	0	1	04	01	H3813_002_0	7	1	3	0000011100110100000100000000000000000110000001	$20 copayment	2				1	20.00	20.00
H3813	002	0	1	04	01	H3813_002_0	7	1	2	0001000001001000000000000000000000000000000000	$25 Group/$35 Individual Sessions	2				1	25.00	35.00
H3813	002	0	1	04	01	H3813_002_0	7	1	1	0000000000000000110000000000000000000000000000	$400 Outpatient facility	1	10	10	2	1	400.00	400.00
H3813	002	0	1	04	01	H3813_002_0	7	1	9	0000000000000000000010000000000000000000000000	$50	2				1	50.00	50.00
H3813	002	0	1	04	01	H3813_002_0	7	1	6	0000000010000000000000000000000000000000000000	$35 copayment	2				1	35.00	35.00
H3813	002	0	1	04	01	H3813_002_0	7	1	7	0000000000000010000000000000000000000000000000	0 - 10% max copayment $100/Rad tx $35.00	1	0	10	2	1	0.00	100.00
H3813	002	0	1	04	01	H3813_002_0	7	1	8	0100000000000000000000000000000000000000000000	$0 - $50 copayment	2				1	0.00	50.00
H3813	002	0	1	04	01	H3813_002_0	7	1	5	0000000000000000000000100100000010000000101000	10% Coinsurance	1	10	10	2	2		
H3813	003	0	1	04	01	H3813_003_0	8	1	4	0000000000000001000000011000000000000001000000	$10 copayment	2				1	10.00	10.00
H3813	003	0	1	04	01	H3813_003_0	8	1	3	0000011100110100000100000000000000000110000001	$20 copayment	2				1	20.00	20.00
H3813	003	0	1	04	01	H3813_003_0	8	1	2	0001000001001000000000000000000000000000000000	$25 Group/$35 Individual Sessions	2				1	25.00	35.00
H3813	003	0	1	04	01	H3813_003_0	8	1	1	0000000000000000110000000000000000000000000000	$400 Outpatient facility	1	10	10	2	1	400.00	400.00
H3813	003	0	1	04	01	H3813_003_0	8	1	5	0000000000000000000000100100000010000000101000	10% Coinsurance	1	10	10	2	2		
H3813	003	0	1	04	01	H3813_003_0	8	1	9	0000000000000000000010000000000000000000000000	$50	2				1	50.00	50.00
H3813	003	0	1	04	01	H3813_003_0	8	1	8	0100000000000000000000000000000000000000000000	$0 - $50 copayment	2				1	0.00	50.00
H3813	003	0	1	04	01	H3813_003_0	8	1	7	0000000000000010000000000000000000000000000000	0 - 10% max copayment $100/Rad tx $35.00	1	0	10	2	1	0.00	100.00
H3813	003	0	1	04	01	H3813_003_0	8	1	6	0000000010000000000000000000000000000000000000	$35 copayment	2				1	35.00	35.00
H3813	801	0	1	04	01	H3813_801_0	4	1	1	0000000000000000110000000000000000000000000000	$400 Outpatient facility	1	10	10	2	1	400.00	400.00
H3813	801	0	1	04	01	H3813_801_0	4	1	2	0001000001001000000000000000000000000000000000	$25 Group/$35 Individual Sessions	2				1	25.00	35.00
H3813	801	0	1	04	01	H3813_801_0	4	1	3	0000011100110100000100000000000000000110000001	$20 copayment	2				1	20.00	20.00
H3813	801	0	1	04	01	H3813_801_0	4	1	4	0000000000000001000000011000000000000001000000	$10 copayment	2				1	10.00	10.00
H3813	801	0	1	04	01	H3813_801_0	4	1	9	0000000000000000000010000000000000000000000000	$50	2				1	50.00	50.00
H3813	801	0	1	04	01	H3813_801_0	4	1	7	0000000000000010000000000000000000000000000000	0 - 10% max copayment $100/Rad tx $35.00	1	0	10	2	1	0.00	100.00
H3813	801	0	1	04	01	H3813_801_0	4	1	6	0000000010000000000000000000000000000000000000	$35 copayment	2				1	35.00	35.00
H3813	801	0	1	04	01	H3813_801_0	4	1	5	0000000000000000000000100100000010000000101000	10% Coinsurance	1	10	10	2	2		
H3813	801	0	1	04	01	H3813_801_0	4	1	8	0100000000000000000000000000000000000000000000	$0 - $50 copayment	2				1	0.00	50.00
H3813	802	0	1	04	01	H3813_802_0	4	1	1	0000000000000000110000000000000000000000000000	$400 Outpatient facility	1	10	10	2	1	400.00	400.00
H3813	802	0	1	04	01	H3813_802_0	4	1	2	0001000001001000000000000000000000000000000000	$25 Group/$35 Individual Sessions	2				1	25.00	35.00
H3813	802	0	1	04	01	H3813_802_0	4	1	3	0000011100110100000100000000000000000110000001	$20 copayment	2				1	20.00	20.00
H3813	802	0	1	04	01	H3813_802_0	4	1	4	0000000000000001000000011000000000000001000000	$10 copayment	2				1	10.00	10.00
H3813	802	0	1	04	01	H3813_802_0	4	1	5	0000000000000000000000100100000010000000101000	10% Coinsurance	1	10	10	2	2		
H3813	802	0	1	04	01	H3813_802_0	4	1	6	0000000010000000000000000000000000000000000000	$35 copayment	2				1	35.00	35.00
H3813	802	0	1	04	01	H3813_802_0	4	1	7	0000000000000010000000000000000000000000000000	0 - 10% max copayment $100/Rad tx $35.00	1	0	10	2	1	0.00	100.00
H3813	802	0	1	04	01	H3813_802_0	4	1	8	0100000000000000000000000000000000000000000000	$0 - $50 copayment	2				1	0.00	50.00
H3813	802	0	1	04	01	H3813_802_0	4	1	9	0000000000000000000010000000000000000000000000	$50	2				1	50.00	50.00
H3887	003	0	1	02	01	H3887_003_0	5	1	8	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H3887	003	0	1	02	01	H3887_003_0	5	1	7	0100000000000000000000000000000000000000000000		2				1	125.00	125.00
H3887	003	0	1	02	01	H3887_003_0	5	1	6	0000001010110000000000000000000000000000000000		2				1	25.00	25.00
H3887	003	0	1	02	01	H3887_003_0	5	1	5	0000010000000000000000000000000001000000000000		2				1	5.00	5.00
H3887	003	0	1	02	01	H3887_003_0	5	1	4	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H3887	003	0	1	02	01	H3887_003_0	5	1	3	0000000000000011000000000000000000000000000000		1	0	30	2	1	0.00	15.00
H3887	003	0	1	02	01	H3887_003_0	5	1	2	0010000100000100110100111100000000000000100000		1	30	30	2	2		
H3887	003	0	1	02	01	H3887_003_0	5	1	1	0000100000000000000000000010000010111111000000		2				2		
H3887	004	0	1	02	01	H3887_004_0	3	1	8	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H3887	004	0	1	02	01	H3887_004_0	3	1	7	0100000000000000000000000000000000000000000000		2				1	125.00	125.00
H3887	004	0	1	02	01	H3887_004_0	3	1	6	0000001010110000000000000000000000000000000000		2				1	25.00	25.00
H3887	004	0	1	02	01	H3887_004_0	3	1	5	0000010000000000000000000000000001000000000000		2				1	5.00	5.00
H3887	004	0	1	02	01	H3887_004_0	3	1	4	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H3887	004	0	1	02	01	H3887_004_0	3	1	3	0000000000000011000000000000000000000000000000		1	0	30	2	1	0.00	15.00
H3887	004	0	1	02	01	H3887_004_0	3	1	2	0010000100000100110100111100000000000000100000		1	30	30	2	2		
H3887	004	0	1	02	01	H3887_004_0	3	1	9	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H3887	004	0	1	02	01	H3887_004_0	3	1	1	0000100000000000000000000010000110111111000000		2				2		
H3887	801	0	1	02	01	H3887_801_0	6	1	1	0000100000000000000000000010000110111111000000		2				2		
H3887	801	0	1	02	01	H3887_801_0	6	1	10	0000000000000000000000000100000000000000100000		1	30	30	2	2		
H3887	801	0	1	02	01	H3887_801_0	6	1	9	0000000000000011000000000000000000000000000000		1	0	25	2	1	0.00	15.00
H3887	801	0	1	02	01	H3887_801_0	6	1	8	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H3887	801	0	1	02	01	H3887_801_0	6	1	7	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H3887	801	0	1	02	01	H3887_801_0	6	1	6	0000001010110000000000000000000000000000000000		2				1	30.00	30.00
H3887	801	0	1	02	01	H3887_801_0	6	1	5	0100000000000000000000000000000000000000000000		2				1	150.00	150.00
H3887	801	0	1	02	01	H3887_801_0	6	1	4	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H3887	801	0	1	02	01	H3887_801_0	6	1	3	0000010000000000000000000000000001000000000000		2				1	20.00	20.00
H3887	801	0	1	02	01	H3887_801_0	6	1	2	0010000100000100110100111000000000000000000000		1	25	25	2	2		
H3887	802	0	1	02	01	H3887_802_0	3	1	1	0000100000000000000000000010000110111111000000		2				2		
H3887	802	0	1	02	01	H3887_802_0	3	1	8	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H3887	802	0	1	02	01	H3887_802_0	3	1	7	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H3887	802	0	1	02	01	H3887_802_0	3	1	6	0000001010110000000000000000000000000000000000		2				1	30.00	30.00
H3887	802	0	1	02	01	H3887_802_0	3	1	9	0000000000000011000000000000000000000000000000		1	0	25	2	1	0.00	15.00
H3887	802	0	1	02	01	H3887_802_0	3	1	4	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H3887	802	0	1	02	01	H3887_802_0	3	1	3	0000010000000000000000000000000001000000000000		2				1	20.00	20.00
H3887	802	0	1	02	01	H3887_802_0	3	1	2	0010000100000100110100111000000000000000000000		1	25	25	2	2		
H3887	802	0	1	02	01	H3887_802_0	3	1	10	0000000000000000000000000100000000000000100000		1	30	30	2	2		
H3887	802	0	1	02	01	H3887_802_0	3	1	5	0100000000000000000000000000000000000000000000		2				1	150.00	150.00
H3921	001	0	1	04	01	H3921_001_0	8	1	1	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H3921	001	0	1	04	01	H3921_001_0	8	1	9	0000010000000000000000000000000001000000000000		2				1	15.00	15.00
H3921	001	0	1	04	01	H3921_001_0	8	1	8	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H3921	001	0	1	04	01	H3921_001_0	8	1	7	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H3921	001	0	1	04	01	H3921_001_0	8	1	6	0000000000000011000000000000000000000000000000		1	0	20	2	1	0.00	15.00
H3921	001	0	1	04	01	H3921_001_0	8	1	5	0010000100000100110100000000000000000000000000		1	20	20	2	2		
H3921	001	0	1	04	01	H3921_001_0	8	1	4	0000000000000000000000111100000000000000100000		1	30	30	2	2		
H3921	001	0	1	04	01	H3921_001_0	8	1	3	0000100000000000000000000010000110111111000000		2				2		
H3921	001	0	1	04	01	H3921_001_0	8	1	2	0000001010110000000000000000000000000000000000		2				1	25.00	25.00
H3921	001	0	1	04	01	H3921_001_0	8	1	10	0100000000000000000000000000000000000000000000		2				1	150.00	150.00
H3921	003	0	1	04	01	H3921_003_0	9	1	6	0000000000000011000000000000000000000000000000		1	0	20	2	1	0.00	15.00
H3921	003	0	1	04	01	H3921_003_0	9	1	5	0010000100000100110100000000000000000000000000		1	20	20	2	2		
H3921	003	0	1	04	01	H3921_003_0	9	1	4	0000000000000000000000111100000000000000100000		1	30	30	2	2		
H3921	003	0	1	04	01	H3921_003_0	9	1	3	0000100000000000000000000010000110111111000000		2				2		
H3921	003	0	1	04	01	H3921_003_0	9	1	9	0000010000000000000000000000000001000000000000		2				1	10.00	10.00
H3921	003	0	1	04	01	H3921_003_0	9	1	10	0100000000000000000000000000000000000000000000		2				1	120.00	120.00
H3921	003	0	1	04	01	H3921_003_0	9	1	1	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H3921	003	0	1	04	01	H3921_003_0	9	1	7	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H3921	003	0	1	04	01	H3921_003_0	9	1	8	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H3921	003	0	1	04	01	H3921_003_0	9	1	2	0000001010110000000000000000000000000000000000		2				1	20.00	20.00
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H3921	005	0	1	04	01	H3921_005_0	5	1	9	0000010000000000000000000000000001000000000000		2				1	15.00	15.00
H3921	005	0	1	04	01	H3921_005_0	5	1	8	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H3921	005	0	1	04	01	H3921_005_0	5	1	7	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H3921	005	0	1	04	01	H3921_005_0	5	1	6	0000000000000011000000000000000000000000000000		1	0	20	2	1	0.00	15.00
H3921	005	0	1	04	01	H3921_005_0	5	1	5	0010000100000100110100000000000000000000000000		1	20	20	2	2		
H3921	005	0	1	04	01	H3921_005_0	5	1	4	0000000000000000000000111100000000000000100000		1	30	30	2	2		
H3921	005	0	1	04	01	H3921_005_0	5	1	2	0000001010110000000000000000000000000000000000		2				1	25.00	25.00
H3921	005	0	1	04	01	H3921_005_0	5	1	10	0100000000000000000000000000000000000000000000		2				1	150.00	150.00
H3921	005	0	1	04	01	H3921_005_0	5	1	1	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H3921	006	0	1	04	01	H3921_006_0	5	1	1	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H3921	006	0	1	04	01	H3921_006_0	5	1	9	0000010000000000000000000000000001000000000000		2				1	10.00	10.00
H3921	006	0	1	04	01	H3921_006_0	5	1	8	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H3921	006	0	1	04	01	H3921_006_0	5	1	7	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H3921	006	0	1	04	01	H3921_006_0	5	1	6	0000000000000011000000000000000000000000000000		1	0	20	2	1	0.00	15.00
H3921	006	0	1	04	01	H3921_006_0	5	1	5	0010000100000100110100000000000000000000000000		1	20	20	2	2		
H3921	006	0	1	04	01	H3921_006_0	5	1	4	0000000000000000000000111100000000000000100000		1	30	30	2	2		
H3921	006	0	1	04	01	H3921_006_0	5	1	3	0000100000000000000000000010000110111111000000		2				2		
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H4604	005	0	1	02	01	H4604_005_0	5	1	6	0000010000000000000000000000000001000000000000		2				1	5.00	5.00
H4604	005	0	1	02	01	H4604_005_0	5	1	9	0000000000000011000000000000000000000000000000		1	15	15	2	1	0.00	0.00
H4604	005	0	1	02	01	H4604_005_0	5	1	8	0100000000000000000000000000000000000000000000		2				1	100.00	100.00
H4604	801	0	1	01	01	H4604_801_0	3	1	7	0000011010110000000000000000000001000000000000		2				1	35.00	35.00
H4604	801	0	1	01	01	H4604_801_0	3	1	8	0000100000000000000000000000000110111111000000		2				1	0.00	0.00
H4604	801	0	1	01	01	H4604_801_0	3	1	6	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H4604	801	0	1	01	01	H4604_801_0	3	1	1	0100000000000000000000000000000000000000000000		2				1	150.00	150.00
H4604	801	0	1	01	01	H4604_801_0	3	1	2	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H4604	801	0	1	01	01	H4604_801_0	3	1	3	0010000100000100110100111100000000000000100000		1	30	30	2	2		
H4604	801	0	1	01	01	H4604_801_0	3	1	4	0000000000000011000000000000000000000000000000		1	0	30	2	1	0.00	15.00
H4604	801	0	1	01	01	H4604_801_0	3	1	5	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H4606	001	0	1	04	01	H4606_001_0	5	2	1	0111111111101111111110111110000000000000101111		1	20	20	6	2		
H4606	003	0	1	04	01	H4606_003_0	6	2	1	0111111111101111111110111110000000000000101111		1	20	20	6	2		
H4606	004	0	1	04	01	H4606_004_0	4	2	1	0111111111101111111110111110000000000000101111		1	20	20	6	2		
H5214	003	0	1	04	01	H5214_003_0	3	2	1	0111111111101111111110111110000000000000101111		1	20	20	6	2		
H5215	001	0	1	04	01	H5215_001_0	7	1	5	0000000000000001000000000000000000000000000000	CAT, MRI, MRA, PET, NUC Services	2				1	50.00	50.00
H5215	001	0	1	04	01	H5215_001_0	7	2	1	0001010011011011110110000110000000000001101000		1	25	25	1	2		
H5215	001	0	1	04	01	H5215_001_0	7	1	6	0100100000000000110000000000000111111111000101		2				1	0.00	0.00
H5215	001	0	1	04	01	H5215_001_0	7	1	4	0000000000000000000010000000000000000000000000		2				1	25.00	25.00
H5215	001	0	1	04	01	H5215_001_0	7	1	3	0000000000000000000000111000000000000000100000		1	10	10	1	2		
H5215	001	0	1	04	01	H5215_001_0	7	1	2	0010000011101100001000000100000000000000000000		2				1	10.00	10.00
H5215	001	0	1	04	01	H5215_001_0	7	1	1	0000010000000001000100000010000000000000001000		2				1	5.00	5.00
H5215	002	0	1	04	01	H5215_002_0	9	1	5	0000000000000001000000000000000000000000000000	CAT, MRI, MRA, PET, NUC Services	2				1	50.00	50.00
H5215	002	0	1	04	01	H5215_002_0	9	1	4	0000000000000000000010000000000000000000000000		2				1	25.00	25.00
H5215	002	0	1	04	01	H5215_002_0	9	1	2	0010000011101100001000000100000000000000000000		2				1	10.00	10.00
H5215	002	0	1	04	01	H5215_002_0	9	1	3	0000000000000000000000111000000000000000100000		1	10	10	1	2		
H5215	002	0	1	04	01	H5215_002_0	9	1	1	0000010000000001000100000010000000000000001000		2				1	5.00	5.00
H5215	002	0	1	04	01	H5215_002_0	9	2	1	0001010011011011110110000110000000000001101000		1	25	25	1	2		
H5215	002	0	1	04	01	H5215_002_0	9	1	6	0100100000000000110000000000000111111111000101		2				1	0.00	0.00
H5215	005	0	1	04	01	H5215_005_0	10	2	1	0001010011011011110110000110000000000001101000		1	25	25	1	2		
H5215	005	0	1	04	01	H5215_005_0	10	1	1	0111111111111111111110111110000011111111101110		2				1	0.00	0.00
H5215	006	0	1	04	01	H5215_006_0	11	2	1	0001010011011011110110000110000000000001101000		1	25	25	1	2		
H5215	006	0	1	04	01	H5215_006_0	11	1	1	1111111111111111111110111110000011111111101111		2				1	0.00	0.00
H5216	001	0	1	04	01	H5216_001_0	6	2	1	0111111111101111111110111110000000000000101111		1	20	20	6	2		
H5253	004	0	1	02	01	H5253_004_0	10	1	5	0000000000000011000000000000000000000000000000		1	0	25	2	1	0.00	15.00
H5253	004	0	1	02	01	H5253_004_0	10	1	6	0000100000000000000000000010000110111111000000		2				2		
H5253	004	0	1	02	01	H5253_004_0	10	1	7	0000000000000000000000000100000000000000100000		1	30	30	2	2		
H5253	004	0	1	02	01	H5253_004_0	10	1	8	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H5253	004	0	1	02	01	H5253_004_0	10	1	9	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H5253	004	0	1	02	01	H5253_004_0	10	1	1	0010000100000100110100111000000000000000000000		1	25	25	2	2		
H5253	004	0	1	02	01	H5253_004_0	10	1	10	0000001010110000000000000000000000000000000000		2				1	30.00	30.00
H5253	004	0	1	02	01	H5253_004_0	10	1	2	0000010000000000000000000000000001000000000000		2				1	15.00	15.00
H5253	004	0	1	02	01	H5253_004_0	10	1	3	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H5253	004	0	1	02	01	H5253_004_0	10	1	4	0100000000000000000000000000000000000000000000		2				1	150.00	150.00
H5253	011	0	1	02	01	H5253_011_0	11	1	1	0000000000000000000000111100000000000000100000		1	30	30	6	2		
H5253	011	0	1	02	01	H5253_011_0	11	1	10	0000000000000011000000000000000000000000000000		1	0	20	2	1	0.00	15.00
H5253	011	0	1	02	01	H5253_011_0	11	1	9	0010000100000100110100000000000000000000000000		1	20	20	2	2		
H5253	011	0	1	02	01	H5253_011_0	11	1	8	0000010000000000000000000000000001000000000000		2				1	10.00	10.00
H5253	011	0	1	02	01	H5253_011_0	11	1	7	0000001010110000000000000000000000000000000000		2				1	20.00	20.00
H5253	011	0	1	02	01	H5253_011_0	11	1	6	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H5253	011	0	1	02	01	H5253_011_0	11	1	5	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H5253	011	0	1	02	01	H5253_011_0	11	1	4	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H5253	011	0	1	02	01	H5253_011_0	11	1	3	0000100000000000000000000010000010111111000000		2				2		
H5253	011	0	1	02	01	H5253_011_0	11	1	2	0100000000000000000000000000000000000000000000		2				1	125.00	125.00
H5253	021	0	1	02	01	H5253_021_0	8	1	1	0010000100000100110100111000000000000000000000		1	25	25	2	2		
H5253	021	0	1	02	01	H5253_021_0	8	1	8	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H5253	021	0	1	02	01	H5253_021_0	8	1	7	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H5253	021	0	1	02	01	H5253_021_0	8	1	6	0000100000000000000000000010000110111111000000		2				2		
H5253	021	0	1	02	01	H5253_021_0	8	1	9	0100000000000000000000000000000000000000000000		2				1	150.00	150.00
H5253	021	0	1	02	01	H5253_021_0	8	1	4	0000000000000011000000000000000000000000000000		1	0	25	2	1	0.00	15.00
H5253	021	0	1	02	01	H5253_021_0	8	1	3	0000001011111000001000000000000001000000000000		2				1	30.00	30.00
H5253	021	0	1	02	01	H5253_021_0	8	1	2	0000000000000000000000000100000000000000100000		1	30	30	2	2		
H5253	021	0	1	02	01	H5253_021_0	8	1	10	0000010000000000000000000000000001000000000000		2				1	15.00	15.00
H5253	021	0	1	02	01	H5253_021_0	8	1	5	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H5253	022	0	1	02	01	H5253_022_0	4	1	1	0000100000000000000000000010000010111111000000		2				2		
H5253	022	0	1	02	01	H5253_022_0	4	1	2	0000001010110000000000000000000000000000000000		2				1	20.00	20.00
H5253	022	0	1	02	01	H5253_022_0	4	1	5	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H5253	022	0	1	02	01	H5253_022_0	4	1	4	0000000000000000000000111100000000000000100000		1	30	30	2	2		
H5253	022	0	1	02	01	H5253_022_0	4	1	3	0010000100000100110100000000000000000000000000		1	20	20	2	2		
H5253	801	0	1	01	01	H5253_801_0	3	1	9	0000000000000000000000000100000000000000100000		1	30	30	2	2		
H5253	801	0	1	01	01	H5253_801_0	3	1	8	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H5253	801	0	1	01	01	H5253_801_0	3	1	7	0100000000000000000000000000000000000000000000		2				1	160.00	160.00
H5253	801	0	1	01	01	H5253_801_0	3	1	6	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H5253	801	0	1	01	01	H5253_801_0	3	1	1	0000100000000000000000000010000110111111000000		2				2		
H5253	801	0	1	01	01	H5253_801_0	3	1	4	0000001010110000000000000000000000000000000000		2				1	35.00	35.00
H5253	801	0	1	01	01	H5253_801_0	3	1	3	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H5253	801	0	1	01	01	H5253_801_0	3	1	2	0010000100000100110100111000000000000000000000		1	25	25	2	2		
H5253	801	0	1	01	01	H5253_801_0	3	1	5	0000000000000011000000000000000000000000000000		1	0	25	2	1	0.00	15.00
H5253	802	0	1	01	01	H5253_802_0	4	1	6	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H5253	802	0	1	01	01	H5253_802_0	4	1	7	0100000000000000000000000000000000000000000000		2				1	160.00	160.00
H5253	802	0	1	01	01	H5253_802_0	4	1	8	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H5253	802	0	1	01	01	H5253_802_0	4	1	5	0000000000000011000000000000000000000000000000		1	0	25	2	1	0.00	15.00
H5253	802	0	1	01	01	H5253_802_0	4	1	4	0000001010110000000000000000000000000000000000		2				1	35.00	35.00
H5253	802	0	1	01	01	H5253_802_0	4	1	3	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H5253	802	0	1	01	01	H5253_802_0	4	1	2	0000000100000100110100111000000000000000000000		1	25	25	2	2		
H5253	802	0	1	01	01	H5253_802_0	4	1	10	0000010000000000000000000000000001000000000000		2				1	30.00	30.00
H5253	802	0	1	01	01	H5253_802_0	4	1	9	0000000000000000000000000100000000000000100000		1	30	30	2	2		
H5253	802	0	1	01	01	H5253_802_0	4	1	1	0000100000000000000000000010000110111111000000		2				2		
H5415	039	0	1	04	01	H5415_039_0	4	2	1	0111111111101111111110111110000000000000101111		1	20	20	6	2		
H5417	006	0	1	04	01	H5417_006_0	9	1	1	0000100000000000000000000010000110111111000000		2				2		
H5417	006	0	1	04	01	H5417_006_0	9	1	10	0000000000000011000000000000000000000000000000		1	20	30	2	1	0.00	15.00
H5417	006	0	1	04	01	H5417_006_0	9	1	2	0000000000000000000000111100000000000000100000		1	30	30	2	2		
H5417	006	0	1	04	01	H5417_006_0	9	1	3	0010000100000100110100000000000000000000000000		1	20	30	2	2		
H5417	006	0	1	04	01	H5417_006_0	9	1	4	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H5417	006	0	1	04	01	H5417_006_0	9	1	5	0000010000000000000000000000000001000000000000		2				1	3.00	3.00
H5417	006	0	1	04	01	H5417_006_0	9	1	6	0000001010110000000000000000000000000000000000		2				1	25.00	25.00
H5417	006	0	1	04	01	H5417_006_0	9	1	7	0100000000000000000000000000000000000000000000		2				1	150.00	150.00
H5417	006	0	1	04	01	H5417_006_0	9	1	8	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H5417	006	0	1	04	01	H5417_006_0	9	1	9	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H5424	001	0	1	04	01	H5424_001_0	7	1	10	0000000000000000000000111100000000000000100000		1	30	30	2	2		
H5424	001	0	1	04	01	H5424_001_0	7	1	1	0100000000000000000000000000000000000000000000		2				1	125.00	125.00
H5424	001	0	1	04	01	H5424_001_0	7	1	9	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H5424	001	0	1	04	01	H5424_001_0	7	1	8	0000100000000000000000000010000011111111000000		2				2		
H5424	001	0	1	04	01	H5424_001_0	7	1	2	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H5424	001	0	1	04	01	H5424_001_0	7	1	6	0000000000000011000000000000000000000000000000		1	0	25	2	1	0.00	15.00
H5424	001	0	1	04	01	H5424_001_0	7	1	5	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H5424	001	0	1	04	01	H5424_001_0	7	1	4	0000001010110000000000000000000000000000000000		2				1	20.00	20.00
H5424	001	0	1	04	01	H5424_001_0	7	1	3	0010000100000100110100000000000000000000100000		1	25	25	2	2		
H5424	001	0	1	04	01	H5424_001_0	7	1	7	0000010000000000000000000000000001000000000000		2				1	5.00	5.00
H5424	003	0	1	04	01	H5424_003_0	4	1	10	0010000100000100110100000000000000000000000000		1	20	20	2	2		
H5424	003	0	1	04	01	H5424_003_0	4	1	1	0000000000000000000000111100000000000000100000		1	30	30	2	2		
H5424	003	0	1	04	01	H5424_003_0	4	1	9	0100000000000000000000000000000000000000000000		2				1	75.00	75.00
H5424	003	0	1	04	01	H5424_003_0	4	1	3	0000000000000011000000000000000000000000000000		1	0	20	2	1	0.00	15.00
H5424	003	0	1	04	01	H5424_003_0	4	1	4	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H5424	003	0	1	04	01	H5424_003_0	4	1	5	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H5424	003	0	1	04	01	H5424_003_0	4	1	6	0000010000000000000000000000000001000000000000		2				1	5.00	5.00
H5424	003	0	1	04	01	H5424_003_0	4	1	2	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H5424	003	0	1	04	01	H5424_003_0	4	1	8	0000100000000000000000000010000110111111000000		2				2		
H5424	003	0	1	04	01	H5424_003_0	4	1	7	0000001010110000000000000000000000000000000000		2				1	10.00	10.00
H5424	801	0	1	04	01	H5424_801_0	3	1	9	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H5424	801	0	1	04	01	H5424_801_0	3	1	8	0000100000000000000000000010000111111111000010		2				2		
H5424	801	0	1	04	01	H5424_801_0	3	1	7	0000010000000000000000000000000001000000000000		2				1	10.00	10.00
H5424	801	0	1	04	01	H5424_801_0	3	1	6	0000000000000011000000000000000000000000000000		1	0	30	2	1	0.00	15.00
H5424	801	0	1	04	01	H5424_801_0	3	1	5	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H5424	801	0	1	04	01	H5424_801_0	3	1	3	0010000100000100110100111100000000000000100000		1	30	30	2	2		
H5424	801	0	1	04	01	H5424_801_0	3	1	4	0000001010110000000000000000000000000000001101		2				1	20.00	20.00
H5424	801	0	1	04	01	H5424_801_0	3	1	2	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H5424	801	0	1	04	01	H5424_801_0	3	1	1	0100000000000000000000000000000000000000000000		2				1	130.00	130.00
H5426	001	0	1	01	01	H5426_001_0	15	1	2	0000010000000000000000000000000000000000000000	PCP Office Visit	2				1	50.00	50.00
H5426	001	0	1	01	01	H5426_001_0	15	1	1	0100000000000000000000000000000000000000000000	Skilled Nursing Facility	2				1	0.00	150.00
H5426	001	0	1	01	01	H5426_001_0	15	1	3	0000000010000000000000000000000000000000000000	Specialist Office Visit	2				1	100.00	100.00
H5426	002	0	1	01	01	H5426_002_0	15	1	1	0100000000000000000000000000000000000000000000	Skilled Nursing Facility	2				1	0.00	150.00
H5426	002	0	1	01	01	H5426_002_0	15	1	2	0000010000000000000000000000000000000000000000	PCP Office Visit	2				1	50.00	50.00
H5426	002	0	1	01	01	H5426_002_0	15	1	3	0000000010000000000000000000000000000000000000	Specialist Office Visit	2				1	100.00	100.00
H5426	003	0	1	01	01	H5426_003_0	12	1	2	0000010000000000000000000000000000000000000000	PCP Office Visit	2				1	50.00	50.00
H5426	003	0	1	01	01	H5426_003_0	12	1	1	0100000000000000000000000000000000000000000000	Skilled Nursing Facility	2				1	0.00	150.00
H5426	003	0	1	01	01	H5426_003_0	12	1	3	0000000010000000000000000000000000000000000000	Specialist Office Visit	2				1	100.00	100.00
H5426	007	0	1	02	01	H5426_007_0	18	1	1	0100000000000000000000000000000000000000000000	Skilled Nursing Facility	2				1	0.00	150.00
H5426	007	0	1	02	01	H5426_007_0	18	1	2	0000010000000000000000000000000000000000000000	PCP Office Visit	2				1	50.00	50.00
H5426	007	0	1	02	01	H5426_007_0	18	1	3	0000000010000000000000000000000000000000000000	Specialist Office Visit	2				1	100.00	100.00
H5426	008	0	1	02	01	H5426_008_0	18	1	1	0100000000000000000000000000000000000000000000	Skilled Nursing Facility	2				1	0.00	150.00
H5426	008	0	1	02	01	H5426_008_0	18	1	2	0000010000000000000000000000000000000000000000	PCP Office Visit	2				1	50.00	50.00
H5426	008	0	1	02	01	H5426_008_0	18	1	3	0000000010000000000000000000000000000000000000	Specialist Office Visit	2				1	100.00	100.00
H5426	009	0	1	02	01	H5426_009_0	17	1	2	0000010000000000000000000000000000000000000000	PCP Office Visit	2				1	50.00	50.00
H5426	009	0	1	02	01	H5426_009_0	17	1	1	0100000000000000000000000000000000000000000000	Skilled Nursing Facility	2				1	0.00	150.00
H5426	009	0	1	02	01	H5426_009_0	17	1	3	0000000010000000000000000000000000000000000000	Specialist Office Visit	2				1	100.00	100.00
H5500	001	0	1	04	01	H5500_001_0	5	1	9	0000010000000000000000000000000001000000000000		2				1	15.00	15.00
H5500	001	0	1	04	01	H5500_001_0	5	1	8	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H5500	001	0	1	04	01	H5500_001_0	5	1	1	0100000000000000000000000000000000000000000000		2				1	150.00	150.00
H5500	001	0	1	04	01	H5500_001_0	5	1	10	0000001010110000000000000000000000000000000000		2				1	25.00	25.00
H5500	001	0	1	04	01	H5500_001_0	5	1	2	0000000000000000000000111000000000000000000000		1	25	25	2	2		
H5500	001	0	1	04	01	H5500_001_0	5	1	3	0000100000000000000000000010000110111111000000		2				2		
H5500	001	0	1	04	01	H5500_001_0	5	1	4	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H5500	001	0	1	04	01	H5500_001_0	5	1	5	0000000000000011000000000000000000000000000000		1	0	30	2	1	0.00	15.00
H5500	001	0	1	04	01	H5500_001_0	5	1	6	0000000100000100110100000100000000000000100000		1	30	30	2	2		
H5500	001	0	1	04	01	H5500_001_0	5	1	7	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H5507	001	0	1	04	01	H5507_001_0	5	1	9	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H5507	001	0	1	04	01	H5507_001_0	5	1	10	0000010000000000000000000000000000000000000000		2				1	15.00	15.00
H5507	001	0	1	04	01	H5507_001_0	5	1	2	0000100000000000000000000010000010111111000000		2				2		
H5507	001	0	1	04	01	H5507_001_0	5	1	3	0010000100000100110100111000000000000000000000		1	25	25	2	2		
H5507	001	0	1	04	01	H5507_001_0	5	1	1	0000001010110000000000000000000000000000000000		2				1	30.00	30.00
H5507	001	0	1	04	01	H5507_001_0	5	1	5	0000000000000000000000000100000000000000100000		1	30	30	2	2		
H5507	001	0	1	04	01	H5507_001_0	5	1	6	0000000000000011000000000000000000000000000000		1	0	25	2	1	0.00	15.00
H5507	001	0	1	04	01	H5507_001_0	5	1	7	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H5507	001	0	1	04	01	H5507_001_0	5	1	8	0100000000000000000000000000000000000000000000		2				1	125.00	125.00
H5507	001	0	1	04	01	H5507_001_0	5	1	4	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H5516	001	0	1	04	01	H5516_001_0	6	1	8	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H5516	001	0	1	04	01	H5516_001_0	6	1	9	0000010000000000000000000000000001000000000000		2				1	15.00	15.00
H5516	001	0	1	04	01	H5516_001_0	6	1	7	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H5516	001	0	1	04	01	H5516_001_0	6	1	6	0010000100000100110100111100000000000000100000		1	30	30	2	2		
H5516	001	0	1	04	01	H5516_001_0	6	1	5	0000000000000011000000000000000000000000000000		1	0	30	2	1	0.00	15.00
H5516	001	0	1	04	01	H5516_001_0	6	1	4	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H5516	001	0	1	04	01	H5516_001_0	6	1	3	0000100000000000000000000010000110111111000000		2				2		
H5516	001	0	1	04	01	H5516_001_0	6	1	2	0000001010110000000000000000000000000000000000		2				1	25.00	25.00
H5516	001	0	1	04	01	H5516_001_0	6	1	1	0100000000000000000000000000000000000000000000		2				1	160.00	160.00
H5527	001	0	1	04	01	H5527_001_0	8	1	10	0000001010110000000000000000000000000000000000		2				1	20.00	20.00
H5527	001	0	1	04	01	H5527_001_0	8	1	2	0000100000000000000000000010000110111111000000		2				2		
H5527	001	0	1	04	01	H5527_001_0	8	1	3	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H5527	001	0	1	04	01	H5527_001_0	8	1	4	0000000000000000000000111100000000000000100000		1	30	30	2	2		
H5527	001	0	1	04	01	H5527_001_0	8	1	7	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H5527	001	0	1	04	01	H5527_001_0	8	1	6	0000000000000011000000000000000000000000000000		1	0	25	2	1	0.00	15.00
H5527	001	0	1	04	01	H5527_001_0	8	1	1	0100000000000000000000000000000000000000000000		2				1	140.00	140.00
H5527	001	0	1	04	01	H5527_001_0	8	1	9	0000010000000000000000000000000001000000000000		2				1	10.00	10.00
H5527	001	0	1	04	01	H5527_001_0	8	1	8	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H5527	001	0	1	04	01	H5527_001_0	8	1	5	0010000100000100110100000000000000000000000000		1	25	25	2	2		
H5532	001	0	1	04	01	H5532_001_0	5	1	1	0000100000000000000000000010000110111111000000		2				2		
H5532	001	0	1	04	01	H5532_001_0	5	1	10	0100000000000000000000000000000000000000000000		2				1	150.00	150.00
H5532	001	0	1	04	01	H5532_001_0	5	1	2	0000000000000000000000000100000000000000100000		1	30	30	2	2		
H5532	001	0	1	04	01	H5532_001_0	5	1	3	0010000100000100110100111000000000000000000000		1	25	25	2	2		
H5532	001	0	1	04	01	H5532_001_0	5	1	4	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H5532	001	0	1	04	01	H5532_001_0	5	1	6	0000001010110000000000000000000000000000000000		2				1	25.00	25.00
H5532	001	0	1	04	01	H5532_001_0	5	1	5	0000010000000000000000000000000001000000000000		2				1	15.00	15.00
H5532	001	0	1	04	01	H5532_001_0	5	1	9	0000000000000011000000000000000000000000000000		1	0	25	2	1	0.00	15.00
H5532	001	0	1	04	01	H5532_001_0	5	1	8	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H5532	001	0	1	04	01	H5532_001_0	5	1	7	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H5591	001	0	1	01	01	H5591_001_0	6	1	6	0000000000000001000000111000000000000000100000	Group 6	1	20	20	1	2		
H5591	001	0	1	01	01	H5591_001_0	6	1	5	0000000000000000000000000010000000000000000000	Group 5	2				2		
H5591	001	0	1	01	01	H5591_001_0	6	1	2	0000001010000100000000000000000000000000000000	Group 2	2				1	20.00	20.00
H5591	001	0	1	01	01	H5591_001_0	6	1	3	0000000001001000001000000000000000000000000000	Group 3	2				1	10.00	20.00
H5591	001	0	1	01	01	H5591_001_0	6	1	4	0000000000000010000000000000000000000000000000	Group 4	1	10	20	1	2		
H5591	001	0	1	01	01	H5591_001_0	6	1	1	0000010000000000000000000000000000000000000000	Group 1	2				1	15.00	15.00
H5611	001	0	1	01	01	H5611_001_0	6	1	1	0111011111111111111111111110000011111111101111	Part B Coinsurance	1	0	20	2	2		
H5611	003	0	1	01	01	H5611_003_0	4	1	1	0111011111111111111111111110000011111111101111	Part B Coinsurance	1	0	20	2	2		
H5611	004	0	1	01	01	H5611_004_0	5	1	1	0111011111111111111111111110000011111111101111	Part B Coinsurance	1	0	20	2	2		
H5611	005	0	1	01	01	H5611_005_0	4	1	1	0111011111111111111111111110000011111111101111	Part B Coinsurance	1	0	20	2	2		
H5611	006	0	1	01	01	H5611_006_0	4	1	1	0111011111111111111111111110000011111111101111	Part B Coinsurance	1	0	20	2	2		
H5611	007	0	1	01	01	H5611_007_0	6	1	1	0111011111111111111111111110000011111111101111	Part B Coinsurance	1	0	20	2	2		
H5611	008	0	1	01	01	H5611_008_0	5	1	1	0111011111111111111111111110000011111111101111	Part B Coinsurance	1	0	20	2	2		
H5611	009	0	1	01	01	H5611_009_0	5	1	1	0111011111111111111111111110000011111111101111	Part B Coinsurance	1	0	20	2	2		
H5611	010	0	1	01	01	H5611_010_0	3	1	1	0111011111111111111111111110000011111111101111	Part B Coinsurance	1	0	20	2	2		
H5611	012	0	1	01	01	H5611_012_0	7	1	1	0111011111111111111111111110000011111111101111	Part B Coinsurance	1	0	20	2	2		
H5611	013	0	1	01	01	H5611_013_0	5	1	1	0111011111111111111111111110000011111111101111	Part B Coinsurance	1	0	20	2	2		
H5657	005	0	1	09	04	H5657_005_0	7	2	1	0111111111101111111110111110000000000000100000		1	20	20	6	2		
H5732	002	0	1	01	01	H5732_002_0	3	1	1	1111111111111111111110111110000111111111111111		1	20	20	1	2		
H5850	001	0	1	01	01	H5850_001_0	5	1	1	0000010010000000000000000000000000000000000000	Physician Travel Benefit	2				1	20.00	20.00
H5850	002	0	1	01	01	H5850_002_0	5	1	1	0000010010000000000000000000000000000000000000	Physician Travel Benefit	2				2		
H5850	003	0	1	01	01	H5850_003_0	4	1	1	0000010010000000000000000000000000000000000000	Physician Travel Benefit	2				1	20.00	20.00
H5850	004	0	1	01	01	H5850_004_0	5	1	1	0000010010000000000000000000000000000000000000	Physician Travel Benefit	2				1	20.00	20.00
H5850	005	0	1	01	01	H5850_005_0	5	1	1	0000010010000000000000000000000000000000000000	Physician Travel Benefit	2				1	20.00	20.00
H5850	006	0	1	01	01	H5850_006_0	6	1	1	0000010010000000000000000000000000000000000000	Physician Travel Benefit	2				1	20.00	20.00
H5850	007	0	1	01	01	H5850_007_0	5	1	1	0000010010000000000000000000000000000000000000	Physician Travel Benefit	2				1	15.00	15.00
H5850	008	0	1	01	01	H5850_008_0	5	1	1	0000010010000000000000000000000000000000000000	Physician Travel Benefit	2				2		
H5850	009	0	1	01	01	H5850_009_0	4	1	1	0000010010000000000000000000000000000000000000	Physician Travel Benefit	2				1	25.00	25.00
H5850	010	0	1	01	01	H5850_010_0	4	1	1	0000010010000000000000000000000000000000000000	Physician Travel Benefit	2				1	25.00	25.00
H5862	001	0	1	09	04	H5862_001_0	4	2	1	0000010010001000000000000000000000000000000000		2				1	30.00	30.00
H5862	001	0	1	09	04	H5862_001_0	4	2	2	0000000000000011100010100000000000000000000000		1	20	20	2	2		
H5936	001	0	1	01	01	H5936_001_0	6	1	1	0111011111111111111111111110000011111111101111	Part B Coinsurance	1	0	20	2	2		
H5936	003	0	1	01	01	H5936_003_0	3	1	1	0111011111111111111111111110000011111111101111	Part B Coinsurance	1	0	20	2	2		
H5936	004	0	1	01	01	H5936_004_0	4	1	1	0111011111111111111111111110000011111111101111	Part B Coinsurance	1	0	20	2	2		
H5936	005	0	1	01	01	H5936_005_0	5	1	1	0111011111111111111111111110000011111111101111	Part B Coinsurance	1	0	20	2	2		
H5936	006	0	1	01	01	H5936_006_0	4	1	1	0111011111111111111111111110000011111111101111	Part B Coinsurance	1	0	20	2	2		
H5936	007	0	1	01	01	H5936_007_0	4	1	1	0111011111111111111111111110000011111111101111	Part B Coinsurance	1	0	20	2	2		
H5936	008	0	1	01	01	H5936_008_0	6	1	1	0111011111111111111111111110000011111111101111	Part B Coinsurance	1	0	20	2	2		
H5936	009	0	1	01	01	H5936_009_0	5	1	1	0111011111111111111111111110000011111111101111	Part B Coinsurance	1	0	20	2	2		
H5936	010	0	1	01	01	H5936_010_0	5	1	1	0111011111111111111111111110000011111111101111	Part B Coinsurance	1	0	20	2	2		
H5936	013	0	1	01	01	H5936_013_0	7	1	1	0111011111111111111111111110000011111111101111	Part B Coinsurance	1	0	20	2	2		
H5936	014	0	1	01	01	H5936_014_0	5	1	1	0111011111111111111111111110000011111111101111	Part B Coinsurance	1	0	20	2	2		
H7187	003	0	1	02	01	H7187_003_0	7	1	4	0010000100000100110100111100000000000000100000		1	30	30	2	2		
H7187	003	0	1	02	01	H7187_003_0	7	1	3	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H7187	003	0	1	02	01	H7187_003_0	7	1	2	0000100000000000000000000010000110111111000000		2				2		
H7187	003	0	1	02	01	H7187_003_0	7	1	1	0100000000000000000000000000000000000000000000		2				1	150.00	150.00
H7187	003	0	1	02	01	H7187_003_0	7	1	9	0000001010110000000000000000000000000000000000		2				1	25.00	25.00
H7187	003	0	1	02	01	H7187_003_0	7	1	6	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H7187	003	0	1	02	01	H7187_003_0	7	1	7	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H7187	003	0	1	02	01	H7187_003_0	7	1	8	0000010000000000000000000000000001000000000000		2				1	10.00	10.00
H7187	003	0	1	02	01	H7187_003_0	7	1	5	0000000000000011000000000000000000000000000000		1	0	30	2	1	0.00	15.00
H7187	004	0	1	02	01	H7187_004_0	3	1	4	0010000100000100110100111100000000000000100000		1	30	30	2	2		
H7187	004	0	1	02	01	H7187_004_0	3	1	3	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H7187	004	0	1	02	01	H7187_004_0	3	1	2	0000100000000000000000000010000110111111000000		2				2		
H7187	004	0	1	02	01	H7187_004_0	3	1	1	0100000000000000000000000000000000000000000000		2				1	150.00	150.00
H7187	004	0	1	02	01	H7187_004_0	3	1	5	0000000000000011000000000000000000000000000000		1	0	30	2	1	0.00	15.00
H7187	004	0	1	02	01	H7187_004_0	3	1	9	0000001010110000000000000000000000000000000000		2				1	25.00	25.00
H7187	004	0	1	02	01	H7187_004_0	3	1	8	0000010000000000000000000000000001000000000000		2				1	10.00	10.00
H7187	004	0	1	02	01	H7187_004_0	3	1	7	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H7187	004	0	1	02	01	H7187_004_0	3	1	6	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H7187	801	0	1	01	01	H7187_801_0	4	1	1	0100000000000000000000000000000000000000000000		2				1	150.00	150.00
H7187	801	0	1	01	01	H7187_801_0	4	1	2	0000100000000000000000000010000110111111000000		2				2		
H7187	801	0	1	01	01	H7187_801_0	4	1	3	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H7187	801	0	1	01	01	H7187_801_0	4	1	4	0010000100000100110100111100000000000000100000		1	30	30	2	2		
H7187	801	0	1	01	01	H7187_801_0	4	1	9	0000001010110000000000000000000000000000000000		2				1	30.00	30.00
H7187	801	0	1	01	01	H7187_801_0	4	1	7	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H7187	801	0	1	01	01	H7187_801_0	4	1	6	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H7187	801	0	1	01	01	H7187_801_0	4	1	5	0000000000000011000000000000000000000000000000		1	0	30	2	1	0.00	15.00
H7187	801	0	1	01	01	H7187_801_0	4	1	8	0000010000000000000000000000000001000000000000		2				1	25.00	25.00
H9005	007	0	1	01	01	H9005_007_0	6	1	1	0111111111111111111111111111111100000000000000	US Travel Benefit Coinsurance	1	20	20	2	2		
H9005	007	0	1	01	01	H9005_007_0	6	2	1	0111111111111111111111111111111100000000000000	Foreign Travel Benefit Coninsurance	1	20	20	2	2		
H9005	804	0	1	01	01	H9005_804_0	5	1	1	0111111111111111111111111111111100000000000000	US Visitor/Travel Benefit Coinsurnace	1	20	20	2	2		
H9005	804	0	1	01	01	H9005_804_0	5	2	1	0111111111111111111111111111111100000000000000	Foreign Travel Benefit Coninsurance	1	20	20	2	2		
H9011	003	0	1	01	01	H9011_003_0	5	1	4	0000000000000000000000111100000000000000100000		1	30	30	2	2		
H9011	003	0	1	01	01	H9011_003_0	5	1	3	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H9011	003	0	1	01	01	H9011_003_0	5	1	1	0110111111111111111100000010000111111111100000		2				1	0.00	0.00
H9011	003	0	1	01	01	H9011_003_0	5	1	2	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H9011	012	0	1	01	01	H9011_012_0	7	1	3	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H9011	012	0	1	01	01	H9011_012_0	7	1	2	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H9011	012	0	1	01	01	H9011_012_0	7	1	1	0111111111111111101110111110000111111111100000		2				1	0.00	0.00
H9011	012	0	1	01	01	H9011_012_0	7	1	4	0000000000000000000000000100000000000000100000		1	30	30	2	2		
H9011	801	0	1	01	01	H9011_801_0	3	1	6	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H9011	801	0	1	01	01	H9011_801_0	3	1	7	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H9011	801	0	1	01	01	H9011_801_0	3	1	8	0000000000000011000000000000000000000000000000		1	0	30	2	1	15.00	15.00
H9011	801	0	1	01	01	H9011_801_0	3	1	5	0100000000000000000000000000000000000000000000		2				1	160.00	160.00
H9011	801	0	1	01	01	H9011_801_0	3	1	4	0000001010110000000000000000000000000000000000		2				1	50.00	50.00
H9011	801	0	1	01	01	H9011_801_0	3	1	3	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H9011	801	0	1	01	01	H9011_801_0	3	1	1	0010100100000100100100000010000110111111000000		2				2		
H9011	801	0	1	01	01	H9011_801_0	3	1	2	0000000000000000000000000100000000000000100000		1	30	30	2	2		
H9011	802	0	1	01	01	H9011_802_0	2	1	5	0100000000000000000000000000000000000000000000		2				1	160.00	160.00
H9011	802	0	1	01	01	H9011_802_0	2	1	6	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
H9011	802	0	1	01	01	H9011_802_0	2	1	7	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
H9011	802	0	1	01	01	H9011_802_0	2	1	8	0000000000000011000000000000000000000000000000		1	0	25	2	1	15.00	15.00
H9011	802	0	1	01	01	H9011_802_0	2	1	3	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
H9011	802	0	1	01	01	H9011_802_0	2	1	2	0000000000000000000000000100000000000000100000		1	30	30	2	2		
H9011	802	0	1	01	01	H9011_802_0	2	1	1	0010100100000100100100000010000110111111000000		2				2		
H9011	802	0	1	01	01	H9011_802_0	2	1	4	0000001010110000000000000000000000000000000000		2				1	50.00	50.00
R3175	001	0	1	31	11	R3175_001_0	5	1	8	0000001010110000000000000000000000000000000000		2				1	25.00	25.00
R3175	001	0	1	31	11	R3175_001_0	5	1	7	0000010000000000000000000000000001000000000000		2				1	10.00	10.00
R3175	001	0	1	31	11	R3175_001_0	5	1	6	0000000000000011000000000000000000000000000000		1	0	25	6	1	0.00	15.00
R3175	001	0	1	31	11	R3175_001_0	5	1	5	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
R3175	001	0	1	31	11	R3175_001_0	5	1	9	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
R3175	001	0	1	31	11	R3175_001_0	5	1	3	0010000100000100110100000000000000000000000000		1	25	25	6	2		
R3175	001	0	1	31	11	R3175_001_0	5	1	2	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
R3175	001	0	1	31	11	R3175_001_0	5	1	10	0000000000000000000000111100000000000000100000		1	30	30	2	2		
R3175	001	0	1	31	11	R3175_001_0	5	1	1	0100000000000000000000000000000000000000000000		2				1	150.00	150.00
R3175	001	0	1	31	11	R3175_001_0	5	1	4	0000100000000000000000000010000010111111000000		2				2		
R3175	002	0	1	31	11	R3175_002_0	6	1	8	0000100000000000000000000010000010111111000000		2				2		
R3175	002	0	1	31	11	R3175_002_0	6	1	7	0000001010110000000000000000000000000000000000		2				1	20.00	20.00
R3175	002	0	1	31	11	R3175_002_0	6	1	6	0000010000000000000000000000000001000000000000		2				1	10.00	10.00
R3175	002	0	1	31	11	R3175_002_0	6	1	5	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
R3175	002	0	1	31	11	R3175_002_0	6	1	4	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
R3175	002	0	1	31	11	R3175_002_0	6	1	3	0000000000000011000000000000000000000000000000		1	0	20	2	1	0.00	15.00
R3175	002	0	1	31	11	R3175_002_0	6	1	2	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
R3175	002	0	1	31	11	R3175_002_0	6	1	10	0010000100000100110100000000000000000000000000		1	20	20	2	2		
R3175	002	0	1	31	11	R3175_002_0	6	1	1	0000000000000000000000111100000000000000100000		1	30	30	2	2		
R3175	002	0	1	31	11	R3175_002_0	6	1	9	0100000000000000000000000000000000000000000000		2				1	75.00	75.00
R3175	801	0	1	31	11	R3175_801_0	4	1	1	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
R3175	801	0	1	31	11	R3175_801_0	4	1	10	0000000000000000000000111100000000000000100000		1	30	30	2	2		
R3175	801	0	1	31	11	R3175_801_0	4	1	9	0000010000000000000000000000000001000000000000		2				1	15.00	15.00
R3175	801	0	1	31	11	R3175_801_0	4	1	8	0100000000000000000000000000000000000000000000		2				1	160.00	160.00
R3175	801	0	1	31	11	R3175_801_0	4	1	7	0000000000000011000000000000000000000000000000		1	0	25	2	1	0.00	15.00
R3175	801	0	1	31	11	R3175_801_0	4	1	6	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
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R5287	002	0	1	31	11	R5287_002_0	6	1	2	0010000100000100110100000000000000000000000000		1	20	30	2	2		
R5287	002	0	1	31	11	R5287_002_0	6	1	10	0000000000000000000000111100000000000000100000		1	30	30	2	2		
R5287	002	0	1	31	11	R5287_002_0	6	1	1	0000100000000000000000000010000110111110000000		2				2		
R5287	002	0	1	31	11	R5287_002_0	6	1	4	0000010000000000000000000000000001000000000000		2				1	10.00	10.00
R5287	002	0	1	31	11	R5287_002_0	6	1	9	0000000000000011000000000000000000000000000000		1	0	30	6	1	0.00	15.00
R5287	002	0	1	31	11	R5287_002_0	6	1	8	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
R5287	002	0	1	31	11	R5287_002_0	6	1	7	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
R5287	002	0	1	31	11	R5287_002_0	6	1	6	0100000000000000000000000000000000000000000000		2				1	125.00	125.00
R5287	002	0	1	31	11	R5287_002_0	6	1	5	0000001010100000000000000000000000000000000000		2				1	25.00	25.00
R5287	801	0	1	31	11	R5287_801_0	4	1	1	0000100000000000000000000010000110111110000000		2				2		
R5287	801	0	1	31	11	R5287_801_0	4	1	10	0000000000000000000000000100000000000000100000		1	30	30	2	2		
R5287	801	0	1	31	11	R5287_801_0	4	1	2	0010000100000100110100000000000000000000000000		1	25	25	2	2		
R5287	801	0	1	31	11	R5287_801_0	4	1	3	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
R5287	801	0	1	31	11	R5287_801_0	4	1	9	0000000000000011000000000000000000000000000000		1	0	25	2	1	0.00	15.00
R5287	801	0	1	31	11	R5287_801_0	4	1	7	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
R5287	801	0	1	31	11	R5287_801_0	4	1	6	0100000000000000000000000000000000000000000000		2				1	150.00	150.00
R5287	801	0	1	31	11	R5287_801_0	4	1	5	0000001010110000000000000000000000000000000000		2				1	35.00	35.00
R5287	801	0	1	31	11	R5287_801_0	4	1	4	0000010000000000000000000000000001000000000000		2				1	30.00	30.00
R5287	801	0	1	31	11	R5287_801_0	4	1	8	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
R5287	802	0	1	31	11	R5287_802_0	5	1	1	0000100000000000000000000010000110111111000000		2				2		
R5287	802	0	1	31	11	R5287_802_0	5	1	10	0010000100000100110100111000000000000000000000		1	25	25	2	2		
R5287	802	0	1	31	11	R5287_802_0	5	1	2	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
R5287	802	0	1	31	11	R5287_802_0	5	1	3	0000010000000000000000000000000001000000000000		2				1	30.00	30.00
R5287	802	0	1	31	11	R5287_802_0	5	1	4	0000001010110000000000000000000000000000000000		2				1	35.00	35.00
R5287	802	0	1	31	11	R5287_802_0	5	1	5	0100000000000000000000000000000000000000000000		2				1	150.00	150.00
R5287	802	0	1	31	11	R5287_802_0	5	1	6	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
R5287	802	0	1	31	11	R5287_802_0	5	1	7	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
R5287	802	0	1	31	11	R5287_802_0	5	1	8	0000000000000011000000000000000000000000000000		1	0	25	2	1	0.00	15.00
R5287	802	0	1	31	11	R5287_802_0	5	1	9	0000000000000000000000000100000000000000100000		1	30	30	2	2		
R5342	001	0	1	31	11	R5342_001_0	8	1	7	0000000000000000000000111100000000000000100000		1	30	30	2	2		
R5342	001	0	1	31	11	R5342_001_0	8	1	6	0000010000000000000000000000000001000000000000		2				1	10.00	10.00
R5342	001	0	1	31	11	R5342_001_0	8	1	5	0000001010110000000000000000000000000000000000		2				1	25.00	25.00
R5342	001	0	1	31	11	R5342_001_0	8	1	4	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
R5342	001	0	1	31	11	R5342_001_0	8	1	9	0010000100000100110100000000000000000000000000		1	20	20	2	2		
R5342	001	0	1	31	11	R5342_001_0	8	1	2	0000000000000011000000000000000000000000000000		1	0	20	2	2		
R5342	001	0	1	31	11	R5342_001_0	8	1	10	0100000000000000000000000000000000000000000000		2				1	95.00	95.00
R5342	001	0	1	31	11	R5342_001_0	8	1	1	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
R5342	001	0	1	31	11	R5342_001_0	8	1	8	0000100000000000000000000010000110111111000000		2				2		
R5342	001	0	1	31	11	R5342_001_0	8	1	3	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
R5342	002	0	1	31	11	R5342_002_0	4	1	7	0000000000000000000000111100000000000000100000		1	30	30	2	2		
R5342	002	0	1	31	11	R5342_002_0	4	1	6	0000010000000000000000000000000001000000000000		2				1	10.00	10.00
R5342	002	0	1	31	11	R5342_002_0	4	1	5	0000001010110000000000000000000000000000000000		2				1	25.00	25.00
R5342	002	0	1	31	11	R5342_002_0	4	1	4	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
R5342	002	0	1	31	11	R5342_002_0	4	1	3	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
R5342	002	0	1	31	11	R5342_002_0	4	1	2	0000000000000011000000000000000000000000000000		1	0	20	2	2		
R5342	002	0	1	31	11	R5342_002_0	4	1	10	0010000100000100010100000000000000000000000000		1	20	20	2	2		
R5342	002	0	1	31	11	R5342_002_0	4	1	1	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
R5342	002	0	1	31	11	R5342_002_0	4	1	8	0100000000000000000000000000000000000000000000		2				1	95.00	95.00
R5342	002	0	1	31	11	R5342_002_0	4	1	9	0000100000000000000000000010000010111111000000		2				2		
R5342	801	0	1	31	11	R5342_801_0	4	1	1	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
R5342	801	0	1	31	11	R5342_801_0	4	1	2	0000000000000011000000000000000000000000000000		1	0	30	2	1	0.00	15.00
R5342	801	0	1	31	11	R5342_801_0	4	1	9	0010000100000100110100111100000000000000100000		1	30	30	2	2		
R5342	801	0	1	31	11	R5342_801_0	4	1	8	0000100000000000000000000010000110111111000000		2				2		
R5342	801	0	1	31	11	R5342_801_0	4	1	7	0100000000000000000000000000000000000000000000		2				1	180.00	180.00
R5342	801	0	1	31	11	R5342_801_0	4	1	6	0000010000000000000000000000000001000000000000		2				1	20.00	20.00
R5342	801	0	1	31	11	R5342_801_0	4	1	5	0000001010110000000000000000000000000000000000		2				1	35.00	35.00
R5342	801	0	1	31	11	R5342_801_0	4	1	4	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
R5342	801	0	1	31	11	R5342_801_0	4	1	3	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
R5342	802	0	1	31	11	R5342_802_0	5	1	1	0000000000000000000010000000000000000000000000		2				1	175.00	175.00
R5342	802	0	1	31	11	R5342_802_0	5	1	8	0000100000000000000000000010000110111111000000		2				2		
R5342	802	0	1	31	11	R5342_802_0	5	1	7	0100000000000000000000000000000000000000000000		2				1	180.00	180.00
R5342	802	0	1	31	11	R5342_802_0	5	1	6	0000010000000000000000000000000001000000000000		2				1	20.00	20.00
R5342	802	0	1	31	11	R5342_802_0	5	1	9	0010000100000100110100111100000000000000100000		1	30	30	2	2		
R5342	802	0	1	31	11	R5342_802_0	5	1	4	0000000001001000001000000000000000000000000000		2				1	30.00	40.00
R5342	802	0	1	31	11	R5342_802_0	5	1	3	0001000000000000000000000000000000000000000000		2				1	60.00	60.00
R5342	802	0	1	31	11	R5342_802_0	5	1	2	0000000000000011000000000000000000000000000000		1	0	30	2	1	0.00	15.00
R5342	802	0	1	31	11	R5342_802_0	5	1	5	0000001010110000000000000000000000000000000000		2				1	35.00	35.00
R5566	005	0	1	31	11	R5566_005_0	2	1	2	0010011111111110001100000000000001000001001101		2				1	0.00	10.00
R5566	005	0	1	31	11	R5566_005_0	2	1	1	0100000000000000000000000000000000000000000000		2				1	0.00	50.00
R5566	005	0	1	31	11	R5566_005_0	2	1	3	0000000000000001000000111000000000000000000000		1	0	10	1	2		
R5566	005	0	1	31	11	R5566_005_0	2	1	4	0000000000000000110010000000000000000000000000		2				1	0.00	100.00
R5566	005	0	1	31	11	R5566_005_0	2	1	5	0000100000000000000000000110000010111110000000		2				2		
R5566	006	0	1	31	11	R5566_006_0	2	1	2	0010011111111110001100000000000001000001001101		2				1	0.00	10.00
R5566	006	0	1	31	11	R5566_006_0	2	1	1	0100000000000000000000000000000000000000000000		2				1	0.00	50.00
R5566	006	0	1	31	11	R5566_006_0	2	1	3	0000000000000001000000111000000000000000000000		1	0	10	1	2		
R5566	006	0	1	31	11	R5566_006_0	2	1	5	0000100000000000000000000110000010111110000000		2				2		
R5566	006	0	1	31	11	R5566_006_0	2	1	4	0000000000000000110010000000000000000000000000		2				1	0.00	100.00
R5566	008	0	1	31	11	R5566_008_0	2	1	1	0100000000000000000000000000000000000000000000		2				1	0.00	50.00
R5566	008	0	1	31	11	R5566_008_0	2	1	2	0010011111111110001100000000000001000001001101		2				1	0.00	10.00
R5566	008	0	1	31	11	R5566_008_0	2	1	4	0000000000000000110010000000000000000000000000		2				1	0.00	100.00
R5566	008	0	1	31	11	R5566_008_0	2	1	3	0000000000000001000000111000000000000000000000		1	0	10	1	2		
R5566	008	0	1	31	11	R5566_008_0	2	1	5	0000100000000000000000000110000010111110000000		2				2		
R5826	001	0	1	31	11	R5826_001_0	6	2	1	0111111111101111111110111100000000000000101111	Foreign	1	20	20	3	2		
R5826	002	0	1	31	11	R5826_002_0	6	2	1	0111111111101111111110111100000000000000101111	Foreign	1	20	20	3	2		
R5826	003	0	1	31	11	R5826_003_0	6	2	1	0111111111101111111110111100000000000000101111	Foreign	1	20	20	3	2		
R5826	004	0	1	31	11	R5826_004_0	6	2	1	0111111111101111111110111100000000000000101111	Foreign	1	20	20	3	2		
R5826	005	0	1	31	11	R5826_005_0	5	2	1	0111111111101111111110111100000000000000101111	Foreign	1	20	20	3	2		
R5826	006	0	1	31	11	R5826_006_0	5	2	1	0111111111101111111110111100000000000000101111	Foreign	1	20	20	3	2		
R5826	007	0	1	31	11	R5826_007_0	5	2	1	0111111111101111111110111100000000000000101111	Foreign	1	20	20	3	2		
R5826	008	0	1	31	11	R5826_008_0	6	2	1	0111111111101111111110111100000000000000101111	Foreign	1	20	20	3	2		
R5826	009	0	1	31	11	R5826_009_0	6	2	1	0111111111101111111110111100000000000000101111	Foreign	1	20	20	3	2		
R5826	010	0	1	31	11	R5826_010_0	6	2	1	0111111111101111111110111100000000000000101111	Foreign	1	20	20	3	2		
R5826	011	0	1	31	11	R5826_011_0	6	2	1	0111111111101111111110111100000000000000101111	Foreign	1	20	20	3	2		
R5826	012	0	1	31	11	R5826_012_0	6	2	1	0111111111101111111110111100000000000000101111	Foreign	1	20	20	3	2		
R5826	013	0	1	31	11	R5826_013_0	6	2	1	0111111111101111111110111100000000000000101111	Foreign	1	20	20	3	2		
R5826	014	0	1	31	11	R5826_014_0	9	2	1	0111111111101111111110111100000000000000101111	Foreign	1	20	20	3	2		
R5826	018	0	1	31	11	R5826_018_0	6	2	1	0111111111101111111110111100000000000000101111	Foreign	1	20	20	3	2		
R5826	021	0	1	31	11	R5826_021_0	7	2	1	0111111111101111111110111100000000000000101111	Foreign	1	20	20	3	2		
R5826	023	0	1	31	11	R5826_023_0	6	2	1	0111111111101111111110111100000000000000101111	Foreign	1	20	20	3	2		
R5826	026	0	1	31	11	R5826_026_0	6	2	1	0111111111101111111110111100000000000000101111	Foreign	1	20	20	3	2		
