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_id	pbp_c_vt_grp_type	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
H0151	001	0	1	01	01	H0151_001_0	9	3	1	000100000000000000000010010100001111111111000010	Group 3	2				2		
H0151	001	0	1	01	01	H0151_001_0	9	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H0151	001	0	1	01	01	H0151_001_0	9	10	1	000000000000000000000000000001000000000000000000	Group 10	2				1	1500.00	1500.00
H0151	001	0	1	01	01	H0151_001_0	9	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	20.00	20.00
H0151	001	0	1	01	01	H0151_001_0	9	4	1	000010000010000000000000000000000000000000000000	Group 4	2				1	10.00	10.00
H0151	001	0	1	01	01	H0151_001_0	9	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H0151	001	0	1	01	01	H0151_001_0	9	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H0151	001	0	1	01	01	H0151_001_0	9	7	1	000000000000000010000000000000000000000000000000	Group 7	2				1	15.00	15.00
H0151	001	0	1	01	01	H0151_001_0	9	8	1	000000000000001101100001101000000000000000100000	Group 8	1	20	20	6	2		
H0151	001	0	1	01	01	H0151_001_0	9	9	1	000000000000000000000100000000000000000000000000	Group 9	2				1	150.00	150.00
H0151	015	0	1	01	01	H0151_015_0	5	1	1	111111111111111111111111111101001111111111101111	Group 1	2				2		
H0151	019	0	1	01	01	H0151_019_0	4	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H0151	019	0	1	01	01	H0151_019_0	4	11	1	000000000000000000000000000001000000000000000000	Group 11	2				1	1500.00	1500.00
H0151	019	0	1	01	01	H0151_019_0	4	10	1	000000000000000000000001101000000000000000100000	Group 10	1	20	20	6	2		
H0151	019	0	1	01	01	H0151_019_0	4	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	20.00	20.00
H0151	019	0	1	01	01	H0151_019_0	4	3	1	000000000000010000000000000000000000000000000000	Group 3	2				1	0.00	7.00
H0151	019	0	1	01	01	H0151_019_0	4	9	1	000000000000000000000100000000000000000000000000	Group 9	2				1	150.00	150.00
H0151	019	0	1	01	01	H0151_019_0	4	8	1	000000000000001101100000000000000000000000000000	Group 8	1	15	15	6	2		
H0151	019	0	1	01	01	H0151_019_0	4	7	1	000000001001000000010000000000000000000000000000	Group 7	2				1	30.00	40.00
H0151	019	0	1	01	01	H0151_019_0	4	6	1	000010000010000000000000000000000000000000000000	Group 6	2				1	10.00	10.00
H0151	019	0	1	01	01	H0151_019_0	4	5	1	000100000000000000000010010100001111111111000010	Group 5	2				2		
H0151	019	0	1	01	01	H0151_019_0	4	4	1	000000000000000010000000000000000000000000000000	Group 4	2				1	15.00	15.00
H0151	023	0	1	01	01	H0151_023_0	6	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	30.00	30.00
H0151	023	0	1	01	01	H0151_023_0	6	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H0151	023	0	1	01	01	H0151_023_0	6	8	1	000000000000000000000100000000000000000000000000	Group 8	2				1	150.00	150.00
H0151	023	0	1	01	01	H0151_023_0	6	7	1	000000000000001101100001101000000000000000100000	Group 7	1	20	20	6	2		
H0151	023	0	1	01	01	H0151_023_0	6	9	1	000000000000000000000000000001000000000000000000	Group 9	2				1	1500.00	1500.00
H0151	023	0	1	01	01	H0151_023_0	6	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H0151	023	0	1	01	01	H0151_023_0	6	4	1	000010000010000010000000000000000000000000000000	Group 4	2				1	15.00	15.00
H0151	023	0	1	01	01	H0151_023_0	6	3	1	000100000000000000000010010100001111111111000010	Group 3	1	0	0	6	1	0.00	0.00
H0151	023	0	1	01	01	H0151_023_0	6	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H0248	001	0	1	04	01	H0248_001_0	6	1	1	011111111101111111111101111100001111111111111111		1	20	50	6	1	0.00	125.00
H0303	013	0	1	01	01	H0303_013_0	6	1	1	010000100000100000001000000000000000000000000000	Group 1	2				1	25.00	25.00
H0303	013	0	1	01	01	H0303_013_0	6	10	1	000000000000001100000001101000000000000000100000	Group 10	1	20	20	6	2		
H0303	013	0	1	01	01	H0303_013_0	6	11	1	000000000000000001100100000000000000000000000000	Group 11	2				1	150.00	150.00
H0303	013	0	1	01	01	H0303_013_0	6	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H0303	013	0	1	01	01	H0303_013_0	6	3	1	000100000000000000000000010100001111111111000010	Group 3	2				2		
H0303	013	0	1	01	01	H0303_013_0	6	9	1	000000000000000010000000000000000000000000000000	Group 9	2				1	15.00	15.00
H0303	013	0	1	01	01	H0303_013_0	6	5	1	000001010100000000000000000000000000000000001101	Group 5	2				1	30.00	30.00
H0303	013	0	1	01	01	H0303_013_0	6	6	1	000010000000000000000000000000000000000000000000	Group 6	2				1	10.00	30.00
H0303	013	0	1	01	01	H0303_013_0	6	7	1	000000001001000000010000000000000000000000000000	Group 7	2				1	30.00	40.00
H0303	013	0	1	01	01	H0303_013_0	6	8	1	000000000000010000000000000000000000000000000000	Group 8	2				1	0.00	7.00
H0303	013	0	1	01	01	H0303_013_0	6	4	1	000000000010000000000000000000000000000000000000	Group 4	2				1	10.00	10.00
H0303	015	0	1	01	01	H0303_015_0	5	12	1	000000000000000001100000000000000000000000000000	Group 12	2				1	125.00	125.00
H0303	015	0	1	01	01	H0303_015_0	5	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H0303	015	0	1	01	01	H0303_015_0	5	3	1	000100000000000000000000010101001111111111000010	Group 3	2				2		
H0303	015	0	1	01	01	H0303_015_0	5	4	1	000000000010000000000000000000000000000000000000	Group 4	2				1	15.00	15.00
H0303	015	0	1	01	01	H0303_015_0	5	5	1	000001010100000000000000000000000000000000001101	Group 5	2				1	30.00	30.00
H0303	015	0	1	01	01	H0303_015_0	5	6	1	000010000000000000000000000000000000000000000000	Group 6	2				1	15.00	30.00
H0303	015	0	1	01	01	H0303_015_0	5	7	1	000000001001000000010000000000000000000000000000	Group 7	2				1	30.00	40.00
H0303	015	0	1	01	01	H0303_015_0	5	8	1	000000000000010000000000000000000000000000000000	Group 8	2				1	0.00	7.00
H0303	015	0	1	01	01	H0303_015_0	5	9	1	000000000000000010000000000000000000000000000000	Group 9	2				1	15.00	15.00
H0303	015	0	1	01	01	H0303_015_0	5	1	1	010000100000100000001000000000000000000000000000	Group 1	2				1	25.00	25.00
H0303	015	0	1	01	01	H0303_015_0	5	10	1	000000000000001100000001101000000000000000100000	Group 10	1	20	20	6	2		
H0303	015	0	1	01	01	H0303_015_0	5	11	1	000000000000000000000100000000000000000000000000	Group 11	2				1	150.00	150.00
H0303	039	0	1	01	01	H0303_039_0	5	1	1	010000100000100000001000000000000000000000000000	Group 1	2				1	30.00	30.00
H0303	039	0	1	01	01	H0303_039_0	5	10	1	000000000000001100000001101000000000000000100000	Group 10	1	20	20	6	2		
H0303	039	0	1	01	01	H0303_039_0	5	9	1	000000000000000010000000000000000000000000000000	Group 9	2				1	15.00	15.00
H0303	039	0	1	01	01	H0303_039_0	5	8	1	000000000000010000000000000000000000000000000000	Group 8	2				1	0.00	7.00
H0303	039	0	1	01	01	H0303_039_0	5	7	1	000000001001000000010000000000000000000000000000	Group 7	2				1	30.00	40.00
H0303	039	0	1	01	01	H0303_039_0	5	6	1	000010000000000000000000000000000000000000000000	Group 6	2				1	5.00	35.00
H0303	039	0	1	01	01	H0303_039_0	5	5	1	000001010100000000000000000000000000000000001101	Group 5	2				1	35.00	35.00
H0303	039	0	1	01	01	H0303_039_0	5	4	1	000000000010000000000000000000000000000000000000	Group 4	2				1	5.00	5.00
H0303	039	0	1	01	01	H0303_039_0	5	3	1	000100000000000000000000010101001111111111000010	Group 3	2				2		
H0303	039	0	1	01	01	H0303_039_0	5	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H0303	039	0	1	01	01	H0303_039_0	5	12	1	000000000000000001100000000000000000000000000000	Group 12	2				1	200.00	200.00
H0303	039	0	1	01	01	H0303_039_0	5	11	1	000000000000000000000100000000000000000000000000	Group 11	2				1	150.00	150.00
H0303	040	0	1	01	01	H0303_040_0	4	1	1	010000100000100000001000000000000000000000000000	Group 1	2				1	25.00	25.00
H0303	040	0	1	01	01	H0303_040_0	4	8	1	000000000000010000000000000000000000000000000000	Group 8	2				1	0.00	7.00
H0303	040	0	1	01	01	H0303_040_0	4	7	1	000000001001000000010000000000000000000000000000	Group 7	2				1	30.00	40.00
H0303	040	0	1	01	01	H0303_040_0	4	6	1	000010000000000000000000000000000000000000000000	Group 6	2				1	15.00	30.00
H0303	040	0	1	01	01	H0303_040_0	4	5	1	000001010100000000000000000000000000000000001101	Group 5	2				1	30.00	30.00
H0303	040	0	1	01	01	H0303_040_0	4	9	1	000000000000000010000000000000000000000000000000	Group 9	2				1	15.00	15.00
H0303	040	0	1	01	01	H0303_040_0	4	3	1	000100000000000000000000010101001111111111000010	Group 3	2				2		
H0303	040	0	1	01	01	H0303_040_0	4	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H0303	040	0	1	01	01	H0303_040_0	4	12	1	000000000000000001100000000000000000000000000000	Group 12	2				1	125.00	125.00
H0303	040	0	1	01	01	H0303_040_0	4	11	1	000000000000000000000100000000000000000000000000	Group 11	2				1	150.00	150.00
H0303	040	0	1	01	01	H0303_040_0	4	10	1	000000000000001100000001101000000000000000100000	Group 10	1	20	20	6	2		
H0303	040	0	1	01	01	H0303_040_0	4	4	1	000000000010000000000000000000000000000000000000	Group 4	2				1	15.00	15.00
H0316	002	0	1	01	01	H0316_002_0	5	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	30.00	30.00
H0316	002	0	1	01	01	H0316_002_0	5	9	1	000000000000000000000100000000000000000000000000	Group 9	2				1	150.00	150.00
H0316	002	0	1	01	01	H0316_002_0	5	8	1	000000000000001101100001101000000000000000100000	Group 8	1	20	20	6	2		
H0316	002	0	1	01	01	H0316_002_0	5	7	1	000000000000000010000000000000000000000000000000	Group 7	2				1	15.00	15.00
H0316	002	0	1	01	01	H0316_002_0	5	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H0316	002	0	1	01	01	H0316_002_0	5	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H0316	002	0	1	01	01	H0316_002_0	5	4	1	000010000010000000000000000000000000000000000000	Group 4	2				1	10.00	10.00
H0316	002	0	1	01	01	H0316_002_0	5	3	1	000100000000000000000000010100001111111111000010	Group 3	2				2		
H0316	002	0	1	01	01	H0316_002_0	5	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H0316	002	0	1	01	01	H0316_002_0	5	10	1	000000000000000000000000000001000000000000000000	Group 10	2				1	1500.00	1500.00
H0316	014	0	1	01	01	H0316_014_0	7	1	1	010000100000100000001000000000000000000000000000	Group 1	2				1	30.00	30.00
H0316	014	0	1	01	01	H0316_014_0	7	10	1	000000000000001100000001101000000000000000100000	Group 10	1	20	20	2	2		
H0316	014	0	1	01	01	H0316_014_0	7	3	1	000100000000000000000000010101001111111111000000	Group 3	2				2		
H0316	014	0	1	01	01	H0316_014_0	7	4	1	000010000000000000000000000000000000000000000000	Group 4	2				1	5.00	35.00
H0316	014	0	1	01	01	H0316_014_0	7	11	1	000000000000000001100000000000000000000000000000	Group 11	2				1	200.00	200.00
H0316	014	0	1	01	01	H0316_014_0	7	12	1	000000000000000000000100000000000000000000000000	Group 12	2				1	150.00	150.00
H0316	014	0	1	01	01	H0316_014_0	7	13	1	000000000000000000000000000000000000000000000010	Group 13	2				1	0.00	30.00
H0316	014	0	1	01	01	H0316_014_0	7	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H0316	014	0	1	01	01	H0316_014_0	7	9	1	000000000000000010000000000000000000000000000000	Group 9	2				1	15.00	15.00
H0316	014	0	1	01	01	H0316_014_0	7	8	1	000000000000010000000000000000000000000000000000	Group 8	2				1	0.00	7.00
H0316	014	0	1	01	01	H0316_014_0	7	7	1	000000000010000000000000000000000000000000000000	Group 7	2				1	5.00	5.00
H0316	014	0	1	01	01	H0316_014_0	7	6	1	000000001001000000010000000000000000000000000000	Group 6	2				1	30.00	40.00
H0316	014	0	1	01	01	H0316_014_0	7	5	1	000001010100000000000000000000000000000000001101	Group 5	2				1	35.00	35.00
H0317	001	0	1	04	01	H0317_001_0	6	1	1	011111111101111111111101111100001111111111111111		1	15	50	6	1	0.00	150.00
H0317	002	0	1	04	01	H0317_002_0	7	1	1	011111111101111111111101111100001111111111111111		1	20	20	6	1	0.00	150.00
H0317	004	0	1	04	01	H0317_004_0	8	1	1	011111111101111111111101111100001111111111111111		1	20	20	6	1	0.00	100.00
H0401	002	0	1	02	01	H0401_002_0	4	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H0401	002	0	1	02	01	H0401_002_0	4	7	1	000000000000000010000000000000000000000000000000	Group 7	2				1	15.00	15.00
H0401	002	0	1	02	01	H0401_002_0	4	8	1	000000000000001100000001101000000000000000100000	Group 8	1	20	20	6	2		
H0401	002	0	1	02	01	H0401_002_0	4	9	1	000000000000000001100000000000000000000000000000	Group 9	2				1	125.00	125.00
H0401	002	0	1	02	01	H0401_002_0	4	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	25.00	25.00
H0401	002	0	1	02	01	H0401_002_0	4	10	1	000000000000000000000100000000000000000000000000	Group 10	2				1	150.00	150.00
H0401	002	0	1	02	01	H0401_002_0	4	11	1	000000000000000000000000000001000000000000000000	Group 11	2				1	1500.00	1500.00
H0401	002	0	1	02	01	H0401_002_0	4	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H0401	002	0	1	02	01	H0401_002_0	4	3	1	000100000000000000000000010100001111111111000010	Group 3	2				2		
H0401	002	0	1	02	01	H0401_002_0	4	4	1	000010000010000000000000000000000000000000000000	Group 4	2				1	10.00	10.00
H0401	002	0	1	02	01	H0401_002_0	4	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H0623	001	0	1	04	01	H0623_001_0	6	1	1	011111111101111101111101111100001111111111101111	US	1	20	20	6	1	0.00	150.00
H0623	005	0	1	04	01	H0623_005_0	5	1	1	011111111101111101111101111100001111111111101111	US	1	20	20	6	1	0.00	150.00
H0623	006	0	1	04	01	H0623_006_0	5	1	1	011111111101111101111101111100001111111111101111	US	1	20	20	6	1	0.00	150.00
H0623	007	0	1	04	01	H0623_007_0	5	1	1	011111111101111101111101111100001111111111101111	US	1	20	20	6	1	0.00	150.00
H0623	008	0	1	04	01	H0623_008_0	5	1	1	011111111101111101111101111100001111111111101111	US	1	20	20	6	1	0.00	150.00
H0623	009	0	1	04	01	H0623_009_0	5	1	1	011111111101111101111101111100001111111111101111	US	1	20	20	6	1	0.00	150.00
H0752	002	0	1	01	01	H0752_002_0	11	7	1	000000000000001110000001101000000000000000100000	Group 7	1	20	20	2	2		
H0752	002	0	1	01	01	H0752_002_0	11	8	1	000000000000000001100000000000000000000000000000	Group 8	2				1	100.00	100.00
H0752	002	0	1	01	01	H0752_002_0	11	9	1	000000000000000000000100000000000000000000000000	Group 9	2				1	150.00	150.00
H0752	002	0	1	01	01	H0752_002_0	11	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H0752	002	0	1	01	01	H0752_002_0	11	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	40.00	40.00
H0752	002	0	1	01	01	H0752_002_0	11	4	1	010001110100100000001000000000000000000000001000	Group 4	2				1	25.00	25.00
H0752	002	0	1	01	01	H0752_002_0	11	3	1	100100000000000000000000010101001111111111010010	Group 3	2				2		
H0752	002	0	1	01	01	H0752_002_0	11	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H0752	002	0	1	01	01	H0752_002_0	11	1	1	000010000010000000000000000000000000000000000000	Group 1	2				1	5.00	5.00
H0752	002	0	1	01	01	H0752_002_0	11	10	1	000000000000000000000000000000000000000000000101	Group 10	2				1	0.00	25.00
H1080	004	0	1	01	01	H1080_004_0	7	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	25.00	25.00
H1080	004	0	1	01	01	H1080_004_0	7	9	1	000000000000000000000100000000000000000000000000	Group 9	2				1	150.00	150.00
H1080	004	0	1	01	01	H1080_004_0	7	8	1	000000000000001101100000000000000000000000000000	Group 8	1	20	30	2	2		
H1080	004	0	1	01	01	H1080_004_0	7	7	1	000000000000000010000000000000000000000000000000	Group 7	2				1	15.00	15.00
H1080	004	0	1	01	01	H1080_004_0	7	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H1080	004	0	1	01	01	H1080_004_0	7	12	1	000010000000000000000000000000000000000000000000	Group 12	2				1	10.00	25.00
H1080	004	0	1	01	01	H1080_004_0	7	4	1	000000000010000000000000000000000000000000000000	Group 4	2				1	10.00	10.00
H1080	004	0	1	01	01	H1080_004_0	7	3	1	100100000000000000000000010100001111111111010010	Group 3	2				2		
H1080	004	0	1	01	01	H1080_004_0	7	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H1080	004	0	1	01	01	H1080_004_0	7	11	1	000000000000000000000000000001000000000000000000	Group 11	2				1	1500.00	1500.00
H1080	004	0	1	01	01	H1080_004_0	7	10	1	000000000000000000000001101000000000000000100000	Group 10	1	20	20	2	2		
H1080	004	0	1	01	01	H1080_004_0	7	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H1080	011	0	1	02	01	H1080_011_0	5	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	25.00	25.00
H1080	011	0	1	02	01	H1080_011_0	5	10	1	000000000000000000000000000001000000000000000000	Group 10	2				1	1500.00	1500.00
H1080	011	0	1	02	01	H1080_011_0	5	3	1	000100000000000000000000010100001111111111010010	Group 3	2				2		
H1080	011	0	1	02	01	H1080_011_0	5	4	1	000010000010000010000000000000000000000000000000	Group 4	2				1	15.00	15.00
H1080	011	0	1	02	01	H1080_011_0	5	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H1080	011	0	1	02	01	H1080_011_0	5	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H1080	011	0	1	02	01	H1080_011_0	5	7	1	000000000000001101100000000000000000000000000000	Group 7	1	15	30	2	2		
H1080	011	0	1	02	01	H1080_011_0	5	8	1	000000000000000000000100000000000000000000000000	Group 8	2				1	150.00	150.00
H1080	011	0	1	02	01	H1080_011_0	5	9	1	000000000000000000000001101000000000000000100000	Group 9	1	20	20	2	2		
H1080	011	0	1	02	01	H1080_011_0	5	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H1080	042	0	1	01	01	H1080_042_0	4	11	1	000000000000000000000000000001000000000000000000	Group 11	2				1	1500.00	1500.00
H1080	042	0	1	01	01	H1080_042_0	4	10	1	000000000000000000000001101000000000000000100000	Group 10	1	20	20	2	2		
H1080	042	0	1	01	01	H1080_042_0	4	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	20.00	20.00
H1080	042	0	1	01	01	H1080_042_0	4	9	1	000000000000000000000100000000000000000000000000	Group 9	2				1	150.00	150.00
H1080	042	0	1	01	01	H1080_042_0	4	8	1	000000000000001100000000000000000000000000000000	Group 8	1	10	20	2	2		
H1080	042	0	1	01	01	H1080_042_0	4	7	1	000000000000000010000000000000000000000000000000	Group 7	2				1	15.00	15.00
H1080	042	0	1	01	01	H1080_042_0	4	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H1080	042	0	1	01	01	H1080_042_0	4	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H1080	042	0	1	01	01	H1080_042_0	4	4	1	000010000010000000000000000000000000000000000000	Group 4	2				1	5.00	5.00
H1080	042	0	1	01	01	H1080_042_0	4	12	1	000000000000000001100000000000000000000000000000	Group 12	2				1	175.00	175.00
H1080	042	0	1	01	01	H1080_042_0	4	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H1080	042	0	1	01	01	H1080_042_0	4	3	1	000100000000000000000000010100001111111111010010	Group 3	2				2		
H1108	007	0	1	04	01	H1108_007_0	5	9	1	000000000000001100000001101000000000000000100000	Group 9	1	20	20	2	2		
H1108	007	0	1	04	01	H1108_007_0	5	8	1	000000001001000000010000000000000000000000000000	Group 8	2				1	30.00	40.00
H1108	007	0	1	04	01	H1108_007_0	5	7	1	000010000000000000000000000000000000000000000000	Group 7	2				1	5.00	20.00
H1108	007	0	1	04	01	H1108_007_0	5	6	1	000000000000000001100100000000000000000000000000	Group 6	2				1	150.00	150.00
H1108	007	0	1	04	01	H1108_007_0	5	5	1	000000000000000000000000000000000000000000000010	Group 5	2				1	0.00	30.00
H1108	007	0	1	04	01	H1108_007_0	5	1	1	010001110110100000001000000000000000000000001101	Group 1	2				1	20.00	20.00
H1108	007	0	1	04	01	H1108_007_0	5	3	1	000100000000000000000000010100001111111111000000	Group 3	2				2		
H1108	007	0	1	04	01	H1108_007_0	5	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H1108	007	0	1	04	01	H1108_007_0	5	11	1	000000000000000010000000000000000000000000000000	Group 11	2				1	15.00	15.00
H1108	007	0	1	04	01	H1108_007_0	5	10	1	000000000000000000000000000001000000000000000000	Group 10	2				1	1500.00	1500.00
H1108	007	0	1	04	01	H1108_007_0	5	4	1	000000000000010000000000000000000000000000000000	Group 4	2				1	0.00	7.00
H1111	002	0	1	02	01	H1111_002_0	5	8	1	000000000000000010000000000000000000000000000000	Group 8	2				1	15.00	15.00
H1111	002	0	1	02	01	H1111_002_0	5	7	1	000000000000010000000000000000000000000000000000	Group 7	2				1	0.00	7.00
H1111	002	0	1	02	01	H1111_002_0	5	6	1	000000001001000000010000000000000000000000000000	Group 6	2				1	30.00	40.00
H1111	002	0	1	02	01	H1111_002_0	5	5	1	000000000010000000000000000000000000000000000000	Group 5	2				1	5.00	5.00
H1111	002	0	1	02	01	H1111_002_0	5	4	1	000010000000000000000000000000000000000000000000	Group 4	2				1	5.00	20.00
H1111	002	0	1	02	01	H1111_002_0	5	3	1	000100000000000000000010010100001111111111000000	Group 3	2				2		
H1111	002	0	1	02	01	H1111_002_0	5	2	1	001000000000000000000000000000000000000000000000	Group  2	2				1	60.00	60.00
H1111	002	0	1	02	01	H1111_002_0	5	12	1	000000000000000000000000000000000000000000000010	Group 12	2				1	0.00	30.00
H1111	002	0	1	02	01	H1111_002_0	5	11	1	000000000000000000000000000001000000000000000000	Group 11	2				1	1500.00	1500.00
H1111	002	0	1	02	01	H1111_002_0	5	10	1	000000000000000001100100000000000000000000000000	Group 10	2				1	150.00	150.00
H1111	002	0	1	02	01	H1111_002_0	5	9	1	000000000000001100000001100000000000000000100000	Group 9	1	20	20	2	2		
H1111	002	0	1	02	01	H1111_002_0	5	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	20.00	20.00
H1230	001	0	1	01	01	H1230_001_0	11	1	1	000110111111111111111100001100001111111111100101	Visiting Member	2				2		
H1230	003	0	1	01	01	H1230_003_0	11	1	1	000110111111111111111100001100001111111111100101	Visiting Member	2				2		
H1230	801	0	1	01	01	H1230_801_0	5	1	1	000110111111111111111100001100001111111111100101	Visiting Member	2				2		
H1230	802	0	2	01	01	H1230_802_0	6	1	1	000110111111111111111100001100001111111111100101	Visiting Member	2				2		
H1230	803	0	1	01	01	H1230_803_0	5	1	1	000110111111111111111100001100001111111111100101	Visiting Member	2				2		
H1230	804	0	2	01	01	H1230_804_0	5	1	1	000110111111111111111100001100001111111111100101	Visiting Member	2				2		
H1230	805	0	1	01	01	H1230_805_0	5	1	1	000110111111111111111100001100001111111111100101	Visiting Member	2				2		
H1230	806	0	2	01	01	H1230_806_0	5	1	1	000110111111111111111100001100001111111111100101	Visiting Member	2				2		
H1286	002	0	1	02	01	H1286_002_0	6	7	1	000000000000000010000000000000000000000000000000	Group 7	2				1	15.00	15.00
H1286	002	0	1	02	01	H1286_002_0	6	8	1	000000000000001100000001101000000000000000100000	Group 8	1	20	20	6	2		
H1286	002	0	1	02	01	H1286_002_0	6	9	1	000000000000000001100000000000000000000000000000	Group 9	2				1	100.00	100.00
H1286	002	0	1	02	01	H1286_002_0	6	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H1286	002	0	1	02	01	H1286_002_0	6	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H1286	002	0	1	02	01	H1286_002_0	6	4	1	000010000010000000000000000000000000000000000000	Group 4	2				1	5.00	5.00
H1286	002	0	1	02	01	H1286_002_0	6	3	1	100100000000000000000000010100001111111111000010	Group 3	2				2		
H1286	002	0	1	02	01	H1286_002_0	6	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H1286	002	0	1	02	01	H1286_002_0	6	12	1	000000000000000000000000000000000000000000010000	Group 12	2				1	25.00	25.00
H1286	002	0	1	02	01	H1286_002_0	6	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	20.00	20.00
H1286	002	0	1	02	01	H1286_002_0	6	11	1	000000000000000000000000000001000000000000000000	Group 11	2				1	1500.00	1500.00
H1286	002	0	1	02	01	H1286_002_0	6	10	1	000000000000000000000100000000000000000000000000	Group 10	2				1	150.00	150.00
H1286	003	0	1	02	01	H1286_003_0	5	9	1	000000000000000000000100000000000000000000000000	Group 9	2				1	150.00	150.00
H1286	003	0	1	02	01	H1286_003_0	5	8	1	000000000000000001100000000000000000000000000000	Group 8	2				1	75.00	75.00
H1286	003	0	1	02	01	H1286_003_0	5	7	1	000000000000001100000001101000000000000000100000	Group 7	1	20	20	2	2		
H1286	003	0	1	02	01	H1286_003_0	5	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H1286	003	0	1	02	01	H1286_003_0	5	4	1	000010000010000000000000000000000000000000000000	Group 4	2				1	8.00	8.00
H1286	003	0	1	02	01	H1286_003_0	5	3	1	000100000000000000000000010100001111111111000010	Group 3	2				2		
H1286	003	0	1	02	01	H1286_003_0	5	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H1286	003	0	1	02	01	H1286_003_0	5	11	1	000000000000000000000000000000000000000000010000	Group 11	2				1	25.00	25.00
H1286	003	0	1	02	01	H1286_003_0	5	10	1	000000000000000000000000000001000000000000000000	Group 10	2				1	1500.00	1500.00
H1286	003	0	1	02	01	H1286_003_0	5	1	1	010001110100100010001000000000000000000000001101	Group 1	2				1	15.00	15.00
H1286	003	0	1	02	01	H1286_003_0	5	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H1286	004	0	1	02	01	H1286_004_0	4	10	1	000000000000000000000000000001000000000000000000	Group 10	2				1	1500.00	1500.00
H1286	004	0	1	02	01	H1286_004_0	4	9	1	000000000000000000000100000000000000000000000000	Group 9	2				1	150.00	150.00
H1286	004	0	1	02	01	H1286_004_0	4	8	1	000000000000001101100001101000000000000000100000	Group 8	1	20	20	6	2		
H1286	004	0	1	02	01	H1286_004_0	4	7	1	000000000000000010000000000000000000000000000000	Group 7	2				1	15.00	15.00
H1286	004	0	1	02	01	H1286_004_0	4	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	20.00	20.00
H1286	004	0	1	02	01	H1286_004_0	4	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H1286	004	0	1	02	01	H1286_004_0	4	4	1	000010000010000000000000000000000000000000000000	Group 4	2				1	10.00	10.00
H1286	004	0	1	02	01	H1286_004_0	4	3	1	000100000000000000000000010100001111111111000010	Group 3	2				2		
H1286	004	0	1	02	01	H1286_004_0	4	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H1286	004	0	1	02	01	H1286_004_0	4	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H1286	008	0	1	02	01	H1286_008_0	5	9	1	000000000000000001100000000000000000000000000000	Group 9	2				1	200.00	200.00
H1286	008	0	1	02	01	H1286_008_0	5	8	1	000000000000001100000001101000000000000000100000	Group 8	1	20	20	6	2		
H1286	008	0	1	02	01	H1286_008_0	5	7	1	000000000000000010000000000000000000000000000000	Group 7	2				1	15.00	15.00
H1286	008	0	1	02	01	H1286_008_0	5	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H1286	008	0	1	02	01	H1286_008_0	5	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H1286	008	0	1	02	01	H1286_008_0	5	4	1	000010000010000000000000000000000000000000000000	Group 4	2				1	10.00	10.00
H1286	008	0	1	02	01	H1286_008_0	5	3	1	000100000000000000000000010100001111111111000010	Group 3	2				2		
H1286	008	0	1	02	01	H1286_008_0	5	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H1286	008	0	1	02	01	H1286_008_0	5	11	1	000000000000000000000000000001000000000000000000	Group 11	2				1	1500.00	1500.00
H1286	008	0	1	02	01	H1286_008_0	5	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	25.00	25.00
H1286	008	0	1	02	01	H1286_008_0	5	10	1	000000000000000000000100000000000000000000000000	Group 10	2				1	150.00	150.00
H1303	001	0	1	04	01	H1303_001_0	4	8	1	000000000000000010000000000000000000000000000000	Group 8	2				1	15.00	15.00
H1303	001	0	1	04	01	H1303_001_0	4	7	1	000000000000010000000000000000000000000000000000	Group 7	2				1	0.00	7.00
H1303	001	0	1	04	01	H1303_001_0	4	6	1	000000001001000000010000000000000000000000000000	Group 6	2				1	30.00	40.00
H1303	001	0	1	04	01	H1303_001_0	4	5	1	000000000000000000000100000000000000000000000000	Group 5	2				1	150.00	150.00
H1303	001	0	1	04	01	H1303_001_0	4	4	1	000010000010000000000000000000000000000000000000	Group 4	2				1	10.00	10.00
H1303	001	0	1	04	01	H1303_001_0	4	11	1	000000000000000000000000000001000000000000000000	Group 11	2				1	1500.00	1500.00
H1303	001	0	1	04	01	H1303_001_0	4	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H1303	001	0	1	04	01	H1303_001_0	4	9	1	000000000000001100000001101000000000000000100000	Group 9	1	20	20	6	2		
H1303	001	0	1	04	01	H1303_001_0	4	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	25.00	25.00
H1303	001	0	1	04	01	H1303_001_0	4	10	1	000000000000000001100000000000000000000000000000	Group 10	2				1	100.00	100.00
H1303	001	0	1	04	01	H1303_001_0	4	3	1	100100000000000000000000010100001111111111000010	Group 3	2				2		
H1303	003	0	1	04	01	H1303_003_0	3	9	1	000000000000000000000100000000000000000000000000	Group 9	2				1	150.00	150.00
H1303	003	0	1	04	01	H1303_003_0	3	8	1	000000000000000001100000000000000000000000000000	Group 8	2				1	75.00	75.00
H1303	003	0	1	04	01	H1303_003_0	3	7	1	000000000000001100000001101000000000000000100000	Group 7	1	20	20	6	2		
H1303	003	0	1	04	01	H1303_003_0	3	6	1	000000001001000000010000000000000000000000000000	Group 6	2				1	30.00	40.00
H1303	003	0	1	04	01	H1303_003_0	3	5	1	000000000000010000000000000000000000000000000000	Group 5	2				1	0.00	7.00
H1303	003	0	1	04	01	H1303_003_0	3	4	1	000010000010000000000000000000000000000000000000	Group 4	2				1	8.00	8.00
H1303	003	0	1	04	01	H1303_003_0	3	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H1303	003	0	1	04	01	H1303_003_0	3	3	1	100100000000000000000000010100001111111111000010	Group 3	2				2		
H1303	003	0	1	04	01	H1303_003_0	3	10	1	000000000000000000000000000001000000000000000000	Group 10	2				1	1500.00	1500.00
H1303	003	0	1	04	01	H1303_003_0	3	1	1	010001110100100010001000000000000000000000001101	Group 1	2				1	15.00	15.00
H1350	001	0	1	01	01	H1350_001_0	15	1	1	000011010000011011000000000000000100000010000000	Travel Benefit	2				1	20.00	20.00
H1350	006	0	1	01	01	H1350_006_0	13	1	1	000011010000011011000000000000000100000010000000	Travel Benefit	2				1	20.00	20.00
H1350	009	0	1	01	01	H1350_009_0	15	1	1	000011010000011011000000000000000100000010000000	Travel Benefit	2				1	20.00	20.00
H1418	002	0	1	04	01	H1418_002_0	3	1	1	011111111101111111111101111100001111111111111111	US	1	20	20	6	1	0.00	150.00
H1418	007	0	1	04	01	H1418_007_0	3	1	1	011111111101111111111101111100001111111111111111	US	1	20	20	6	1	0.00	95.00
H1509	001	0	1	04	01	H1509_001_0	5	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	20.00	20.00
H1509	001	0	1	04	01	H1509_001_0	5	10	1	000000000000000000000000000001000000000000000000	Group 10	2				1	1500.00	1500.00
H1509	001	0	1	04	01	H1509_001_0	5	11	1	000000000000000000000000000000000000000000000010	Group 11	2				1	0.00	15.00
H1509	001	0	1	04	01	H1509_001_0	5	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H1509	001	0	1	04	01	H1509_001_0	5	3	1	000100000000000000000000010100001111111111000000	Group 3	2				1	0.00	0.00
H1509	001	0	1	04	01	H1509_001_0	5	9	1	000000000000000000000100000000000000000000000000	Group 9	2				1	150.00	150.00
H1509	001	0	1	04	01	H1509_001_0	5	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H1509	001	0	1	04	01	H1509_001_0	5	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H1509	001	0	1	04	01	H1509_001_0	5	7	1	000000000000000010000000000000000000000000000000	Group 7	2				1	15.00	15.00
H1509	001	0	1	04	01	H1509_001_0	5	8	1	000000000000001101100001101000000000000000100000	Group 8	1	20	20	2	2		
H1509	001	0	1	04	01	H1509_001_0	5	4	1	000010000010000000000000000000000000000000000000	Group 4	2				1	10.00	10.00
H1509	007	0	1	04	01	H1509_007_0	7	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	20.00	20.00
H1509	007	0	1	04	01	H1509_007_0	7	10	1	000000000000000000000000000001000000000000000000	Group 10	2				1	1500.00	1500.00
H1509	007	0	1	04	01	H1509_007_0	7	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H1509	007	0	1	04	01	H1509_007_0	7	3	1	000100000000000000000000010100001111111111000010	Group 3	2				2		
H1509	007	0	1	04	01	H1509_007_0	7	4	1	000010000010000000000000000000000000000000000000	Group 4	2				1	5.00	5.00
H1509	007	0	1	04	01	H1509_007_0	7	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H1509	007	0	1	04	01	H1509_007_0	7	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H1509	007	0	1	04	01	H1509_007_0	7	7	1	000000000000000010000000000000000000000000000000	Group 7	2				1	15.00	15.00
H1509	007	0	1	04	01	H1509_007_0	7	8	1	000000000000001101100001101000000000000000100000	Group 8	1	20	20	6	2		
H1509	007	0	1	04	01	H1509_007_0	7	9	1	000000000000000000000100000000000000000000000000	Group 9	2				1	150.00	150.00
H1509	008	0	1	04	01	H1509_008_0	6	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H1509	008	0	1	04	01	H1509_008_0	6	3	1	000100000000000000000000010100001111111111000010	Group 3	2				2		
H1509	008	0	1	04	01	H1509_008_0	6	7	1	000000000000000010000000000000000000000000000000	Group 7	2				1	15.00	15.00
H1509	008	0	1	04	01	H1509_008_0	6	9	1	000000000000000000000100000000000000000000000000	Group 9	2				1	150.00	150.00
H1509	008	0	1	04	01	H1509_008_0	6	8	1	000000000000001101100001101000000000000000100000	Group 8	1	20	20	6	2		
H1509	008	0	1	04	01	H1509_008_0	6	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	20.00	20.00
H1509	008	0	1	04	01	H1509_008_0	6	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H1509	008	0	1	04	01	H1509_008_0	6	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H1509	008	0	1	04	01	H1509_008_0	6	4	1	000010000010000000000000000000000000000000000000	Group 4	2				1	10.00	10.00
H1509	008	0	1	04	01	H1509_008_0	6	10	1	000000000000000000000000000001000000000000000000	Group 10	2				1	1500.00	1500.00
H1510	001	0	1	04	01	H1510_001_0	5	1	1	011111111101111101111101111100001111111111111111	US	1	20	20	6	1	0.00	150.00
H1510	004	0	1	04	01	H1510_004_0	6	1	1	011111111101111101111101111100001111111111101111	US	1	20	20	6	1	0.00	150.00
H1510	005	0	1	04	01	H1510_005_0	3	1	1	011111111101111101111101111100001111111111101111	US	1	20	20	6	1	0.00	150.00
H1681	001	0	1	04	01	H1681_001_0	4	1	1	011111111101111111111101111100001111111111101111		1	20	20	6	1	0.00	175.00
H1681	002	0	1	04	01	H1681_002_0	4	1	1	011111111101111111111101111100001111111111101111		1	20	20	6	1	0.00	175.00
H1681	003	0	1	04	01	H1681_003_0	4	1	1	011111111101111111111101111100001111111111101111		1	20	20	6	1	0.00	175.00
H1716	001	0	1	04	01	H1716_001_0	3	1	1	011111111101111111111101111100001111111111101111		1	20	20	6	1	0.00	100.00
H1716	002	0	1	04	01	H1716_002_0	4	1	1	011111111101111111111101111100001111111111101111		1	20	20	6	1	0.00	150.00
H1716	004	0	1	04	01	H1716_004_0	4	1	1	111111111101111111111101111100001111111111111111		1	20	20	6	1	0.00	150.00
H1716	006	0	1	04	01	H1716_006_0	3	1	1	111111111101111111111101111100001111111111111111		1	20	20	6	1	0.00	150.00
H1716	009	0	1	04	01	H1716_009_0	5	1	1	111111111101111111111101111100001111111111111111		1	20	20	6	1	0.00	150.00
H1716	010	0	1	04	01	H1716_010_0	3	1	1	011111111101111111111101111110001111111111111111		1	20	20	6	1	0.00	150.00
H1717	001	0	1	04	01	H1717_001_0	5	10	1	000000000000000000000000000001000000000000000000	Group 10	2				1	1500.00	1500.00
H1717	001	0	1	04	01	H1717_001_0	5	7	1	000000000000000010000000000000000000000000000000	Group 7	2				1	15.00	15.00
H1717	001	0	1	04	01	H1717_001_0	5	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H1717	001	0	1	04	01	H1717_001_0	5	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H1717	001	0	1	04	01	H1717_001_0	5	3	1	000100000000000000000000010100001111111111000010	Group 3	2				2		
H1717	001	0	1	04	01	H1717_001_0	5	9	1	000000000000000000000100000000000000000000000000	Group 9	2				1	150.00	150.00
H1717	001	0	1	04	01	H1717_001_0	5	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H1717	001	0	1	04	01	H1717_001_0	5	4	1	000010000010000000000000000000000000000000000000	Group 4	2				1	20.00	20.00
H1717	001	0	1	04	01	H1717_001_0	5	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	25.00	25.00
H1717	001	0	1	04	01	H1717_001_0	5	8	1	000000000000001101100001101000000000000000100000	Group 8	1	20	20	6	2		
H1806	001	0	1	04	01	H1806_001_0	7	1	1	011111111101111101111101111100001111111111111111	US	1	20	20	6	1	0.00	175.00
H1806	002	0	1	04	01	H1806_002_0	7	1	1	011111111101111101111101111100001111111111111111	US	1	20	20	6	1	0.00	150.00
H1944	001	0	1	02	01	H1944_001_0	5	9	1	000000000000000000000100000000000000000000000000	Group 9	2				1	150.00	150.00
H1944	001	0	1	02	01	H1944_001_0	5	8	1	000000000000001101100001101000000000000000100000	Group 8	1	20	20	6	2		
H1944	001	0	1	02	01	H1944_001_0	5	7	1	000000000000000010000000000000000000000000000000	Group 7	2				1	15.00	15.00
H1944	001	0	1	02	01	H1944_001_0	5	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H1944	001	0	1	02	01	H1944_001_0	5	4	1	000010000010000000000000000000000000000000000000	Group 4	2				1	8.00	8.00
H1944	001	0	1	02	01	H1944_001_0	5	3	1	000100000000000000000000010100001111111111000010	Group 3	2				2		
H1944	001	0	1	02	01	H1944_001_0	5	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H1944	001	0	1	02	01	H1944_001_0	5	10	1	000000000000000000000000000001000000000000000000	Group 10	2				1	1500.00	1500.00
H1944	001	0	1	02	01	H1944_001_0	5	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	20.00	20.00
H1944	001	0	1	02	01	H1944_001_0	5	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H1961	001	0	1	01	01	H1961_001_0	9	5	1	000100000000000000000000000000000000000000000000	Home Health Services	1	10	10	1	2		
H1961	001	0	1	01	01	H1961_001_0	9	1	1	011000000010011110001000011100000000000000000000	CORF, Lab, Xray, Blood, etc.	2				2		
H1961	001	0	1	01	01	H1961_001_0	9	8	1	000000000000000000000100000000000000000000000000	Ambulance	2				1	75.00	75.00
H1961	001	0	1	01	01	H1961_001_0	9	7	1	000000001001000000010000000000000000000000000000	Mental Health and Substance Abuse	1	0	50	1	1	0.00	10.00
H1961	001	0	1	01	01	H1961_001_0	9	6	1	000000000000000000000000100000000000000000000000	Prosthetics / Medical Supplies	1	20	20	1	2		
H1961	001	0	1	01	01	H1961_001_0	9	4	1	000000000000000001100000000000000000000000000000	Outpatient Surgery	2				1	150.00	150.00
H1961	001	0	1	01	01	H1961_001_0	9	3	1	000000000000000000000001000000000000000000000000	DME incl. transfusion	1	0	10	1	2		
H1961	001	0	1	01	01	H1961_001_0	9	2	1	000011110110100000000000000000000000000000000000	Physician office visits and therapy	2				1	25.00	25.00
H1961	003	0	1	01	01	H1961_003_0	10	2	1	000000000000000000000100000000000000000000000000	Ambulance Services	2				1	50.00	50.00
H1961	003	0	1	01	01	H1961_003_0	10	1	1	011111111111111101111001111100000000000000100000	US	2				2		
H2001	001	0	1	04	01	H2001_001_0	5	10	1	000000000000000000000000000001000000000000000000	Group 10	2				1	1500.00	1500.00
H2001	001	0	1	04	01	H2001_001_0	5	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H2001	001	0	1	04	01	H2001_001_0	5	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	25.00	25.00
H2001	001	0	1	04	01	H2001_001_0	5	9	1	100100000000000000000000010100001111111111000010	Group 9	2				2		
H2001	001	0	1	04	01	H2001_001_0	5	8	1	000000000000001101100001101000000000000000100000	Group 8	1	20	20	6	2		
H2001	001	0	1	04	01	H2001_001_0	5	7	1	000000000000000000000100000000000000000000000000	Group 7	2				1	150.00	150.00
H2001	001	0	1	04	01	H2001_001_0	5	6	1	000000000000000010000000000000000000000000000000	Group 6	2				1	15.00	15.00
H2001	001	0	1	04	01	H2001_001_0	5	5	1	000000000000010000000000000000000000000000000000	Group 5	2				1	0.00	7.00
H2001	001	0	1	04	01	H2001_001_0	5	4	1	000000001001000000010000000000000000000000000000	Group 4	2				1	30.00	40.00
H2001	001	0	1	04	01	H2001_001_0	5	3	1	000010000010000000000000000000000000000000000000	Group 3	2				1	20.00	20.00
H2001	003	0	1	04	01	H2001_003_0	4	10	1	000000000000000000000000000001000000000000000000	Group 10	2				1	1500.00	1500.00
H2001	003	0	1	04	01	H2001_003_0	4	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H2001	003	0	1	04	01	H2001_003_0	4	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	25.00	25.00
H2001	003	0	1	04	01	H2001_003_0	4	9	1	100100000000000000000000010100001111111111000010	Group 9	2				2		
H2001	003	0	1	04	01	H2001_003_0	4	8	1	000000000000001101100001101000000000000000100000	Group 8	1	15	15	6	2		
H2001	003	0	1	04	01	H2001_003_0	4	7	1	000000000000000000000100000000000000000000000000	Group 7	2				1	150.00	150.00
H2001	003	0	1	04	01	H2001_003_0	4	6	1	000000000000000010000000000000000000000000000000	Group 6	2				1	15.00	15.00
H2001	003	0	1	04	01	H2001_003_0	4	5	1	000000000000010000000000000000000000000000000000	Group 5	2				1	0.00	7.00
H2001	003	0	1	04	01	H2001_003_0	4	4	1	000000001001000000010000000000000000000000000000	Group 4	2				1	30.00	40.00
H2001	003	0	1	04	01	H2001_003_0	4	3	1	000010000010000000000000000000000000000000000000	Group 3	2				1	10.00	10.00
H2029	001	0	1	04	01	H2029_001_0	4	1	1	011111111101111111111101111100001111111111111111	US	2				1	0.00	10.00
H2182	001	0	1	02	01	H2182_001_0	6	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	20.00	20.00
H2182	001	0	1	02	01	H2182_001_0	6	10	1	000000000000000001100100000000000000000000000000	Group 10	2				1	150.00	150.00
H2182	001	0	1	02	01	H2182_001_0	6	11	1	000000000000000000000000000001000000000000000000	Group 11	2				1	1500.00	1500.00
H2182	001	0	1	02	01	H2182_001_0	6	2	1	001000000000000000000000000000000000000000000000	Group  2	2				1	60.00	60.00
H2182	001	0	1	02	01	H2182_001_0	6	3	1	000100000000000000000000010100001111111111000000	Group 3	2				2		
H2182	001	0	1	02	01	H2182_001_0	6	9	1	000000000000001100000001101000000000000000100000	Group 9	1	20	20	2	2		
H2182	001	0	1	02	01	H2182_001_0	6	5	1	000010000010000000000000000000000000000000000000	Group 5	2				1	5.00	5.00
H2182	001	0	1	02	01	H2182_001_0	6	6	1	000000001001000000010000000000000000000000000000	Group 6	2				1	30.00	40.00
H2182	001	0	1	02	01	H2182_001_0	6	7	1	000000000000010000000000000000000000000000000000	Group 7	2				1	0.00	7.00
H2182	001	0	1	02	01	H2182_001_0	6	8	1	000000000000000010000000000000000000000000000000	Group 8	2				1	15.00	15.00
H2182	001	0	1	02	01	H2182_001_0	6	4	1	000000000000000000000000000000000000000000000010	Group 4	2				1	0.00	30.00
H2450	001	0	1	18	06	H2450_001_0	12	1	1	111111111111111111111111111110001111111111100111	Outpatient services	1	0	20	1	1	0.00	10.00
H2450	002	0	1	18	06	H2450_002_0	11	1	1	111111111111111111111111111110001111111111100111	Outpatient services	1	0	20	1	2		
H2450	005	0	1	18	06	H2450_005_0	12	1	1	111111111111111111111111111110001111111111100111	Outpatient services	1	0	20	1	1	0.00	10.00
H2450	006	0	1	18	06	H2450_006_0	11	1	1	111111111111111111111111111110001111111111100111	Outpatient services	1	0	20	1	2		
H2450	007	0	1	18	06	H2450_007_0	9	1	1	111111111111111111111111111110001111111111101111	Outpatient services	1	0	20	1	1	0.00	10.00
H2450	008	0	1	18	06	H2450_008_0	8	1	1	111111111111111111111111111110001111111111101111	Outpatient services and SNF	1	0	20	1	1	0.00	10.00
H2450	009	0	1	18	06	H2450_009_0	7	1	1	111111111111111111111111111111001111111111101111	Outpatient services	1	0	20	1	2		
H2450	010	0	1	18	06	H2450_010_0	7	1	1	111111111111111111111111111110001111111111101111	Outpatient services	1	0	20	1	1	0.00	10.00
H2450	011	0	1	18	06	H2450_011_0	7	1	1	111111111111111111111111111111001111111111101111	Outpatient services	1	0	20	1	2		
H2450	012	0	1	18	06	H2450_012_0	6	1	1	111111111111111111111111111110001111111111101111	Outpatient services	1	0	20	1	1	0.00	10.00
H2450	013	0	1	18	06	H2450_013_0	7	1	1	111111111111111111111111111110001111111111101111	Outpatient services	1	0	20	1	1	0.00	10.00
H2450	014	0	1	18	06	H2450_014_0	7	1	1	111111111111111111111111111110001111111111101111	Outpatient services	1	0	20	1	2		
H2450	015	0	1	18	06	H2450_015_0	6	1	1	111111111111111111111111111110001111111111101111	Outpatient services	1	0	20	1	2		
H2462	004	0	1	18	06	H2462_004_0	1	1	1	000011111111111111111101111101111111111111100111	US Travel 20% Coinsurance	1	20	20	2	2		
H2462	007	0	1	18	06	H2462_007_0	2	3	1	000000001001000000000000000000000000000000000000	Mental Health and Psychiatric Therapy	2				1	7.50	15.00
H2462	007	0	1	18	06	H2462_007_0	2	2	1	000000000000000000000001110000000000000000100000	Medical Supplies and Part B Drugs	1	20	20	2	2		
H2462	007	0	1	18	06	H2462_007_0	2	1	1	010011110110100000011000000010000000000011000101	Office visit related	2				1	15.00	15.00
H2462	008	0	1	18	06	H2462_008_0	5	1	1	010011110110100000011000000010000000000011000101	Office visit related	2				1	15.00	15.00
H2462	008	0	1	18	06	H2462_008_0	5	2	1	000000000000000000000001110000000000000000100000	Medical Supplies and Part B Drugs	1	20	20	2	2		
H2462	008	0	1	18	06	H2462_008_0	5	3	1	000000001001000000000000000000000000000000000000	Mental Health and Psychiatric Therapy	2				1	7.50	15.00
H2462	009	0	1	18	06	H2462_009_0	4	1	1	010011110110100000011000000010000000000011000101	Office visit related	2				1	15.00	15.00
H2462	009	0	1	18	06	H2462_009_0	4	2	1	000000000000000000000001110000000000000000100000	Medical Supplies and Part B Drugs	1	20	20	2	2		
H2462	009	0	1	18	06	H2462_009_0	4	3	1	000000001001000000000000000000000000000000000000	Mental Health and Psychiatric Therapy	2				1	7.50	15.00
H2462	010	0	1	18	06	H2462_010_0	1	1	1	000000000000000000000001110000000000000000100000	Medical Supplies and Diabetic Monitoring	1	20	20	2	2		
H2462	011	0	1	18	06	H2462_011_0	4	1	1	000000000000000000000001110000000000000000100000	Medical Supplies and Diabetic Monitoring	1	20	20	2	2		
H2462	012	0	1	18	06	H2462_012_0	3	1	1	000000000000000000000001110000000000000000100000	Medical Supplies and Diabetic Monitoring	1	20	20	2	2		
H2462	013	0	1	18	06	H2462_013_0	3	1	1	010011110110100000011000000010000000000011000101	Office visit related	2				1	15.00	15.00
H2462	013	0	1	18	06	H2462_013_0	3	2	1	000000000000000000000001110000000000000000100000	Medical Supplies and Part B Drugs	1	20	20	2	2		
H2462	013	0	1	18	06	H2462_013_0	3	3	1	000000001001000000000000000000000000000000000000	Mental Health and Psychiatric Therapy	2				1	7.50	15.00
H2462	014	0	1	18	06	H2462_014_0	2	1	1	000000000000000000000001110000000000000000100000	Medical Supplies and Diabetic Monitoring	1	20	20	2	2		
H2462	015	0	1	18	06	H2462_015_0	1	1	1	000011111111111111111101111101111111111111100111	US Travel 20% Coinsurance	1	20	20	2	2		
H2462	016	0	1	18	06	H2462_016_0	1	1	1	011111111111111111111101111111111000000000000000	US Travel	2				2		
H2462	017	0	1	18	06	H2462_017_0	3	1	1	011111111111111111111101111111111000000000000000	US Travel	2				2		
H2542	001	0	1	04	01	H2542_001_0	7	1	1	011111111101111101111101111100001111111111111111	US	1	20	20	6	1	0.00	150.00
H2542	002	0	1	04	01	H2542_002_0	6	1	1	011111111101111101111101111100001111111111111111	US	1	20	20	6	1	0.00	150.00
H2654	004	0	1	01	01	H2654_004_0	5	1	1	001000000000000000000000000000000000000000000000	Group 1	2				1	60.00	60.00
H2654	004	0	1	01	01	H2654_004_0	5	10	1	000000000000000000000000000001000000000000000000	Group 10	2				1	1500.00	1500.00
H2654	004	0	1	01	01	H2654_004_0	5	9	1	000000000000001100000001101000000000000000100000	Group 9	1	20	20	6	2		
H2654	004	0	1	01	01	H2654_004_0	5	8	1	000000000000000000000100000000000000000000000000	Group 8	2				1	150.00	150.00
H2654	004	0	1	01	01	H2654_004_0	5	7	1	000000000000000001100000000000000000000000000000	Group 7	1	25	25	6	2		
H2654	004	0	1	01	01	H2654_004_0	5	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H2654	004	0	1	01	01	H2654_004_0	5	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H2654	004	0	1	01	01	H2654_004_0	5	4	1	000010000010000010000000000000000000000000000000	Group 4	2				1	15.00	15.00
H2654	004	0	1	01	01	H2654_004_0	5	3	1	100100000000000000000010010100001111111111000000	Group 3	2				2		
H2654	004	0	1	01	01	H2654_004_0	5	2	1	010001110100100000001000000000000000000000001101	Group 2	2				1	30.00	30.00
H2654	004	0	1	01	01	H2654_004_0	5	11	1	000000000000000000000000000000000000000000000010	Group 11	2				1	0.00	10.00
H2654	010	0	1	02	01	H2654_010_0	6	8	1	000000000000000000000000000000000000000000000010	Group 8	2				1	0.00	15.00
H2654	010	0	1	02	01	H2654_010_0	6	7	1	000000000000000000000100000000000000000000000000	Group 7	2				1	150.00	150.00
H2654	010	0	1	02	01	H2654_010_0	6	6	1	000000000000000101100001111000000000000000100000	Group 6	1	20	20	6	2		
H2654	010	0	1	02	01	H2654_010_0	6	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H2654	010	0	1	02	01	H2654_010_0	6	9	1	000000000000000000000000000001000000000000000000	Group 9	2				1	1500.00	1500.00
H2654	010	0	1	02	01	H2654_010_0	6	3	1	000100000000000000000010010100001111111111000000	Group 3	2				2		
H2654	010	0	1	02	01	H2654_010_0	6	2	1	010001110100100000001000000000000000000000001101	Group 2	2				1	30.00	30.00
H2654	010	0	1	02	01	H2654_010_0	6	10	1	000000000000010000000000000000000000000000000000	Group 10	2				1	0.00	7.00
H2654	010	0	1	02	01	H2654_010_0	6	1	1	001000000000000000000000000000000000000000000000	Group 1	2				1	60.00	60.00
H2654	010	0	1	02	01	H2654_010_0	6	4	1	000010000010000010000000000000000000000000000000	Group 4	2				1	15.00	15.00
H2654	013	0	1	02	01	H2654_013_0	5	5	1	000000000000010000000000000000000000000000000000	Group 5	2				1	0.00	10.00
H2654	013	0	1	02	01	H2654_013_0	5	6	1	000000000000000000000000000000000000000000000010	Group 6	2				1	0.00	15.00
H2654	013	0	1	02	01	H2654_013_0	5	7	1	000000001001000000010000000000000000000000000000	Group 7	2				1	30.00	40.00
H2654	013	0	1	02	01	H2654_013_0	5	8	1	000000000000001100000000000000000000000000000000	Group 8	1	25	25	2	2		
H2654	013	0	1	02	01	H2654_013_0	5	9	1	000000000000000001100001101000000000000000100000	Group 9	1	20	20	6	2		
H2654	013	0	1	02	01	H2654_013_0	5	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	30.00	30.00
H2654	013	0	1	02	01	H2654_013_0	5	10	1	000000000000000000000100000000000000000000000000	Group 10	2				1	150.00	150.00
H2654	013	0	1	02	01	H2654_013_0	5	11	1	000000000000000000000000000001000000000000000000	Group 11	2				1	1500.00	1500.00
H2654	013	0	1	02	01	H2654_013_0	5	12	1	000000000000000010000000000000000000000000000000	Group 12	2				1	15.00	15.00
H2654	013	0	1	02	01	H2654_013_0	5	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H2654	013	0	1	02	01	H2654_013_0	5	3	1	000100000000000000000010010100001111111111000000	Group 3	2				2		
H2654	013	0	1	02	01	H2654_013_0	5	4	1	000010000010000000000000000000000000000000000000	Group 4	2				1	10.00	10.00
H2654	020	0	1	01	01	H2654_020_0	4	4	1	000010000010000010000000000000000000000000000000	Group 4	2				1	15.00	15.00
H2654	020	0	1	01	01	H2654_020_0	4	3	1	100100000000000000000010010100001111111111000000	Group 3	2				2		
H2654	020	0	1	01	01	H2654_020_0	4	9	1	000000000000001100000001101000000000000000100000	Group 9	1	20	20	6	2		
H2654	020	0	1	01	01	H2654_020_0	4	8	1	000000000000000000000100000000000000000000000000	Group 8	2				1	150.00	150.00
H2654	020	0	1	01	01	H2654_020_0	4	7	1	000000000000000001100000000000000000000000000000	Group 7	1	25	25	6	2		
H2654	020	0	1	01	01	H2654_020_0	4	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H2654	020	0	1	01	01	H2654_020_0	4	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H2654	020	0	1	01	01	H2654_020_0	4	1	1	001000000000000000000000000000000000000000000000	Group 1	2				1	60.00	60.00
H2654	020	0	1	01	01	H2654_020_0	4	10	1	000000000000000000000000000001000000000000000000	Group 10	2				1	1500.00	1500.00
H2654	020	0	1	01	01	H2654_020_0	4	11	1	000000000000000000000000000000000000000000000010	Group 11	2				1	0.00	10.00
H2654	020	0	1	01	01	H2654_020_0	4	2	1	010001110100100000001000000000000000000000001101	Group 2	2				1	30.00	30.00
H2654	022	0	1	02	01	H2654_022_0	3	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	30.00	30.00
H2654	022	0	1	02	01	H2654_022_0	3	8	1	000000000000001100000000000000000000000000000000	Group 8	1	25	25	2	2		
H2654	022	0	1	02	01	H2654_022_0	3	7	1	000000001001000000010000000000000000000000000000	Group 7	2				1	30.00	40.00
H2654	022	0	1	02	01	H2654_022_0	3	6	1	000000000000000000000000000000000000000000000010	Group 6	2				1	0.00	15.00
H2654	022	0	1	02	01	H2654_022_0	3	5	1	000000000000010000000000000000000000000000000000	Group 5	2				1	0.00	10.00
H2654	022	0	1	02	01	H2654_022_0	3	9	1	000000000000000001100001101000000000000000100000	Group 9	1	20	20	6	2		
H2654	022	0	1	02	01	H2654_022_0	3	3	1	000100000000000000000010010100001111111111000000	Group 3	2				2		
H2654	022	0	1	02	01	H2654_022_0	3	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H2654	022	0	1	02	01	H2654_022_0	3	11	1	000000000000000000000000000001000000000000000000	Group 11	2				1	1500.00	1500.00
H2654	022	0	1	02	01	H2654_022_0	3	10	1	000000000000000000000100000000000000000000000000	Group 10	2				1	150.00	150.00
H2654	022	0	1	02	01	H2654_022_0	3	4	1	000010000010000000000000000000000000000000000000	Group 4	2				1	10.00	10.00
H2802	001	0	1	01	01	H2802_001_0	6	3	1	100100000000000000000000010100001111111111000000	Group 3	2				2		
H2802	001	0	1	01	01	H2802_001_0	6	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H2802	001	0	1	01	01	H2802_001_0	6	12	1	000000000000000000000000000000000000000000000010	Group 12	2				1	0.00	15.00
H2802	001	0	1	01	01	H2802_001_0	6	11	1	000000000000000000000100000000000000000000000000	Group 11	2				1	150.00	150.00
H2802	001	0	1	01	01	H2802_001_0	6	10	1	000000000000001101100001101000000000000000100000	Group 10	1	20	20	6	2		
H2802	001	0	1	01	01	H2802_001_0	6	1	1	000000000000000000000000000001000000000000000000	Group 1	2				1	1500.00	1500.00
H2802	001	0	1	01	01	H2802_001_0	6	4	1	000010000000000000000000000000000000000000000000	Group 4	2				1	10.00	30.00
H2802	001	0	1	01	01	H2802_001_0	6	9	1	000000000000000010000000000000000000000000000000	Group 9	2				1	15.00	15.00
H2802	001	0	1	01	01	H2802_001_0	6	8	1	000000000000010000000000000000000000000000000000	Group 8	2				1	0.00	7.00
H2802	001	0	1	01	01	H2802_001_0	6	7	1	000000000010000000000000000000000000000000000000	Group 7	2				1	10.00	10.00
H2802	001	0	1	01	01	H2802_001_0	6	6	1	000000001001000000010000000000000000000000000000	Group 6	2				1	30.00	40.00
H2802	001	0	1	01	01	H2802_001_0	6	5	1	010001110100100000001000000000000000000000001101	Group 5	2				1	30.00	30.00
H2803	001	0	1	02	01	H2803_001_0	4	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	30.00	30.00
H2803	001	0	1	02	01	H2803_001_0	4	10	1	000000000000000000000000000001000000000000000000	Group 10	2				1	1500.00	1500.00
H2803	001	0	1	02	01	H2803_001_0	4	9	1	000000000000000000000100000000000000000000000000	Group 9	2				1	150.00	150.00
H2803	001	0	1	02	01	H2803_001_0	4	8	1	000000000000001101100001101000000000000000100000	Group 8	1	20	20	6	2		
H2803	001	0	1	02	01	H2803_001_0	4	7	1	000000000000000010000000000000000000000000000000	Group 7	2				1	15.00	15.00
H2803	001	0	1	02	01	H2803_001_0	4	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H2803	001	0	1	02	01	H2803_001_0	4	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H2803	001	0	1	02	01	H2803_001_0	4	4	1	000000000010000000000000000000000000000000000000	Group 4	2				1	10.00	10.00
H2803	001	0	1	02	01	H2803_001_0	4	3	1	100100000000000000000000010100001111111111000000	Group 3	2				2		
H2803	001	0	1	02	01	H2803_001_0	4	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H2803	001	0	1	02	01	H2803_001_0	4	12	1	000010000000000000000000000000000000000000000000	Group 12	2				1	10.00	30.00
H2803	001	0	1	02	01	H2803_001_0	4	11	1	000000000000000000000000000000000000000000000010	Group 11	2				1	0.00	15.00
H2803	002	0	1	02	01	H2803_002_0	4	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	30.00	30.00
H2803	002	0	1	02	01	H2803_002_0	4	4	1	000000000010000000000000000000000000000000000000	Group 4	2				1	0.00	10.00
H2803	002	0	1	02	01	H2803_002_0	4	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H2803	002	0	1	02	01	H2803_002_0	4	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H2803	002	0	1	02	01	H2803_002_0	4	7	1	000000000000000010000000000000000000000000000000	Group 7	2				1	15.00	15.00
H2803	002	0	1	02	01	H2803_002_0	4	9	1	000000000000000000000100000000000000000000000000	Group 9	2				1	150.00	150.00
H2803	002	0	1	02	01	H2803_002_0	4	3	1	100100000000000000000000010100001111111111000000	Group 3	2				2		
H2803	002	0	1	02	01	H2803_002_0	4	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H2803	002	0	1	02	01	H2803_002_0	4	12	1	000010000000000000000000000000000000000000000000	Group 12	2				1	10.00	30.00
H2803	002	0	1	02	01	H2803_002_0	4	11	1	000000000000000000000000000000000000000000000010	Group 11	2				1	0.00	15.00
H2803	002	0	1	02	01	H2803_002_0	4	10	1	000000000000000000000000000001000000000000000000	Group 10	2				1	1500.00	1500.00
H2803	002	0	1	02	01	H2803_002_0	4	8	1	000000000000001101100001101000000000000000100000	Group 8	1	20	20	6	2		
H3107	004	0	1	02	01	H3107_004_0	4	3	1	100100000000000000000000010101001111111111010010	Group 3	2				2		
H3107	004	0	1	02	01	H3107_004_0	4	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H3107	004	0	1	02	01	H3107_004_0	4	10	1	000000000000000000000000000000000000000000000101	Group 10	2				1	0.00	25.00
H3107	004	0	1	02	01	H3107_004_0	4	1	1	000010000010000000000000000000000000000000000000	Group 1	2				1	15.00	15.00
H3107	004	0	1	02	01	H3107_004_0	4	9	1	000000000000000000000100000000000000000000000000	Group 9	2				1	150.00	150.00
H3107	004	0	1	02	01	H3107_004_0	4	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	40.00	40.00
H3107	004	0	1	02	01	H3107_004_0	4	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H3107	004	0	1	02	01	H3107_004_0	4	7	1	000000000000001110000001101000000000000000100000	Group 7	1	20	20	2	2		
H3107	004	0	1	02	01	H3107_004_0	4	8	1	000000000000000001100000000000000000000000000000	Group 8	2				1	100.00	100.00
H3107	004	0	1	02	01	H3107_004_0	4	4	1	010001110100100000001000000000000000000000001000	Group 4	2				1	25.00	25.00
H3107	005	0	1	02	01	H3107_005_0	6	4	1	010001110100100000001000000000000000000000001000	Group 4	2				1	20.00	20.00
H3107	005	0	1	02	01	H3107_005_0	6	3	1	101100000000000001100101110101001111111111110010	Group 3	2				2		
H3107	005	0	1	02	01	H3107_005_0	6	2	1	000010000000000000000000000000000000000000000000	Group 2	2				1	10.00	20.00
H3107	005	0	1	02	01	H3107_005_0	6	1	1	000000000010000000000000000000000000000000000000	Group 1	2				1	10.00	10.00
H3107	005	0	1	02	01	H3107_005_0	6	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	40.00	40.00
H3107	005	0	1	02	01	H3107_005_0	6	8	1	000000000000000000000000000000000000000000000101	Group 8	2				1	0.00	20.00
H3107	005	0	1	02	01	H3107_005_0	6	7	1	000000000000001110000000001000000000000000000000	Group 7	1	20	20	2	2		
H3107	005	0	1	02	01	H3107_005_0	6	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H3107	008	0	1	02	01	H3107_008_0	2	1	1	010001110100100000001000000000000000000000001000	Group 1	2				1	20.00	20.00
H3107	008	0	1	02	01	H3107_008_0	2	10	1	000000000000000001100000000000000000000000000000	Group 10	2				1	50.00	50.00
H3107	008	0	1	02	01	H3107_008_0	2	11	1	000000000000000000000000000000000000000000000101	Group 11	2				1	0.00	20.00
H3107	008	0	1	02	01	H3107_008_0	2	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H3107	008	0	1	02	01	H3107_008_0	2	3	1	000100000000000000000000010101001111111111010010	Group 3	2				2		
H3107	008	0	1	02	01	H3107_008_0	2	9	1	000000000000000000000100000000000000000000000000	Group 9	2				1	150.00	150.00
H3107	008	0	1	02	01	H3107_008_0	2	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	40.00	40.00
H3107	008	0	1	02	01	H3107_008_0	2	8	1	000000000010000000000000000000000000000000000000	Group 8	2				1	10.00	10.00
H3107	008	0	1	02	01	H3107_008_0	2	7	1	000000000000001110000001101000000000000000100000	Group 7	1	20	20	6	2		
H3107	008	0	1	02	01	H3107_008_0	2	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H3107	008	0	1	02	01	H3107_008_0	2	4	1	000010000000000000000000000000000000000000000000	Group 4	2				1	10.00	20.00
H3305	007	0	1	01	01	H3305_007_0	9	2	1	010111110100111111101001100100000111111111000000	30 percent	1	30	30	2	2		
H3305	007	0	1	01	01	H3305_007_0	9	1	1	000000000000000000000000001000000000000000000000	$0	2				2		
H3305	011	0	1	01	01	H3305_011_0	13	2	1	010111110100111111101001100100000111111111000000	30 percent	1	30	30	2	2		
H3305	011	0	1	01	01	H3305_011_0	13	1	1	000000000000000000000000001000000000000000000000	$0	2				2		
H3305	801	0	1	01	01	H3305_801_0	11	2	1	010111110100111101101001100100000111111111000000	30 percent	1	30	30	2	2		
H3305	801	0	1	01	01	H3305_801_0	11	1	1	000000000000000000000000001000000000000000000000	$0	2				2		
H3305	803	0	1	01	01	H3305_803_0	14	2	1	010111110100111101101001101100000111111111000000	30 percent	1	30	30	2	2		
H3305	803	0	1	01	01	H3305_803_0	14	1	1	000000000000000000000000001000000000000000000000	$0	2				2		
H3307	002	0	1	01	01	H3307_002_0	7	7	1	000000000000010000000000000000000000000000000000	Group 7	2				1	0.00	7.00
H3307	002	0	1	01	01	H3307_002_0	7	8	1	000000000000001110000001101000000000000000100000	Group 8	1	20	20	2	2		
H3307	002	0	1	01	01	H3307_002_0	7	6	1	000000000010000000000000000000000000000000000000	Group 6	2				1	10.00	10.00
H3307	002	0	1	01	01	H3307_002_0	7	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	40.00	40.00
H3307	002	0	1	01	01	H3307_002_0	7	4	1	000010000000000000000000000000000000000000000000	Group 4	2				1	10.00	30.00
H3307	002	0	1	01	01	H3307_002_0	7	3	1	000100000000000000000000000101001111111111010010	Group 3	2				1	0.00	0.00
H3307	002	0	1	01	01	H3307_002_0	7	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	30.00	30.00
H3307	002	0	1	01	01	H3307_002_0	7	10	1	000000000000000000000000010000000000000000000000	Group 10	1	0	0	2	2		
H3307	002	0	1	01	01	H3307_002_0	7	9	1	000000000000000001100000000000000000000000000000	Group 9	2				1	75.00	75.00
H3307	002	0	1	01	01	H3307_002_0	7	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H3307	002	0	1	01	01	H3307_002_0	7	11	1	000000000000000000000100000000000000000000000000	Group 11	2				1	150.00	150.00
H3307	011	0	1	01	01	H3307_011_0	5	4	1	000010000000000000000000000000000000000000000000	Group 4	2				1	10.00	30.00
H3307	011	0	1	01	01	H3307_011_0	5	3	1	101100000000000001100101110101001111111111010010	Group 3	2				2		
H3307	011	0	1	01	01	H3307_011_0	5	2	1	000000000000001110000000000000000000000000000000	Group 2	1	20	20	2	2		
H3307	011	0	1	01	01	H3307_011_0	5	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	30.00	30.00
H3307	011	0	1	01	01	H3307_011_0	5	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	40.00	40.00
H3307	011	0	1	01	01	H3307_011_0	5	7	1	000000000010000000000000000000000000000000000000	Group 7	2				1	10.00	10.00
H3307	011	0	1	01	01	H3307_011_0	5	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H3307	012	0	1	01	01	H3307_012_0	6	1	1	010001110100100000001000000000000000000000001000	Group 1	2				1	30.00	30.00
H3307	012	0	1	01	01	H3307_012_0	6	10	1	000000000000000000000100000000000000000000000000	Group 10	2				1	150.00	150.00
H3307	012	0	1	01	01	H3307_012_0	6	9	1	000000000000000001100000000000000000000000000000	Group 9	2				1	120.00	120.00
H3307	012	0	1	01	01	H3307_012_0	6	8	1	000000000000001110000001101000000000000000100000	Group 8	1	20	20	2	2		
H3307	012	0	1	01	01	H3307_012_0	6	7	1	000000000010000000000000000000000000000000000000	Group 7	2				1	15.00	15.00
H3307	012	0	1	01	01	H3307_012_0	6	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H3307	012	0	1	01	01	H3307_012_0	6	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	40.00	40.00
H3307	012	0	1	01	01	H3307_012_0	6	4	1	000010000000000000000000000000000000000000000000	Group 4	2				1	15.00	30.00
H3307	012	0	1	01	01	H3307_012_0	6	3	1	100100000000000000000000010101001111111111010010	Group 3	2				2		
H3307	012	0	1	01	01	H3307_012_0	6	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H3307	012	0	1	01	01	H3307_012_0	6	11	1	000000000000000000000000000000000000000000000101	Group 11	2				1	0.00	30.00
H3307	013	0	1	01	01	H3307_013_0	5	5	1	000000000000010000000000000000000000000000000000	Group 5	2				1	0.00	7.00
H3307	013	0	1	01	01	H3307_013_0	5	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	22.00	22.00
H3307	013	0	1	01	01	H3307_013_0	5	2	1	101100000000000001100101111101001111111111110010	Group 2	2				2		
H3307	013	0	1	01	01	H3307_013_0	5	3	1	000010000000000000000000000000000000000000000000	Group 3	2				1	10.00	22.00
H3307	013	0	1	01	01	H3307_013_0	5	6	1	000000000000001110000000000000000000000000000000	Group 6	1	20	20	2	2		
H3307	013	0	1	01	01	H3307_013_0	5	4	1	000000001001000000010000000000000000000000000000	Group 4	2				1	40.00	40.00
H3307	015	0	1	01	01	H3307_015_0	6	4	1	000000000000000000000000000000000000000000001000	Group 4	1	50	50	2	2		
H3307	015	0	1	01	01	H3307_015_0	6	1	1	010001110100100000011000000010000000000000001100	Group 1	2				1	5.00	5.00
H3307	015	0	1	01	01	H3307_015_0	6	3	1	000010000000000000000000000000000000000000000101	Group 3	2				1	0.00	5.00
H3307	015	0	1	01	01	H3307_015_0	6	2	1	101100000000011111100101111101001111111111110010	Group 2	2				2		
H3307	018	0	1	01	01	H3307_018_0	5	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H3307	018	0	1	01	01	H3307_018_0	5	3	1	100100000000000000000000010101001111111111010010	Group 3	2				2		
H3307	018	0	1	01	01	H3307_018_0	5	4	1	000010000000000000000000000000000000000000000000	Group 4	2				1	10.00	25.00
H3307	018	0	1	01	01	H3307_018_0	5	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	40.00	40.00
H3307	018	0	1	01	01	H3307_018_0	5	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H3307	018	0	1	01	01	H3307_018_0	5	7	1	000000000010000000000000000000000000000000000000	Group 7	2				1	10.00	10.00
H3307	018	0	1	01	01	H3307_018_0	5	8	1	000000000000001110000001101000000000000000100000	Group 8	1	20	20	2	2		
H3307	018	0	1	01	01	H3307_018_0	5	9	1	000000000000000001100000000000000000000000000000	Group 9	2				1	75.00	75.00
H3307	018	0	1	01	01	H3307_018_0	5	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	25.00	25.00
H3307	018	0	1	01	01	H3307_018_0	5	10	1	000000000000000000000100000000000000000000000000	Group 10	2				1	150.00	150.00
H3307	019	0	1	01	01	H3307_019_0	4	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	20.00	20.00
H3307	019	0	1	01	01	H3307_019_0	4	10	1	000000000000000000000100000000000000000000000000	Group 10	2				1	150.00	150.00
H3307	019	0	1	01	01	H3307_019_0	4	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H3307	019	0	1	01	01	H3307_019_0	4	3	1	100100000000000000000000010101001111111111010010	Group 3	2				2		
H3307	019	0	1	01	01	H3307_019_0	4	9	1	000000000000000001100000000000000000000000000000	Group 9	2				1	50.00	50.00
H3307	019	0	1	01	01	H3307_019_0	4	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	40.00	40.00
H3307	019	0	1	01	01	H3307_019_0	4	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H3307	019	0	1	01	01	H3307_019_0	4	7	1	000000000010000000000000000000000000000000000000	Group 7	2				1	10.00	10.00
H3307	019	0	1	01	01	H3307_019_0	4	8	1	000000000000001110000001101000000000000000100000	Group 8	1	20	20	2	2		
H3307	019	0	1	01	01	H3307_019_0	4	4	1	000010000000000000000000000000000000000000000000	Group 4	2				1	10.00	20.00
H3307	021	0	1	01	01	H3307_021_0	7	1	1	010001110100100000011000000000000000000000001101	Group 1	2				1	20.00	20.00
H3307	021	0	1	01	01	H3307_021_0	7	9	1	000000000000000000000000001000000000000000000000	Group 9	1	20	20	2	2		
H3307	021	0	1	01	01	H3307_021_0	7	2	1	001100000000011110000000010101001111111111000010	Group 2	2				2		
H3307	021	0	1	01	01	H3307_021_0	7	3	1	000010000000000000000000000000000000000000000000	Group 3	2				1	5.00	20.00
H3307	021	0	1	01	01	H3307_021_0	7	4	1	000000001001000000000000000000000000000000000000	Group 4	1	50	50	2	2		
H3307	021	0	1	01	01	H3307_021_0	7	5	1	000000000010000000000000000000000000000000000000	Group 5	2				1	5.00	5.00
H3307	021	0	1	01	01	H3307_021_0	7	6	1	000000000000000001100000000000000000000000000000	Group 6	2				1	100.00	100.00
H3307	021	0	1	01	01	H3307_021_0	7	7	1	000000000000000000000100000000000000000000000000	Group 7	2				1	75.00	75.00
H3307	021	0	1	01	01	H3307_021_0	7	8	1	000000000000000000000001100000000000000000100000	Group 8	1	10	10	2	2		
H3351	001	0	1	01	01	H3351_001_0	4	1	1	010111110110111111101101111100000111111111100101		1	30	30	2	2		
H3351	002	0	1	01	01	H3351_002_0	7	1	1	010111110110111111101101111100000111111111100101		1	30	30	2	2		
H3351	006	0	1	01	01	H3351_006_0	7	1	1	010111110110111111101101111100000111111111100101		1	30	30	2	2		
H3351	007	0	1	01	01	H3351_007_0	4	1	1	010111110110111111101101111100000111111111100101		1	30	30	2	2		
H3379	001	0	1	01	01	H3379_001_0	5	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H3379	001	0	1	01	01	H3379_001_0	5	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H3379	001	0	1	01	01	H3379_001_0	5	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H3379	001	0	1	01	01	H3379_001_0	5	7	1	000000000000000010000000000000000000000000000000	Group 7	2				1	15.00	15.00
H3379	001	0	1	01	01	H3379_001_0	5	8	1	000000000000001101100001101000000000000000100000	Group 8	1	20	20	6	2		
H3379	001	0	1	01	01	H3379_001_0	5	9	1	000000000000000000000100000000000000000000000000	Group 9	2				1	150.00	150.00
H3379	001	0	1	01	01	H3379_001_0	5	3	1	000100000000000000000000010100001111111111000010	Group 3	2				2		
H3379	001	0	1	01	01	H3379_001_0	5	4	1	000010000010000000000000000000000000000000000000	Group 4	2				1	5.00	5.00
H3379	001	0	1	01	01	H3379_001_0	5	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	21.00	21.00
H3379	001	0	1	01	01	H3379_001_0	5	10	1	000000000000000000000000000001000000000000000000	Group 10	2				1	1500.00	1500.00
H3379	005	0	1	01	01	H3379_005_0	5	5	1	000000001001000000010000000000000000000000000000	Group 5	1	50	50	6	2		
H3379	005	0	1	01	01	H3379_005_0	5	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H3379	005	0	1	01	01	H3379_005_0	5	7	1	000000000000000010000000000000000000000000000000	Group 7	2				1	5.00	5.00
H3379	005	0	1	01	01	H3379_005_0	5	8	1	000000000000000000000001101000000000000000100000	Group 8	1	20	20	6	2		
H3379	005	0	1	01	01	H3379_005_0	5	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H3379	005	0	1	01	01	H3379_005_0	5	1	1	010100100000101101101100010100001111111111000010	Group 1	2				2		
H3379	005	0	1	01	01	H3379_005_0	5	4	1	000001010100000000000000000000000000000000001101	Group 4	2				1	10.00	10.00
H3379	005	0	1	01	01	H3379_005_0	5	3	1	000010000010000000000000000000000000000000000000	Group 3	2				1	4.00	4.00
H3379	005	0	1	01	01	H3379_005_0	5	9	1	000000000000000000000000000001000000000000000000	Group 9	2				1	950.00	950.00
H3379	007	0	1	01	01	H3379_007_0	5	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	30.00	30.00
H3379	007	0	1	01	01	H3379_007_0	5	10	1	000000000000000000000000000001000000000000000000	Group 10	2				1	1500.00	1500.00
H3379	007	0	1	01	01	H3379_007_0	5	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H3379	007	0	1	01	01	H3379_007_0	5	3	1	000100000000000000000000010100001111111111000010	Group 3	2				2		
H3379	007	0	1	01	01	H3379_007_0	5	4	1	000010000010000000000000000000000000000000000000	Group 4	2				1	10.00	10.00
H3379	007	0	1	01	01	H3379_007_0	5	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H3379	007	0	1	01	01	H3379_007_0	5	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H3379	007	0	1	01	01	H3379_007_0	5	7	1	000000000000000010000000000000000000000000000000	Group 7	2				1	15.00	15.00
H3379	007	0	1	01	01	H3379_007_0	5	8	1	000000000000001101100001101000000000000000100000	Group 8	1	20	20	6	2		
H3379	007	0	1	01	01	H3379_007_0	5	9	1	000000000000000000000100000000000000000000000000	Group 9	2				1	150.00	150.00
H3388	001	0	1	01	01	H3388_001_0	7	1	1	000011110110111111101001000100000000000101000101	30% Coinsurance	1	30	30	1	2		
H3388	002	0	1	01	01	H3388_002_0	9	1	1	000011110110111111101001000100000000000101000101	30% Coinsurance	1	30	30	1	2		
H3388	003	0	1	01	01	H3388_003_0	6	1	1	000011110110111111101001000100000000000101000101	30% Coinsurance	1	30	30	1	2		
H3388	004	0	1	01	01	H3388_004_0	8	1	1	000011110110111111101001000100000000000101000101	30% Coinsurance	1	30	30	1	2		
H3388	009	0	1	01	01	H3388_009_0	5	1	1	000011110110111111101001000100000000000101000101	30% Coinsurance	1	30	30	1	2		
H3388	010	0	1	01	01	H3388_010_0	6	1	1	000011110110111111101001000100000000000101000101	30% Coinsurance	1	30	30	1	2		
H3405	001	0	1	04	01	H3405_001_0	4	1	1	011111111101111111111101111100001111111111101111	US	1	20	20	6	1	0.00	125.00
H3405	002	0	1	04	01	H3405_002_0	5	1	1	011111111101111111111101111100001111111111101111	US	1	20	20	6	1	0.00	125.00
H3456	001	0	1	02	01	H3456_001_0	4	3	1	000000000000000000000100000000000000000000000000	Group 3	2				1	150.00	150.00
H3456	001	0	1	02	01	H3456_001_0	4	4	1	100100000000000000000000010100001111111111000010	Group 4	2				2		
H3456	001	0	1	02	01	H3456_001_0	4	5	1	000000000000001101100001101000000000000000100000	Group 5	1	20	20	6	2		
H3456	001	0	1	02	01	H3456_001_0	4	6	1	000000000010000010000000000000000000000000000000	Group 6	2				1	15.00	15.00
H3456	001	0	1	02	01	H3456_001_0	4	7	1	010001110100100000001000000000000000000000001101	Group 7	2				1	30.00	30.00
H3456	001	0	1	02	01	H3456_001_0	4	2	1	000000000000010000000000000000000000000000000000	Group 2	2				1	0.00	7.00
H3456	001	0	1	02	01	H3456_001_0	4	1	1	001000000000000000000000000000000000000000000000	Group 1	2				1	60.00	60.00
H3456	001	0	1	02	01	H3456_001_0	4	8	1	000010000000000000000000000000000000000000000000	Group 8	2				1	15.00	30.00
H3456	001	0	1	02	01	H3456_001_0	4	9	1	000000001001000000010000000000000000000000000000	Group 9	2				1	30.00	40.00
H3456	020	0	1	02	01	H3456_020_0	3	1	1	001000000000000000000000000000000000000000000000	Group 1	2				1	60.00	60.00
H3456	020	0	1	02	01	H3456_020_0	3	2	1	000000000000010000000000000000000000000000000000	Group 2	2				1	0.00	7.00
H3456	020	0	1	02	01	H3456_020_0	3	3	1	000000000000000000000100000000000000000000000000	Group 3	2				1	150.00	150.00
H3456	020	0	1	02	01	H3456_020_0	3	4	1	000100000000000000000000010100001111111111000010	Group 4	2				1	0.00	0.00
H3456	020	0	1	02	01	H3456_020_0	3	9	1	000000001001000000010000000000000000000000000000	Group 9	2				1	30.00	40.00
H3456	020	0	1	02	01	H3456_020_0	3	6	1	000000000010000010000000000000000000000000000000	Group 6	2				1	15.00	15.00
H3456	020	0	1	02	01	H3456_020_0	3	7	1	010001110100100000001000000000000000000000001101	Group 7	2				1	30.00	30.00
H3456	020	0	1	02	01	H3456_020_0	3	8	1	000010000000000000000000000000000000000000000000	Group 8	2				1	15.00	30.00
H3456	020	0	1	02	01	H3456_020_0	3	5	1	000000000000001101100001101000000000000000100000	Group 5	1	20	20	6	2		
H3619	001	0	1	04	01	H3619_001_0	6	1	1	011111111101111101111101111100001111111111111111	US	1	20	20	6	1	0.00	175.00
H3619	004	0	1	04	01	H3619_004_0	6	1	1	011111111101111101111101111100001111111111111111	US	1	20	20	6	1	0.00	150.00
H3619	012	0	1	04	01	H3619_012_0	7	1	1	011111111101111101111101111100001111111111111111	US	1	20	20	6	1	0.00	175.00
H3659	001	0	1	02	01	H3659_001_0	4	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H3659	001	0	1	02	01	H3659_001_0	4	8	1	000000000000001101100001101000000000000000100000	Group 8	1	20	20	2	2		
H3659	001	0	1	02	01	H3659_001_0	4	7	1	000000000000000010000000000000000000000000000000	Group 7	2				1	15.00	15.00
H3659	001	0	1	02	01	H3659_001_0	4	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H3659	001	0	1	02	01	H3659_001_0	4	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H3659	001	0	1	02	01	H3659_001_0	4	4	1	000000000010000000000000000000000000000000000000	Group 4	2				1	20.00	20.00
H3659	001	0	1	02	01	H3659_001_0	4	3	1	100100000000000000000000010100001111111111000010	Group 3	2				2		
H3659	001	0	1	02	01	H3659_001_0	4	11	1	000000000000000000000000000001000000000000000000	Group 11	2				1	1500.00	1500.00
H3659	001	0	1	02	01	H3659_001_0	4	10	1	000010000000000000000000000000000000000000000000	Group 10	2				1	20.00	30.00
H3659	001	0	1	02	01	H3659_001_0	4	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	30.00	30.00
H3659	001	0	1	02	01	H3659_001_0	4	9	1	000000000000000000000100000000000000000000000000	Group 9	2				1	150.00	150.00
H3659	003	0	1	01	01	H3659_003_0	5	4	1	000000000010000000000000000000000000000000000000	Group 4	2				1	5.00	5.00
H3659	003	0	1	01	01	H3659_003_0	5	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H3659	003	0	1	01	01	H3659_003_0	5	6	1	000010000000000000000000000000000000000000000000	Group 6	2				1	5.00	15.00
H3659	003	0	1	01	01	H3659_003_0	5	7	1	000000000000001100000001101000000000000000100000	Group 7	1	20	20	6	2		
H3659	003	0	1	01	01	H3659_003_0	5	8	1	000000000000000001100000000000000000000000000000	Group 8	2				1	100.00	100.00
H3659	003	0	1	01	01	H3659_003_0	5	3	1	100100000000000000000000010100001111111111000010	Group 3	2				2		
H3659	003	0	1	01	01	H3659_003_0	5	9	1	000000000000000000000100000000000000000000000000	Group 9	2				1	150.00	150.00
H3659	003	0	1	01	01	H3659_003_0	5	2	1	010001110100100010001000000000000000000000001101	Group 2	2				1	15.00	15.00
H3659	003	0	1	01	01	H3659_003_0	5	11	1	000000000000010000000000000000000000000000000000	Group 11	2				1	0.00	7.00
H3659	003	0	1	01	01	H3659_003_0	5	10	1	000000000000000000000000000001000000000000000000	Group 10	2				1	1500.00	1500.00
H3659	003	0	1	01	01	H3659_003_0	5	1	1	001000000000000000000000000000000000000000000000	Group 1	2				1	60.00	60.00
H3659	031	0	1	01	01	H3659_031_0	5	3	1	000100000000000000000000010100001111111111000010	Group 3	2				2		
H3659	031	0	1	01	01	H3659_031_0	5	4	1	000000000010000000000000000000000000000000000000	Group 4	2				1	15.00	15.00
H3659	031	0	1	01	01	H3659_031_0	5	5	1	000001010100000010000000000000000000000000001101	Group 5	2				1	25.00	25.00
H3659	031	0	1	01	01	H3659_031_0	5	6	1	000000001001000000010000000000000000000000000000	Group  6	2				1	35.00	35.00
H3659	031	0	1	01	01	H3659_031_0	5	7	1	000000000000010000000000000000000000000000000000	Group 7	2				1	0.00	25.00
H3659	031	0	1	01	01	H3659_031_0	5	8	1	000000000000001100000000000000000000000000000000	Group 8	2				1	100.00	100.00
H3659	031	0	1	01	01	H3659_031_0	5	10	1	000000000000000000000001101000000000000000100000	Group 10	1	20	20	6	2		
H3659	031	0	1	01	01	H3659_031_0	5	1	1	010000100000100000001000000000000000000000000000	Group 1	2				1	50.00	50.00
H3659	031	0	1	01	01	H3659_031_0	5	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H3659	031	0	1	01	01	H3659_031_0	5	13	1	000000000000000001100000000000000000000000000000	Group 13	2				1	50.00	150.00
H3659	031	0	1	01	01	H3659_031_0	5	12	1	000000000000000000000000000001000000000000000000	Group 12	2				1	1500.00	1500.00
H3659	031	0	1	01	01	H3659_031_0	5	11	1	000010000000000000000000000000000000000000000000	Group 11	2				1	15.00	25.00
H3659	031	0	1	01	01	H3659_031_0	5	9	1	000000000000000000000100000000000000000000000000	Group 9	2				1	150.00	150.00
H3659	054	0	1	01	01	H3659_054_0	4	9	1	000000000000000000000100000000000000000000000000	Group 9	2				1	150.00	150.00
H3659	054	0	1	01	01	H3659_054_0	4	8	1	000000000000001100000000000000000000000000000000	Group 8	2				1	100.00	100.00
H3659	054	0	1	01	01	H3659_054_0	4	7	1	000000000000010000000000000000000000000000000000	Group 7	2				1	0.00	25.00
H3659	054	0	1	01	01	H3659_054_0	4	6	1	000000001001000000010000000000000000000000000000	Group 6	2				1	35.00	35.00
H3659	054	0	1	01	01	H3659_054_0	4	5	1	000000000000000000000000000001000000000000000000	Group 5	2				1	1500.00	1500.00
H3659	054	0	1	01	01	H3659_054_0	4	2	1	000100000000000000000000010100001111111111000010	Group 2	2				2		
H3659	054	0	1	01	01	H3659_054_0	4	3	1	000010000000000000000000000000000000000000000000	Group 3	2				1	10.00	25.00
H3659	054	0	1	01	01	H3659_054_0	4	4	1	010000100000100000001000000000000000000000000000	Group 4	2				1	50.00	50.00
H3659	054	0	1	01	01	H3659_054_0	4	13	1	000000000000000001100000000000000000000000000000	Group 13	2				1	50.00	150.00
H3659	054	0	1	01	01	H3659_054_0	4	12	1	000010000010000000000000000000000000000000000000	Group 12	2				1	10.00	25.00
H3659	054	0	1	01	01	H3659_054_0	4	11	1	000001010100000010000000000000000000000000001101	Group 11	2				1	25.00	25.00
H3659	054	0	1	01	01	H3659_054_0	4	10	1	000000000000000000000001101000000000000000100000	Group 10	1	20	20	2	2		
H3659	054	0	1	01	01	H3659_054_0	4	1	1	001000000000000000000000000000000000000000000000	Group 1	2				1	60.00	60.00
H3659	060	0	1	01	01	H3659_060_0	6	3	1	000100000000000000000000010100001111111111000010	Group 3	2				2		
H3659	060	0	1	01	01	H3659_060_0	6	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H3659	060	0	1	01	01	H3659_060_0	6	12	1	000000000000000000000000000001000000000000000000	Group 12	2				1	1500.00	1500.00
H3659	060	0	1	01	01	H3659_060_0	6	11	1	000010000000000000000000000000000000000000000000	Group 11	2				1	15.00	25.00
H3659	060	0	1	01	01	H3659_060_0	6	10	1	000000000000000000000001101000000000000000100000	Group 10	1	20	20	6	2		
H3659	060	0	1	01	01	H3659_060_0	6	9	1	000000000000000001100100000000000000000000000000	Group 9	2				1	50.00	150.00
H3659	060	0	1	01	01	H3659_060_0	6	4	1	000000000010000000000000000000000000000000000000	Group 4	2				1	15.00	15.00
H3659	060	0	1	01	01	H3659_060_0	6	5	1	000001010100000010000000000000000000000000001101	Group 5	2				1	25.00	25.00
H3659	060	0	1	01	01	H3659_060_0	6	6	1	000000001001000000010000000000000000000000000000	Group  6	2				1	35.00	35.00
H3659	060	0	1	01	01	H3659_060_0	6	7	1	000000000000010000000000000000000000000000000000	Group 7	2				1	0.00	25.00
H3659	060	0	1	01	01	H3659_060_0	6	8	1	000000000000001100000000000000000000000000000000	Group 8	2				1	100.00	100.00
H3659	060	0	1	01	01	H3659_060_0	6	1	1	010000100000100000001000000000000000000000000000	Group 1	2				1	50.00	50.00
H3812	001	0	1	04	01	H3812_001_0	4	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	20.00	20.00
H3812	001	0	1	04	01	H3812_001_0	4	10	1	000000000000000000000000000001000000000000000000	Group 10	2				1	1500.00	1500.00
H3812	001	0	1	04	01	H3812_001_0	4	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H3812	001	0	1	04	01	H3812_001_0	4	3	1	000100000000000000000000010100001111111111000010	Group 3	2				2		
H3812	001	0	1	04	01	H3812_001_0	4	9	1	000000000000000000000100000000000000000000000000	Group 9	2				1	150.00	150.00
H3812	001	0	1	04	01	H3812_001_0	4	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H3812	001	0	1	04	01	H3812_001_0	4	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H3812	001	0	1	04	01	H3812_001_0	4	7	1	000000000000000010000000000000000000000000000000	Group 7	2				1	15.00	15.00
H3812	001	0	1	04	01	H3812_001_0	4	8	1	000000000000001101100001101000000000000000100000	Group 8	1	20	20	6	2		
H3812	001	0	1	04	01	H3812_001_0	4	4	1	000010000010000000000000000000000000000000000000	Group 4	2				1	10.00	10.00
H3887	003	0	1	02	01	H3887_003_0	4	9	1	000100000000000000000000010100001111111111000010	Group 9	2				2		
H3887	003	0	1	02	01	H3887_003_0	4	8	1	000000000000000000000100000000000000000000000000	Group 8	2				1	150.00	150.00
H3887	003	0	1	02	01	H3887_003_0	4	7	1	000000000000001101100001101000000000000000100000	Group 7	1	20	20	6	2		
H3887	003	0	1	02	01	H3887_003_0	4	6	1	000000000000000010000000000000000000000000000000	Group 6	2				1	15.00	15.00
H3887	003	0	1	02	01	H3887_003_0	4	5	1	000000000000010000000000000000000000000000000000	Group 5	2				1	0.00	7.00
H3887	003	0	1	02	01	H3887_003_0	4	4	1	000000001001000000010000000000000000000000000000	Group 4	2				1	30.00	40.00
H3887	003	0	1	02	01	H3887_003_0	4	3	1	000010000010000000000000000000000000000000000000	Group 3	2				1	8.00	8.00
H3887	003	0	1	02	01	H3887_003_0	4	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H3887	003	0	1	02	01	H3887_003_0	4	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	28.00	28.00
H3887	003	0	1	02	01	H3887_003_0	4	10	1	000000000000000000000000000001000000000000000000	Group 10	2				1	1500.00	1500.00
H3887	004	0	1	02	01	H3887_004_0	3	8	1	000000000000000000000100000000000000000000000000	Group 8	2				1	150.00	150.00
H3887	004	0	1	02	01	H3887_004_0	3	7	1	000000000000001101100001101000000000000000100000	Group 7	1	20	20	6	2		
H3887	004	0	1	02	01	H3887_004_0	3	6	1	000000000000000010000000000000000000000000000000	Group 6	2				1	15.00	15.00
H3887	004	0	1	02	01	H3887_004_0	3	5	1	000000000000010000000000000000000000000000000000	Group 5	2				1	0.00	7.00
H3887	004	0	1	02	01	H3887_004_0	3	9	1	000100000000000000000000010100001111111111000010	Group 9	2				2		
H3887	004	0	1	02	01	H3887_004_0	3	3	1	000010000010000000000000000000000000000000000000	Group 3	2				1	5.00	5.00
H3887	004	0	1	02	01	H3887_004_0	3	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H3887	004	0	1	02	01	H3887_004_0	3	10	1	000000000000000000000000000001000000000000000000	Group 10	2				1	1500.00	1500.00
H3887	004	0	1	02	01	H3887_004_0	3	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	25.00	25.00
H3887	004	0	1	02	01	H3887_004_0	3	4	1	000000001001000000010000000000000000000000000000	Group 4	2				1	30.00	40.00
H3921	001	0	1	04	01	H3921_001_0	5	5	1	000000000000010000000000000000000000000000000000	Group 5	2				1	0.00	7.00
H3921	001	0	1	04	01	H3921_001_0	5	4	1	000010000010000000000000000000000000000000000000	Group 4	2				1	10.00	10.00
H3921	001	0	1	04	01	H3921_001_0	5	7	1	000000000000000000000100000000000000000000000000	Group 7	2				1	150.00	150.00
H3921	001	0	1	04	01	H3921_001_0	5	8	1	000000000000000000000000000001000000000000000000	Group 8	2				1	1500.00	1500.00
H3921	001	0	1	04	01	H3921_001_0	5	9	1	000000001001000000010000000000000000000000000000	Group 9	2				1	30.00	40.00
H3921	001	0	1	04	01	H3921_001_0	5	6	1	000000000000001101100001101000000000000000100000	Group 6	1	20	20	2	2		
H3921	001	0	1	04	01	H3921_001_0	5	3	1	100100000000000000000000010100001111111111000010	Group 3	2				2		
H3921	001	0	1	04	01	H3921_001_0	5	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H3921	001	0	1	04	01	H3921_001_0	5	10	1	000000000000000010000000000000000000000000000000	Group 10	2				1	15.00	15.00
H3921	001	0	1	04	01	H3921_001_0	5	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	20.00	20.00
H3921	003	0	1	04	01	H3921_003_0	4	6	1	000000000000001101100001101000000000000000100000	Group 6	1	20	20	2	2		
H3921	003	0	1	04	01	H3921_003_0	4	1	1	010001110100100010001000000000000000000000001101	Group 1	2				1	15.00	15.00
H3921	003	0	1	04	01	H3921_003_0	4	8	1	000000000000000000000000000001000000000000000000	Group 8	2				1	1500.00	1500.00
H3921	003	0	1	04	01	H3921_003_0	4	9	1	000000001001000000010000000000000000000000000000	Group 9	2				1	30.00	40.00
H3921	003	0	1	04	01	H3921_003_0	4	7	1	000000000000000000000100000000000000000000000000	Group 7	2				1	150.00	150.00
H3921	003	0	1	04	01	H3921_003_0	4	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H3921	003	0	1	04	01	H3921_003_0	4	3	1	000100000000000000000000010100001111111111000010	Group 3	2				2		
H3921	003	0	1	04	01	H3921_003_0	4	4	1	000010000010000000000000000000000000000000000000	Group 4	2				1	5.00	5.00
H3921	003	0	1	04	01	H3921_003_0	4	5	1	000000000000010000000000000000000000000000000000	Group 5	2				1	0.00	7.00
H3921	008	0	1	04	01	H3921_008_0	3	5	1	000000000000010000000000000000000000000000000000	Group 5	2				1	0.00	7.00
H3921	008	0	1	04	01	H3921_008_0	3	6	1	000000000000001101100001101000000000000000100000	Group 6	1	20	20	2	2		
H3921	008	0	1	04	01	H3921_008_0	3	7	1	000000000000000000000100000000000000000000000000	Group 7	2				1	150.00	150.00
H3921	008	0	1	04	01	H3921_008_0	3	8	1	000000000000000000000000000001000000000000000000	Group 8	2				1	1500.00	1500.00
H3921	008	0	1	04	01	H3921_008_0	3	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	20.00	20.00
H3921	008	0	1	04	01	H3921_008_0	3	4	1	000010000010000000000000000000000000000000000000	Group 4	2				1	10.00	10.00
H3921	008	0	1	04	01	H3921_008_0	3	3	1	100100000000000000000000010100001111111111000010	Group 3	2				2		
H3921	008	0	1	04	01	H3921_008_0	3	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H3921	008	0	1	04	01	H3921_008_0	3	10	1	000000000000000010000000000000000000000000000000	Group 10	2				1	15.00	15.00
H3921	008	0	1	04	01	H3921_008_0	3	9	1	000000001001000000010000000000000000000000000000	Group 9	2				1	30.00	40.00
H4003	001	0	1	01	01	H4003_001_0	3	1	1	111111111111111111111111111111111111111111111111		1	20	20	1	2		
H4003	801	0	1	01	01	H4003_801_0	3	1	1	111111111111111111111111111111111111111111111111		1	35	35	2	2		
H4003	803	0	1	01	01	H4003_803_0	3	1	1	111111111111111111111111111111111111111111111111		1	35	35	2	2		
H4003	804	0	1	01	01	H4003_804_0	3	1	1	111111111111111111111111111111111111111111111111		1	35	35	2	2		
H4003	805	0	1	01	01	H4003_805_0	3	1	1	111111111111111111111111111111111111111111111111		1	35	35	2	2		
H4003	806	0	1	01	01	H4003_806_0	3	1	1	111111111111111111111111111111111111111111111111		1	35	35	2	2		
H4003	807	0	1	01	01	H4003_807_0	3	1	1	111111111111111111111111111111111111111111111111		1	35	35	2	2		
H4004	015	0	1	01	01	H4004_015_0	3	1	1	111111111111111111111111111111111111111111111111		1	20	20	1	2		
H4005	001	0	1	04	01	H4005_001_0	3	1	1	011111111111111111111101111100000111111111100000	US	1	20	20	2	2		
H4005	003	0	1	04	01	H4005_003_0	7	1	1	011111111111111111111101111100000111111111100000	US	1	20	20	2	2		
H4005	801	0	1	04	01	H4005_801_0	5	1	1	011111111111111111111101111100000111111111100000	US	1	20	20	2	2		
H4005	802	0	1	04	01	H4005_802_0	4	1	1	011111111111111111111101111100000111111111100000	US	1	20	20	2	2		
H4005	804	0	1	04	01	H4005_804_0	4	1	1	011111111111111111111101111100000111111111100000	US	1	20	20	2	2		
H4006	008	0	1	02	01	H4006_008_0	6	1	1	011111111111111111111001110100000111111111111001	Travel Program	2				2		
H4102	001	0	1	01	01	H4102_001_0	5	6	1	000000001001000000010000000000000000000000000000	Group 6	2				1	30.00	40.00
H4102	001	0	1	01	01	H4102_001_0	5	5	1	010001110100100000001000000000000000000000001101	Group 5	2				1	30.00	30.00
H4102	001	0	1	01	01	H4102_001_0	5	4	1	000010000010000010000000000000000000000000000000	Group 4	2				1	15.00	15.00
H4102	001	0	1	01	01	H4102_001_0	5	3	1	000000000000010000000000000000000000000000000000	Group 3	2				1	0.00	7.00
H4102	001	0	1	01	01	H4102_001_0	5	2	1	000000000000001101100001101000000000000000100000	Group 2	1	20	20	2	2		
H4102	001	0	1	01	01	H4102_001_0	5	8	1	000000000000000000000100000000000000000000000000	Group 8	2				1	150.00	150.00
H4102	001	0	1	01	01	H4102_001_0	5	9	1	000000000000000000000000000001000000000000000000	Group 9	2				1	1500.00	1500.00
H4102	001	0	1	01	01	H4102_001_0	5	1	1	000100000000000000000000010100001111111111000010	Group 1	2				2		
H4102	001	0	1	01	01	H4102_001_0	5	7	1	001000000000000000000000000000000000000000000000	Group 7	2				1	60.00	60.00
H4102	025	0	1	01	01	H4102_025_0	5	8	1	001000000000000000000000000000000000000000000000	Group 8	2				1	60.00	60.00
H4102	025	0	1	01	01	H4102_025_0	5	9	1	000000000000000000000100000000000000000000000000	Group 9	2				1	150.00	150.00
H4102	025	0	1	01	01	H4102_025_0	5	7	1	000000001001000000010000000000000000000000000000	Group 7	2				1	30.00	40.00
H4102	025	0	1	01	01	H4102_025_0	5	6	1	010001110100100000001000000000000000000000001101	Group 6	2				1	25.00	25.00
H4102	025	0	1	01	01	H4102_025_0	5	5	1	000010000010000010000000000000000000000000000000	Group 5	2				1	15.00	15.00
H4102	025	0	1	01	01	H4102_025_0	5	4	1	000000000000010000000000000000000000000000000000	Group 4	2				1	0.00	7.00
H4102	025	0	1	01	01	H4102_025_0	5	3	1	000000000000001101100001101000000000000000100000	Group 3	1	20	20	2	2		
H4102	025	0	1	01	01	H4102_025_0	5	2	1	000000000000000000000000000001000000000000000000	Group 2	2				1	1500.00	1500.00
H4102	025	0	1	01	01	H4102_025_0	5	1	1	000100000000000000000000010100001111111111000010	Group 1	2				2		
H4209	001	0	1	04	01	H4209_001_0	5	15	1	000000000000000000001000000100000000000000000000	Cardiac Rehab and Blood	2				1	30.00	30.00
H4209	001	0	1	04	01	H4209_001_0	5	5	1	000000000000001100100000000000000000000000000000	One Hundred Dollar Copay Group	2				1	100.00	100.00
H4209	001	0	1	04	01	H4209_001_0	5	6	1	000000000000000001000000000000000000000000000000	Outpatient Hospital	2				1	200.00	200.00
H4209	001	0	1	04	01	H4209_001_0	5	7	1	000000000000000010000000000000000000000000000000	X-Rays	2				1	15.00	15.00
H4209	001	0	1	04	01	H4209_001_0	5	8	1	000000000000000000000100000000000000000000000000	Ambulance Services	2				1	150.00	150.00
H4209	001	0	1	04	01	H4209_001_0	5	9	1	000000000000000000000001100000000000000000000000	Twenty-five Percent Coinsurance Group	1	25	25	1	2		
H4209	001	0	1	04	01	H4209_001_0	5	1	1	011001111111100000010000000000000000000000000000	Thirty Dollar Copay Group	2				1	35.00	35.00
H4209	001	0	1	04	01	H4209_001_0	5	10	1	000000000000000000000000001000000000000000101000	Twenty Percent Coinsurance Group	1	20	20	1	2		
H4209	001	0	1	04	01	H4209_001_0	5	11	1	100000000000000000000000010000001101111111000000	Zero Copay Group (See V/T Note on 18b)	2				1	0.00	0.00
H4209	001	0	1	04	01	H4209_001_0	5	12	1	000000000000000000000000000000000010000000000100	Twenty-five Dollar Copay Group	2				1	25.00	25.00
H4209	001	0	1	04	01	H4209_001_0	5	13	1	000000000000000000000000000000000000000000000010	Eyewear	2				1	0.00	25.00
H4209	001	0	1	04	01	H4209_001_0	5	14	1	000000000000000000000000000000000000000000000001	Hearing Exams	2				1	20.00	20.00
H4209	001	0	1	04	01	H4209_001_0	5	4	1	000000000000010000000000000000000000000000000000	Diagnostic Procs/Tests/Labs	2				1	15.00	30.00
H4209	001	0	1	04	01	H4209_001_0	5	2	1	000100000000000000000000000000000000000000000000	Home Health	1	10	10	1	2		
H4209	001	0	1	04	01	H4209_001_0	5	3	1	000010000000000000000000000000000000000000000000	Primary Care	2				1	25.00	30.00
H4209	003	0	1	04	01	H4209_003_0	5	1	1	011001111111100000010000000000000000000000000000	Thirty Dollar Copay Group	2				1	35.00	35.00
H4209	003	0	1	04	01	H4209_003_0	5	12	1	000000000000000000000000000000000010000000000100	Twenty-five Dollar Copay Group	2				1	25.00	25.00
H4209	003	0	1	04	01	H4209_003_0	5	11	1	100000000000000000000000010000001101111111000000	Zero Copay Group (See V/T Note on 18b)	2				1	0.00	0.00
H4209	003	0	1	04	01	H4209_003_0	5	9	1	000000000000000000000001100000000000000000000000	Twenty-five Percent Coinsurance Group	1	25	25	1	2		
H4209	003	0	1	04	01	H4209_003_0	5	8	1	000000000000000000000100000000000000000000000000	Ambulance Services	2				1	150.00	150.00
H4209	003	0	1	04	01	H4209_003_0	5	7	1	000000000000000010000000000000000000000000000000	X-Rays	2				1	15.00	15.00
H4209	003	0	1	04	01	H4209_003_0	5	6	1	000000000000000001000000000000000000000000000000	Outpatient Hospital	2				1	200.00	200.00
H4209	003	0	1	04	01	H4209_003_0	5	5	1	000000000000001100100000000000000000000000000000	One Hundred Dollar Copay Group	2				1	100.00	100.00
H4209	003	0	1	04	01	H4209_003_0	5	4	1	000000000000010000000000000000000000000000000000	Diagnostic Procs/Tests/Labs	2				1	15.00	30.00
H4209	003	0	1	04	01	H4209_003_0	5	3	1	000010000000000000000000000000000000000000000000	Primary Care	2				1	25.00	30.00
H4209	003	0	1	04	01	H4209_003_0	5	2	1	000100000000000000000000000000000000000000000000	Home Health	1	10	10	1	2		
H4209	003	0	1	04	01	H4209_003_0	5	15	1	000000000000000000001000000100000000000000000000	Cardiac Rehab and Blood	2				1	30.00	30.00
H4209	003	0	1	04	01	H4209_003_0	5	14	1	000000000000000000000000000000000000000000000001	Hearing Exams	2				1	20.00	20.00
H4209	003	0	1	04	01	H4209_003_0	5	13	1	000000000000000000000000000000000000000000000010	Eyewear	2				1	0.00	25.00
H4209	003	0	1	04	01	H4209_003_0	5	10	1	000000000000000000000000001000000000000000101000	Twenty Percent Coinsurance Group	1	20	20	1	2		
H4209	004	0	1	04	01	H4209_004_0	5	1	1	011001111111100000011000000100000000000000000001	Twenty Dollar Copay Group	2				1	20.00	20.00
H4209	004	0	1	04	01	H4209_004_0	5	10	1	000000000000000000000000001000000000000000101000	Twenty Percent Coinsurance Group	1	20	20	1	2		
H4209	004	0	1	04	01	H4209_004_0	5	11	1	100000000000000000000000010000001101111111000000	Zero Copay Group (See V/T Note on 18b)	2				1	0.00	0.00
H4209	004	0	1	04	01	H4209_004_0	5	12	1	000000000000000000000000000000000000000000000100	Eye Exams	2				1	25.00	25.00
H4209	004	0	1	04	01	H4209_004_0	5	13	1	000000000000000000000000000000000000000000000010	Eyewear	2				1	0.00	25.00
H4209	004	0	1	04	01	H4209_004_0	5	14	1	000000000000000000000000000000000010000000000000	Physical Exams	2				1	25.00	25.00
H4209	004	0	1	04	01	H4209_004_0	5	2	1	000100000000000000000000000000000000000000000000	Home Health	1	10	10	1	2		
H4209	004	0	1	04	01	H4209_004_0	5	3	1	000010000000000000000000000000000000000000000000	Primary Care	2				1	10.00	20.00
H4209	004	0	1	04	01	H4209_004_0	5	4	1	000000000000010000000000000000000000000000000000	Diagnostic Procs/Tests/Labs	2				1	15.00	20.00
H4209	004	0	1	04	01	H4209_004_0	5	5	1	000000000000001100100000000000000000000000000000	One Hundred Dollar Copay Group	2				1	100.00	100.00
H4209	004	0	1	04	01	H4209_004_0	5	6	1	000000000000000001000000000000000000000000000000	Outpatient Hospital	2				1	200.00	200.00
H4209	004	0	1	04	01	H4209_004_0	5	7	1	000000000000000010000000000000000000000000000000	X-Rays	2				1	15.00	15.00
H4209	004	0	1	04	01	H4209_004_0	5	8	1	000000000000000000000100000000000000000000000000	Ambulance Services	2				1	150.00	150.00
H4209	004	0	1	04	01	H4209_004_0	5	9	1	000000000000000000000001100000000000000000000000	Twenty-five Percent Coinsurance Group	1	25	25	1	2		
H4209	006	0	1	04	01	H4209_006_0	5	5	1	000000000000001100100000000000000000000000000000	One Hundred Dollar Copay Group	2				1	100.00	100.00
H4209	006	0	1	04	01	H4209_006_0	5	3	1	000010000000000000000000000000000000000000000000	Primary Care	2				1	10.00	20.00
H4209	006	0	1	04	01	H4209_006_0	5	4	1	000000000000010000000000000000000000000000000000	Diagnostic Procs/Tests/Labs	2				1	15.00	20.00
H4209	006	0	1	04	01	H4209_006_0	5	2	1	000100000000000000000000000000000000000000000000	Home Health	1	10	10	1	2		
H4209	006	0	1	04	01	H4209_006_0	5	14	1	000000000000000000000000000000000010000000000000	Physical Exams	2				1	25.00	25.00
H4209	006	0	1	04	01	H4209_006_0	5	13	1	000000000000000000000000000000000000000000000010	Eyewear	2				1	0.00	25.00
H4209	006	0	1	04	01	H4209_006_0	5	9	1	000000000000000000000001100000000000000000000000	Twenty-five Percent Coinsurance Group	1	25	25	1	2		
H4209	006	0	1	04	01	H4209_006_0	5	8	1	000000000000000000000100000000000000000000000000	Ambulance Services	2				1	150.00	150.00
H4209	006	0	1	04	01	H4209_006_0	5	7	1	000000000000000010000000000000000000000000000000	X-Rays	2				1	15.00	15.00
H4209	006	0	1	04	01	H4209_006_0	5	6	1	000000000000000001000000000000000000000000000000	Outpatient Hospital	2				1	200.00	200.00
H4209	006	0	1	04	01	H4209_006_0	5	1	1	011001111111100000011000000100000000000000000001	Twenty Dollar Copay Group	2				1	20.00	20.00
H4209	006	0	1	04	01	H4209_006_0	5	10	1	000000000000000000000000001000000000000000101000	Twenty Percent Coinsurance Group	1	20	20	1	2		
H4209	006	0	1	04	01	H4209_006_0	5	11	1	100000000000000000000000010000001101111111000000	Zero Copay Group (See V/T Note on 18b)	2				1	0.00	0.00
H4209	006	0	1	04	01	H4209_006_0	5	12	1	000000000000000000000000000000000000000000000100	Eye Exams	2				1	25.00	25.00
H4209	809	0	1	04	01	H4209_809_0	4	1	1	011011110110111111111101111100000111111111101101	Twenty Percent Coinsurance Group	1	20	20	1	2		
H4209	809	0	1	04	01	H4209_809_0	4	2	1	000100000000000000000000000000000000000000000000	Home Health	1	0	20	1	2		
H4209	809	0	1	04	01	H4209_809_0	4	3	1	000000001001000000000000000000000000000000000000	Fifty Percent Coinsurance Group	1	50	50	1	2		
H4209	809	0	1	04	01	H4209_809_0	4	4	1	000000000000000000000000000000001000000000000010	Zero Copay Group	2				1	0.00	0.00
H4209	810	0	1	04	01	H4209_810_0	4	2	1	000100000000000000000000000000000000000000000000	Home Health	1	0	20	1	2		
H4209	810	0	1	04	01	H4209_810_0	4	3	1	000000001001000000000000000000000000000000000000	Fifty Percent Coinsurance Group	1	50	50	1	2		
H4209	810	0	1	04	01	H4209_810_0	4	4	1	000000000000000000000000000000001000000000000010	Zero Copay Group	2				1	0.00	0.00
H4209	810	0	1	04	01	H4209_810_0	4	1	1	011011110110111111111101111100000111111111101101	Twenty Percent Coinsurance Group	1	20	20	1	2		
H4209	811	0	1	04	01	H4209_811_0	4	4	1	000000000000000000000000000000001000000000000010	Zero Copay Group	2				1	0.00	0.00
H4209	811	0	1	04	01	H4209_811_0	4	3	1	000000001001000000000000000000000000000000000000	Fifty Percent Coinsurance Group	1	50	50	1	2		
H4209	811	0	1	04	01	H4209_811_0	4	2	1	000100000000000000000000000000000000000000000000	Home Health	1	0	20	1	2		
H4209	811	0	1	04	01	H4209_811_0	4	1	1	011011110110111111111101111100000111111111101101	Twenty Percent Coinsurance Group	1	20	20	1	2		
H4209	812	0	1	04	01	H4209_812_0	4	2	1	000100000000000000000000000000000000000000000000	Home Health	1	0	20	1	2		
H4209	812	0	1	04	01	H4209_812_0	4	1	1	011011110110111111111101111100000111111111101101	Twenty Percent Coinsurance Group	1	20	20	1	2		
H4209	812	0	1	04	01	H4209_812_0	4	3	1	000000001001000000000000000000000000000000000000	Fifty Percent Coinsurance Group	1	50	50	1	2		
H4209	812	0	1	04	01	H4209_812_0	4	4	1	000000000000000000000000000000001000000000000010	Zero Copay Group	2				1	0.00	0.00
H4406	001	0	1	02	01	H4406_001_0	7	4	1	100100000000000000000010010100001111111111000010	Group 4	2				2		
H4406	001	0	1	02	01	H4406_001_0	7	9	1	000000001001000000010000000000000000000000000000	Group 9	2				1	30.00	40.00
H4406	001	0	1	02	01	H4406_001_0	7	1	1	001000000000000000000000000000000000000000000000	Group 1	2				1	60.00	60.00
H4406	001	0	1	02	01	H4406_001_0	7	10	1	000000000010000000000000000000000000000000000000	Group 10	2				1	10.00	10.00
H4406	001	0	1	02	01	H4406_001_0	7	8	1	000010000000000000000000000000000000000000000000	Group 8	2				1	15.00	30.00
H4406	001	0	1	02	01	H4406_001_0	7	7	1	010001110100100000001000000000000000000000001101	Group 7	2				1	25.00	25.00
H4406	001	0	1	02	01	H4406_001_0	7	6	1	000000000000000010000000000000000000000000000000	Group 6	2				1	15.00	15.00
H4406	001	0	1	02	01	H4406_001_0	7	5	1	000000000000001101100001101000000000000000100000	Group 5	1	20	20	6	2		
H4406	001	0	1	02	01	H4406_001_0	7	3	1	000000000000000000000100000000000000000000000000	Group 3	2				1	150.00	150.00
H4406	001	0	1	02	01	H4406_001_0	7	2	1	000000000000010000000000000000000000000000000000	Group 2	2				1	0.00	7.00
H4408	001	0	1	04	01	H4408_001_0	4	1	1	011111111111111111111101111100001111111111101111	US	1	20	20	6	1	0.00	200.00
H4408	002	0	1	04	01	H4408_002_0	4	1	1	011111111111111111111101111100001111111111101111	US	1	20	20	6	1	0.00	200.00
H4408	006	0	1	04	01	H4408_006_0	4	1	1	011111111111111111111101111100001111111111101111	US	1	20	20	6	1	0.00	200.00
H4408	007	0	1	04	01	H4408_007_0	4	1	1	011111111111111111111101111100001111111111101111	US	1	20	20	6	1	0.00	175.00
H4456	010	0	1	01	01	H4456_010_0	5	8	1	000000000000011100000000000000000000000000000000	Group 8	1	15	15	6	1	0.00	15.00
H4456	010	0	1	01	01	H4456_010_0	5	7	1	000000000000000010000000000000000000000000000000	Group 7	2				1	25.00	25.00
H4456	010	0	1	01	01	H4456_010_0	5	6	1	000000000010000000000000000000000000000000000000	Group 6	2				1	5.00	5.00
H4456	010	0	1	01	01	H4456_010_0	5	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H4456	010	0	1	01	01	H4456_010_0	5	4	1	000010000000000000000000000000000000000000000000	Group 4	2				1	5.00	20.00
H4456	010	0	1	01	01	H4456_010_0	5	3	1	000100000000000000000000010100001111111110000010	Group 3	2				2		
H4456	010	0	1	01	01	H4456_010_0	5	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	50.00	50.00
H4456	010	0	1	01	01	H4456_010_0	5	12	1	000000000000000000000001101000000000000000100000	Group 12	1	20	20	6	2		
H4456	010	0	1	01	01	H4456_010_0	5	11	1	000000000000000000000000000001000000000000000000	Group 11	2				1	1500.00	1500.00
H4456	010	0	1	01	01	H4456_010_0	5	10	1	000000000000000000000100000000000000000000000000	Group 10	2				1	150.00	150.00
H4456	010	0	1	01	01	H4456_010_0	5	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	20.00	20.00
H4456	010	0	1	01	01	H4456_010_0	5	9	1	000000000000000001100000000000000000000000000000	Group 9	1	15	15	6	2		
H4456	013	0	1	01	01	H4456_013_0	5	5	1	000000000000010000000000000000000000000000000000	Group 5	2				1	0.00	7.00
H4456	013	0	1	01	01	H4456_013_0	5	4	1	000000001001000000010000000000000000000000000000	Group 4	2				1	30.00	40.00
H4456	013	0	1	01	01	H4456_013_0	5	3	1	000100000000000000000000010100001111111111000010	Group 3	2				2		
H4456	013	0	1	01	01	H4456_013_0	5	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H4456	013	0	1	01	01	H4456_013_0	5	12	1	000000000000000010000000000000000000000000000000	Group 12	2				1	15.00	15.00
H4456	013	0	1	01	01	H4456_013_0	5	9	1	000000000000000000000000000001000000000000000000	Group 9	2				1	1500.00	1500.00
H4456	013	0	1	01	01	H4456_013_0	5	10	1	000000000010000000000000000000000000000000000000	Group 10	2				1	5.00	5.00
H4456	013	0	1	01	01	H4456_013_0	5	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	18.00	18.00
H4456	013	0	1	01	01	H4456_013_0	5	6	1	000000000000000000000001101000000000000000100000	Group 6	1	20	20	6	2		
H4456	013	0	1	01	01	H4456_013_0	5	7	1	000000000000001101100000000000000000000000000000	Group 7	1	15	15	6	2		
H4456	013	0	1	01	01	H4456_013_0	5	8	1	000000000000000000000100000000000000000000000000	Group 8	2				1	150.00	150.00
H4456	013	0	1	01	01	H4456_013_0	5	11	1	000010000000000000000000000000000000000000000000	Group 11	2				1	5.00	18.00
H4456	015	0	1	01	01	H4456_015_0	5	8	1	000000000000000000000100000000000000000000000000	Group 8	2				1	150.00	150.00
H4456	015	0	1	01	01	H4456_015_0	5	7	1	000000000000000001100000000000000000000000000000	Group 7	2				1	25.00	25.00
H4456	015	0	1	01	01	H4456_015_0	5	6	1	000000000000001100000001101000000000000000100000	Group 6	1	20	20	6	2		
H4456	015	0	1	01	01	H4456_015_0	5	5	1	000000000000010000000000000000000000000000000000	Group 5	2				1	0.00	7.00
H4456	015	0	1	01	01	H4456_015_0	5	4	1	000000001001000000010000000000000000000000000000	Group 4	2				1	30.00	40.00
H4456	015	0	1	01	01	H4456_015_0	5	3	1	000100000000000000000000010100001111111111000010	Group 3	2				2		
H4456	015	0	1	01	01	H4456_015_0	5	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H4456	015	0	1	01	01	H4456_015_0	5	1	1	010011110110100010001000000000000000000000001111	Group 1	2				1	15.00	15.00
H4456	015	0	1	01	01	H4456_015_0	5	9	1	000000000000000000000000000001000000000000000000	Group 9	2				1	1500.00	1500.00
H4456	016	0	1	01	01	H4456_016_0	4	8	1	000000000000000000000100000000000000000000000000	Group 8	2				1	150.00	150.00
H4456	016	0	1	01	01	H4456_016_0	4	9	1	000000000000000000000000000001000000000000000000	Group 9	2				1	1500.00	1500.00
H4456	016	0	1	01	01	H4456_016_0	4	1	1	010011110110100010001000000000000000000000001111	Group 1	2				1	15.00	15.00
H4456	016	0	1	01	01	H4456_016_0	4	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H4456	016	0	1	01	01	H4456_016_0	4	3	1	000100000000000000000000010100001111111111000010	Group 3	2				2		
H4456	016	0	1	01	01	H4456_016_0	4	4	1	000000001001000000010000000000000000000000000000	Group 4	2				1	30.00	40.00
H4456	016	0	1	01	01	H4456_016_0	4	5	1	000000000000010000000000000000000000000000000000	Group 5	2				1	0.00	7.00
H4456	016	0	1	01	01	H4456_016_0	4	6	1	000000000000001100000001101000000000000000100000	Group 6	1	20	20	6	2		
H4456	016	0	1	01	01	H4456_016_0	4	7	1	000000000000000001100000000000000000000000000000	Group 7	2				1	25.00	25.00
H4456	017	0	1	01	01	H4456_017_0	6	1	1	010111110110100001101000001100001111111111001111	Group 1	2				1	0.00	0.00
H4456	017	0	1	01	01	H4456_017_0	6	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H4456	017	0	1	01	01	H4456_017_0	6	8	1	000000000000000000000000000001000000000000000000	Group 8	2				1	1500.00	1500.00
H4456	017	0	1	01	01	H4456_017_0	6	7	1	000000000000000000000100000000000000000000000000	Group 7	2				1	150.00	150.00
H4456	017	0	1	01	01	H4456_017_0	6	6	1	000000000000001100000001101000000000000000100000	Group 6	1	20	20	6	2		
H4456	017	0	1	01	01	H4456_017_0	6	5	1	000000000000000010000000000000000000000000000000	Group 5	2				1	15.00	15.00
H4456	017	0	1	01	01	H4456_017_0	6	4	1	000000000000010000000000000000000000000000000000	Group 4	2				1	0.00	7.00
H4456	017	0	1	01	01	H4456_017_0	6	3	1	000000001001000000010000000000000000000000000000	Group 3	2				1	30.00	40.00
H4456	019	0	1	01	01	H4456_019_0	5	6	1	000000000000000000000000000001000000000000000000	Group 6	2				1	1500.00	1500.00
H4456	019	0	1	01	01	H4456_019_0	5	5	1	000000000000000000000100000000000000000000000000	Group 5	2				1	150.00	150.00
H4456	019	0	1	01	01	H4456_019_0	5	4	1	000100000000010010000000010100001111111111000000	Group 4	2				2		
H4456	019	0	1	01	01	H4456_019_0	5	3	1	000000001001000000010000000000000000000000000000	Group 3	2				1	30.00	40.00
H4456	019	0	1	01	01	H4456_019_0	5	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H4456	019	0	1	01	01	H4456_019_0	5	1	1	010011110110100000001000000000000000000000001111	Group 1	2				1	15.00	15.00
H4456	019	0	1	01	01	H4456_019_0	5	7	1	000000000000001100000000000000000000000000000000	Group 7	1	20	20	6	2		
H4456	020	0	1	01	01	H4456_020_0	3	1	1	010011110110100000001000000000000000000000001111	Group 1	2				1	15.00	15.00
H4456	020	0	1	01	01	H4456_020_0	3	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H4456	020	0	1	01	01	H4456_020_0	3	3	1	000000001001000000010000000000000000000000000000	Group 3	2				1	30.00	40.00
H4456	020	0	1	01	01	H4456_020_0	3	4	1	000100000000010010000000010100001111111111000000	Group 4	2				2		
H4456	020	0	1	01	01	H4456_020_0	3	5	1	000000000000000000000100000000000000000000000000	Group 5	2				1	150.00	150.00
H4456	020	0	1	01	01	H4456_020_0	3	6	1	000000000000000000000000000001000000000000000000	Group 6	2				1	1500.00	1500.00
H4456	021	0	1	01	01	H4456_021_0	5	4	1	000000001001000000010000000000000000000000000000	Group 4	2				1	30.00	40.00
H4456	021	0	1	01	01	H4456_021_0	5	5	1	000000000000010000000000000000000000000000000000	Group 5	2				1	0.00	7.00
H4456	021	0	1	01	01	H4456_021_0	5	6	1	000000000000000110000001101000000000000000100000	Group 6	1	20	20	6	2		
H4456	021	0	1	01	01	H4456_021_0	5	7	1	000000000000000001100000000000000000000000000000	Group 7	2				1	100.00	100.00
H4456	021	0	1	01	01	H4456_021_0	5	8	1	000000000000000000000100000000000000000000000000	Group 8	2				1	150.00	150.00
H4456	021	0	1	01	01	H4456_021_0	5	3	1	000100000000000000000000010100001111111111000000	Group 3	2				2		
H4456	021	0	1	01	01	H4456_021_0	5	1	1	010001110100101010001000000000000000000000001101	Group 1	2				1	15.00	15.00
H4456	021	0	1	01	01	H4456_021_0	5	10	1	000010000000000000000000000000000000000000000000	Group 10	2				1	10.00	15.00
H4456	021	0	1	01	01	H4456_021_0	5	11	1	000000000010000000000000000000000000000000000000	Group 11	2				1	10.00	10.00
H4456	021	0	1	01	01	H4456_021_0	5	9	1	000000000000000000000000000001000000000000000000	Group 9	2				1	1500.00	1500.00
H4456	021	0	1	01	01	H4456_021_0	5	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H4456	021	0	1	01	01	H4456_021_0	5	12	1	000000000000000000000000000000000000000000000010	Group 12	2				1	0.00	15.00
H4456	025	0	1	01	01	H4456_025_0	4	8	1	000000000000000010000000000000000000000000000000	Group 8	2				1	25.00	25.00
H4456	025	0	1	01	01	H4456_025_0	4	7	1	000000000000010000000000000000000000000000000000	Group 7	2				1	0.00	15.00
H4456	025	0	1	01	01	H4456_025_0	4	6	1	000000000010000000000000000000000000000000000000	Group 6	2				1	5.00	5.00
H4456	025	0	1	01	01	H4456_025_0	4	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H4456	025	0	1	01	01	H4456_025_0	4	4	1	000010000000000000000000000000000000000000000000	Group 4	2				1	5.00	20.00
H4456	025	0	1	01	01	H4456_025_0	4	3	1	000100000000000000000000010100001111111111000010	Group 3	2				2		
H4456	025	0	1	01	01	H4456_025_0	4	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H4456	025	0	1	01	01	H4456_025_0	4	12	1	000000000000000000000000000001000000000000000000	Group 12	2				1	1500.00	1500.00
H4456	025	0	1	01	01	H4456_025_0	4	11	1	000000000000000000000001101000000000000000100000	Group 11	1	20	20	6	2		
H4456	025	0	1	01	01	H4456_025_0	4	10	1	000000000000000000000100000000000000000000000000	Group 10	2				1	150.00	150.00
H4456	025	0	1	01	01	H4456_025_0	4	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	20.00	20.00
H4456	025	0	1	01	01	H4456_025_0	4	9	1	000000000000001101100000000000000000000000000000	Group 9	1	15	15	6	2		
H4456	026	0	1	02	01	H4456_026_0	6	10	1	000000000010000000000000000000000000000000000000	Group 10	2				1	5.00	5.00
H4456	026	0	1	02	01	H4456_026_0	6	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	18.00	18.00
H4456	026	0	1	02	01	H4456_026_0	6	11	1	000010000000000000000000000000000000000000000000	Group 11	2				1	5.00	18.00
H4456	026	0	1	02	01	H4456_026_0	6	12	1	000000000000000010000000000000000000000000000000	Group 12	2				1	15.00	15.00
H4456	026	0	1	02	01	H4456_026_0	6	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H4456	026	0	1	02	01	H4456_026_0	6	9	1	000000000000000000000000000001000000000000000000	Group 9	2				1	1500.00	1500.00
H4456	026	0	1	02	01	H4456_026_0	6	4	1	000000001001000000010000000000000000000000000000	Group 4	2				1	30.00	40.00
H4456	026	0	1	02	01	H4456_026_0	6	5	1	000000000000010000000000000000000000000000000000	Group 5	2				1	0.00	7.00
H4456	026	0	1	02	01	H4456_026_0	6	6	1	000000000000000000000001101000000000000000100000	Group 6	1	20	20	6	2		
H4456	026	0	1	02	01	H4456_026_0	6	7	1	000000000000001101100000000000000000000000000000	Group 7	1	15	15	6	2		
H4456	026	0	1	02	01	H4456_026_0	6	8	1	000000000000000000000100000000000000000000000000	Group 8	2				1	150.00	150.00
H4456	026	0	1	02	01	H4456_026_0	6	3	1	000100000000000000000000010100001111111111000010	Group 3	2				2		
H4456	027	0	1	02	01	H4456_027_0	3	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H4456	027	0	1	02	01	H4456_027_0	3	1	1	010011110110100000001000000000000000000000001101	Group 1	2				1	15.00	15.00
H4456	027	0	1	02	01	H4456_027_0	3	3	1	000100000000010010000000010100001111111111000000	Group 3	2				2		
H4456	027	0	1	02	01	H4456_027_0	3	9	1	000000000000000000000000000000000000000000000010	Group 9	2				1	0.00	15.00
H4456	027	0	1	02	01	H4456_027_0	3	8	1	000000000000000000000000000001000000000000000000	Group 8	2				1	1500.00	1500.00
H4456	027	0	1	02	01	H4456_027_0	3	7	1	000000000000000001100000000000000000000000000000	Group 7	2				1	50.00	50.00
H4456	027	0	1	02	01	H4456_027_0	3	6	1	000000000000001100000001101000000000000000100000	Group 6	1	20	20	6	2		
H4456	027	0	1	02	01	H4456_027_0	3	5	1	000000000000000000000100000000000000000000000000	Group 5	2				1	150.00	150.00
H4456	027	0	1	02	01	H4456_027_0	3	4	1	000000001001000000010000000000000000000000000000	Group 4	2				1	30.00	40.00
H4456	028	0	1	02	01	H4456_028_0	3	1	1	010011110110100000001000000000000000000000001111	Group 1	2				1	15.00	15.00
H4456	028	0	1	02	01	H4456_028_0	3	7	1	000000000000000001100000000000000000000000000000	Group 7	2				1	50.00	50.00
H4456	028	0	1	02	01	H4456_028_0	3	6	1	000000000000001100000001101000000000000000100000	Group 6	1	20	20	6	2		
H4456	028	0	1	02	01	H4456_028_0	3	5	1	000000000000000000000100000000000000000000000000	Group 5	2				1	150.00	150.00
H4456	028	0	1	02	01	H4456_028_0	3	4	1	000000001001000000010000000000000000000000000000	Group 4	2				1	30.00	40.00
H4456	028	0	1	02	01	H4456_028_0	3	3	1	000100000000010010000000010100001111111111000010	Group 3	2				2		
H4456	028	0	1	02	01	H4456_028_0	3	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H4456	028	0	1	02	01	H4456_028_0	3	8	1	000000000000000000000000000001000000000000000000	Group 8	2				1	1500.00	1500.00
H4514	007	0	1	01	01	H4514_007_0	5	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H4514	007	0	1	01	01	H4514_007_0	5	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H4514	007	0	1	01	01	H4514_007_0	5	4	1	000010000010000000000000000000000000000000000000	Group 4	2				1	10.00	10.00
H4514	007	0	1	01	01	H4514_007_0	5	3	1	000100000000000000000000010100001111111111000010	Group 3	2				2		
H4514	007	0	1	01	01	H4514_007_0	5	9	1	000000000000000000000000000001000000000000000000	Group 9	2				1	1500.00	1500.00
H4514	007	0	1	01	01	H4514_007_0	5	10	1	000000000000000001100000000000000000000000000000	Group 10	2				1	100.00	100.00
H4514	007	0	1	01	01	H4514_007_0	5	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	20.00	20.00
H4514	007	0	1	01	01	H4514_007_0	5	7	1	000000000000000010000000000000000000000000000000	Group 7	2				1	15.00	15.00
H4514	007	0	1	01	01	H4514_007_0	5	8	1	000000000000001100000001101000000000000000100000	Group 8	1	20	20	6	2		
H4514	007	0	1	01	01	H4514_007_0	5	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H4514	010	0	1	01	01	H4514_010_0	5	7	1	000000000000000010000000000000000000000000000000	Group 7	2				1	15.00	15.00
H4514	010	0	1	01	01	H4514_010_0	5	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H4514	010	0	1	01	01	H4514_010_0	5	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H4514	010	0	1	01	01	H4514_010_0	5	4	1	000010000010000000000000000000000000000000000000	Group 4	2				1	5.00	5.00
H4514	010	0	1	01	01	H4514_010_0	5	3	1	000100000000000000000000010100001111111111000010	Group 3	2				2		
H4514	010	0	1	01	01	H4514_010_0	5	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H4514	010	0	1	01	01	H4514_010_0	5	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	25.00	25.00
H4514	010	0	1	01	01	H4514_010_0	5	8	1	000000000000001101100001101000000000000000100000	Group 8	1	20	20	6	2		
H4514	010	0	1	01	01	H4514_010_0	5	9	1	000000000000000000000000000001000000000000000000	Group 9	2				1	1500.00	1500.00
H4520	001	0	1	04	01	H4520_001_0	6	1	1	011111111111111101111101111100001111111111101111		1	20	20	6	1	0.00	125.00
H4520	002	0	1	04	01	H4520_002_0	10	1	1	011111111111111101111101111100001111111111101001		1	15	20	6	1	0.00	100.00
H4520	003	0	1	04	01	H4520_003_0	9	1	1	011111111111111101111101111100001111111111101111		1	20	20	6	1	0.00	125.00
H4520	005	0	1	04	01	H4520_005_0	5	1	1	011111111101111101111101111100001111111111111111	US	1	15	20	6	1	0.00	150.00
H4520	006	0	1	04	01	H4520_006_0	7	1	1	011111111111111101111101111100001111111111111111		1	15	20	6	1	0.00	125.00
H4520	016	0	1	04	01	H4520_016_0	5	1	1	011111111111111101111101111100001111111111101111		1	20	20	6	1	0.00	150.00
H4520	018	0	1	04	01	H4520_018_0	7	1	1	011111111111111101111101111100001111111111101111		1	15	20	6	1	0.00	100.00
H4522	001	0	1	04	01	H4522_001_0	6	7	1	010001110100100000001000000000000000000000001101	Group 7	2				1	25.00	25.00
H4522	001	0	1	04	01	H4522_001_0	6	8	1	100100000000000000000010010100001111111111000010	Group 8	2				2		
H4522	001	0	1	04	01	H4522_001_0	6	6	1	000010000010000000000000000000000000000000000000	Group 6	2				1	10.00	10.00
H4522	001	0	1	04	01	H4522_001_0	6	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H4522	001	0	1	04	01	H4522_001_0	6	4	1	001000000000000000000000000000000000000000000000	Group 4	2				1	60.00	60.00
H4522	001	0	1	04	01	H4522_001_0	6	3	1	000000000000000010000000000000000000000000000000	Group 3	2				1	15.00	15.00
H4522	001	0	1	04	01	H4522_001_0	6	2	1	000000000000001101100001101000000000000000100000	Group 2	1	20	20	6	2		
H4522	001	0	1	04	01	H4522_001_0	6	9	1	000000000000000000000000000001000000000000000000	Group 9 Transplant	2				1	1500.00	1500.00
H4522	001	0	1	04	01	H4522_001_0	6	1	1	000000000000000000000100000000000000000000000000	Group 1	2				1	150.00	150.00
H4522	001	0	1	04	01	H4522_001_0	6	10	1	000000000000010000000000000000000000000000000000	Group 10	2				1	0.00	7.00
H4604	003	0	1	02	01	H4604_003_0	3	1	1	010001110100100000001000000000000000000000011101	Group 1	2				1	25.00	25.00
H4604	003	0	1	02	01	H4604_003_0	3	10	1	000000000000000001100000000000000000000000000000	Group 10	2				1	50.00	50.00
H4604	003	0	1	02	01	H4604_003_0	3	11	1	000000000000000000000100000000000000000000000000	Group 11	2				1	150.00	150.00
H4604	003	0	1	02	01	H4604_003_0	3	12	1	000000000000000000000000000001000000000000000000	Group 12	2				1	1500.00	1500.00
H4604	003	0	1	02	01	H4604_003_0	3	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H4604	003	0	1	02	01	H4604_003_0	3	9	1	000000000000001100000001101000000000000000100000	Group 9	1	20	20	6	2		
H4604	003	0	1	02	01	H4604_003_0	3	4	1	000010000000000000000000000000000000000000000000	Group 4	2				1	5.00	25.00
H4604	003	0	1	02	01	H4604_003_0	3	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H4604	003	0	1	02	01	H4604_003_0	3	6	1	000000000010000000000000000000000000000000000000	Group 6	2				1	5.00	5.00
H4604	003	0	1	02	01	H4604_003_0	3	7	1	000000000000010000000000000000000000000000000000	Group 7	2				1	0.00	7.00
H4604	003	0	1	02	01	H4604_003_0	3	8	1	000000000000000010000000000000000000000000000000	Group 8	2				1	15.00	15.00
H4604	003	0	1	02	01	H4604_003_0	3	3	1	100100000000000000000000010100001111111111000010	Group 3	2				2		
H4604	005	0	1	02	01	H4604_005_0	3	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H4604	005	0	1	02	01	H4604_005_0	3	3	1	100100000000000000000000010100001111111111000010	Group 3	2				2		
H4604	005	0	1	02	01	H4604_005_0	3	4	1	000010000000000000000000000000000000000000000000	Group 4	2				1	5.00	25.00
H4604	005	0	1	02	01	H4604_005_0	3	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H4604	005	0	1	02	01	H4604_005_0	3	6	1	000000000010000000000000000000000000000000000000	Group 6	2				1	5.00	5.00
H4604	005	0	1	02	01	H4604_005_0	3	7	1	000000000000010000000000000000000000000000000000	Group 7	2				1	0.00	7.00
H4604	005	0	1	02	01	H4604_005_0	3	8	1	000000000000000010000000000000000000000000000000	Group 8	2				1	15.00	15.00
H4604	005	0	1	02	01	H4604_005_0	3	9	1	000000000000001100000001101000000000000000100000	Group 9	1	20	20	6	2		
H4604	005	0	1	02	01	H4604_005_0	3	1	1	010001110100100000001000000000000000000000011101	Group 1	2				1	25.00	25.00
H4604	005	0	1	02	01	H4604_005_0	3	10	1	000000000000000001100000000000000000000000000000	Group 10	2				1	30.00	30.00
H4604	005	0	1	02	01	H4604_005_0	3	11	1	000000000000000000000100000000000000000000000000	Group 11	2				1	150.00	150.00
H4604	005	0	1	02	01	H4604_005_0	3	12	1	000000000000000000000000000001000000000000000000	Group 12	2				1	1500.00	1500.00
H4604	009	0	1	02	01	H4604_009_0	3	1	1	010001110100100000001000000000000000000000011101	Group 1	2				1	25.00	25.00
H4604	009	0	1	02	01	H4604_009_0	3	10	1	000000000000000001100000000000000000000000000000	Group 10	2				1	50.00	50.00
H4604	009	0	1	02	01	H4604_009_0	3	11	1	000000000000000000000100000000000000000000000000	Group 11	2				1	150.00	150.00
H4604	009	0	1	02	01	H4604_009_0	3	12	1	000000000000000000000000000001000000000000000000	Group 12	2				1	1500.00	1500.00
H4604	009	0	1	02	01	H4604_009_0	3	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H4604	009	0	1	02	01	H4604_009_0	3	3	1	100100000000000000000000010100001111111111000010	Group 3	2				2		
H4604	009	0	1	02	01	H4604_009_0	3	4	1	000010000000000000000000000000000000000000000000	Group 4	2				1	5.00	25.00
H4604	009	0	1	02	01	H4604_009_0	3	9	1	000000000000001100000001101000000000000000100000	Group 9	1	20	20	6	2		
H4604	009	0	1	02	01	H4604_009_0	3	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H4604	009	0	1	02	01	H4604_009_0	3	6	1	000000000010000000000000000000000000000000000000	Group 6	2				1	5.00	5.00
H4604	009	0	1	02	01	H4604_009_0	3	7	1	000000000000010000000000000000000000000000000000	Group 7	2				1	0.00	7.00
H4604	009	0	1	02	01	H4604_009_0	3	8	1	000000000000000010000000000000000000000000000000	Group 8	2				1	15.00	15.00
H4606	001	0	1	04	01	H4606_001_0	7	1	1	011111111101111111111101111100001111111111111111		1	20	50	6	1	0.00	125.00
H4606	004	0	1	04	01	H4606_004_0	5	1	1	011111111101111111111101111100001111111111111111		1	20	50	6	1	0.00	100.00
H4956	001	0	1	04	01	H4956_001_0	5	1	1	011111111111111111111101111100001111111111101111	US	1	20	20	6	1	0.00	175.00
H4956	002	0	1	04	01	H4956_002_0	4	1	1	011111111111111111111101111100001111111111101111	US	1	20	20	6	1	0.00	150.00
H4971	001	0	1	02	01	H4971_001_0	5	4	1	000010000000000000000000000000000000000000000000	Group 4	2				1	5.00	5.00
H4971	001	0	1	02	01	H4971_001_0	5	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H4971	001	0	1	02	01	H4971_001_0	5	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H4971	001	0	1	02	01	H4971_001_0	5	7	1	000000000000000010000000000000000000000000000000	Group 7	2				1	15.00	15.00
H4971	001	0	1	02	01	H4971_001_0	5	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H4971	001	0	1	02	01	H4971_001_0	5	9	1	000000000000000000000100000000000000000000000000	Group 9	2				1	150.00	150.00
H4971	001	0	1	02	01	H4971_001_0	5	10	1	000000000000000000000000000001000000000000000000	Group 10	2				1	1500.00	1500.00
H4971	001	0	1	02	01	H4971_001_0	5	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	20.00	20.00
H4971	001	0	1	02	01	H4971_001_0	5	3	1	000100000000000000000000010100001111111111000010	Group 3	2				2		
H4971	001	0	1	02	01	H4971_001_0	5	8	1	000000000000001101100001101000000000000000100000	Group 8	1	20	20	2	2		
H5041	001	0	1	04	01	H5041_001_0	6	1	1	011111111101111101111101111100001111111111111111	US	1	20	20	6	1	0.00	150.00
H5214	003	0	1	04	01	H5214_003_0	4	1	1	011111111101111111111101111100001111111111101111		1	20	20	6	1	0.00	125.00
H5214	004	0	1	04	01	H5214_004_0	4	1	1	011111111101111111111101111100001111111111101111	US	1	20	20	6	1	0.00	175.00
H5215	001	0	1	04	01	H5215_001_0	6	1	1	000110000000000000100000000101001111111111000000	$0 Copay Group	2				2		
H5215	001	0	1	04	01	H5215_001_0	6	4	1	000000000000000000000100000000000000000000000000	$25 Copay Group	2				1	25.00	25.00
H5215	001	0	1	04	01	H5215_001_0	6	3	1	011000000000000001011000011000000000000000000110	$10 Copay Group	2				1	10.00	10.00
H5215	001	0	1	04	01	H5215_001_0	6	5	1	000000000000001000000000000000000000000000000000	$50 Copay Group	2				1	50.00	50.00
H5215	001	0	1	04	01	H5215_001_0	6	7	1	000001111111100000000000000000000000000000001001	$15 Coapy Group	2				1	15.00	15.00
H5215	001	0	1	04	01	H5215_001_0	6	6	1	000000000000000000000001100000000000000000100000	10% Coinsurance Group	1	10	10	1	2		
H5215	001	0	1	04	01	H5215_001_0	6	2	1	000000000000010110000000000000000000000000000000	$5 Copay Group	2				1	5.00	5.00
H5215	002	0	1	04	01	H5215_002_0	8	6	1	000000000000000000000001100000000000000000100000	10% Coinsurance Group	1	10	10	1	2		
H5215	002	0	1	04	01	H5215_002_0	8	7	1	000001111111100000000000000000000000000000001101	$15 Copay Group	2				1	15.00	15.00
H5215	002	0	1	04	01	H5215_002_0	8	5	1	000000000000001000000000000000000000000000000000	$50 Copay Group	2				1	50.00	50.00
H5215	002	0	1	04	01	H5215_002_0	8	1	1	000110000000000000100000000101001111111111000000	$0 Copay Group	2				2		
H5215	002	0	1	04	01	H5215_002_0	8	2	1	000000000000010110000000000000000000000000000000	$5 Copay Group	2				1	5.00	5.00
H5215	002	0	1	04	01	H5215_002_0	8	3	1	011000000000000001011000011000000000000000000010	$10 Copay Group	2				1	10.00	10.00
H5215	002	0	1	04	01	H5215_002_0	8	4	1	000000000000000000000100000000000000000000000000	$25 Copay Group	2				1	25.00	25.00
H5215	005	0	1	04	01	H5215_005_0	8	1	1	011111111111111111111101111101001111111111101111	$0 Copay Group	2				2		
H5215	006	0	1	04	01	H5215_006_0	6	1	1	011111111111111111111101111101001111111111101111	$0 Copay Group	2				2		
H5215	008	0	1	04	01	H5215_008_0	7	5	1	000000000000001000000000000000000000000000000000	$60 Copay Group	2				1	60.00	60.00
H5215	008	0	1	04	01	H5215_008_0	7	4	1	011001111111100000011000000000000000000000001111	$25 Copay Group	2				1	25.00	25.00
H5215	008	0	1	04	01	H5215_008_0	7	3	1	000100000000000000000000000000000000000000000000	$10 Copay Group	2				1	10.00	10.00
H5215	008	0	1	04	01	H5215_008_0	7	2	1	000010000000000000000000000000000010000000000000	$5 Copay Group	2				1	5.00	5.00
H5215	008	0	1	04	01	H5215_008_0	7	11	1	000000000000000000000000001000000000000000000000	$20 Copay Group	2				1	20.00	20.00
H5215	008	0	1	04	01	H5215_008_0	7	10	1	000000000000000001100000000000000000000000000000	$100 Copay Group	2				1	100.00	100.00
H5215	008	0	1	04	01	H5215_008_0	7	1	1	000000000000010000000000000101001101111111000000	$0 Copay Group	2				2		
H5215	008	0	1	04	01	H5215_008_0	7	7	1	000000000000000000000001100000000000000000100000	20% Coinsurance Group	1	20	20	1	2		
H5215	008	0	1	04	01	H5215_008_0	7	6	1	000000000000000010000000000000000000000000000000	10% Coinsurance Group	1	10	10	1	2		
H5215	008	0	1	04	01	H5215_008_0	7	9	1	000000000000000000000000010000000000000000000000	$15 Copay Group	2				1	15.00	15.00
H5215	008	0	1	04	01	H5215_008_0	7	8	1	000000000000000000000100000000000000000000000000	$75 Copay Group	2				1	75.00	75.00
H5216	001	0	1	04	01	H5216_001_0	4	1	1	011111111101111111111101111100001111111111111111	US	1	20	20	6	1	0.00	150.00
H5216	003	0	1	04	01	H5216_003_0	5	1	1	011111111101111111111101111100001111111111111111	US	1	20	20	6	1	0.00	95.00
H5253	004	0	1	02	01	H5253_004_0	5	1	1	001000000000000000000000000000000000000000000000	Group 1	2				1	60.00	60.00
H5253	004	0	1	02	01	H5253_004_0	5	10	1	000000000000000000000000000001000000000000000000	Group 10	2				1	1500.00	1500.00
H5253	004	0	1	02	01	H5253_004_0	5	11	1	000000000000000000000000000000000000000000000010	Group 11	2				1	0.00	15.00
H5253	004	0	1	02	01	H5253_004_0	5	12	1	000000000000010000000000000000000000000000000000	Group 12	2				1	0.00	7.00
H5253	004	0	1	02	01	H5253_004_0	5	2	1	000000000000000000000100000000000000000000000000	Group 2	2				1	150.00	150.00
H5253	004	0	1	02	01	H5253_004_0	5	4	1	000010000000000000000000000000000000000000000000	Group 4	2				1	15.00	30.00
H5253	004	0	1	02	01	H5253_004_0	5	5	1	010001110100100000001000000000000000000000001101	Group 5	2				1	30.00	30.00
H5253	004	0	1	02	01	H5253_004_0	5	6	1	100100000000000000000000010100001101111111000000	Group 6	2				2		
H5253	004	0	1	02	01	H5253_004_0	5	7	1	000000001001000000010000000000000000000000000000	Group 7	2				1	30.00	40.00
H5253	004	0	1	02	01	H5253_004_0	5	8	1	000000000010000010000000000000000000000000000000	Group 8	2				1	15.00	15.00
H5253	004	0	1	02	01	H5253_004_0	5	9	1	000000000000001100000001101000000000000000100000	Group 9	1	20	20	6	2		
H5253	004	0	1	02	01	H5253_004_0	5	3	1	000000000000000001100000000000000000000000000000	Group 3	1	25	25	2	2		
H5253	011	0	1	02	01	H5253_011_0	5	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H5253	011	0	1	02	01	H5253_011_0	5	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H5253	011	0	1	02	01	H5253_011_0	5	7	1	000000000000000010000000000000000000000000000000	Group 7	2				1	15.00	15.00
H5253	011	0	1	02	01	H5253_011_0	5	8	1	000000000000001100000001101000000000000000100000	Group 8	1	20	20	2	2		
H5253	011	0	1	02	01	H5253_011_0	5	9	1	000000000000000001100000000000000000000000000000	Group 9	1	25	25	2	2		
H5253	011	0	1	02	01	H5253_011_0	5	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	20.00	20.00
H5253	011	0	1	02	01	H5253_011_0	5	10	1	000000000000000000000100000000000000000000000000	Group 10	2				1	150.00	150.00
H5253	011	0	1	02	01	H5253_011_0	5	11	1	000000000000000000000000000001000000000000000000	Group 11	2				1	1500.00	1500.00
H5253	011	0	1	02	01	H5253_011_0	5	12	1	000000000000000000000000000000000000000000000010	Group 12	2				1	0.00	15.00
H5253	011	0	1	02	01	H5253_011_0	5	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H5253	011	0	1	02	01	H5253_011_0	5	3	1	000100000000000000000000010100001111111111000000	Group 3	2				2		
H5253	011	0	1	02	01	H5253_011_0	5	4	1	000010000010000000000000000000000000000000000000	Group 4	2				1	10.00	10.00
H5253	021	0	1	02	01	H5253_021_0	5	1	1	001000000000000000000000000000000000000000000000	Group 1	2				1	60.00	60.00
H5253	021	0	1	02	01	H5253_021_0	5	10	1	000000000000000000000000000001000000000000000000	Group 10	2				1	1500.00	1500.00
H5253	021	0	1	02	01	H5253_021_0	5	11	1	000000000000000000000000000000000000000000000010	Group 11	2				1	0.00	15.00
H5253	021	0	1	02	01	H5253_021_0	5	2	1	000000000000000000000100000000000000000000000000	Group 2	2				1	150.00	150.00
H5253	021	0	1	02	01	H5253_021_0	5	3	1	000000000000000001100000000000000000000000000000	Group 3	1	25	25	6	2		
H5253	021	0	1	02	01	H5253_021_0	5	9	1	000000000000001100000001101000000000000000100000	Group 9	1	20	20	6	2		
H5253	021	0	1	02	01	H5253_021_0	5	5	1	010001110100100000001000000000000000000000001101	Group 5	2				1	30.00	30.00
H5253	021	0	1	02	01	H5253_021_0	5	6	1	100100000000000000000000010100001101111111000000	Group 6	2				2		
H5253	021	0	1	02	01	H5253_021_0	5	7	1	000000001001000000010000000000000000000000000000	Group 7	2				1	30.00	40.00
H5253	021	0	1	02	01	H5253_021_0	5	8	1	000000000010000010000000000000000000000000000000	Group 8	2				1	15.00	15.00
H5253	021	0	1	02	01	H5253_021_0	5	4	1	000010000000000000000000000000000000000000000000	Group 4	2				1	15.00	30.00
H5415	039	0	1	04	01	H5415_039_0	3	1	1	011111111101111111111101111100001111111111111111		1	20	20	6	1	0.00	150.00
H5417	006	0	1	04	01	H5417_006_0	5	5	1	000010000010000000000000000000000000000000000000	Group 5	2				1	5.00	5.00
H5417	006	0	1	04	01	H5417_006_0	5	4	1	000000000000010000000000000000000000000000000000	Group 4	2				1	0.00	7.00
H5417	006	0	1	04	01	H5417_006_0	5	3	1	000100000000000000000000010100001111111111010010	Group 3	2				2		
H5417	006	0	1	04	01	H5417_006_0	5	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H5417	006	0	1	04	01	H5417_006_0	5	12	1	000000000000000000000001101000000000000000100000	Group 12	1	20	20	6	2		
H5417	006	0	1	04	01	H5417_006_0	5	8	1	000000000000000010000000000000000000000000000000	Group 8	2				1	15.00	15.00
H5417	006	0	1	04	01	H5417_006_0	5	10	1	000000000000000000000100000000000000000000000000	Group 10	2				1	150.00	150.00
H5417	006	0	1	04	01	H5417_006_0	5	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	20.00	20.00
H5417	006	0	1	04	01	H5417_006_0	5	9	1	000000000000000001100000000000000000000000000000	Group 9	2				1	175.00	175.00
H5417	006	0	1	04	01	H5417_006_0	5	7	1	000000000000001100000000000000000000000000000000	Group 7	1	10	20	6	2		
H5417	006	0	1	04	01	H5417_006_0	5	6	1	000000001001000000010000000000000000000000000000	Group 6	2				1	30.00	40.00
H5417	006	0	1	04	01	H5417_006_0	5	11	1	000000000000000000000000000001000000000000000000	Group 11	2				1	1500.00	1500.00
H5424	001	0	1	04	01	H5424_001_0	4	7	1	000000000000000010000000000000000000000000000000	Group 7	2				1	15.00	15.00
H5424	001	0	1	04	01	H5424_001_0	4	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H5424	001	0	1	04	01	H5424_001_0	4	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H5424	001	0	1	04	01	H5424_001_0	4	4	1	000010000010000000000000000000000000000000000000	Group 4	2				1	5.00	5.00
H5424	001	0	1	04	01	H5424_001_0	4	3	1	100100000000000000000010010100001111111111010010	Group 3	2				2		
H5424	001	0	1	04	01	H5424_001_0	4	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H5424	001	0	1	04	01	H5424_001_0	4	12	1	000000000000000000000000000010000000000000000000	Group 12	2				1	10.00	10.00
H5424	001	0	1	04	01	H5424_001_0	4	11	1	000000000000000000000000000001000000000000000000	Group 11	2				1	1500.00	1500.00
H5424	001	0	1	04	01	H5424_001_0	4	10	1	000001000000000000000000000000000000000000000000	Group 10	2				1	10.00	20.00
H5424	001	0	1	04	01	H5424_001_0	4	1	1	010000110100100000001000000000000000000000001101	Group 1	2				1	20.00	20.00
H5424	001	0	1	04	01	H5424_001_0	4	8	1	000000000000001101100001101000000000000000100000	Group 8	1	20	20	6	2		
H5424	001	0	1	04	01	H5424_001_0	4	9	1	000000000000000000000100000000000000000000000000	Group 9	2				1	150.00	150.00
H5424	003	0	1	04	01	H5424_003_0	4	8	1	000000000000011001100001101000000000000000100000	Group 8	1	20	20	6	2		
H5424	003	0	1	04	01	H5424_003_0	4	1	1	010001110100100000001000000010000000000000001101	Group 1	2				1	10.00	10.00
H5424	003	0	1	04	01	H5424_003_0	4	10	1	000000000000000000000000000001000000000000000000	Group 10	2				1	1500.00	1500.00
H5424	003	0	1	04	01	H5424_003_0	4	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H5424	003	0	1	04	01	H5424_003_0	4	3	1	100100000000000000000010010100001111111111010010	Group 3	2				2		
H5424	003	0	1	04	01	H5424_003_0	4	4	1	000010000010000000000000000000000000000000000000	Group 4	2				1	5.00	5.00
H5424	003	0	1	04	01	H5424_003_0	4	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H5424	003	0	1	04	01	H5424_003_0	4	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H5424	003	0	1	04	01	H5424_003_0	4	7	1	000000000000000010000000000000000000000000000000	Group 7	2				1	15.00	15.00
H5424	003	0	1	04	01	H5424_003_0	4	9	1	000000000000000000000100000000000000000000000000	Group 9	2				1	150.00	150.00
H5470	002	0	1	04	01	H5470_002_0	4	1	1	011111111101111111111101111100001111111111111111	US	1	20	20	6	1	0.00	95.00
H5507	001	0	1	04	01	H5507_001_0	4	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	30.00	30.00
H5507	001	0	1	04	01	H5507_001_0	4	10	1	000000000000000000000000000001000000000000000000	Group 10	2				1	1500.00	1500.00
H5507	001	0	1	04	01	H5507_001_0	4	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H5507	001	0	1	04	01	H5507_001_0	4	3	1	000100000000000000000000010100001111111111000010	Group 3	2				2		
H5507	001	0	1	04	01	H5507_001_0	4	9	1	000000000000001100000001101000000000000000100000	Group 9	1	20	20	6	2		
H5507	001	0	1	04	01	H5507_001_0	4	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H5507	001	0	1	04	01	H5507_001_0	4	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	10.00
H5507	001	0	1	04	01	H5507_001_0	4	7	1	000000000000000001100000000000000000000000000000	Group 7	1	25	25	6	2		
H5507	001	0	1	04	01	H5507_001_0	4	8	1	000000000000000000000100000000000000000000000000	Group 8	2				1	150.00	150.00
H5507	001	0	1	04	01	H5507_001_0	4	4	1	000010000010000010000000000000000000000000000000	Group 4	2				1	15.00	15.00
H5516	001	0	1	04	01	H5516_001_0	5	9	1	000000000010001000000000000000000000000000000000	Group 9	2				1	15.00	15.00
H5516	001	0	1	04	01	H5516_001_0	5	8	1	000000000000000000000000000001000000000000000000	Group 8	2				1	1500.00	1500.00
H5516	001	0	1	04	01	H5516_001_0	5	7	1	000010000000000000000000000000000000000000000000	Group 7	2				1	15.00	25.00
H5516	001	0	1	04	01	H5516_001_0	5	6	1	000000000000000111100001101000000000000000100000	Group 6	1	0	20	6	2		
H5516	001	0	1	04	01	H5516_001_0	5	5	1	000100000000000000000000010100001111111111000010	Group 5	2				2		
H5516	001	0	1	04	01	H5516_001_0	5	4	1	000000000000010000000000000000000000000000000000	Group 4	1	0	20	6	1	0.00	15.00
H5516	001	0	1	04	01	H5516_001_0	5	3	1	000000000000000000000100000000000000000000000000	Group 3	2				1	150.00	150.00
H5516	001	0	1	04	01	H5516_001_0	5	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H5516	001	0	1	04	01	H5516_001_0	5	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	25.00	25.00
H5516	001	0	1	04	01	H5516_001_0	5	10	1	000000001001000000010000000000000000000000000000	Group 10	2				1	30.00	40.00
H5525	001	0	1	04	01	H5525_001_0	4	1	1	011111111111111111111101111100001111111111111111		1	20	20	6	1	0.00	100.00
H5525	002	0	1	04	01	H5525_002_0	3	1	1	011111111111111111111101111100001111111111111111		1	20	20	6	1	0.00	100.00
H5525	004	0	1	04	01	H5525_004_0	5	1	1	011111111111111111111101111100001111111111111111		1	20	20	6	1	0.00	100.00
H5532	001	0	1	04	01	H5532_001_0	5	8	1	000000000000000000000100000000000000000000000000	Group 8	2				1	150.00	150.00
H5532	001	0	1	04	01	H5532_001_0	5	7	1	000000000000001101100001101000000000000000100000	Group 7	1	20	20	6	2		
H5532	001	0	1	04	01	H5532_001_0	5	6	1	000000001001000000010000000000000000000000000000	Group 6	2				1	30.00	40.00
H5532	001	0	1	04	01	H5532_001_0	5	5	1	000010000010000010000000000000000000000000000000	Group 5	2				1	15.00	15.00
H5532	001	0	1	04	01	H5532_001_0	5	4	1	000100000000000000000000000100001111111111000010	Group 4	2				1	0.00	0.00
H5532	001	0	1	04	01	H5532_001_0	5	3	1	001000000000000000000000000000000000000000000000	Group 3	2				1	60.00	60.00
H5532	001	0	1	04	01	H5532_001_0	5	2	1	000000000000010000000000000000000000000000000000	Group 2	2				1	0.00	7.00
H5532	001	0	1	04	01	H5532_001_0	5	10	1	000000000000000000000000000001000000000000000000	Group 10	2				1	1500.00	1500.00
H5532	001	0	1	04	01	H5532_001_0	5	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	25.00	25.00
H5532	001	0	1	04	01	H5532_001_0	5	9	1	000000000000000000000000010000000000000000000000	Group 9	1	0	0	6	2		
H5591	002	0	1	01	01	H5591_002_0	8	2	1	000001110000100000000000000000000000000000000000	Group 2	2				1	25.00	25.00
H5591	002	0	1	01	01	H5591_002_0	8	6	1	000000000000000000000000010100000000000010000000	Group 6	2				2		
H5591	002	0	1	01	01	H5591_002_0	8	5	1	000000000000000100000001100000000000000000100000	Group 5	1	20	20	2	2		
H5591	002	0	1	01	01	H5591_002_0	8	4	1	000000000000011010000000000000000000000000000000	Group 4	1	0	20	2	2		
H5591	002	0	1	01	01	H5591_002_0	8	3	1	000000001001000000010000000000000000000000000000	Group 3	2				1	15.00	25.00
H5591	002	0	1	01	01	H5591_002_0	8	1	1	000010000000000000000000000000000000000000000000	Group 1	2				1	20.00	20.00
H5591	003	0	1	01	01	H5591_003_0	6	2	1	000001110000100000000000000000000000000000000000	Group 2	2				1	25.00	25.00
H5591	003	0	1	01	01	H5591_003_0	6	1	1	000010000000000000000000000000000000000000000000	Group 1	2				1	20.00	20.00
H5591	003	0	1	01	01	H5591_003_0	6	4	1	000000000000011010000000000000000000000000000000	Group 4	1	0	20	2	2		
H5591	003	0	1	01	01	H5591_003_0	6	3	1	000000001001000000010000000000000000000000000000	Group 3	2				1	15.00	25.00
H5591	003	0	1	01	01	H5591_003_0	6	5	1	000000000000000100000001100000000000000000100000	Group 5	1	20	20	2	2		
H5591	003	0	1	01	01	H5591_003_0	6	6	1	000000000000000000000000010100000000000010000000	Group 6	2				2		
H5732	002	0	1	01	01	H5732_002_0	5	1	1	111111111111111101111101111100001000000000000000	US	1	20	20	2	2		
H5749	001	0	1	02	01	H5749_001_0	3	1	1	000000000000010000000000000000000000000000000000	Group 1	2				1	0.00	7.00
H5749	001	0	1	02	01	H5749_001_0	3	9	1	000000000000000000000100000000000000000000000000	Group 9	2				1	150.00	150.00
H5749	001	0	1	02	01	H5749_001_0	3	8	1	000000000000001101100001101000000000000000100000	Group 8	1	20	20	6	2		
H5749	001	0	1	02	01	H5749_001_0	3	7	1	000000000000000010000000000000000000000000000000	Group 7	2				1	15.00	15.00
H5749	001	0	1	02	01	H5749_001_0	3	6	1	000000001001000000010000000000000000000000000000	Group 6	2				1	30.00	40.00
H5749	001	0	1	02	01	H5749_001_0	3	5	1	000010000010000000000000000000000000000000000000	Group 5	2				1	5.00	5.00
H5749	001	0	1	02	01	H5749_001_0	3	4	1	000100000000000000000000010100001111111111000010	Group 4	2				2		
H5749	001	0	1	02	01	H5749_001_0	3	3	1	001000000000000000000000000000000000000000000000	Group 3	2				1	60.00	60.00
H5749	001	0	1	02	01	H5749_001_0	3	2	1	010001110100100000001000000000000000000000001101	Group 2	2				1	30.00	30.00
H5749	001	0	1	02	01	H5749_001_0	3	10	1	000000000000000000000000000001000000000000000000	Group 10	2				1	1500.00	1500.00
H5749	802	0	1	02	01	H5749_802_0	2	8	1	000000000000001101100001101000000000000000100000	Group 8	1	20	20	6	2		
H5749	802	0	1	02	01	H5749_802_0	2	7	1	000000000000000010000000000000000000000000000000	Group 7	2				1	15.00	15.00
H5749	802	0	1	02	01	H5749_802_0	2	6	1	000000001001000000010000000000000000000000000000	Group 6	2				1	30.00	40.00
H5749	802	0	1	02	01	H5749_802_0	2	5	1	000010000010000000000000000000000000000000000000	Group 5	2				1	5.00	5.00
H5749	802	0	1	02	01	H5749_802_0	2	9	1	000000000000000000000100000000000000000000000000	Group 9	2				1	150.00	150.00
H5749	802	0	1	02	01	H5749_802_0	2	3	1	001000000000000000000000000000000000000000000000	Group 3	2				1	60.00	60.00
H5749	802	0	1	02	01	H5749_802_0	2	2	1	010001110100100000001000000000000000000000001101	Group 2	2				1	30.00	30.00
H5749	802	0	1	02	01	H5749_802_0	2	10	1	000000000000000000000000000001000000000000000000	Group 10	2				1	1500.00	1500.00
H5749	802	0	1	02	01	H5749_802_0	2	1	1	000000000000010000000000000000000000000000000000	Group 1	2				1	0.00	7.00
H5749	802	0	1	02	01	H5749_802_0	2	4	1	000100000000000000000000010100001111111111000010	Group 4	2				2		
H5868	001	0	1	04	01	H5868_001_0	4	1	1	011111111101111111111101111100001111111111111111	US	1	20	20	6	1	0.00	95.00
H5868	003	0	1	04	01	H5868_003_0	3	1	1	011111111101111111111101111100001111111111111111	US	1	20	20	6	1	0.00	95.00
H6411	002	0	1	04	01	H6411_002_0	4	1	1	011111111101111101111101111100001111111111101111	US	1	20	20	6	1	0.00	100.00
H6900	001	0	1	04	01	H6900_001_0	6	1	1	011111111101111101111101111100001111111111111111	US	1	20	20	6	1	0.00	150.00
H6900	002	0	1	04	01	H6900_002_0	6	1	1	011111111101111101111101111100001111111111111111	US	1	20	20	6	1	0.00	150.00
H7002	001	0	1	04	01	H7002_001_0	5	1	1	111111111111111111111101111100001111111111101111	US	1	20	50	6	1	0.00	50.00
H7187	003	0	1	02	01	H7187_003_0	10	3	1	000100000000000000000000001100001111111111000010	Group 3	2				2		
H7187	003	0	1	02	01	H7187_003_0	10	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H7187	003	0	1	02	01	H7187_003_0	10	10	1	000000000000000000000000000001000000000000000000	Group 10	2				1	1500.00	1500.00
H7187	003	0	1	02	01	H7187_003_0	10	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	24.00	24.00
H7187	003	0	1	02	01	H7187_003_0	10	4	1	000010000010000000000000000000000000000000000000	Group 4	2				1	5.00	5.00
H7187	003	0	1	02	01	H7187_003_0	10	9	1	000000000000000000000100000000000000000000000000	Group 9	2				1	150.00	150.00
H7187	003	0	1	02	01	H7187_003_0	10	8	1	000000000000001101100001101000000000000000100000	Group 8	1	20	20	6	2		
H7187	003	0	1	02	01	H7187_003_0	10	7	1	000000000000000010000000000000000000000000000000	Group 7	2				1	15.00	15.00
H7187	003	0	1	02	01	H7187_003_0	10	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H7187	003	0	1	02	01	H7187_003_0	10	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H7187	009	0	1	02	01	H7187_009_0	5	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H7187	009	0	1	02	01	H7187_009_0	5	4	1	000010000010000000000000000000000000000000000000	Group 4	2				1	5.00	5.00
H7187	009	0	1	02	01	H7187_009_0	5	3	1	000100000000000000000000010100001111111111000010	Group 3	2				2		
H7187	009	0	1	02	01	H7187_009_0	5	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H7187	009	0	1	02	01	H7187_009_0	5	10	1	000000000000000000000000000001000000000000000000	Group 10	2				1	1500.00	1500.00
H7187	009	0	1	02	01	H7187_009_0	5	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	24.00	24.00
H7187	009	0	1	02	01	H7187_009_0	5	7	1	000000000000000010000000000000000000000000000000	Group 7	2				1	15.00	15.00
H7187	009	0	1	02	01	H7187_009_0	5	8	1	000000000000001101100001101000000000000000100000	Group 8	1	20	20	6	2		
H7187	009	0	1	02	01	H7187_009_0	5	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H7187	009	0	1	02	01	H7187_009_0	5	9	1	000000000000000000000100000000000000000000000000	Group 9	2				1	150.00	150.00
H7188	001	0	1	04	01	H7188_001_0	3	1	1	011111111101111111111101111100001111111111101111		1	20	20	6	1	0.00	150.00
H7188	003	0	1	04	01	H7188_003_0	3	1	1	011111111101111111111101111100001111111111111111		1	20	20	6	1	0.00	100.00
H7526	001	0	1	01	01	H7526_001_0	11	1	1	111111111111111111111111111110001111111111101111	Outpatient services	1	20	20	2	2		
H7917	004	0	1	04	01	H7917_004_0	7	2	1	000000000000000000000000001000000000000000000000		2				1	20.00	20.00
H7917	004	0	1	04	01	H7917_004_0	7	1	1	000000000000000000000000000000000000000000001111		2				1	30.00	30.00
H7917	004	0	1	04	01	H7917_004_0	7	3	1	000000000000011110000000000000000000000000000000		1	0	20	2	2		
H7917	004	0	1	04	01	H7917_004_0	7	5	1	000000000000000000000001100000000000000000000000		1	20	20	2	2		
H7917	004	0	1	04	01	H7917_004_0	7	4	1	000000000000000001100000000000000000000000000000		2				1	250.00	250.00
H7917	004	0	1	04	01	H7917_004_0	7	8	1	000000000000000000000100000000000000000000000000		2				1	200.00	200.00
H7917	004	0	1	04	01	H7917_004_0	7	7	1	000100000000000000000000010100001111111111000000		2				1	0.00	0.00
H7917	004	0	1	04	01	H7917_004_0	7	6	1	000000000000000000000000000000000000000000100000		1	0	20	2	2		
H7917	005	0	1	04	01	H7917_005_0	7	1	1	000000000000000000000000000000000000000000001111		2				1	30.00	30.00
H7917	005	0	1	04	01	H7917_005_0	7	2	1	000000000000000000000000001000000000000000000000		2				1	20.00	20.00
H7917	005	0	1	04	01	H7917_005_0	7	3	1	000000000000011110000000000000000000000000000000		1	0	20	2	2		
H7917	005	0	1	04	01	H7917_005_0	7	4	1	000000000000000001100000000000000000000000000000		2				1	250.00	250.00
H7917	005	0	1	04	01	H7917_005_0	7	7	1	000100000000000000000000010100001111111111000000		2				1	0.00	0.00
H7917	005	0	1	04	01	H7917_005_0	7	6	1	000000000000000000000000000000000000000000100000		1	0	20	2	2		
H7917	005	0	1	04	01	H7917_005_0	7	5	1	000000000000000000000001100000000000000000000000		1	20	20	2	2		
H7917	005	0	1	04	01	H7917_005_0	7	8	1	000000000000000000000100000000000000000000000000		2				1	200.00	200.00
H7917	006	0	1	04	01	H7917_006_0	7	7	1	000100000000000000000000010100001111111111000000		2				1	0.00	0.00
H7917	006	0	1	04	01	H7917_006_0	7	6	1	000000000000000000000000000000000000000000100000		1	0	20	2	2		
H7917	006	0	1	04	01	H7917_006_0	7	5	1	000000000000000000000001100000000000000000000000		1	20	20	2	2		
H7917	006	0	1	04	01	H7917_006_0	7	4	1	000000000000000001100000000000000000000000000000		2				1	250.00	250.00
H7917	006	0	1	04	01	H7917_006_0	7	3	1	000000000000011110000000000000000000000000000000		1	0	20	2	2		
H7917	006	0	1	04	01	H7917_006_0	7	2	1	000000000000000000000000001000000000000000000000		2				1	20.00	20.00
H7917	006	0	1	04	01	H7917_006_0	7	1	1	000000000000000000000000000000000000000000001111		2				1	30.00	30.00
H7917	006	0	1	04	01	H7917_006_0	7	8	1	000000000000000000000100000000000000000000000000		2				1	200.00	200.00
H7917	007	0	1	04	01	H7917_007_0	6	2	1	000000000000000000000000001000000000000000000000		2				1	20.00	20.00
H7917	007	0	1	04	01	H7917_007_0	6	3	1	000000000000011110000000000000000000000000000000		1	0	20	2	2		
H7917	007	0	1	04	01	H7917_007_0	6	4	1	000000000000000001100000000000000000000000000000		2				1	250.00	250.00
H7917	007	0	1	04	01	H7917_007_0	6	5	1	000000000000000000000001100000000000000000000000		1	20	20	2	2		
H7917	007	0	1	04	01	H7917_007_0	6	6	1	000000000000000000000000000000000000000000100000		1	0	20	2	2		
H7917	007	0	1	04	01	H7917_007_0	6	7	1	000100000000000000000000010100001111111111000000		2				1	0.00	0.00
H7917	007	0	1	04	01	H7917_007_0	6	8	1	000000000000000000000100000000000000000000000000		2				1	200.00	200.00
H7917	007	0	1	04	01	H7917_007_0	6	1	1	000000000000000000000000000000000000000000001111		2				1	30.00	30.00
H7917	008	0	1	04	01	H7917_008_0	7	4	1	000000000000000000000100000000000000000000000000		2				1	100.00	100.00
H7917	008	0	1	04	01	H7917_008_0	7	3	1	000000000000000000000001100000000000000000000000		1	10	10	2	2		
H7917	008	0	1	04	01	H7917_008_0	7	2	1	100100000000011111100000011100001111111111000000		2				1	0.00	0.00
H7917	008	0	1	04	01	H7917_008_0	7	1	1	011011111111100000011000000000000000000000011111		2				1	10.00	10.00
H7917	008	0	1	04	01	H7917_008_0	7	5	1	000000000000000000000000000000000000000000100000		1	1	10	2	2		
H7917	009	0	1	04	01	H7917_009_0	7	4	1	000000000000000000000100000000000000000000000000		2				1	100.00	100.00
H7917	009	0	1	04	01	H7917_009_0	7	3	1	000000000000000000000001100000000000000000000000		1	10	10	2	2		
H7917	009	0	1	04	01	H7917_009_0	7	2	1	100100000000011111100000011100001111111111000000		2				1	0.00	0.00
H7917	009	0	1	04	01	H7917_009_0	7	1	1	011011111111100000011000000000000000000000011111		2				1	10.00	10.00
H7917	009	0	1	04	01	H7917_009_0	7	5	1	000000000000000000000000000000000000000000100000		1	1	10	2	2		
H7917	010	0	1	04	01	H7917_010_0	7	1	1	011011111111100000011000000000000000000000011111		2				1	10.00	10.00
H7917	010	0	1	04	01	H7917_010_0	7	2	1	100100000000011111100000011100001111111111000000		2				1	0.00	0.00
H7917	010	0	1	04	01	H7917_010_0	7	3	1	000000000000000000000001100000000000000000000000		1	10	10	2	2		
H7917	010	0	1	04	01	H7917_010_0	7	4	1	000000000000000000000100000000000000000000000000		2				1	100.00	100.00
H7917	010	0	1	04	01	H7917_010_0	7	5	1	000000000000000000000000000000000000000000100000		1	1	10	2	2		
H7917	011	0	1	04	01	H7917_011_0	7	1	1	011011111111100000011000000000000000000000011111		2				1	10.00	10.00
H7917	011	0	1	04	01	H7917_011_0	7	2	1	100100000000011111100000011100001111111111000000		2				1	0.00	0.00
H7917	011	0	1	04	01	H7917_011_0	7	3	1	000000000000000000000001100000000000000000000000		1	10	10	2	2		
H7917	011	0	1	04	01	H7917_011_0	7	4	1	000000000000000000000100000000000000000000000000		2				1	100.00	100.00
H7917	011	0	1	04	01	H7917_011_0	7	5	1	000000000000000000000000000000000000000000100000		1	1	10	2	2		
H8644	001	0	1	04	01	H8644_001_0	3	1	1	111111111101111111111101111100001111111111111111		1	20	20	6	1	0.00	150.00
H8644	003	0	1	04	01	H8644_003_0	3	1	1	111111111101111111111101111100001111111111111111		1	20	20	6	1	0.00	150.00
H8707	001	0	1	04	01	H8707_001_0	4	1	1	011111111101111111111101111100001111111111101111	US	1	20	20	6	1	0.00	125.00
H8707	003	0	1	04	01	H8707_003_0	4	1	1	011111111101111111111101111100001111111111101111	US	1	20	20	6	1	0.00	175.00
H8707	005	0	1	04	01	H8707_005_0	4	1	1	011111111101111111111101111100001111111111101111	US	1	20	20	6	1	0.00	125.00
H8748	001	0	1	02	01	H8748_001_0	6	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H8748	001	0	1	02	01	H8748_001_0	6	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H8748	001	0	1	02	01	H8748_001_0	6	7	1	000000000000001101100001101000000000000000100000	Group 7	1	20	20	6	2		
H8748	001	0	1	02	01	H8748_001_0	6	4	1	000010000010000010000000000000000000000000000000	Group 4	2				1	15.00	15.00
H8748	001	0	1	02	01	H8748_001_0	6	3	1	100100000000000000000000010100001111111111000010	Group 3	2				2		
H8748	001	0	1	02	01	H8748_001_0	6	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H8748	001	0	1	02	01	H8748_001_0	6	8	1	000000000000000000000100000000000000000000000000	Group 8	2				1	150.00	150.00
H8748	001	0	1	02	01	H8748_001_0	6	9	1	000000000000000000000000000001000000000000000000	Group 9	2				1	1500.00	1500.00
H8748	001	0	1	02	01	H8748_001_0	6	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	30.00	30.00
H8748	002	0	1	02	01	H8748_002_0	4	6	1	000000000000010000000000000000000000000000000000	Group 7	2				1	0.00	7.00
H8748	002	0	1	02	01	H8748_002_0	4	9	1	000000000000000000000000000000000000000000000010	Group 9	2				1	0.00	30.00
H8748	002	0	1	02	01	H8748_002_0	4	8	1	000000000000001100000001101000000000000000100000	Group 9	1	20	20	6	2		
H8748	002	0	1	02	01	H8748_002_0	4	7	1	000000000000000010000000000000000000000000000000	Group 7	2				1	15.00	15.00
H8748	002	0	1	02	01	H8748_002_0	4	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H8748	002	0	1	02	01	H8748_002_0	4	4	1	000010000010000000000000000000000000000000000000	Group 4	2				1	5.00	5.00
H8748	002	0	1	02	01	H8748_002_0	4	3	1	000100000000000000000000010100001111111111000000	Group 3	2				2		
H8748	002	0	1	02	01	H8748_002_0	4	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H8748	002	0	1	02	01	H8748_002_0	4	11	1	000000000000000000000000000001000000000000000000	Group 11	2				1	1500.00	1500.00
H8748	002	0	1	02	01	H8748_002_0	4	10	1	000000000000000001100100000000000000000000000000	Group 10	2				1	150.00	150.00
H8748	002	0	1	02	01	H8748_002_0	4	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	20.00	20.00
H8748	003	0	1	02	01	H8748_003_0	5	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	20.00	20.00
H8748	003	0	1	02	01	H8748_003_0	5	8	1	000000000000001100000001101000000000000000100000	Group 9	1	20	20	6	2		
H8748	003	0	1	02	01	H8748_003_0	5	9	1	000000000000000000000000000000000000000000000010	Group 9	2				1	0.00	30.00
H8748	003	0	1	02	01	H8748_003_0	5	7	1	000000000000000010000000000000000000000000000000	Group 7	2				1	15.00	15.00
H8748	003	0	1	02	01	H8748_003_0	5	6	1	000000000000010000000000000000000000000000000000	Group 7	2				1	0.00	7.00
H8748	003	0	1	02	01	H8748_003_0	5	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H8748	003	0	1	02	01	H8748_003_0	5	4	1	000000000000000000000000000001000000000000000000	Group 4	2				1	1500.00	1500.00
H8748	003	0	1	02	01	H8748_003_0	5	3	1	000100000000000000000000010100001111111111000000	Group 3	2				2		
H8748	003	0	1	02	01	H8748_003_0	5	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H8748	003	0	1	02	01	H8748_003_0	5	10	1	000000000000000001100100000000000000000000000000	Group 10	2				1	150.00	150.00
H8748	004	0	1	02	01	H8748_004_0	5	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H8748	004	0	1	02	01	H8748_004_0	5	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	25.00	25.00
H8748	004	0	1	02	01	H8748_004_0	5	10	1	000000000000000000000100000000000000000000000000	Group 10	2				1	150.00	150.00
H8748	004	0	1	02	01	H8748_004_0	5	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H8748	004	0	1	02	01	H8748_004_0	5	4	1	000010000010000000000000000000000000000000000000	Group 4	2				1	10.00	10.00
H8748	004	0	1	02	01	H8748_004_0	5	7	1	000000000000000010000000000000000000000000000000	Group 7	2				1	15.00	15.00
H8748	004	0	1	02	01	H8748_004_0	5	8	1	000000000000001101100001101000000000000000100000	Group 8	1	20	20	2	2		
H8748	004	0	1	02	01	H8748_004_0	5	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H8748	004	0	1	02	01	H8748_004_0	5	9	1	000000000000000000000000000001000000000000000000	Group 9	2				1	1500.00	1500.00
H8748	004	0	1	02	01	H8748_004_0	5	3	1	000100000000000000000000010100001111111111000000	Group 3	2				2		
H9001	001	0	1	01	01	H9001_001_0	4	1	1	000010000100000000000000000000000000000000000000		2				1	15.00	15.00
H9001	001	0	1	01	01	H9001_001_0	4	2	1	000000010000000000000000000000000000000000000000		2				1	20.00	20.00
H9001	001	0	1	01	01	H9001_001_0	4	3	1	000000000000010010000000000000000000000000000000		2				2		
H9001	006	0	1	01	01	H9001_006_0	7	1	1	000010000100000000000000000000000000000000000000		2				1	10.00	10.00
H9001	006	0	1	01	01	H9001_006_0	7	2	1	000000010000000000000000000000000000000000000000		2				1	15.00	15.00
H9001	006	0	1	01	01	H9001_006_0	7	3	1	000000000000010010000000000000000000000000000000		2				2		
H9001	010	0	1	01	01	H9001_010_0	5	1	1	000010000100000000000000000000000000000000000000		2				1	15.00	15.00
H9001	010	0	1	01	01	H9001_010_0	5	2	1	000000010000000000000000000000000000000000000000		2				1	25.00	25.00
H9001	010	0	1	01	01	H9001_010_0	5	3	1	000000000000010010000000000000000000000000000000		2				2		
H9001	011	0	1	01	01	H9001_011_0	7	1	1	000010000100000000000000000000000000000000000000		2				1	15.00	15.00
H9001	011	0	1	01	01	H9001_011_0	7	2	1	000000010000000000000000000000000000000000000000		2				1	25.00	25.00
H9001	011	0	1	01	01	H9001_011_0	7	3	1	000000000000010010000000000000000000000000000000		2				2		
H9001	013	0	1	01	01	H9001_013_0	6	1	1	000010000100000000000000000000000000000000000000		2				1	15.00	15.00
H9001	013	0	1	01	01	H9001_013_0	6	2	1	000000010000000000000000000000000000000000000000		2				1	25.00	25.00
H9001	013	0	1	01	01	H9001_013_0	6	3	1	000000000000010010000000000000000000000000000000		2				2		
H9001	014	0	1	01	01	H9001_014_0	7	3	1	000000000000010010000000000000000000000000000000		2				2		
H9001	014	0	1	01	01	H9001_014_0	7	1	1	000010000100000000000000000000000000000000000000		2				1	15.00	15.00
H9001	014	0	1	01	01	H9001_014_0	7	2	1	000000010000000000000000000000000000000000000000		2				1	20.00	20.00
H9001	015	0	1	01	01	H9001_015_0	6	1	1	000010000100000000000000000000000000000000000000		2				1	15.00	15.00
H9001	015	0	1	01	01	H9001_015_0	6	2	1	000000010000000000000000000000000000000000000000		2				1	20.00	20.00
H9001	015	0	1	01	01	H9001_015_0	6	3	1	000000000000010010000000000000000000000000000000		2				2		
H9001	016	0	1	01	01	H9001_016_0	5	1	1	000010000100000000000000000000000000000000000000		2				1	10.00	10.00
H9001	016	0	1	01	01	H9001_016_0	5	2	1	000000010000000000000000000000000000000000000000		2				1	15.00	15.00
H9001	016	0	1	01	01	H9001_016_0	5	3	1	000000000000010010000000000000000000000000000000		2				2		
H9001	017	0	1	01	01	H9001_017_0	6	2	1	000000010000000000000000000000000000000000000000		2				1	15.00	15.00
H9001	017	0	1	01	01	H9001_017_0	6	3	1	000000000000010010000000000000000000000000000000		2				2		
H9001	017	0	1	01	01	H9001_017_0	6	1	1	000010000100000000000000000000000000000000000000		2				1	10.00	10.00
H9005	007	0	1	01	01	H9005_007_0	5	1	1	011111111111111111111111111111111000000000000000	US Travel Benefit Coinsurance	1	20	20	2	2		
H9005	804	0	1	01	01	H9005_804_0	3	1	1	011111111111111111111101111101110111111111101111	US Visitor/Travel Benefit Coinsurance	1	20	20	2	2		
H9011	003	0	1	01	01	H9011_003_0	5	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H9011	003	0	1	01	01	H9011_003_0	5	6	1	000000000000000000000000001000000000000000100000	Group 6	1	20	20	6	2		
H9011	003	0	1	01	01	H9011_003_0	5	5	1	000000000000000000000001100000000000000000000000	Group 5	1	15	15	6	2		
H9011	003	0	1	01	01	H9011_003_0	5	1	1	010111111111101111111010010100001111111111011111	Group 1	2				2		
H9011	003	0	1	01	01	H9011_003_0	5	4	1	000000000000000000000100000000000000000000000000	Group 4	2				1	150.00	150.00
H9011	003	0	1	01	01	H9011_003_0	5	3	1	000000000000010000000000000000000000000000000000	Group 3	2				1	0.00	2.00
H9011	003	0	1	01	01	H9011_003_0	5	7	1	000000000000000000000000000001000000000000000000	Group 7	2				1	1500.00	1500.00
H9011	016	0	1	02	01	H9011_016_0	4	12	1	000000000000000001100000000000000000000000000000	Group 12	2				1	175.00	175.00
H9011	016	0	1	02	01	H9011_016_0	4	11	1	000010000000000000000000000000000000000000000000	Group 11	2				1	0.00	20.00
H9011	016	0	1	02	01	H9011_016_0	4	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H9011	016	0	1	02	01	H9011_016_0	4	3	1	000100000010000000000000010100001111111111010010	Group 3	2				2		
H9011	016	0	1	02	01	H9011_016_0	4	4	1	000000000000000010000000000000000000000000000000	Group 4	2				1	15.00	15.00
H9011	016	0	1	02	01	H9011_016_0	4	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H9011	016	0	1	02	01	H9011_016_0	4	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H9011	016	0	1	02	01	H9011_016_0	4	7	1	000000000000001100000000000000000000000000000000	Group 7	1	10	20	6	2		
H9011	016	0	1	02	01	H9011_016_0	4	8	1	000000000000000000000100000000000000000000000000	Group 8	2				1	150.00	150.00
H9011	016	0	1	02	01	H9011_016_0	4	10	1	000000000000000000000000000001000000000000000000	Group 10	2				1	1500.00	1500.00
H9011	016	0	1	02	01	H9011_016_0	4	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	20.00	20.00
H9011	016	0	1	02	01	H9011_016_0	4	9	1	000000000000000000000001101000000000000000100000	Group 9	1	20	20	6	2		
H9149	002	0	1	02	01	H9149_002_0	4	9	1	000000000000000000000000000001000000000000000000	Group 9	2				1	1500.00	1500.00
H9149	002	0	1	02	01	H9149_002_0	4	8	1	000000000000000000000100000000000000000000000000	Group 8	2				1	150.00	150.00
H9149	002	0	1	02	01	H9149_002_0	4	7	1	000000000000001101100001101000000000000000100000	Group 7	1	20	20	2	2		
H9149	002	0	1	02	01	H9149_002_0	4	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
H9149	002	0	1	02	01	H9149_002_0	4	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
H9149	002	0	1	02	01	H9149_002_0	4	4	1	000010000010000000000000000000000000000000000000	Group 4	2				1	5.00	5.00
H9149	002	0	1	02	01	H9149_002_0	4	3	1	000100000000000000000000010100001111111111000010	Group 3	2				2		
H9149	002	0	1	02	01	H9149_002_0	4	1	1	010001110100100010001000000000000000000000001101	Group 1	2				1	15.00	15.00
H9149	002	0	1	02	01	H9149_002_0	4	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
H9503	001	0	1	04	01	H9503_001_0	7	1	1	011111111101111111111101111100001111111111111111		1	20	50	6	1	0.00	150.00
H9859	001	0	1	01	01	H9859_001_0	9	1	1	000000000000000000000000001000000000000000000000	$0	2				2		
H9859	001	0	1	01	01	H9859_001_0	9	2	1	010111110110111111101001100100000111111111000000	30 percent	1	30	30	2	2		
H9859	002	0	1	01	01	H9859_002_0	10	1	1	000000000000000000000000001000000000000000000000	$0	2				2		
H9859	002	0	1	01	01	H9859_002_0	10	2	1	010111110110111111101001100100000111111111000000	30 percent	1	30	30	2	2		
H9859	003	0	1	01	01	H9859_003_0	6	1	1	000000000000000000000000001000000000000000000000	$0	2				2		
H9859	003	0	1	01	01	H9859_003_0	6	2	1	010111110110111111101001100100000111111111000000	30 percent	1	30	30	2	2		
H9859	004	0	1	01	01	H9859_004_0	8	2	1	010111110110111111101001100100000111111111000000	30 percent	1	30	30	2	2		
H9859	004	0	1	01	01	H9859_004_0	8	1	1	000000000000000000000000001000000000000000000000	$0	2				2		
H9859	801	0	1	01	01	H9859_801_0	10	1	1	000000000000000000000000001000000000000000000000	$0	2				2		
H9859	801	0	1	01	01	H9859_801_0	10	2	1	010111110100111111101001101100000111111111000000	30 percent	1	30	30	2	2		
H9859	802	0	1	01	01	H9859_802_0	9	1	1	000000000000000000000000001000000000000000000000	$0	2				2		
H9859	802	0	1	01	01	H9859_802_0	9	2	1	010111110100111111101001101100000111111111000000	30 percent	1	30	30	2	2		
H9859	803	0	1	01	01	H9859_803_0	9	1	1	000000000000000000000000001000000000000000000000	$0	2				2		
H9859	803	0	1	01	01	H9859_803_0	9	2	1	010111110100111111101001101100000111111111000000	30 percent	1	30	30	2	2		
H9859	804	0	1	01	01	H9859_804_0	11	1	1	000000000000000000000000001000000000000000000000	$0	2				2		
H9859	804	0	1	01	01	H9859_804_0	11	2	1	010111110100111111101001101100000111111111000000	30 percent	1	30	30	2	2		
R3175	001	0	1	31	11	R3175_001_0	6	1	1	010000110100100000001000000000000000000000011101	Group 1	2				1	25.00	25.00
R3175	001	0	1	31	11	R3175_001_0	6	10	1	000001000000000000000000000000000000000000000000	Group 10	2				1	10.00	25.00
R3175	001	0	1	31	11	R3175_001_0	6	9	1	000000000000000000000100000000000000000000000000	Group 9	2				1	150.00	150.00
R3175	001	0	1	31	11	R3175_001_0	6	8	1	000000000000001101100001101000000000000000100000	Group 8	1	20	20	6	2		
R3175	001	0	1	31	11	R3175_001_0	6	7	1	000000000000000010000000000000000000000000000000	Group 7	2				1	15.00	15.00
R3175	001	0	1	31	11	R3175_001_0	6	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
R3175	001	0	1	31	11	R3175_001_0	6	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
R3175	001	0	1	31	11	R3175_001_0	6	4	1	000010000010000000000000000000000000000000000000	Group 4	2				1	5.00	5.00
R3175	001	0	1	31	11	R3175_001_0	6	3	1	000100000000000000000000010100001111111111000010	Group 3	2				2		
R3175	001	0	1	31	11	R3175_001_0	6	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
R3175	001	0	1	31	11	R3175_001_0	6	12	1	000000000000000000000000000010000000000000000000	Group 12	2				1	10.00	10.00
R3175	001	0	1	31	11	R3175_001_0	6	11	1	000000000000000000000000000001000000000000000000	Group 11	2				1	1500.00	1500.00
R3175	002	0	1	31	11	R3175_002_0	4	1	1	010000110100100010001000000000000000000000001101	Group 1	2				1	15.00	15.00
R3175	002	0	1	31	11	R3175_002_0	4	8	1	000000000000001101100001101000000000000000100000	Group 8	1	20	20	6	2		
R3175	002	0	1	31	11	R3175_002_0	4	7	1	000000000000000000000000000010000000000000000000	Group 7	2				1	10.00	10.00
R3175	002	0	1	31	11	R3175_002_0	4	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
R3175	002	0	1	31	11	R3175_002_0	4	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
R3175	002	0	1	31	11	R3175_002_0	4	9	1	000000000000000000000100000000000000000000000000	Group 9	2				1	150.00	150.00
R3175	002	0	1	31	11	R3175_002_0	4	3	1	000100000000000000000000010100001111111111000010	Group 3	2				2		
R3175	002	0	1	31	11	R3175_002_0	4	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
R3175	002	0	1	31	11	R3175_002_0	4	12	1	000000000000000000000000000000000000000000010000	Group 12	2				1	25.00	25.00
R3175	002	0	1	31	11	R3175_002_0	4	11	1	000000000000000000000000000001000000000000000000	Group 11	2				1	1500.00	1500.00
R3175	002	0	1	31	11	R3175_002_0	4	10	1	000001000000000000000000000000000000000000000000	Group 10	2				1	10.00	15.00
R3175	002	0	1	31	11	R3175_002_0	4	4	1	000010000010000000000000000000000000000000000000	Group 4	2				1	5.00	5.00
R5287	001	0	1	31	11	R5287_001_0	6	4	1	000010000010000000000000000000000000000000000000	Group 4	2				1	10.00	10.00
R5287	001	0	1	31	11	R5287_001_0	6	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
R5287	001	0	1	31	11	R5287_001_0	6	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	14.00
R5287	001	0	1	31	11	R5287_001_0	6	7	1	000000000000000010000000000000000000000000000000	Group 7	2				1	15.00	15.00
R5287	001	0	1	31	11	R5287_001_0	6	8	1	000000000000001101100000000000000000000000000000	Group 8	1	20	30	6	2		
R5287	001	0	1	31	11	R5287_001_0	6	9	1	000000000000000000000100000000000000000000000000	Group 9	2				1	150.00	150.00
R5287	001	0	1	31	11	R5287_001_0	6	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	25.00	25.00
R5287	001	0	1	31	11	R5287_001_0	6	10	1	000000000000000000000001101000000000000000100000	Group 10	1	20	20	6	2		
R5287	001	0	1	31	11	R5287_001_0	6	11	1	000000000000000000000000000001000000000000000000	Group 11	2				1	1500.00	1500.00
R5287	001	0	1	31	11	R5287_001_0	6	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
R5287	001	0	1	31	11	R5287_001_0	6	3	1	000100000000000000000000010100001111111111010010	Group 3	2				1	0.00	0.00
R5287	002	0	1	31	11	R5287_002_0	5	7	1	000000000000000010000000000000000000000000000000	Group 7	2				1	15.00	15.00
R5287	002	0	1	31	11	R5287_002_0	5	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	13.00
R5287	002	0	1	31	11	R5287_002_0	5	9	1	000000000000000000000100000000000000000000000000	Group 9	2				1	150.00	150.00
R5287	002	0	1	31	11	R5287_002_0	5	8	1	000000000000001101100000000000000000000000000000	Group 8	1	20	30	6	2		
R5287	002	0	1	31	11	R5287_002_0	5	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	25.00	25.00
R5287	002	0	1	31	11	R5287_002_0	5	10	1	000000000000000000000001101000000000000000100000	Group 10	1	20	20	6	2		
R5287	002	0	1	31	11	R5287_002_0	5	11	1	000000000000000000000000000001000000000000000000	Group 11	2				1	1500.00	1500.00
R5287	002	0	1	31	11	R5287_002_0	5	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
R5287	002	0	1	31	11	R5287_002_0	5	3	1	000100000000000000000000010100001111111111010010	Group 3	2				1	0.00	0.00
R5287	002	0	1	31	11	R5287_002_0	5	4	1	000010000010000000000000000000000000000000000000	Group 4	2				1	10.00	10.00
R5287	002	0	1	31	11	R5287_002_0	5	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
R5342	001	0	1	31	11	R5342_001_0	5	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	25.00	25.00
R5342	001	0	1	31	11	R5342_001_0	5	8	1	000000000000001100000001101000000000000000100000	Group 8	1	20	20	6	2		
R5342	001	0	1	31	11	R5342_001_0	5	7	1	000000000000000010000000000000000000000000000000	Group 7	2				1	15.00	15.00
R5342	001	0	1	31	11	R5342_001_0	5	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
R5342	001	0	1	31	11	R5342_001_0	5	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
R5342	001	0	1	31	11	R5342_001_0	5	9	1	000000000000000001100000000000000000000000000000	Group 9	2				1	125.00	125.00
R5342	001	0	1	31	11	R5342_001_0	5	3	1	000100000000000000000000010100001111111111000010	Group 3	2				2		
R5342	001	0	1	31	11	R5342_001_0	5	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
R5342	001	0	1	31	11	R5342_001_0	5	11	1	000000000000000000000000000001000000000000000000	Group 11	2				1	1500.00	1500.00
R5342	001	0	1	31	11	R5342_001_0	5	10	1	000000000000000000000100000000000000000000000000	Group 10	2				1	150.00	150.00
R5342	001	0	1	31	11	R5342_001_0	5	4	1	000010000010000000000000000000000000000000000000	Group 4	2				1	10.00	10.00
R5342	002	0	1	31	11	R5342_002_0	5	7	1	000000000000000010000000000000000000000000000000	Group 7	2				1	15.00	15.00
R5342	002	0	1	31	11	R5342_002_0	5	6	1	000000000000010000000000000000000000000000000000	Group 6	2				1	0.00	7.00
R5342	002	0	1	31	11	R5342_002_0	5	5	1	000000001001000000010000000000000000000000000000	Group 5	2				1	30.00	40.00
R5342	002	0	1	31	11	R5342_002_0	5	4	1	000010000010000000000000000000000000000000000000	Group 4	2				1	10.00	10.00
R5342	002	0	1	31	11	R5342_002_0	5	3	1	000100000000000000000000010100001111111111000010	Group 3	2				2		
R5342	002	0	1	31	11	R5342_002_0	5	2	1	001000000000000000000000000000000000000000000000	Group 2	2				1	60.00	60.00
R5342	002	0	1	31	11	R5342_002_0	5	11	1	000000000000000000000000000001000000000000000000	Group 11	2				1	1500.00	1500.00
R5342	002	0	1	31	11	R5342_002_0	5	10	1	000000000000000000000100000000000000000000000000	Group 10	2				1	150.00	150.00
R5342	002	0	1	31	11	R5342_002_0	5	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	25.00	25.00
R5342	002	0	1	31	11	R5342_002_0	5	8	1	000000000000001100000001101000000000000000100000	Group 8	1	20	20	6	2		
R5342	002	0	1	31	11	R5342_002_0	5	9	1	000000000000000001100000000000000000000000000000	Group 9	2				1	125.00	125.00
R5566	005	0	1	31	11	R5566_005_0	6	1	1	000100000000010000000000001100000101111100000000	Group 1	2				2		
R5566	005	0	1	31	11	R5566_005_0	6	2	1	010000111110100000011000000000001000000001001100	Group 2	2				1	35.00	35.00
R5566	005	0	1	31	11	R5566_005_0	6	3	1	000010000000000000000000000000000010000000000000	Group 3	2				1	25.00	25.00
R5566	005	0	1	31	11	R5566_005_0	6	4	1	000000000000000000100000000000000000000000000000	Group 4	2				1	150.00	150.00
R5566	005	0	1	31	11	R5566_005_0	6	5	1	000001000000001110000101110000000000000000100010	Group 5	1	20	20	1	2		
R5566	005	0	1	31	11	R5566_005_0	6	6	1	001000000000000000000000000000000000000000000000	Group 6	2				1	125.00	125.00
R5566	005	0	1	31	11	R5566_005_0	6	7	1	000000000000000001000000000000000000000000000000	Group 7	2				1	0.00	150.00
R5826	001	0	1	31	11	R5826_001_0	5	1	1	011111111101111111111101111100001111111111111111		1	20	20	6	1	0.00	150.00
R5826	002	0	1	31	11	R5826_002_0	6	1	1	011111111101111111111101111100001111111111111111		1	20	20	6	1	0.00	150.00
R5826	003	0	1	31	11	R5826_003_0	5	1	1	011111111101111111111101111100001111111111111111		1	20	20	6	1	0.00	150.00
R5826	004	0	1	31	11	R5826_004_0	5	1	1	011111111101111111111101111100001111111111111111		1	20	20	6	1	0.00	95.00
R5826	005	0	1	31	11	R5826_005_0	5	1	1	011111111101111111111101111100001111111111111111		1	20	20	6	1	0.00	150.00
R5826	006	0	1	31	11	R5826_006_0	5	1	1	011111111101111111111101111100001111111111111111		1	20	20	6	1	0.00	150.00
R5826	007	0	1	31	11	R5826_007_0	5	1	1	011111111101111111111101111100001111111111111111		1	20	20	6	1	0.00	150.00
R5826	008	0	1	31	11	R5826_008_0	5	1	1	011111111101111111111101111100001111111111111111		1	20	20	6	1	0.00	150.00
R5826	009	0	1	31	11	R5826_009_0	8	1	1	011111111101111111111101111100001111111111111111		1	20	20	6	1	0.00	150.00
R5826	010	0	1	31	11	R5826_010_0	5	1	1	011111111101111111111101111100001111111111111111		1	20	20	6	1	0.00	150.00
R5826	011	0	1	31	11	R5826_011_0	5	1	1	011111111101111111111101111100001111111111111111		1	20	20	6	1	0.00	150.00
R5826	012	0	1	31	11	R5826_012_0	5	1	1	011111111101111111111101111100001111111111111111		1	20	20	6	1	0.00	150.00
R5826	013	0	1	31	11	R5826_013_0	5	1	1	011111111101111111111101111100001111111111111111		1	20	20	6	1	0.00	150.00
R5826	014	0	1	31	11	R5826_014_0	6	1	1	011111111101111111111101111100001111111111111111		1	20	20	6	1	0.00	150.00
R5826	018	0	1	31	11	R5826_018_0	2	1	1	011111111101111111111101111100001111111111111111		1	20	50	6	1	0.00	100.00
R5826	021	0	1	31	11	R5826_021_0	2	1	1	011111111101111111111101111100001111111111111111		1	20	50	6	1	0.00	100.00
R5826	023	0	1	31	11	R5826_023_0	2	1	1	011111111101111111111101111100001111111111111111		1	20	50	6	1	0.00	100.00
R5826	026	0	1	31	11	R5826_026_0	2	1	1	011111111101111111111101111100001111111111111111		1	20	50	6	1	0.00	100.00
R5826	049	0	1	31	11	R5826_049_0	5	1	1	011111111101111111111101111110001111111111111111		1	20	20	6	1	0.00	150.00
R5826	051	0	1	31	11	R5826_051_0	5	1	1	011111111101111111111101111110001111111111111111		1	20	20	6	1	0.00	150.00
R5826	053	0	1	31	11	R5826_053_0	2	1	1	011111111101111111111101111100001111111111111111		1	20	50	6	1	0.00	100.00
R5826	054	0	1	31	11	R5826_054_0	5	1	1	011111111101111111111101111110001111111111111111		1	20	20	6	1	0.00	150.00
R5826	059	0	1	31	11	R5826_059_0	5	1	1	011111111101111111111101111110001111111111111111		1	20	20	6	1	0.00	150.00
R5826	062	0	1	31	11	R5826_062_0	3	1	1	011111111101111111111101111100001111111111111111		1	20	50	6	1	0.00	100.00
R5826	063	0	1	31	11	R5826_063_0	3	1	1	011111111101111111111101111100001111111111111111		1	20	50	6	1	0.00	100.00
R5826	064	0	1	31	11	R5826_064_0	2	1	1	011111111101111111111101111100001111111111111111		1	20	50	6	1	0.00	100.00
R5826	065	0	1	31	11	R5826_065_0	2	1	1	011111111101111111111101111100001111111111111111		1	20	50	6	1	0.00	100.00
R5826	066	0	1	31	11	R5826_066_0	2	1	1	011111111101111111111101111100001111111111111111		1	20	50	6	1	0.00	100.00
R5826	067	0	1	31	11	R5826_067_0	2	1	1	011111111101111111111101111100001111111111111111		1	20	50	6	1	0.00	100.00
R5826	068	0	1	31	11	R5826_068_0	3	1	1	011111111101111111111101111100001111111111111111		1	20	50	6	1	0.00	100.00
R5826	069	0	1	31	11	R5826_069_0	2	1	1	011111111101111111111101111100001111111111111111		1	20	50	6	1	0.00	100.00
R5826	070	0	1	31	11	R5826_070_0	4	1	1	011111111101111111111101111100001111111111111111		1	20	50	6	1	0.00	100.00
R5826	071	0	1	31	11	R5826_071_0	9	1	1	011111111101111111111101111100001111111111111111		1	20	20	6	1	0.00	150.00
R5826	072	0	1	31	11	R5826_072_0	5	1	1	011111111101111111111101111100001111111111111111		1	20	20	6	1	0.00	150.00
R5826	073	0	1	31	11	R5826_073_0	5	1	1	011111111101111111111101111100001111111111111111		1	20	20	6	1	0.00	150.00
R7444	001	0	1	31	11	R7444_001_0	5	1	1	010001110100100000001000000000000000000000001101	Group 1	2				1	25.00	25.00
R7444	001	0	1	31	11	R7444_001_0	5	10	1	000000000000000000000000000001000000000000000000	Group 10	2				1	1500.00	1500.00
R7444	001	0	1	31	11	R7444_001_0	5	2	1	000000000000010000000000000000000000000000000000	Group 2	2				1	0.00	7.00
R7444	001	0	1	31	11	R7444_001_0	5	3	1	001000000000000000000000000000000000000000000000	Group 3	2				1	60.00	60.00
R7444	001	0	1	31	11	R7444_001_0	5	9	1	000000000000000010000000000000000000000000000000	Group 9	2				1	15.00	15.00
R7444	001	0	1	31	11	R7444_001_0	5	5	1	000010000010000000000000000000000000000000000000	Group 5	2				1	10.00	10.00
R7444	001	0	1	31	11	R7444_001_0	5	6	1	000000001001000000010000000000000000000000000000	Group 6	2				1	30.00	40.00
R7444	001	0	1	31	11	R7444_001_0	5	7	1	000000000000001101100001101000000000000000100000	Group 7	1	20	20	6	2		
R7444	001	0	1	31	11	R7444_001_0	5	8	1	000000000000000000000100000000000000000000000000	Group 8	2				1	150.00	150.00
R7444	001	0	1	31	11	R7444_001_0	5	4	1	000100000000000000000000010100001111111111000010	Group 4	2				2		
