pbp_a_hnumber	pbp_a_plan_identifier	segment_id	pbp_a_ben_cov	pbp_a_plan_type	orgtype	bid_id	version	pbp_c_pos_outpt_group_num_id	pbp_c_pos_group_lbl	pbp_c_pos_outpt_bendesc_cats	pbp_c_pos_outpt_coins_yn	pbp_c_pos_outpt_coins_min_pct	pbp_c_pos_outpt_coins_max_pct	pbp_c_pos_outpt_copay_yn	pbp_c_pos_outpt_copay_min_amt	pbp_c_pos_outpt_copay_max_amt	pbp_c_pos_outpt_maxplan_yn	pbp_c_pos_outpt_maxplan_amt	pbp_c_pos_outpt_maxplan_per	pbp_c_pos_outpt_deduct_yn	pbp_c_pos_outpt_deduct_amt
H0108	006	0	1	02	01	H0108_006_0	5	8		000000000000000100000000000000000000000000000000	1	20	20	1	35.00	35.00	2			2	
H0108	006	0	1	02	01	H0108_006_0	5	7		000000000000010000000000000000000000000001000000	1	25	25	1	35.00	35.00	2			2	
H0108	006	0	1	02	01	H0108_006_0	5	6		000000000000001011000000000000000000000000000000	1	20	25	1	35.00	35.00	2			2	
H0108	006	0	1	02	01	H0108_006_0	5	5		000000000000000000000000110000000000000000000000	1	20	20	2			2			2	
H0108	006	0	1	02	01	H0108_006_0	5	9		000000000000000000000000000000000011111100000000	2			1	20.00	20.00	2			2	
H0108	006	0	1	02	01	H0108_006_0	5	3		000000000000000000100000000000000000000000000000	1	25	25	2			2			2	
H0108	006	0	1	02	01	H0108_006_0	5	2		010011111111100000001000000000001000000000011010	2			1	35.00	35.00	2			2	
H0108	006	0	1	02	01	H0108_006_0	5	1		000100000000000000000000001001000100000010000100	2			1	0.00	0.00	2			2	
H0108	006	0	1	02	01	H0108_006_0	5	4		001000000000000000010100000000000000000000000000	2			1	100.00	100.00	2			2	
H0108	009	0	1	02	01	H0108_009_0	5	8		000000000000000000000000010000000000000000000000	1	20	40	2			2			2	
H0108	009	0	1	02	01	H0108_009_0	5	9		000000000000000000000000000000000011111101000000	2			1	20.00	20.00	2			2	
H0108	009	0	1	02	01	H0108_009_0	5	7		000000000000000000000001100000000000000000000000	1	40	40	2			2			2	
H0108	009	0	1	02	01	H0108_009_0	5	6		000000100000100001000000000000000000000000000000	1	20	25	1	35.00	35.00	2			2	
H0108	009	0	1	02	01	H0108_009_0	5	5		000000000000000000110000000100000000000000000000	1	25	25	2			2			2	
H0108	009	0	1	02	01	H0108_009_0	5	4		011000000000000000000100000000000000000000000000	1	20	20	2			2			2	
H0108	009	0	1	02	01	H0108_009_0	5	3		000000011111000000001000000000000000000000011010	2			1	35.00	35.00	2			2	
H0108	009	0	1	02	01	H0108_009_0	5	2		000011000000000000000000000000000000000000000000	2			1	15.00	15.00	2			2	
H0108	009	0	1	02	01	H0108_009_0	5	12		000000000000000000000000000000001000000000000000	2			1	15.00	35.00	2			2	
H0108	009	0	1	02	01	H0108_009_0	5	11		000000000000000100000000000000000000000000000000	1	20	20	1	35.00	35.00	2			2	
H0108	009	0	1	02	01	H0108_009_0	5	1		000100000000000000000000001001000100000010000100	2			1	0.00	0.00	2			2	
H0108	009	0	1	02	01	H0108_009_0	5	10		000000000000011010000000000000000000000000000000	1	20	25	1	15.00	35.00	2			2	
H0108	010	0	1	02	01	H0108_010_0	5	3		001000000000000000000000000000000000000000000000	1	25	25	2			2			2	
H0108	010	0	1	02	01	H0108_010_0	5	9		000000000000000000000000000000000011111100000000	2			1	20.00	20.00	2			2	
H0108	010	0	1	02	01	H0108_010_0	5	8		000000000000011010000000000000000000000000000000	1	20	25	1	25.00	25.00	2			2	
H0108	010	0	1	02	01	H0108_010_0	5	7		000000000000000000000000010000000000000000000000	1	20	35	2			2			2	
H0108	010	0	1	02	01	H0108_010_0	5	6		000000000000000000000001100000000000000000000000	1	35	35	2			2			2	
H0108	010	0	1	02	01	H0108_010_0	5	5		000000000000000000000100000000000000000000000000	2			1	50.00	50.00	2			2	
H0108	010	0	1	02	01	H0108_010_0	5	4		000000000000000000100000000000000000000000000000	2			1	125.00	125.00	2			2	
H0108	010	0	1	02	01	H0108_010_0	5	2		010011111111100000011000000000001000000001011010	2			1	25.00	25.00	2			2	
H0108	010	0	1	02	01	H0108_010_0	5	11		000000000000000001000000000000000000000000000000	1	20	25	1	25.00	125.00	2			2	
H0108	010	0	1	02	01	H0108_010_0	5	10		000000000000000100000000000000000000000000000000	1	20	20	1	25.00	25.00	2			2	
H0108	010	0	1	02	01	H0108_010_0	5	1		000100000000000000000000001001000100000010000100	2			1	0.00	0.00	2			2	
H0150	023	0	1	02	01	H0150_023_0	9	1	30 % coinsurance	011111111111111111111001101000000111111111001010	1	30	30	2			2			2	
H0150	023	0	1	02	01	H0150_023_0	9	2	Ambulance	000000000000000000000100000000000000000000000000	2			1	100.00	100.00	2			2	
H0307	009	0	1	02	01	H0307_009_0	7	1		000000000000000001000000000000000000000000000000	1	20	20	1	35.00	150.00	2			2	
H0307	010	0	1	02	01	H0307_010_0	7	2		000000000000000000000100000000000000000000000000	2			1	100.00	100.00	2			2	
H0307	010	0	1	02	01	H0307_010_0	7	3		000100000000000000000000001001000101111111000100	2			1	0.00	0.00	2			2	
H0307	010	0	1	02	01	H0307_010_0	7	4		000011010101000000000000000000000010000000010010	2			1	40.00	40.00	2			2	
H0307	010	0	1	02	01	H0307_010_0	7	5		000000000000000000000001100000000000000000000000	1	25	25	2			2			2	
H0307	010	0	1	02	01	H0307_010_0	7	6		000000000000000001000000010000000000000000000000	1	20	25	2			2			2	
H0307	010	0	1	02	01	H0307_010_0	7	7		000000000000000000001000000000000000000000000000	1	25	25	1	40.00	40.00	2			2	
H0307	010	0	1	02	01	H0307_010_0	7	9		000000000000000100000000000000000000000000000000	1	20	20	1	40.00	40.00	2			2	
H0307	010	0	1	02	01	H0307_010_0	7	11		000000000000010000000000000000000000000000000000	1	25	25	1	0.00	50.00	2			2	
H0307	010	0	1	02	01	H0307_010_0	7	10		000000000000000000000000000000001000000000001000	2			1	0.00	40.00	2			2	
H0307	010	0	1	02	01	H0307_010_0	7	1		011000000010000000100000000000000000000000000000	1	20	20	2			2			2	
H0307	010	0	1	02	01	H0307_010_0	7	8		000000101000101010010000000000000000000000000000	1	20	25	1	40.00	40.00	2			2	
H0316	002	0	1	02	01	H0316_002_0	4	5	Group 5	000000000000000010000000000000000000000000000000	2			1	21.00	21.00	2			2	
H0316	002	0	1	02	01	H0316_002_0	4	4	Group 4	000000000000010000000000000000000000000000000000	1	30	30	1	10.00	10.00	2			2	
H0316	002	0	1	02	01	H0316_002_0	4	3	Group 3	000100000000001101100001110000000001111111000100	1	30	30	2			2			2	
H0316	002	0	1	02	01	H0316_002_0	4	9	Group 9	000000000000000000000000001000001100000000000000	2			1	0.00	0.00	2			2	
H0316	002	0	1	02	01	H0316_002_0	4	6	Group 6	001000000000000000000000000000000000000000000000	2			1	75.00	75.00	2			2	
H0316	002	0	1	02	01	H0316_002_0	4	10	Group 10	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H0316	002	0	1	02	01	H0316_002_0	4	1	Group 1	000010000010000000000000000000000010000000000000	2			1	25.00	25.00	2			2	
H0316	002	0	1	02	01	H0316_002_0	4	8	Group 8	000000001001000000010000000000000000000000000000	2			1	35.00	45.00	2			2	
H0316	002	0	1	02	01	H0316_002_0	4	7	Group 7	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H0316	002	0	1	02	01	H0316_002_0	4	2	Group 2	010000110100100000001000000000000000000000011010	2			1	50.00	50.00	2			2	
H0316	014	0	1	02	01	H0316_014_0	4	5	Group 5	000000000000000010000000000000000000000000000000	2			1	21.00	21.00	2			2	
H0316	014	0	1	02	01	H0316_014_0	4	6	Group 6	001000000000000000000000000000000000000000000000	2			1	75.00	75.00	2			2	
H0316	014	0	1	02	01	H0316_014_0	4	7	Group 7	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H0316	014	0	1	02	01	H0316_014_0	4	8	Group 8	000000001001000000010000000000000000000000000000	2			1	35.00	45.00	2			2	
H0316	014	0	1	02	01	H0316_014_0	4	9	Group 9	000000000000000000000000001000001100000000000000	2			1	0.00	0.00	2			2	
H0316	014	0	1	02	01	H0316_014_0	4	1	Group 1	000010000010000000000000000000000010000000000000	2			1	15.00	15.00	2			2	
H0316	014	0	1	02	01	H0316_014_0	4	10	Group 10	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H0316	014	0	1	02	01	H0316_014_0	4	2	Group 2	010000110100100000001000000000000000000000011010	2			1	45.00	45.00	2			2	
H0316	014	0	1	02	01	H0316_014_0	4	3	Group 3	000100000000001101100001110000000001111111000100	1	30	30	2			2			2	
H0316	014	0	1	02	01	H0316_014_0	4	4	Group 4	000000000000010000000000000000000000000000000000	1	30	30	1	10.00	10.00	2			2	
H0332	003	0	1	02	01	H0332_003_0	5	1		000001010100011011100000000000000000000000000000	1	20	20	2			2			2	
H0332	004	0	1	02	01	H0332_004_0	5	1		000001010100011011100000000000000000000000000000	1	20	20	2			2			2	
H0332	804	0	1	02	01	H0332_804_0	5	1		000001010100011011100000000000000000000000000000	1	20	20	2			2			2	
H0332	805	0	1	02	01	H0332_805_0	5	1		000001010100011011100000000000000000000000000000	1	20	20	2			2			2	
H0332	808	0	1	02	01	H0332_808_0	5	1		000001010100011011100000000000000000000000000000	1	20	20	2			2			2	
H0332	809	0	1	02	01	H0332_809_0	5	1		000001010100011011100000000000000000000000000000	1	20	20	2			2			2	
H0401	002	0	1	02	01	H0401_002_0	5	8	Group 8	000000001001000000010000000000000000000000000000	2			1	35.00	45.00	2			2	
H0401	002	0	1	02	01	H0401_002_0	5	9	Group 9	000000000000000000000000001000001100000000000000	2			1	0.00	0.00	2			2	
H0401	002	0	1	02	01	H0401_002_0	5	7	Group 7	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H0401	002	0	1	02	01	H0401_002_0	5	6	Group 6	001000000000000000000000000000000000000000000000	2			1	75.00	75.00	2			2	
H0401	002	0	1	02	01	H0401_002_0	5	5	Group 5	000000000000000010000000000000000000000000000000	2			1	21.00	21.00	2			2	
H0401	002	0	1	02	01	H0401_002_0	5	4	Group 4	000000000000010000000000000000000000000000000000	1	20	20	1	10.00	10.00	2			2	
H0401	002	0	1	02	01	H0401_002_0	5	3	Group 3	000100000000001101100001110000000001111111000100	1	20	20	2			2			2	
H0401	002	0	1	02	01	H0401_002_0	5	2	Group 2	010000110100100000001000000000000000000000011010	2			1	40.00	40.00	2			2	
H0401	002	0	1	02	01	H0401_002_0	5	10	Group 10	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H0401	002	0	1	02	01	H0401_002_0	5	1	Group 1	000010000010000000000000000000000010000000000000	2			1	20.00	20.00	2			2	
H0401	008	0	1	02	01	H0401_008_0	5	5	Group 5	000000000000000010000000000000000000000000000000	2			1	21.00	21.00	2			2	
H0401	008	0	1	02	01	H0401_008_0	5	2	Group 2	010000110100100000001000000000000000000000011010	2			1	40.00	40.00	2			2	
H0401	008	0	1	02	01	H0401_008_0	5	3	Group 3	000100000000001101100001110000000001111111000100	1	20	20	2			2			2	
H0401	008	0	1	02	01	H0401_008_0	5	4	Group 4	000000000000010000000000000000000000000000000000	1	20	20	1	10.00	10.00	2			2	
H0401	008	0	1	02	01	H0401_008_0	5	10	Group 10	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H0401	008	0	1	02	01	H0401_008_0	5	1	Group 1	000010000010000000000000000000000010000000000000	2			1	20.00	20.00	2			2	
H0401	008	0	1	02	01	H0401_008_0	5	6	Group 6	001000000000000000000000000000000000000000000000	2			1	75.00	75.00	2			2	
H0401	008	0	1	02	01	H0401_008_0	5	7	Group 7	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H0401	008	0	1	02	01	H0401_008_0	5	8	Group 8	000000001001000000010000000000000000000000000000	2			1	35.00	45.00	2			2	
H0401	008	0	1	02	01	H0401_008_0	5	9	Group 9	000000000000000000000000001000001100000000000000	2			1	0.00	0.00	2			2	
H0401	807	0	1	02	01	H0401_807_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H0401	807	0	1	02	01	H0401_807_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H0401	807	0	1	02	01	H0401_807_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H0401	807	0	1	02	01	H0401_807_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H0401	808	0	1	02	01	H0401_808_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H0401	808	0	1	02	01	H0401_808_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H0401	808	0	1	02	01	H0401_808_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H0401	808	0	1	02	01	H0401_808_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H0401	809	0	1	02	01	H0401_809_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H0401	809	0	1	02	01	H0401_809_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H0401	809	0	1	02	01	H0401_809_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H0401	809	0	1	02	01	H0401_809_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H0408	002	0	1	02	01	H0408_002_0	4	3	Group 3	000000000000010000000000000000000000000000000000	1	0	30	2			2			2	
H0408	002	0	1	02	01	H0408_002_0	4	2	Group 2	000000000000000000000000000000000100000000000100	2			1	0.00	0.00	2			2	
H0408	002	0	1	02	01	H0408_002_0	4	1	Group 1	011111111111101111111101111000001011111111011010	1	30	30	2			2			2	
H0630	019	0	1	02	01	H0630_019_0	5	1	Plus Choice OON Benefits	000010111111111111011001101000000111111100001010	1	30	30	2			1	1000.00	3	2	
H0712	001	0	1	02	01	H0712_001_0	5	1		010101110110111111101101111000000101111111000000	1	20	20	2			2			2	
H0712	018	0	1	02	01	H0712_018_0	8	1		010101110110111111101101111000000101111111000000	1	20	20	2			2			2	
H0752	002	0	1	02	01	H0752_002_0	6	2	Group 2	000001001001000000000000000000000000000000000000	1	50	50	2			2			2	
H0752	002	0	1	02	01	H0752_002_0	6	1	Group 1	000010010110001110000000000000000011111111010010	1	30	30	2			2			2	
H0752	002	0	1	02	01	H0752_002_0	6	3	Group 3	000000000000000000000000000000000000000000001100	1	0	30	2			2			2	
H0752	002	0	1	02	01	H0752_002_0	6	4	Group 4	000000000000000000000000000000001100000000000000	2			1	0.00	0.00	2			2	
H0755	807	0	1	02	01	H0755_807_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H0755	807	0	1	02	01	H0755_807_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H0755	807	0	1	02	01	H0755_807_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H0755	807	0	1	02	01	H0755_807_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H0755	808	0	1	02	01	H0755_808_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H0755	808	0	1	02	01	H0755_808_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H0755	808	0	1	02	01	H0755_808_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H0755	808	0	1	02	01	H0755_808_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H0755	809	0	1	02	01	H0755_809_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H0755	809	0	1	02	01	H0755_809_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H0755	809	0	1	02	01	H0755_809_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H0755	809	0	1	02	01	H0755_809_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H1032	002	0	1	02	01	H1032_002_0	5	1		010101110110111111101101111000000101111111000000	1	20	20	2			2			2	
H1032	012	0	1	02	01	H1032_012_0	5	1		010101110110111111101101111000000101111111000000	1	20	20	2			2			2	
H1032	014	0	1	02	01	H1032_014_0	5	1		010101110110111111101101111000000101111111000000	1	20	20	2			2			2	
H1032	025	0	1	02	01	H1032_025_0	5	1		010101110110111111101101111000000101111111000000	1	20	20	2			2			2	
H1032	035	0	1	02	01	H1032_035_0	4	1		010101110110111111101101111000000101111111000000	1	20	20	2			2			2	
H1032	061	0	1	02	01	H1032_061_0	6	1		010101110110111111101101111000000101111111000000	1	20	20	2			2			2	
H1032	073	0	1	02	01	H1032_073_0	7	1		010101110110111111101101111000000101111111000000	1	20	20	2			2			2	
H1032	091	0	1	02	01	H1032_091_0	6	1		010101110110111111101101111000000101111111000000	1	20	20	2			2			2	
H1032	101	0	1	02	01	H1032_101_0	7	1		010101110110111111101101111000000101111111000000	1	20	20	2			2			2	
H1032	132	0	1	02	01	H1032_132_0	6	1		010101110110111111101101111000000101111111000000	1	20	20	2			2			2	
H1032	133	0	1	02	01	H1032_133_0	6	1		010101110110111111101101111000000101111111000000	1	20	20	2			2			2	
H1035	002	0	1	02	01	H1035_002_0	9	1	Optional Point of Service Benefit	011110111011111111111101111000011111111111000000	1	20	20	2			2			2	
H1035	007	0	1	02	01	H1035_007_0	9	1	Optional Point of Service Benefit	011110111011111111111101111000011111111111000000	1	20	20	2			2			2	
H1036	137	0	1	02	01	H1036_137_0	4	1		011011111111101111111101110000000000000000010010	1	20	20	2			2			2	
H1036	137	0	1	02	01	H1036_137_0	4	2		000100000000000000000000001001001111111111000100	2			1	0.00	0.00	2			2	
H1036	137	0	1	02	01	H1036_137_0	4	3		000000000000010000000000000000000000000000001000	1	0	20	2			2			2	
H1036	138	0	1	02	01	H1036_138_0	4	2		000100000000000000000000001001001111111111000100	2			1	0.00	0.00	2			2	
H1036	138	0	1	02	01	H1036_138_0	4	3		000000000000010000000000000000000000000000001000	1	0	20	2			2			2	
H1036	138	0	1	02	01	H1036_138_0	4	1		011011111111101111111101110000000000000000010010	1	20	20	2			2			2	
H1036	149	0	1	02	01	H1036_149_0	5	4	Group 4	000000000000000000000100000000000000000000000000	2			1	100.00	100.00	2			2	
H1036	149	0	1	02	01	H1036_149_0	5	1	Group 1	000000100000100000000000000000000000000000000000	2			1	30.00	30.00	2			2	
H1036	149	0	1	02	01	H1036_149_0	5	3	Group 3	000000000000000001000000000000000000000000000000	1	20	20	1	30.00	125.00	2			2	
H1036	149	0	1	02	01	H1036_149_0	5	2	Group 2	000000000000011010011000000000000000000000000000	2			1	50.00	50.00	2			2	
H1036	149	0	1	02	01	H1036_149_0	5	6	Group 6	000000000000000000000000000000000000011111000000	2			1	0.00	0.00	2			2	
H1036	149	0	1	02	01	H1036_149_0	5	5	Group 5	000000000000000100000000000000000000000000000000	1	20	20	2			2			2	
H1045	001	0	1	02	01	H1045_001_0	5	1		000000010000011111001000001000000101111100000000	2			2			2			2	
H1045	010	0	1	02	01	H1045_010_0	6	3	$200 Copay	000000000000000001000000000000000000000000000000	2			1	200.00	200.00	2			2	
H1045	010	0	1	02	01	H1045_010_0	6	2	$25 - $100 copay	000000010000011110001000000000000000000000000000	2			1	25.00	100.00	2			2	
H1045	010	0	1	02	01	H1045_010_0	6	1	$0 copay	000000000000000000000000001000000101111100000000	2			2			2			2	
H1080	004	0	1	02	01	H1080_004_0	5	1	Group 1	010010110110100000001000000000000010000000111010	2			1	40.00	40.00	2			2	
H1080	004	0	1	02	01	H1080_004_0	5	2	Group 2	000100000000001101100001110000000001111111000100	1	30	30	2			2			2	
H1080	004	0	1	02	01	H1080_004_0	5	3	Group 3	000000000000010000000000000000000000000000000000	1	30	30	1	10.00	10.00	2			2	
H1080	004	0	1	02	01	H1080_004_0	5	4	Group 4	000000000000000010000000000000000000000000000000	2			1	21.00	21.00	2			2	
H1080	004	0	1	02	01	H1080_004_0	5	9	Group 9	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H1080	004	0	1	02	01	H1080_004_0	5	6	Group 6	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H1080	004	0	1	02	01	H1080_004_0	5	5	Group 5	001000000000000000000000000000000000000000000000	2			1	75.00	75.00	2			2	
H1080	004	0	1	02	01	H1080_004_0	5	8	Group 8	000000000000000000000000001000001100000000000000	2			1	0.00	0.00	2			2	
H1080	004	0	1	02	01	H1080_004_0	5	7	Group 7	000000001001000000010000000000000000000000000000	2			1	35.00	45.00	2			2	
H1080	809	0	1	02	01	H1080_809_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H1080	809	0	1	02	01	H1080_809_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H1080	809	0	1	02	01	H1080_809_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H1080	809	0	1	02	01	H1080_809_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H1080	810	0	1	02	01	H1080_810_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H1080	810	0	1	02	01	H1080_810_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H1080	810	0	1	02	01	H1080_810_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H1080	810	0	1	02	01	H1080_810_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H1080	811	0	1	02	01	H1080_811_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H1080	811	0	1	02	01	H1080_811_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H1080	811	0	1	02	01	H1080_811_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H1080	811	0	1	02	01	H1080_811_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H1099	001	0	1	02	01	H1099_001_0	4	1		011111111111111111111101111000001111111111001010	1	20	20	2			1	500000.00	3	2	
H1099	014	0	1	02	01	H1099_014_0	7	1		011111111111111111111101111000001111111111001010	1	20	20	2			1	250000.00	3	2	
H1099	804	0	1	02	01	H1099_804_0	3	1		011111111111111111111101111000001111111111001010	1	20	20	2			2			2	
H1111	002	0	1	02	01	H1111_002_0	5	10	Group 10	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H1111	002	0	1	02	01	H1111_002_0	5	1	Group 1	000010000010000000000000000000000010000000000000	2			1	15.00	15.00	2			2	
H1111	002	0	1	02	01	H1111_002_0	5	2	Group 2	010000110100100000001000000000000000000000011010	2			1	40.00	40.00	2			2	
H1111	002	0	1	02	01	H1111_002_0	5	3	Group 3	000100000000001101100001110000000001111111000100	1	30	30	2			2			2	
H1111	002	0	1	02	01	H1111_002_0	5	9	Group 9	000000000000000000000000001000001100000000000000	2			1	0.00	0.00	2			2	
H1111	002	0	1	02	01	H1111_002_0	5	5	Group 5	000000000000000010000000000000000000000000000000	2			1	21.00	21.00	2			2	
H1111	002	0	1	02	01	H1111_002_0	5	6	Group 6	001000000000000000000000000000000000000000000000	2			1	75.00	75.00	2			2	
H1111	002	0	1	02	01	H1111_002_0	5	7	Group 7	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H1111	002	0	1	02	01	H1111_002_0	5	8	Group 8	000000001001000000010000000000000000000000000000	2			1	35.00	45.00	2			2	
H1111	002	0	1	02	01	H1111_002_0	5	4	Group 4	000000000000010000000000000000000000000000000000	1	30	30	1	10.00	10.00	2			2	
H1111	004	0	1	02	01	H1111_004_0	4	2	Group 2	000000000000010000000000000000000000000000000000	1	0	30	2			2			2	
H1111	004	0	1	02	01	H1111_004_0	4	1	Group 1	011111111111101111111101111000001011111111011010	1	30	30	2			2			2	
H1111	004	0	1	02	01	H1111_004_0	4	3	Group 3	000000000000000000000000000000000100000000000100	2			1	0.00	0.00	2			2	
H1111	808	0	1	02	01	H1111_808_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H1111	808	0	1	02	01	H1111_808_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H1111	808	0	1	02	01	H1111_808_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H1111	808	0	1	02	01	H1111_808_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H1111	809	0	1	02	01	H1111_809_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H1111	809	0	1	02	01	H1111_809_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H1111	809	0	1	02	01	H1111_809_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H1111	809	0	1	02	01	H1111_809_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H1111	810	0	1	02	01	H1111_810_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H1111	810	0	1	02	01	H1111_810_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H1111	810	0	1	02	01	H1111_810_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H1111	810	0	1	02	01	H1111_810_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H1112	027	0	1	02	01	H1112_027_0	6	1		010101110110111111101101111000000101111111000000	1	20	20	2			2			2	
H1216	001	0	1	02	01	H1216_001_0	7	1		010101110110111111101101111000000101111111000000	1	20	20	2			2			2	
H1264	004	0	1	02	01	H1264_004_0	5	1		010101110110111111101101111000000101111111000000	1	20	20	2			2			2	
H1286	002	0	1	02	01	H1286_002_0	4	7	Group 7	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H1286	002	0	1	02	01	H1286_002_0	4	6	Group 6	001000000000000000000000000000000000000000000000	2			1	75.00	75.00	2			2	
H1286	002	0	1	02	01	H1286_002_0	4	11	Group 11	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H1286	002	0	1	02	01	H1286_002_0	4	4	Group 4	000000000000010000000000000000000000000000000000	1	30	30	1	10.00	10.00	2			2	
H1286	002	0	1	02	01	H1286_002_0	4	3	Group 3	000100000000001100000001110000000001111111000100	1	30	30	2			2			2	
H1286	002	0	1	02	01	H1286_002_0	4	2	Group 2	010000110100100000001000000000000000000000011010	2			1	45.00	45.00	2			2	
H1286	002	0	1	02	01	H1286_002_0	4	1	Group 1	000010000010000000000000000000000010000000000000	2			1	25.00	25.00	2			2	
H1286	002	0	1	02	01	H1286_002_0	4	10	Group 10	000000000000000001100000000000000000000000000000	1	25	25	2			2			2	
H1286	002	0	1	02	01	H1286_002_0	4	8	Group 8	000000001001000000010000000000000000000000000000	2			1	35.00	45.00	2			2	
H1286	002	0	1	02	01	H1286_002_0	4	9	Group 9	000000000000000000000000001000001100000000000000	2			1	0.00	0.00	2			2	
H1286	002	0	1	02	01	H1286_002_0	4	5	Group 5	000000000000000010000000000000000000000000000000	2			1	21.00	21.00	2			2	
H1286	003	0	1	02	01	H1286_003_0	1	6	Group 6	001000000000000000000000000000000000000000000000	2			1	75.00	75.00	2			2	
H1286	003	0	1	02	01	H1286_003_0	1	9	Group 9	000000000000000000000000001000001100000000000000	2			1	0.00	0.00	2			2	
H1286	003	0	1	02	01	H1286_003_0	1	8	Group 8	000000001001000000010000000000000000000000000000	2			1	35.00	45.00	2			2	
H1286	003	0	1	02	01	H1286_003_0	1	7	Group 7	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H1286	003	0	1	02	01	H1286_003_0	1	5	Group 5	000000000000000010000000000000000000000000000000	2			1	21.00	21.00	2			2	
H1286	003	0	1	02	01	H1286_003_0	1	4	Group 4	000000000000010000000000000000000000000000000000	1	30	30	1	10.00	10.00	2			2	
H1286	003	0	1	02	01	H1286_003_0	1	3	Group 3	000100000000001100000001110000000001111111000100	1	30	30	2			2			2	
H1286	003	0	1	02	01	H1286_003_0	1	2	Group 2	010000110100100000001000000000000000000000011010	2			1	45.00	45.00	2			2	
H1286	003	0	1	02	01	H1286_003_0	1	11	Group 11	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H1286	003	0	1	02	01	H1286_003_0	1	10	Group 10	000000000000000001100000000000000000000000000000	1	25	25	2			2			2	
H1286	003	0	1	02	01	H1286_003_0	1	1	Group 1	000010000010000000000000000000000010000000000000	2			1	25.00	25.00	2			2	
H1286	004	0	1	02	01	H1286_004_0	5	8	Group 8	000000001001000000010000000000000000000000000000	2			1	35.00	45.00	2			2	
H1286	004	0	1	02	01	H1286_004_0	5	7	Group 7	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H1286	004	0	1	02	01	H1286_004_0	5	6	Group 6	001000000000000000000000000000000000000000000000	2			1	75.00	75.00	2			2	
H1286	004	0	1	02	01	H1286_004_0	5	5	Group 5	000000000000000010000000000000000000000000000000	2			1	21.00	21.00	2			2	
H1286	004	0	1	02	01	H1286_004_0	5	10	Group 10	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H1286	004	0	1	02	01	H1286_004_0	5	3	Group 3	000100000000001101100001110000000001111111000100	1	30	30	2			2			2	
H1286	004	0	1	02	01	H1286_004_0	5	2	Group 2	010000110100100000001000000000000000000000011010	2			1	40.00	40.00	2			2	
H1286	004	0	1	02	01	H1286_004_0	5	9	Group 9	000000000000000000000000001000001100000000000000	2			1	0.00	0.00	2			2	
H1286	004	0	1	02	01	H1286_004_0	5	1	Group 1	000010000010000000000000000000000010000000000000	2			1	25.00	25.00	2			2	
H1286	004	0	1	02	01	H1286_004_0	5	4	Group 4	000000000000010000000000000000000000000000000000	1	30	30	1	10.00	10.00	2			2	
H1286	008	0	1	02	01	H1286_008_0	4	8	Group 8	000000001001000000010000000000000000000000000000	2			1	35.00	45.00	2			2	
H1286	008	0	1	02	01	H1286_008_0	4	7	Group 7	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H1286	008	0	1	02	01	H1286_008_0	4	6	Group 6	001000000000000000000000000000000000000000000000	2			1	75.00	75.00	2			2	
H1286	008	0	1	02	01	H1286_008_0	4	9	Group 9	000000000000000000000000001000001100000000000000	2			1	0.00	0.00	2			2	
H1286	008	0	1	02	01	H1286_008_0	4	5	Group 5	000000000000000010000000000000000000000000000000	2			1	21.00	21.00	2			2	
H1286	008	0	1	02	01	H1286_008_0	4	4	Group 4	000000000000010000000000000000000000000000000000	1	30	30	1	10.00	10.00	2			2	
H1286	008	0	1	02	01	H1286_008_0	4	2	Group 2	010000110100100000001000000000000000000000011010	2			1	40.00	40.00	2			2	
H1286	008	0	1	02	01	H1286_008_0	4	3	Group 3	000100000000001100000001110000000001111111000100	1	30	30	2			2			2	
H1286	008	0	1	02	01	H1286_008_0	4	1	Group 1	000010000010000000000000000000000010000000000000	2			1	20.00	20.00	2			2	
H1286	008	0	1	02	01	H1286_008_0	4	10	Group 10	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H1286	008	0	1	02	01	H1286_008_0	4	11	Group 11	000000000000000001100000000000000000000000000000	2			1	250.00	250.00	2			2	
H1286	801	0	1	02	01	H1286_801_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H1286	801	0	1	02	01	H1286_801_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H1286	801	0	1	02	01	H1286_801_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H1286	801	0	1	02	01	H1286_801_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H1286	803	0	1	02	01	H1286_803_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H1286	803	0	1	02	01	H1286_803_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H1286	803	0	1	02	01	H1286_803_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H1286	803	0	1	02	01	H1286_803_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H1286	804	0	1	02	01	H1286_804_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H1286	804	0	1	02	01	H1286_804_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H1286	804	0	1	02	01	H1286_804_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H1286	804	0	1	02	01	H1286_804_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H1406	022	0	1	02	01	H1406_022_0	6	1		000000000000000000000100000000000000000000000000	2			1	50.00	50.00	2			2	
H1406	022	0	1	02	01	H1406_022_0	6	2		000000000000000100000000010000000000000000000000	1	20	20	2			2			2	
H1406	022	0	1	02	01	H1406_022_0	6	3		000000000000000000000000001001000100000000000000	2			1	0.00	0.00	2			2	
H1406	022	0	1	02	01	H1406_022_0	6	4		011111111111111011111001100000001011111111010110	1	30	30	2			2			2	
H1406	022	0	1	02	01	H1406_022_0	6	5		000000000000000000000000000000000000000000001000	1	30	30	1	0.00	0.00	2			2	
H1415	021	0	1	02	01	H1415_021_0	8	1	30 % coinsurance	011111111111111111111001101000000111111100000000	1	30	30	2			2			2	
H1415	021	0	1	02	01	H1415_021_0	8	2	Ambulance	000000000000000000000100000000000000000000000000	2			1	100.00	100.00	2			2	
H1416	009	0	1	02	01	H1416_009_0	5	1		010101110110111111101101111000000101111111000000	1	25	25	2			2			2	
H1416	018	0	1	02	01	H1416_018_0	6	1		010101110110111111101101111000000101111111000000	1	20	20	2			2			2	
H1657	002	0	1	02	01	H1657_002_0	8	1		010101110110111111101101111000000101111111000000	1	20	20	2			2			2	
H1903	022	0	1	02	01	H1903_022_0	5	1		010101110110111111101101111000000101111111000000	1	30	30	2			2			2	
H1903	024	0	1	02	01	H1903_024_0	7	1		010101110110111111101101111000000101111111000000	1	30	30	2			2			2	
H1944	001	0	1	02	01	H1944_001_0	6	2	Group 2	010000110100100000001000000000000000000000011010	2			1	40.00	40.00	2			2	
H1944	001	0	1	02	01	H1944_001_0	6	6	Group 6	001000000000000000000000000000000000000000000000	2			1	75.00	75.00	2			2	
H1944	001	0	1	02	01	H1944_001_0	6	5	Group 5	000000000000000010000000000000000000000000000000	2			1	21.00	21.00	2			2	
H1944	001	0	1	02	01	H1944_001_0	6	7	Group 7	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H1944	001	0	1	02	01	H1944_001_0	6	3	Group 3	000100000000001101100001110000000001111111000100	1	30	30	2			2			2	
H1944	001	0	1	02	01	H1944_001_0	6	10	Group 10	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H1944	001	0	1	02	01	H1944_001_0	6	1	Group 1	000010000010000000000000000000000010000000000000	2			1	25.00	25.00	2			2	
H1944	001	0	1	02	01	H1944_001_0	6	9	Group 9	000000000000000000000000001000001100000000000000	2			1	0.00	0.00	2			2	
H1944	001	0	1	02	01	H1944_001_0	6	8	Group 8	000000001001000000010000000000000000000000000000	2			1	35.00	45.00	2			2	
H1944	001	0	1	02	01	H1944_001_0	6	4	Group 4	000000000000010000000000000000000000000000000000	1	30	30	1	10.00	10.00	2			2	
H1944	801	0	1	02	01	H1944_801_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H1944	801	0	1	02	01	H1944_801_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H1944	801	0	1	02	01	H1944_801_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H1944	801	0	1	02	01	H1944_801_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H1944	802	0	1	02	01	H1944_802_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H1944	802	0	1	02	01	H1944_802_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H1944	802	0	1	02	01	H1944_802_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H1944	802	0	1	02	01	H1944_802_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H1944	803	0	1	02	01	H1944_803_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H1944	803	0	1	02	01	H1944_803_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H1944	803	0	1	02	01	H1944_803_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H1944	803	0	1	02	01	H1944_803_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H1961	002	0	1	02	01	H1961_002_0	8	3	Ambulance	000000000000000000000100000000000000000000000000	2			1	100.00	100.00	2			2	
H1961	002	0	1	02	01	H1961_002_0	8	2	Dental	000000000000000000000000000000000000000000110000	2			1	0.00	1250.00	2			1	50.00
H1961	002	0	1	02	01	H1961_002_0	8	1	Choice 3 medical benefits	011111111111111111111001111000001111111111001110	1	20	20	2			2			2	
H1961	007	0	1	02	01	H1961_007_0	6	3	Ambulance	000000000000000000000100000000000000000000000000	2			1	100.00	100.00	2			2	
H1961	007	0	1	02	01	H1961_007_0	6	2	Dental	000000000000000000000000000000000000000000110000	2			1	0.00	1250.00	2			1	50.00
H1961	007	0	1	02	01	H1961_007_0	6	1	Choice 3 medical benefits	011111111111111111111001111000001101111111001110	1	20	20	2			2			2	
H1961	801	0	1	02	01	H1961_801_0	2	1	POS benefits	011111111111111111111111111111101111111111111111	1	20	20	2			2			2	
H1961	802	0	1	02	01	H1961_802_0	2	1	POS Benefits	011111111111111111111101111000001111111111111111	1	20	20	2			2			2	
H2108	026	0	1	02	01	H2108_026_0	3	2	Group 2	000000000000000000000000000000000101111111000000	2			2			2			2	
H2108	026	0	1	02	01	H2108_026_0	3	1	Group 1	000111110000111111100100001000000010000000000000	1	20	20	2			2			2	
H2165	011	0	1	02	01	H2165_011_0	5	1	30% coinsurance	011111111111111111111001101000000111111100000000	1	30	30	2			2			2	
H2165	011	0	1	02	01	H2165_011_0	5	2	Ambulance	000000000000000000000100000000000000000000000000	1	20	20	1	100.00	100.00	2			2	
H2182	001	0	1	02	01	H2182_001_0	5	3	Group 3	000100000000001101100001110000000001111111000100	1	30	30	2			2			2	
H2182	001	0	1	02	01	H2182_001_0	5	7	Group 7	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H2182	001	0	1	02	01	H2182_001_0	5	6	Group 6	001000000000000000000000000000000000000000000000	2			1	75.00	75.00	2			2	
H2182	001	0	1	02	01	H2182_001_0	5	5	Group 5	000000000000000010000000000000000000000000000000	2			1	21.00	21.00	2			2	
H2182	001	0	1	02	01	H2182_001_0	5	4	Group 4	000000000000010000000000000000000000000000000000	1	30	30	1	10.00	10.00	2			2	
H2182	001	0	1	02	01	H2182_001_0	5	9	Group 9	000000000000000000000000001000001100000000000000	2			1	0.00	0.00	2			2	
H2182	001	0	1	02	01	H2182_001_0	5	1	Group 1	000010000010000000000000000000000010000000000000	2			1	15.00	15.00	2			2	
H2182	001	0	1	02	01	H2182_001_0	5	10	Group 10	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H2182	001	0	1	02	01	H2182_001_0	5	2	Group 2	010000110100100000001000000000000000000000011010	2			1	40.00	40.00	2			2	
H2182	001	0	1	02	01	H2182_001_0	5	8	Group 8	000000001001000000010000000000000000000000000000	2			1	35.00	45.00	2			2	
H2182	805	0	1	02	01	H2182_805_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H2182	805	0	1	02	01	H2182_805_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H2182	805	0	1	02	01	H2182_805_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H2182	805	0	1	02	01	H2182_805_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H2182	806	0	1	02	01	H2182_806_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H2182	806	0	1	02	01	H2182_806_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H2182	806	0	1	02	01	H2182_806_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H2182	806	0	1	02	01	H2182_806_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H2182	807	0	1	02	01	H2182_807_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H2182	807	0	1	02	01	H2182_807_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H2182	807	0	1	02	01	H2182_807_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H2182	807	0	1	02	01	H2182_807_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H2312	007	0	1	02	01	H2312_007_0	11	1		010111110110111111101100011000001111111111101110	1	20	20	2			2			2	
H2312	008	0	1	02	01	H2312_008_0	8	1		010111110110111111101100011000001111111111101110	1	20	20	2			2			2	
H2312	010	0	1	02	01	H2312_010_0	10	1		010111110110111111101100011000001111111111101010	1	20	20	2			2			2	
H2320	007	0	1	02	01	H2320_007_0	7	1	$75 Copay	000000000000000001100000000000000000000000000000	2			1	75.00	75.00	2			2	
H2320	007	0	1	02	01	H2320_007_0	7	10	30% Coinsurance	000000000000000000000001100000010000000000000000	1	30	30	2			2			2	
H2320	007	0	1	02	01	H2320_007_0	7	11	Eye Wear	000000000000000000000000000000000000000000000100	2			2			2			2	
H2320	007	0	1	02	01	H2320_007_0	7	12	Hearing Aids	000000000000000000000000000000000000000000000001	2			2			2			2	
H2320	007	0	1	02	01	H2320_007_0	7	2	$50 Copay	000000001001000000010100000000000000000000000000	2			1	50.00	50.00	2			2	
H2320	007	0	1	02	01	H2320_007_0	7	9	40% Coinsurance	001000000000000000000000000000000000000000000000	1	40	40	2			2			2	
H2320	007	0	1	02	01	H2320_007_0	7	4	$25 Copay	010000100000101000000000000000000000000000000000	2			1	25.00	25.00	2			2	
H2320	007	0	1	02	01	H2320_007_0	7	5	$20 Copay	000000000000010110000000000000000000000000000000	2			1	20.00	20.00	2			2	
H2320	007	0	1	02	01	H2320_007_0	7	6	$15 Copay	000000000000000000000000000000000010000000000000	2			1	15.00	15.00	2			2	
H2320	007	0	1	02	01	H2320_007_0	7	7	$10 Copay	000000000000000000001000010000000101111111000000	2			1	10.00	10.00	2			2	
H2320	007	0	1	02	01	H2320_007_0	7	8	$0 Copay	000100000000000000000000001000100000000000000000	2			2			2			2	
H2320	007	0	1	02	01	H2320_007_0	7	3	$35 Copay	000011010110000000000000000000000000000000001010	2			1	35.00	35.00	2			2	
H2320	008	0	1	02	01	H2320_008_0	5	9	40% Coinsurance	001000000000000000000000000000000000000000000000	1	40	40	2			2			2	
H2320	008	0	1	02	01	H2320_008_0	5	8	$0 Copay	000100000000000000000000001000100000000000000000	2			2			2			2	
H2320	008	0	1	02	01	H2320_008_0	5	7	$10 Copay	000000000000000000001000010000000101111111000000	2			1	10.00	10.00	2			2	
H2320	008	0	1	02	01	H2320_008_0	5	6	$15 Copay	000000000000000000000000000000000010000000000000	2			1	15.00	15.00	2			2	
H2320	008	0	1	02	01	H2320_008_0	5	5	$20 Copay	000000000000010110000000000000000000000000000000	2			1	20.00	20.00	2			2	
H2320	008	0	1	02	01	H2320_008_0	5	4	$25 Copay	010000100000101000000000000000000000000000000000	2			1	25.00	25.00	2			2	
H2320	008	0	1	02	01	H2320_008_0	5	3	$35 Copay	000011010110000000000000000000000000000000001010	2			1	35.00	35.00	2			2	
H2320	008	0	1	02	01	H2320_008_0	5	2	$50 Copay	000000001001000000010100000000000000000000000000	2			1	50.00	50.00	2			2	
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H2320	008	0	1	02	01	H2320_008_0	5	10	30% Coinsurance	000000000000000000000001100000010000000000000000	1	30	30	2			2			2	
H2320	011	0	1	02	01	H2320_011_0	7	9	$0 Copay	000100000000000000000000001000100000000000000000	2			1	0.00	0.00	2			2	
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H2320	011	0	1	02	01	H2320_011_0	7	5	$35 Copay	010000100000100000000000000000000000000000000000	2			1	35.00	35.00	2			2	
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H2320	011	0	1	02	01	H2320_011_0	7	3	$45 Copay	000011010110000000000000000000000000000000001010	2			1	45.00	45.00	2			2	
H2320	011	0	1	02	01	H2320_011_0	7	7	$20 Copay	000000000000010000000000000000000010000000000000	2			1	20.00	20.00	2			2	
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H2320	019	0	1	02	01	H2320_019_0	5	11	Eye Wear	000000000000000000000000000000000000000000000100	2			2			2			2	
H2320	019	0	1	02	01	H2320_019_0	5	10	30% Coinsurance	000000000000000000000001100000010000000000000000	1	30	30	2			2			2	
H2320	019	0	1	02	01	H2320_019_0	5	1	$75 Copay	000000000000000001100000000000000000000000000000	2			1	75.00	75.00	2			2	
H2320	019	0	1	02	01	H2320_019_0	5	3	$35 Copay	000011010110000000000000000000000000000000001010	2			1	35.00	35.00	2			2	
H2320	021	0	1	02	01	H2320_021_0	5	1	$100 Copay	000000000000000001100000000000000000000000000000	2			1	100.00	100.00	2			2	
H2320	021	0	1	02	01	H2320_021_0	5	10	40% Coinsurance	001000000000000000000000000000000000000000000000	1	40	40	2			2			2	
H2320	021	0	1	02	01	H2320_021_0	5	11	30% Coinsurance	000000000000000000000001100000010000000000000000	1	30	30	2			2			2	
H2320	021	0	1	02	01	H2320_021_0	5	2	$50 Copay	000000001001000000010100000000000000000000000000	2			1	50.00	50.00	2			2	
H2320	021	0	1	02	01	H2320_021_0	5	3	$45 Copay	000011010110000000000000000000000000000000001010	2			1	45.00	45.00	2			2	
H2320	021	0	1	02	01	H2320_021_0	5	4	$40 Copay	000000000000001000000000000000000000000000000000	2			1	40.00	40.00	2			2	
H2320	021	0	1	02	01	H2320_021_0	5	5	$35 Copay	010000100000100000000000000000000000000000000000	2			1	35.00	35.00	2			2	
H2320	021	0	1	02	01	H2320_021_0	5	6	$25 Copay	000000000000000110000000000000000000000000000000	2			1	25.00	25.00	2			2	
H2320	021	0	1	02	01	H2320_021_0	5	7	$20 Copay	000000000000010000000000000000000010000000000000	2			1	20.00	20.00	2			2	
H2320	021	0	1	02	01	H2320_021_0	5	8	$10 Copay	000000000000000000001000010000000101111111000000	2			1	10.00	10.00	2			2	
H2320	021	0	1	02	01	H2320_021_0	5	9	$0 Copay	000100000000000000000000001000100000000000000000	2			1	0.00	0.00	2			2	
H2320	802	0	1	02	01	H2320_802_0	5	1	20% - 40% coinsurance	011111111111111111111101111000000101111111011110	1	20	45	2			2			2	
H2320	803	0	1	02	01	H2320_803_0	3	1	20% - 40% coinsurance	011111111111111111111101111000000101111111011110	1	20	45	2			2			2	
H2459	001	0	1	02	01	H2459_001_0	6	1	All Other POS Benefits	011110111111111111111101111000000111111111001010	1	20	20	2			1	100000.00	3	2	
H2459	002	0	1	02	01	H2459_002_0	9	1	All Other POS Benefits	011110111111111111111101111000000111111111001010	1	20	20	2			1	100000.00	3	2	
H2459	013	0	1	02	01	H2459_013_0	7	1	All Other POS Benefits	011110111111111111111101111000000111111111001010	1	20	20	2			1	100000.00	3	2	
H2459	018	0	1	02	01	H2459_018_0	7	1	All Other POS Benefits	011110111111111111111101111000000111111111001010	1	20	20	2			1	100000.00	3	2	
H2459	801	0	1	02	01	H2459_801_0	4	1	All Other POS Benefits	011110111111111111111101111000000111111111001010	1	20	20	2			1	100000.00	3	2	
H2459	804	0	1	02	01	H2459_804_0	4	1	All Other POS Benefits	011110111111111111111101111000000111111111001010	1	20	20	2			1	100000.00	3	2	
H2486	003	0	1	02	01	H2486_003_0	4	8	Group 8	000000000000000000000001110000000000000000000000	1	20	20	2			2			2	
H2486	003	0	1	02	01	H2486_003_0	4	6	Group 6	000000000000000001000000000000000000000000000000	1	20	30	2			2			2	
H2486	003	0	1	02	01	H2486_003_0	4	5	Group 5	000000000000000100000000000000000000000000000000	1	20	20	1	40.00	40.00	2			2	
H2486	003	0	1	02	01	H2486_003_0	4	4	Group 4	000000100000110010011000000000000000011111000000	1	30	30	1	40.00	40.00	2			2	
H2486	003	0	1	02	01	H2486_003_0	4	3	Group 3	000011011111000000000000000000001011100000011010	2			1	40.00	40.00	2			2	
H2486	003	0	1	02	01	H2486_003_0	4	2	Group 2	000100000000000000000000001001000100000000000100	2			1	0.00	0.00	2			2	
H2486	003	0	1	02	01	H2486_003_0	4	1	Group 1	011000000000001000100000000000000000000000000000	1	30	30	2			2			2	
H2486	003	0	1	02	01	H2486_003_0	4	7	Group 7	000000000000000000000100000000000000000000000000	2			1	150.00	150.00	2			2	
H2491	001	0	1	02	01	H2491_001_0	7	1		010101110110111111101101111000000101111111000000	1	30	30	2			2			2	
H2491	002	0	1	02	01	H2491_002_0	8	1		010101110110111111101101111000000101111111000000	1	20	20	2			2			2	
H2491	004	0	1	02	01	H2491_004_0	8	1		010101110110111111101101111000000101111111000000	1	30	30	2			2			2	
H2654	010	0	1	02	01	H2654_010_0	4	1	Group 1	000010000010000000000000000000000010000000000000	2			1	30.00	30.00	2			2	
H2654	010	0	1	02	01	H2654_010_0	4	3	Group 3	000100000000001101100001110000000001111111000100	1	30	30	2			2			2	
H2654	010	0	1	02	01	H2654_010_0	4	2	Group 2	010000110100100000001000000000000000000000011010	2			1	45.00	45.00	2			2	
H2654	010	0	1	02	01	H2654_010_0	4	10	Group 10	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H2654	010	0	1	02	01	H2654_010_0	4	4	Group 4	000000000000010000000000000000000000000000000000	1	30	30	1	10.00	10.00	2			2	
H2654	010	0	1	02	01	H2654_010_0	4	5	Group 5	000000000000000010000000000000000000000000000000	2			1	21.00	21.00	2			2	
H2654	010	0	1	02	01	H2654_010_0	4	6	Group 6	001000000000000000000000000000000000000000000000	2			1	75.00	75.00	2			2	
H2654	010	0	1	02	01	H2654_010_0	4	7	Group 7	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H2654	010	0	1	02	01	H2654_010_0	4	8	Group 8	000000001001000000010000000000000000000000000000	2			1	35.00	45.00	2			2	
H2654	010	0	1	02	01	H2654_010_0	4	9	Group 9	000000000000000000000000001000001100000000000000	2			1	0.00	0.00	2			2	
H2654	013	0	1	02	01	H2654_013_0	5	1	Group 1	010000100000101101101000000000000000000000000000	1	35	35	2			2			2	
H2654	013	0	1	02	01	H2654_013_0	5	2	Group 2	000000000000010000000000000000000000000000000000	1	35	35	1	10.00	10.00	2			2	
H2654	013	0	1	02	01	H2654_013_0	5	3	Group 3	000000000000000010000000000000000000000000000000	2			1	21.00	21.00	2			2	
H2654	013	0	1	02	01	H2654_013_0	5	4	Group 4	000000001001000000010000000000000000000000000000	2			1	35.00	45.00	2			2	
H2654	809	0	1	02	01	H2654_809_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H2654	809	0	1	02	01	H2654_809_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H2654	809	0	1	02	01	H2654_809_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H2654	809	0	1	02	01	H2654_809_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H2654	810	0	1	02	01	H2654_810_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H2654	810	0	1	02	01	H2654_810_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H2654	810	0	1	02	01	H2654_810_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H2654	810	0	1	02	01	H2654_810_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H2654	811	0	1	02	01	H2654_811_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H2654	811	0	1	02	01	H2654_811_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H2654	811	0	1	02	01	H2654_811_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H2654	811	0	1	02	01	H2654_811_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H2654	812	0	1	02	01	H2654_812_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H2654	812	0	1	02	01	H2654_812_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H2654	812	0	1	02	01	H2654_812_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H2654	812	0	1	02	01	H2654_812_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H2654	813	0	1	02	01	H2654_813_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H2654	813	0	1	02	01	H2654_813_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H2654	813	0	1	02	01	H2654_813_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H2654	813	0	1	02	01	H2654_813_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H2654	814	0	1	02	01	H2654_814_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H2654	814	0	1	02	01	H2654_814_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H2654	814	0	1	02	01	H2654_814_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H2654	814	0	1	02	01	H2654_814_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H2663	002	0	1	02	01	H2663_002_0	13	1		011111111111111111111101111000000111111111011010	1	30	30	2			2			2	
H2803	001	0	1	02	01	H2803_001_0	4	9	Group 9	000000000000000000000000001000001100000000000000	2			1	0.00	0.00	2			2	
H2803	001	0	1	02	01	H2803_001_0	4	8	Group 8	000000001001000000010000000000000000000000000000	2			1	35.00	45.00	2			2	
H2803	001	0	1	02	01	H2803_001_0	4	7	Group 7	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H2803	001	0	1	02	01	H2803_001_0	4	6	Group 6	001000000000000000000000000000000000000000000000	2			1	75.00	75.00	2			2	
H2803	001	0	1	02	01	H2803_001_0	4	1	Group 1	000010000010000000000000000000000010000000000000	2			1	23.00	23.00	2			2	
H2803	001	0	1	02	01	H2803_001_0	4	4	Group 4	000000000000010000000000000000000000000000000000	1	25	25	1	10.00	10.00	2			2	
H2803	001	0	1	02	01	H2803_001_0	4	3	Group 3	000100000000001101100001110000000001111111000100	1	25	25	2			2			2	
H2803	001	0	1	02	01	H2803_001_0	4	2	Group 2	010000110100100000001000000000000000000000011010	2			1	43.00	43.00	2			2	
H2803	001	0	1	02	01	H2803_001_0	4	10	Group 10	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H2803	001	0	1	02	01	H2803_001_0	4	5	Group 5	000000000000000010000000000000000000000000000000	2			1	21.00	21.00	2			2	
H2803	002	0	1	02	01	H2803_002_0	4	8	Group 8	000000001001000000010000000000000000000000000000	2			1	35.00	45.00	2			2	
H2803	002	0	1	02	01	H2803_002_0	4	9	Group 9	000000000000000000000000001000001100000000000000	2			1	0.00	0.00	2			2	
H2803	002	0	1	02	01	H2803_002_0	4	7	Group 7	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H2803	002	0	1	02	01	H2803_002_0	4	6	Group 6	001000000000000000000000000000000000000000000000	2			1	75.00	75.00	2			2	
H2803	002	0	1	02	01	H2803_002_0	4	5	Group 5	000000000000000010000000000000000000000000000000	2			1	21.00	21.00	2			2	
H2803	002	0	1	02	01	H2803_002_0	4	4	Group 4	000000000000010000000000000000000000000000000000	1	25	25	1	10.00	10.00	2			2	
H2803	002	0	1	02	01	H2803_002_0	4	3	Group 3	000100000000001101100001110000000001111111000100	1	25	25	2			2			2	
H2803	002	0	1	02	01	H2803_002_0	4	2	Group 2	010000110100100000001000000000000000000000011010	2			1	43.00	43.00	2			2	
H2803	002	0	1	02	01	H2803_002_0	4	10	Group 10	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H2803	002	0	1	02	01	H2803_002_0	4	1	Group 1	000010000010000000000000000000000010000000000000	2			1	23.00	23.00	2			2	
H2803	010	0	1	02	01	H2803_010_0	5	3	Group 3	000000000000000000000000000000000100000000000100	2			1	0.00	0.00	2			2	
H2803	010	0	1	02	01	H2803_010_0	5	2	Group 2	000000000000010000000000000000000000000000000000	1	0	30	2			2			2	
H2803	010	0	1	02	01	H2803_010_0	5	1	Group 1	011111111111101111111101111000001011111111011010	1	30	30	2			2			2	
H2803	012	0	1	02	01	H2803_012_0	5	2	Group 2	000000000000010000000000000000000000000000000000	1	0	30	2			2			2	
H2803	012	0	1	02	01	H2803_012_0	5	3	Group 3	000000000000000000000000000000000100000000000100	2			1	0.00	0.00	2			2	
H2803	012	0	1	02	01	H2803_012_0	5	1	Group 1	011111111111101111111101111000001011111111011010	1	30	30	2			2			2	
H2803	801	0	1	02	01	H2803_801_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H2803	801	0	1	02	01	H2803_801_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H2803	801	0	1	02	01	H2803_801_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H2803	801	0	1	02	01	H2803_801_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H2803	803	0	1	02	01	H2803_803_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H2803	803	0	1	02	01	H2803_803_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H2803	803	0	1	02	01	H2803_803_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H2803	803	0	1	02	01	H2803_803_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H2803	804	0	1	02	01	H2803_804_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H2803	804	0	1	02	01	H2803_804_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H2803	804	0	1	02	01	H2803_804_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H2803	804	0	1	02	01	H2803_804_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H2931	002	0	1	02	01	H2931_002_0	4	8	Group 8	000000000000000000000100000000000000000000000000	1	30	30	1	150.00	150.00	2			2	
H2931	002	0	1	02	01	H2931_002_0	4	7	Group 7	000000000000010000000000000000000000000000000000	1	30	50	2			2			2	
H2931	002	0	1	02	01	H2931_002_0	4	6	Group 6	000000000000000000000000000000000100000000000000	2			1	0.00	0.00	2			2	
H2931	002	0	1	02	01	H2931_002_0	4	5	Group 5	000000000010000000000000000000000000000000000000	2			1	30.00	35.00	2			2	
H2931	002	0	1	02	01	H2931_002_0	4	4	Group 4	011100000000000001100000001000000000000000000100	1	20	20	2			2			2	
H2931	002	0	1	02	01	H2931_002_0	4	3	Group 3	000000000000001110000001110000000001111111000000	1	30	30	2			2			2	
H2931	002	0	1	02	01	H2931_002_0	4	2	Group 2	000001111101100000011000000000000000000000011010	2			1	35.00	35.00	2			2	
H2931	002	0	1	02	01	H2931_002_0	4	1	Group 1	000010000000000000000000000000000010000000000000	2			1	30.00	30.00	2			2	
H2931	004	0	1	02	01	H2931_004_0	3	3	Group 3	000000000000001110000001110000000001111111000000	1	30	30	2			2			2	
H2931	004	0	1	02	01	H2931_004_0	3	8	Group 8	000000000000000000000100000000000000000000000000	1	30	30	1	150.00	150.00	2			2	
H2931	004	0	1	02	01	H2931_004_0	3	7	Group 7	000000000000010000000000000000000000000000000000	1	30	50	2			2			2	
H2931	004	0	1	02	01	H2931_004_0	3	6	Group 6	000000000000000000000000000000000100000000000000	2			1	0.00	0.00	2			2	
H2931	004	0	1	02	01	H2931_004_0	3	5	Group 5	000000000010000000000000000000000000000000000000	2			1	40.00	45.00	2			2	
H2931	004	0	1	02	01	H2931_004_0	3	4	Group 4	011100000000000001100000001000000000000000000100	1	20	20	2			2			2	
H2931	004	0	1	02	01	H2931_004_0	3	1	Group 1	000011000000000000000000000000000010000000000000	2			1	40.00	40.00	2			2	
H2931	004	0	1	02	01	H2931_004_0	3	2	Group 2	000000111101100000011000000000000000000000011010	2			1	45.00	45.00	2			2	
H2949	015	0	1	02	01	H2949_015_0	6	12		000000000000000001000000000000000000000000000000	1	20	30	1	40.00	150.00	2			2	
H2949	015	0	1	02	01	H2949_015_0	6	11		000000000000000000000000000000000011111100000000	2			1	20.00	20.00	2			2	
H2949	015	0	1	02	01	H2949_015_0	6	10		000000000000001010000000000000000000000000000000	1	30	30	2			2			2	
H2949	015	0	1	02	01	H2949_015_0	6	1		000100000000000000000001100000000000000000000000	1	40	40	2			2			2	
H2949	015	0	1	02	01	H2949_015_0	6	4		010000100000100000001000000000000000000000000000	2			1	40.00	40.00	2			2	
H2949	015	0	1	02	01	H2949_015_0	6	13		000000000000000000000000000000000000000000100000	1	50	80	2			2			2	
H2949	015	0	1	02	01	H2949_015_0	6	5		000000000000000000100000000000000000000000000000	1	20	20	2			2			2	
H2949	015	0	1	02	01	H2949_015_0	6	3		000000000000000000000100000000000000000000000000	2			1	100.00	100.00	2			2	
H2949	015	0	1	02	01	H2949_015_0	6	9		000000000000000100000000000000000000000000000000	1	20	20	1	35.00	35.00	2			2	
H2949	015	0	1	02	01	H2949_015_0	6	8		000000000000010000000000000000000000000000000000	1	20	30	1	35.00	35.00	2			2	
H2949	015	0	1	02	01	H2949_015_0	6	7		000000000000000000000000001001000100000010000100	2			1	0.00	0.00	2			2	
H2949	015	0	1	02	01	H2949_015_0	6	6		000000000000000000000000010000000000000000000000	1	20	40	2			2			2	
H2949	015	0	1	02	01	H2949_015_0	6	2		001011011111000000010000000000001000000001011010	2			1	35.00	35.00	2			2	
H3044	004	0	1	02	01	H3044_004_0	11	3	Outpatient Services	001000000000011111111100000000000000000000000000	1	20	20	2			2			2	
H3044	004	0	1	02	01	H3044_004_0	11	1	POS PCP Visit	000010000000000000000000000000000110000000000000	2			1	0.00	0.00	2			2	
H3044	004	0	1	02	01	H3044_004_0	11	2	Specialists	000001111111100000000001111000000001111111000000	1	15	15	2			2			2	
H3044	801	0	1	02	01	H3044_801_0	6	1	POS Benefits	011111111111111111111101111000100111111111110010	1	20	20	2			2			2	
H3044	802	0	1	02	01	H3044_802_0	4	1	POS Benefits	011111111111111111111101111000100111111111110010	1	20	20	2			2			2	
H3044	803	0	1	02	01	H3044_803_0	4	1	POS Benefits	011111111111111111111101111000100111111111110010	1	20	20	2			2			2	
H3044	804	0	1	02	01	H3044_804_0	4	1	POS Benefits	011111111111111111111101111000100111111111110010	1	20	20	2			2			2	
H3107	004	0	1	02	01	H3107_004_0	6	1	Group 1	000010010110001110000000000000000011111111010010	1	30	30	2			2			2	
H3107	004	0	1	02	01	H3107_004_0	6	2	Group 2	000001001001000000000000000000000000000000000000	1	50	50	2			2			2	
H3107	004	0	1	02	01	H3107_004_0	6	3	Group 3	000000000000000000000000000000000000000000001100	1	0	30	2			2			2	
H3107	004	0	1	02	01	H3107_004_0	6	5	Group 5	000000000000000001100000000000000000000000000000	2			1	225.00	225.00	2			2	
H3107	004	0	1	02	01	H3107_004_0	6	4	Group 4	000000000000000000000000000000001100000000000000	2			1	0.00	0.00	2			2	
H3107	008	0	1	02	01	H3107_008_0	1	4	Group 4	000000000000000000000000000000001100000000000000	2			1	0.00	0.00	2			2	
H3107	008	0	1	02	01	H3107_008_0	1	3	Group 3	000000000000000000000000000000000000000000001100	1	0	30	2			2			2	
H3107	008	0	1	02	01	H3107_008_0	1	1	Group 1	000010010110001110000000000000000011111111010010	1	30	30	2			2			2	
H3107	008	0	1	02	01	H3107_008_0	1	2	Group 2	000001001001000000000000000000000000000000000000	1	50	50	2			2			2	
H3154	005	0	1	02	01	H3154_005_0	3	1		011111111111111111111001111000001111111110001010	1	35	35	2			2			2	
H3154	006	0	1	02	01	H3154_006_0	6	1		011111111111111111111001111000001111111110001010	1	35	35	2			2			2	
H3154	012	0	1	02	01	H3154_012_0	6	1		011111111111111111111001111000001111111110001010	1	35	35	2			2			2	
H3154	801	0	1	02	01	H3154_801_0	3	1		011111111111111111111001111000001111111110001010	1	35	35	2			2			2	
H3154	802	0	1	02	01	H3154_802_0	3	1		011111111111111111111001111000001111111110001010	1	35	35	2			2			2	
H3154	805	0	1	02	01	H3154_805_0	4	1		011111111111111111111001111000001111111110001010	2			2			2			2	
H3251	021	0	1	02	01	H3251_021_0	5	1	Group 1 - 20%	011000100000111110001001111000000000000000000000	1	20	20	2			2			2	
H3251	021	0	1	02	01	H3251_021_0	5	2	Group 2 - $40 copayment	000000011111000000010000000000000000000000000000	2			1	40.00	40.00	2			2	
H3251	021	0	1	02	01	H3251_021_0	5	3	Group 3 - $250 copayment	000000000000000001100000000000000000000000000000	2			1	250.00	250.00	2			2	
H3251	021	0	1	02	01	H3251_021_0	5	4	Group 4 - $0 copayment	000100000000000000000000000000000111111111000000	2			1	0.00	0.00	2			2	
H3251	021	0	1	02	01	H3251_021_0	5	5	Group 5 - $75 copayment	000000000000000000000100000000000000000000000000	2			1	75.00	75.00	2			2	
H3251	021	0	1	02	01	H3251_021_0	5	6	Group 6 - $20 copayment	000010000000000000000000000000000000000000000000	2			1	20.00	20.00	2			2	
H3251	025	0	1	02	01	H3251_025_0	6	1	Group 1 - 20%	011000100000111110001001111000000000000000000000	1	20	20	2			2			2	
H3251	025	0	1	02	01	H3251_025_0	6	2	Group 2 - $40 copayment	000000011111000000010000000000000000000000000000	2			1	40.00	40.00	2			2	
H3251	025	0	1	02	01	H3251_025_0	6	3	Group 3 - $250 copayment	000000000000000001100000000000000000000000000000	2			1	250.00	250.00	2			2	
H3251	025	0	1	02	01	H3251_025_0	6	4	Group 4 - $0 copayment	000100000000000000000000000000000111111111000000	2			1	0.00	0.00	2			2	
H3251	025	0	1	02	01	H3251_025_0	6	5	Group 5 - $75 copayment	000000000000000000000100000000000000000000000000	2			1	75.00	75.00	2			2	
H3251	025	0	1	02	01	H3251_025_0	6	6	Group 6 - $20 copayment	000010000000000000000000000000000000000000000000	2			1	20.00	20.00	2			2	
H3327	022	0	1	02	01	H3327_022_0	3	1		011111111111111111111101111000000111111111001111	1	20	20	2			2			2	
H3327	023	0	1	02	01	H3327_023_0	5	1		011111111111111111111101111000000111111111001111	1	20	20	2			2			2	
H3327	805	0	1	02	01	H3327_805_0	3	1		011111111111111111111101111000000111111111001111	1	20	20	2			2			2	
H3327	806	0	1	02	01	H3327_806_0	3	1		011111111111111111111101111000000111111111001111	1	20	20	2			2			2	
H3327	807	0	1	02	01	H3327_807_0	3	1		011111111111111111111101111000000111111111001111	1	20	20	2			2			2	
H3328	001	0	1	02	01	H3328_001_0	3	4		000000000000000001000000000000000000000000000000	1	20	40	2			2			2	
H3328	001	0	1	02	01	H3328_001_0	3	5		000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H3328	001	0	1	02	01	H3328_001_0	3	3		000000000000011110000100000000000000000000000000	1	20	20	2			2			2	
H3328	001	0	1	02	01	H3328_001_0	3	2		011010111111100000111001100000000000000000000000	1	30	30	2			2			2	
H3328	001	0	1	02	01	H3328_001_0	3	1		000100000000000000000000011000000111111111000000	2			2			2			2	
H3328	003	0	1	02	01	H3328_003_0	8	1		000100000000000000000000011000000111111111000000	2			2			2			2	
H3328	003	0	1	02	01	H3328_003_0	8	5		000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H3328	003	0	1	02	01	H3328_003_0	8	2		011010111111110000111001100000000000000000000000	1	30	30	2			2			2	
H3328	003	0	1	02	01	H3328_003_0	8	3		000000000000001110000100000000000000000000000000	1	20	20	2			2			2	
H3328	003	0	1	02	01	H3328_003_0	8	4		000000000000000001000000000000000000000000000000	1	20	40	2			2			2	
H3328	012	0	1	02	01	H3328_012_0	9	5		000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H3328	012	0	1	02	01	H3328_012_0	9	4		000000000000000001000000000000000000000000000000	1	20	40	2			2			2	
H3328	012	0	1	02	01	H3328_012_0	9	3		000000000000001110000100000000000000000000000000	1	20	20	2			2			2	
H3328	012	0	1	02	01	H3328_012_0	9	2		011010111111110000111001100000000000000000000000	1	30	30	2			2			2	
H3328	012	0	1	02	01	H3328_012_0	9	1		000100000000000000000000011000000111111111000000	2			2			2			2	
H3328	801	0	1	02	01	H3328_801_0	2	1		011111111111111111111111111000000111111111001010	1	20	20	2			2			2	
H3328	802	0	1	02	01	H3328_802_0	2	1		011111111111111111111111111000000111111111001010	1	20	20	2			2			2	
H3328	803	0	1	02	01	H3328_803_0	2	1		011111111111111111111111111000000111111111001010	1	20	20	2			2			2	
H3347	010	0	1	02	01	H3347_010_0	6	1	POS	011101111111111111111000000000000101111111000000	1	20	20	2			2			2	
H3351	001	0	1	02	01	H3351_001_0	6	1		010111110110111111101101111000000111111111001010	1	30	30	2			1	1500.00	3	2	
H3351	002	0	1	02	01	H3351_002_0	7	1		010111110110111111101101111000000111111111001010	1	30	30	2			1	1500.00	3	2	
H3351	006	0	1	02	01	H3351_006_0	7	1		010111110110111111101101111000000111111111001010	1	30	30	2			1	3000.00	3	2	
H3351	007	0	1	02	01	H3351_007_0	6	1		010111110110111111101101111000000111111111001010	1	30	30	2			1	3000.00	3	2	
H3351	801	0	1	02	01	H3351_801_0	3	1		010111110110111111101101111000000111111111001010	1	20	20	2			1	5000.00	3	2	
H3351	802	0	1	02	01	H3351_802_0	3	1		010111110110111111101101111000000111111111001010	1	20	20	2			1	5000.00	3	2	
H3351	803	0	1	02	01	H3351_803_0	3	1		010111110110111111101101111000000111111111001010	1	20	20	2			1	5000.00	3	2	
H3351	804	0	1	02	01	H3351_804_0	3	1		010111110110111111101101111000000111111111001010	1	20	20	2			1	5000.00	3	2	
H3351	805	0	1	02	01	H3351_805_0	3	1		010111110110111111101101111000000111111111001010	1	20	20	2			1	5000.00	3	2	
H3351	806	0	1	02	01	H3351_806_0	3	1		010111110110111111101101111000000111111111001010	1	20	20	2			1	5000.00	3	2	
H3361	106	0	1	02	01	H3361_106_0	5	1		010101110110111111101101111000000101111111000000	1	20	20	2			2			2	
H3362	807	0	1	02	01	H3362_807_0	3	1	20% Coinsurance	010011110110111111111101111000001111111111011110	1	20	20	2			2			1	155.00
H3362	807	0	1	02	01	H3362_807_0	3	2	45%	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H3362	807	0	1	02	01	H3362_807_0	3	3	$0	000100000000000000000000000000000000000000000000	2			2			2			2	
H3362	817	0	1	02	01	H3362_817_0	3	1	20% Coinsurance	010011110110111111111101111000001111111111011110	1	20	20	2			2			1	155.00
H3362	817	0	1	02	01	H3362_817_0	3	2	45%	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H3362	817	0	1	02	01	H3362_817_0	3	3	$0	000100000000000000000000000000000000000000000000	2			2			2			2	
H3362	819	0	1	02	01	H3362_819_0	3	1	20% Coinsurance	010011110110111111111101111000001111111111011110	1	20	20	2			2			1	155.00
H3362	819	0	1	02	01	H3362_819_0	3	2	45%	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H3362	819	0	1	02	01	H3362_819_0	3	3	$0	000100000000000000000000000000000000000000000000	2			2			2			2	
H3456	001	0	1	02	01	H3456_001_0	5	8	Group 8	000000001001000000010000000000000000000000000000	2			1	35.00	45.00	2			2	
H3456	001	0	1	02	01	H3456_001_0	5	7	Group 7	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H3456	001	0	1	02	01	H3456_001_0	5	6	Group 6	001000000000000000000000000000000000000000000000	2			1	75.00	75.00	2			2	
H3456	001	0	1	02	01	H3456_001_0	5	5	Group 5	000000000000000010000000000000000000000000000000	2			1	21.00	21.00	2			2	
H3456	001	0	1	02	01	H3456_001_0	5	9	Group 9	000000000000000000000000001000001100000000000000	2			1	0.00	0.00	2			2	
H3456	001	0	1	02	01	H3456_001_0	5	3	Group 3	000100000000001101100001110000000001111111000100	1	30	30	2			2			2	
H3456	001	0	1	02	01	H3456_001_0	5	2	Group 2	010000110100100000001000000000000000000000011010	2			1	45.00	45.00	2			2	
H3456	001	0	1	02	01	H3456_001_0	5	10	Group 10	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H3456	001	0	1	02	01	H3456_001_0	5	1	Group 1	000010000010000000000000000000000010000000000000	2			1	25.00	25.00	2			2	
H3456	001	0	1	02	01	H3456_001_0	5	4	Group 4	000000000000010000000000000000000000000000000000	1	30	30	1	10.00	10.00	2			2	
H3456	020	0	1	02	01	H3456_020_0	2	9	Group 9	000000000000000000000000001000001100000000000000	2			1	0.00	0.00	2			2	
H3456	020	0	1	02	01	H3456_020_0	2	1	Group 1	000010000010000000000000000000000010000000000000	2			1	25.00	25.00	2			2	
H3456	020	0	1	02	01	H3456_020_0	2	10	Group 10	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H3456	020	0	1	02	01	H3456_020_0	2	2	Group 2	010000110100100000001000000000000000000000011010	2			1	40.00	40.00	2			2	
H3456	020	0	1	02	01	H3456_020_0	2	3	Group 3	000100000000001101100001110000000001111111000100	1	30	30	2			2			2	
H3456	020	0	1	02	01	H3456_020_0	2	4	Group 4	000000000000010000000000000000000000000000000000	1	30	30	1	10.00	10.00	2			2	
H3456	020	0	1	02	01	H3456_020_0	2	5	Group 5	000000000000000010000000000000000000000000000000	2			1	21.00	21.00	2			2	
H3456	020	0	1	02	01	H3456_020_0	2	6	Group 6	001000000000000000000000000000000000000000000000	2			1	75.00	75.00	2			2	
H3456	020	0	1	02	01	H3456_020_0	2	8	Group 8	000000001001000000010000000000000000000000000000	2			1	35.00	45.00	2			2	
H3456	020	0	1	02	01	H3456_020_0	2	7	Group 7	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H3456	023	0	1	02	01	H3456_023_0	6	9	Group 9	000000000000000000000000001000001100000000000000	2			1	0.00	0.00	2			2	
H3456	023	0	1	02	01	H3456_023_0	6	8	Group 8	000000001001000000010000000000000000000000000000	2			1	35.00	45.00	2			2	
H3456	023	0	1	02	01	H3456_023_0	6	7	Group 7	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H3456	023	0	1	02	01	H3456_023_0	6	6	Group 6	001000000000000000000000000000000000000000000000	2			1	75.00	75.00	2			2	
H3456	023	0	1	02	01	H3456_023_0	6	5	Group 5	000000000000000010000000000000000000000000000000	2			1	21.00	21.00	2			2	
H3456	023	0	1	02	01	H3456_023_0	6	4	Group 4	000000000000010000000000000000000000000000000000	1	30	30	1	10.00	10.00	2			2	
H3456	023	0	1	02	01	H3456_023_0	6	3	Group 3	000100000000001101100001110000000001111111000100	1	30	30	2			2			2	
H3456	023	0	1	02	01	H3456_023_0	6	2	Group 2	010000110100100000001000000000000000000000011010	2			1	45.00	45.00	2			2	
H3456	023	0	1	02	01	H3456_023_0	6	1	Group 1	000010000010000000000000000000000010000000000000	2			1	25.00	25.00	2			2	
H3456	023	0	1	02	01	H3456_023_0	6	10	Group 10	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H3456	807	0	1	02	01	H3456_807_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H3456	807	0	1	02	01	H3456_807_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H3456	807	0	1	02	01	H3456_807_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H3456	807	0	1	02	01	H3456_807_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H3456	808	0	1	02	01	H3456_808_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H3456	808	0	1	02	01	H3456_808_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H3456	808	0	1	02	01	H3456_808_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H3456	808	0	1	02	01	H3456_808_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H3456	809	0	1	02	01	H3456_809_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H3456	809	0	1	02	01	H3456_809_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H3456	809	0	1	02	01	H3456_809_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H3456	809	0	1	02	01	H3456_809_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H3528	006	0	1	02	01	H3528_006_0	6	4		000000000000000000001000001000000111111100000000	2			2			2			2	
H3528	006	0	1	02	01	H3528_006_0	6	1		010011110110100000000000000000000000000000001010	2			1	40.00	40.00	2			2	
H3528	006	0	1	02	01	H3528_006_0	6	2		000000000000011111100001100000000000000000000000	1	20	20	2			2			2	
H3528	006	0	1	02	01	H3528_006_0	6	3		000000000000000000000100000000000000000000000000	2			1	100.00	100.00	2			2	
H3528	008	0	1	02	01	H3528_008_0	5	1		010011110110111111100101101000000000000000001010	1	20	20	2			2			2	
H3528	008	0	1	02	01	H3528_008_0	5	2		000000000000000000001000000000000111111100000000	2			2			2			2	
H3528	806	0	1	02	01	H3528_806_0	4	1		010011110110111111101101101000000111111100001010	1	20	20	2			2			2	
H3528	807	0	1	02	01	H3528_807_0	4	1		010011110110111111101101101000000111111100001010	1	20	20	2			2			2	
H3659	001	0	1	02	01	H3659_001_0	5	9	Group 9	000000000000000000000000001000001100000000000000	2			1	0.00	0.00	2			2	
H3659	001	0	1	02	01	H3659_001_0	5	8	Group 8	000000001001000000010000000000000000000000000000	2			1	35.00	45.00	2			2	
H3659	001	0	1	02	01	H3659_001_0	5	7	Group 7	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H3659	001	0	1	02	01	H3659_001_0	5	6	Group 6	001000000000000000000000000000000000000000000000	2			1	75.00	75.00	2			2	
H3659	001	0	1	02	01	H3659_001_0	5	1	Group 1	000010000010000000000000000000000010000000000000	2			1	32.00	32.00	2			2	
H3659	001	0	1	02	01	H3659_001_0	5	4	Group 4	000000000000010000000000000000000000000000000000	1	30	30	1	10.00	10.00	2			2	
H3659	001	0	1	02	01	H3659_001_0	5	3	Group 3	000100000000001101100001110000000001111111000100	1	30	30	2			2			2	
H3659	001	0	1	02	01	H3659_001_0	5	2	Group 2	010000110100100000001000000000000000000000011010	2			1	45.00	45.00	2			2	
H3659	001	0	1	02	01	H3659_001_0	5	10	Group 10	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H3659	001	0	1	02	01	H3659_001_0	5	5	Group 5	000000000000000010000000000000000000000000000000	2			1	21.00	21.00	2			2	
H3659	058	0	1	02	01	H3659_058_0	4	2		000000000000000000000000000000000100000000000100	2			1	0.00	0.00	2			2	
H3659	058	0	1	02	01	H3659_058_0	4	3		000000000000010000000000000000000000000000000000	1	0	30	2			2			2	
H3659	058	0	1	02	01	H3659_058_0	4	1		011111111111101111111101111000001011111111011010	1	30	30	2			2			2	
H3659	807	0	1	02	01	H3659_807_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H3659	807	0	1	02	01	H3659_807_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H3659	807	0	1	02	01	H3659_807_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H3659	807	0	1	02	01	H3659_807_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H3659	808	0	1	02	01	H3659_808_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H3659	808	0	1	02	01	H3659_808_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H3659	808	0	1	02	01	H3659_808_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H3659	808	0	1	02	01	H3659_808_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H3659	809	0	1	02	01	H3659_809_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H3659	809	0	1	02	01	H3659_809_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H3659	809	0	1	02	01	H3659_809_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H3659	809	0	1	02	01	H3659_809_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H3660	028	0	1	02	01	H3660_028_0	8	4	Group 4 $200 Copay	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H3660	028	0	1	02	01	H3660_028_0	8	3	Group 3 $40 Copay	011001111111100000011000000000000000000000011010	2			1	40.00	40.00	2			2	
H3660	028	0	1	02	01	H3660_028_0	8	2	Group 2- $15 Copay	000010000000000000000000000000000111111111000000	2			1	15.00	15.00	2			2	
H3660	028	0	1	02	01	H3660_028_0	8	1	Group 1 20% Coinsurance	000100000000011111100000001000000000000000000000	1	20	20	2			2			2	
H3660	028	0	1	02	01	H3660_028_0	8	5	Group 5 30% Coinsurance	000000000000000000000001110000000000000000000000	1	30	30	2			2			2	
H3660	029	0	1	02	01	H3660_029_0	8	2	Group 2 $15 Copay	000010000000000000000000000000000111111111000000	2			1	15.00	15.00	2			2	
H3660	029	0	1	02	01	H3660_029_0	8	3	Group 3 $55 Copay	011001110110100000001000000000000000000000011010	2			1	55.00	55.00	2			2	
H3660	029	0	1	02	01	H3660_029_0	8	4	Group 4 30% Coinsurance	000000000000000000000001110000000000000000000000	1	30	30	2			2			2	
H3660	029	0	1	02	01	H3660_029_0	8	5	Group 5 $250 Copay	000000000000000000000100000000000000000000000000	2			1	250.00	250.00	2			2	
H3660	029	0	1	02	01	H3660_029_0	8	6	Group 6 - $40 Copay	000000001001000000010000000000000000000000000000	2			1	40.00	40.00	2			2	
H3660	029	0	1	02	01	H3660_029_0	8	1	Group 1- 20% Coinsurance	000100000000011111100000001000000000000000000000	1	20	20	2			2			2	
H3660	032	0	1	02	01	H3660_032_0	8	5	Group 5 30%	000000000000000000000001110000000000000000000000	1	30	30	2			2			2	
H3660	032	0	1	02	01	H3660_032_0	8	1	Group 1 20% Coinsurance	000100000000011111100000001000000000000000000000	1	20	20	2			2			2	
H3660	032	0	1	02	01	H3660_032_0	8	2	Group 2 $15 Copay	000010000000000000000000000000000111111111000000	2			1	15.00	15.00	2			2	
H3660	032	0	1	02	01	H3660_032_0	8	3	Group 3 $40 Copay	011001111111100000011000000000000000000000011010	2			1	40.00	40.00	2			2	
H3660	032	0	1	02	01	H3660_032_0	8	4	Group 4 $200 Copay	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H3660	043	0	1	02	01	H3660_043_0	7	1	Group 1 20% Coinsurance	000100000000011111100000001000000000000000000000	1	20	20	2			2			2	
H3660	043	0	1	02	01	H3660_043_0	7	2	Group 2 $15 Copay	000010000000000000000000000000000111111111000000	2			1	15.00	15.00	2			2	
H3660	043	0	1	02	01	H3660_043_0	7	6	Group 6 $40 Copay	000000001001000000010000000000000000000000000000	2			1	40.00	40.00	2			2	
H3660	043	0	1	02	01	H3660_043_0	7	5	Group 5 $250 Ambulance	000000000000000000000100000000000000000000000000	2			1	250.00	250.00	2			2	
H3660	043	0	1	02	01	H3660_043_0	7	4	Group 4 30% Coinsurance	000000000000000000000001110000000000000000000000	1	30	30	2			2			2	
H3660	043	0	1	02	01	H3660_043_0	7	3	Group 3 $55 Copay	011001110110100000001000000000000000000000011010	2			1	55.00	55.00	2			2	
H3660	805	0	1	02	01	H3660_805_0	4	2	Group 2 $0 Copay and Coinsurance	000100000000000000000000000000000000000000000000	2			2			2			2	
H3660	805	0	1	02	01	H3660_805_0	4	3	Group 3- 45  % Coinsurance	000000001001000000010000000000000000000000000000	1	45	45	2			2			2	
H3660	805	0	1	02	01	H3660_805_0	4	1	Group 1 20 % Coinsurance	011111110110111111101101111000001111111111011110	1	20	20	2			2			2	
H3660	806	0	1	02	01	H3660_806_0	4	1	Group 1 20 % Coinsurance	011111110110111111101101111000001111111111011110	1	20	20	2			2			2	
H3660	806	0	1	02	01	H3660_806_0	4	2	Group 2 $0 Copay and Coinsurance	000100000000000000000000000000000000000000000000	2			2			2			2	
H3660	806	0	1	02	01	H3660_806_0	4	3	Group 3- 45 % Coinsurance	000000001001000000010000000000000000000000000000	1	45	45	2			2			2	
H3664	012	0	1	02	01	H3664_012_0	6	3	Hearing Aids	000000000000000000000000000000000000000000000001	2			2			1	500.00	1	2	
H3664	012	0	1	02	01	H3664_012_0	6	2	Eye Wear	000000000000000000000000000000000000000000000100	2			2			1	70.00	2	2	
H3664	012	0	1	02	01	H3664_012_0	6	1	Preventive Dental	000000000000000000000000000000000000000000100000	2			2			1	125.00	3	2	
H3664	014	0	1	02	01	H3664_014_0	5	2	Eye Wear	000000000000000000000000000000000000000000000100	2			2			1	70.00	2	2	
H3664	014	0	1	02	01	H3664_014_0	5	3	Hearing Aids	000000000000000000000000000000000000000000000001	2			2			1	500.00	1	2	
H3664	014	0	1	02	01	H3664_014_0	5	1	Preventive Dental	000000000000000000000000000000000000000000100000	2			2			1	125.00	3	2	
H3664	017	0	1	02	01	H3664_017_0	6	1	Preventive Dental	000000000000000000000000000000000000000000100000	2			2			1	125.00	3	2	
H3664	017	0	1	02	01	H3664_017_0	6	2	Eye Wear	000000000000000000000000000000000000000000000100	2			2			1	70.00	2	2	
H3664	018	0	1	02	01	H3664_018_0	6	1	Eye Wear	000000000000000000000000000000000000000000000100	2			2			1	70.00	2	2	
H3664	801	0	1	02	01	H3664_801_0	1	2	Eye Wear	000000000000000000000000000000000000000000000100	2			2			1	70.00	2	2	
H3664	801	0	1	02	01	H3664_801_0	1	3	Hearing Aids	000000000000000000000000000000000000000000000001	2			2			1	500.00	1	2	
H3664	801	0	1	02	01	H3664_801_0	1	1	POS EGHP OPTION (Varie	000000000000000000000000000000000000000000100000	2			2			1	125.00	3	2	
H3664	802	0	1	02	01	H3664_802_0	1	2	Eye Wear	000000000000000000000000000000000000000000000100	2			2			1	70.00	2	2	
H3664	802	0	1	02	01	H3664_802_0	1	3	Hearing Aids	000000000000000000000000000000000000000000000001	2			2			1	500.00	1	2	
H3664	802	0	1	02	01	H3664_802_0	1	1	POS EGHP OPTION (Varie	000000000000000000000000000000000000000000100000	2			2			1	125.00	3	2	
H3664	803	0	1	02	01	H3664_803_0	1	1	POS EGHP OPTION (Varie	000000000000000000000000000000000000000000100000	2			2			1	125.00	3	2	
H3664	803	0	1	02	01	H3664_803_0	1	2	Eye Wear	000000000000000000000000000000000000000000000100	2			2			1	70.00	2	2	
H3664	803	0	1	02	01	H3664_803_0	1	3	Hearing Aids	000000000000000000000000000000000000000000000001	2			2			1	500.00	1	2	
H3664	805	0	2	02	01	H3664_805_0	1	3	Hearing Aids	000000000000000000000000000000000000000000000001	2			2			1	500.00	1	2	
H3664	805	0	2	02	01	H3664_805_0	1	1	POS EGHP OPTION (Varie	000000000000000000000000000000000000000000100000	2			2			1	125.00	3	2	
H3664	805	0	2	02	01	H3664_805_0	1	2	Eye Wear	000000000000000000000000000000000000000000000100	2			2			1	70.00	2	2	
H3664	806	0	2	02	01	H3664_806_0	1	1	POS EGHP OPTION (Varie	000000000000000000000000000000000000000000100000	2			2			1	125.00	3	2	
H3664	806	0	2	02	01	H3664_806_0	1	2	Eye Wear	000000000000000000000000000000000000000000000100	2			2			1	70.00	2	2	
H3664	806	0	2	02	01	H3664_806_0	1	3	Hearing Aids	000000000000000000000000000000000000000000000001	2			2			1	500.00	1	2	
H3810	004	0	1	02	01	H3810_004_0	6	1	POS Option	000010010001011010000000000000000000000000000000	1	20	20	2			1	5000.00	3	2	
H3810	005	0	1	02	01	H3810_005_0	9	1	POS Option	000010010001011010000000000000000000000000000000	1	20	20	2			1	5000.00	3	2	
H3864	001	0	1	02	01	H3864_001_0	5	1	Physician Office Visit and Diagnostics	000010011000010000000000000000000000000000000000	1	10	10	2			2			2	
H3864	007	0	1	02	01	H3864_007_0	7	1	Physician Office Visits and Diagnostics	000010011000010000000000000000000000000000000000	1	10	10	2			2			2	
H3887	001	0	1	02	01	H3887_001_0	4	2		000000000000000000000000000000000100000000000100	2			1	0.00	0.00	2			2	
H3887	001	0	1	02	01	H3887_001_0	4	3		000000000000010000000000000000000000000000000000	1	0	30	2			2			2	
H3887	001	0	1	02	01	H3887_001_0	4	1		011111111111101111111101111000001011111111011010	1	30	30	2			2			2	
H3887	002	0	1	02	01	H3887_002_0	4	1	Group 1	011111111111101111111101111000001011111111011010	1	30	30	2			2			2	
H3887	002	0	1	02	01	H3887_002_0	4	2	Group 2	000000000000010000000000000000000000000000000000	1	0	30	2			2			2	
H3887	002	0	1	02	01	H3887_002_0	4	3	Group 3	000000000000000000000000000000000100000000000100	2			1	0.00	0.00	2			2	
H3887	003	0	1	02	01	H3887_003_0	5	6	Group 6	001000000000000000000000000000000000000000000000	2			1	75.00	75.00	2			2	
H3887	003	0	1	02	01	H3887_003_0	5	5	Group 5	000000000000000010000000000000000000000000000000	2			1	21.00	21.00	2			2	
H3887	003	0	1	02	01	H3887_003_0	5	3	Group 3	000100000000001101100001110000000001111111000100	1	30	30	2			2			2	
H3887	003	0	1	02	01	H3887_003_0	5	2	Group 2	010000110100100000001000000000000000000000011010	2			1	50.00	50.00	2			2	
H3887	003	0	1	02	01	H3887_003_0	5	10	Group 10	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H3887	003	0	1	02	01	H3887_003_0	5	1	Group 1	000010000010000000000000000000000010000000000000	2			1	25.00	25.00	2			2	
H3887	003	0	1	02	01	H3887_003_0	5	7	Group 7	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H3887	003	0	1	02	01	H3887_003_0	5	8	Group 8	000000001001000000010000000000000000000000000000	2			1	35.00	45.00	2			2	
H3887	003	0	1	02	01	H3887_003_0	5	9	Group 9	000000000000000000000000001000001100000000000000	2			1	0.00	0.00	2			2	
H3887	003	0	1	02	01	H3887_003_0	5	4	Group 4	000000000000010000000000000000000000000000000000	1	30	30	1	10.00	10.00	2			2	
H3887	801	0	1	02	01	H3887_801_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H3887	801	0	1	02	01	H3887_801_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H3887	801	0	1	02	01	H3887_801_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H3887	801	0	1	02	01	H3887_801_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H3887	802	0	1	02	01	H3887_802_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H3887	802	0	1	02	01	H3887_802_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H3887	802	0	1	02	01	H3887_802_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H3887	802	0	1	02	01	H3887_802_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H3887	803	0	1	02	01	H3887_803_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H3887	803	0	1	02	01	H3887_803_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H3887	803	0	1	02	01	H3887_803_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H3887	803	0	1	02	01	H3887_803_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H3964	003	0	1	02	01	H3964_003_0	3	1	Group 1	000111110000111111100100001000000010000000000000	1	20	20	2			2			2	
H3964	003	0	1	02	01	H3964_003_0	3	2	Group 2	000000000000000000000000000000000101111111000000	2			2			2			2	
H4003	001	0	1	02	01	H4003_001_0	8	1		011111111111111111111111111111101111111111111111	1	20	20	2			2			2	
H4003	801	0	1	02	01	H4003_801_0	2	1		011111111111111111111111111111101111111111111111	1	0	20	2			2			2	
H4003	803	0	1	02	01	H4003_803_0	2	1		011111111111111111111111111111101111111111111111	1	0	20	2			2			2	
H4003	804	0	1	02	01	H4003_804_0	2	1		011111111111111111111111111111101111111111111111	1	0	20	2			2			2	
H4003	805	0	1	02	01	H4003_805_0	2	1		011111111111111111111111111111101111111111111111	1	0	20	2			2			2	
H4003	806	0	1	02	01	H4003_806_0	2	1		011111111111111111111111111111101111111111111111	1	0	20	2			2			2	
H4003	807	0	1	02	01	H4003_807_0	2	1		011111111111111111111111111111101111111111111111	1	0	20	2			2			2	
H4003	808	0	1	02	01	H4003_808_0	2	1		011111111111111111111111111111101111111111111111	1	0	20	2			2			2	
H4003	809	0	1	02	01	H4003_809_0	2	1		011111111111111111111111111111101111111111111111	1	0	20	2			2			2	
H4004	015	0	1	02	01	H4004_015_0	8	1		011111111111111111111111111111101111111111111111	1	20	20	2			2			2	
H4004	801	0	1	02	01	H4004_801_0	2	1		011111111111111111111111111111101111111111111111	1	0	20	2			2			2	
H4004	802	0	1	02	01	H4004_802_0	2	1		011111111111111111111111111111101111111111111111	1	0	20	2			2			2	
H4004	803	0	1	02	01	H4004_803_0	2	1		011111111111111111111111111111101111111111111111	1	0	20	2			2			2	
H4004	804	0	1	02	01	H4004_804_0	2	1		011111111111111111111111111111101111111111111111	1	0	20	2			2			2	
H4004	805	0	1	02	01	H4004_805_0	2	1		011111111111111111111111111111101111111111111111	1	0	20	2			2			2	
H4004	806	0	1	02	01	H4004_806_0	2	1		011111111111111111111111111111101111111111111111	1	0	20	2			2			2	
H4004	807	0	1	02	01	H4004_807_0	2	1		011111111111111111111111111111101111111111111111	1	0	20	2			2			2	
H4004	808	0	1	02	01	H4004_808_0	2	1		011111111111111111111111111111101111111111111111	1	0	20	2			2			2	
H4006	008	0	1	02	01	H4006_008_0	12	1		011111111111111111111101111000000111111111111010	1	0	25	2			2			2	
H4102	001	0	1	02	01	H4102_001_0	7	10	Group 10	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H4102	001	0	1	02	01	H4102_001_0	7	6	Group 6	001000000000000000000000000000000000000000000000	2			1	75.00	75.00	2			2	
H4102	001	0	1	02	01	H4102_001_0	7	5	Group 5	000000000000000010000000000000000000000000000000	2			1	21.00	21.00	2			2	
H4102	001	0	1	02	01	H4102_001_0	7	7	Group 7	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H4102	001	0	1	02	01	H4102_001_0	7	4	Group 4	000000000000010000000000000000000000000000000000	1	30	30	1	10.00	10.00	2			2	
H4102	001	0	1	02	01	H4102_001_0	7	2	Group 2	010000110100100000001000000000000000000000011010	2			1	50.00	50.00	2			2	
H4102	001	0	1	02	01	H4102_001_0	7	3	Group 3	000100000000001101100001110000000001111111000100	1	30	30	2			2			2	
H4102	001	0	1	02	01	H4102_001_0	7	8	Group 8	000000001001000000010000000000000000000000000000	2			1	35.00	45.00	2			2	
H4102	001	0	1	02	01	H4102_001_0	7	9	Group 9	000000000000000000000000001000001100000000000000	2			1	0.00	0.00	2			2	
H4102	001	0	1	02	01	H4102_001_0	7	1	Group 1	000010000010000000000000000000000010000000000000	2			1	30.00	30.00	2			2	
H4102	806	0	1	02	01	H4102_806_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H4102	806	0	1	02	01	H4102_806_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H4102	806	0	1	02	01	H4102_806_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H4102	806	0	1	02	01	H4102_806_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H4102	807	0	1	02	01	H4102_807_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H4102	807	0	1	02	01	H4102_807_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H4102	807	0	1	02	01	H4102_807_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H4102	807	0	1	02	01	H4102_807_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H4102	808	0	1	02	01	H4102_808_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H4102	808	0	1	02	01	H4102_808_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H4102	808	0	1	02	01	H4102_808_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H4102	808	0	1	02	01	H4102_808_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H4152	007	0	1	02	01	H4152_007_0	5	1		010111111111111111111001111000010111111111001010	1	20	20	2			2			2	
H4152	815	0	1	02	01	H4152_815_0	4	1		011111111111111111111001111000010111111111001010	1	20	20	2			2			2	
H4152	821	0	1	02	01	H4152_821_0	6	1		011111111111111111111001111000010111111111001010	1	20	20	2			2			2	
H4270	001	0	1	02	01	H4270_001_0	7	1	All Other POS Benefits	011110111111111111111101111000000111111111001010	1	20	20	2			1	100000.00	3	2	
H4270	002	0	1	02	01	H4270_002_0	10	1	All Other POS Benefits	011110111111111111111101111000000111111111001010	1	20	20	2			1	100000.00	3	2	
H4270	003	0	1	02	01	H4270_003_0	8	1	All Other POS Benefits	011110111111111111111101111000000111111111001010	1	20	20	2			1	100000.00	3	2	
H4270	004	0	1	02	01	H4270_004_0	8	1	All Other POS Benefits	011110111111111111111101111000000111111111001010	1	20	20	2			1	100000.00	3	2	
H4270	801	0	1	02	01	H4270_801_0	5	1	All Other POS Benefits	011110111111111111111101111000000111111111001010	1	20	20	2			1	100000.00	3	2	
H4270	803	0	1	02	01	H4270_803_0	5	1	All Other POS Benefits	011110111111111111111101111000000111111111001010	1	20	20	2			1	100000.00	3	2	
H4406	001	0	1	02	01	H4406_001_0	5	2	Group 2	010000110100100000001000000000000000000000011010	2			1	45.00	45.00	2			2	
H4406	001	0	1	02	01	H4406_001_0	5	8	Group 8	000000001001000000010000000000000000000000000000	2			1	35.00	45.00	2			2	
H4406	001	0	1	02	01	H4406_001_0	5	7	Group 7	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H4406	001	0	1	02	01	H4406_001_0	5	6	Group 6	001000000000000000000000000000000000000000000000	2			1	75.00	75.00	2			2	
H4406	001	0	1	02	01	H4406_001_0	5	1	Group 1	000010000010000000000000000000000010000000000000	2			1	25.00	25.00	2			2	
H4406	001	0	1	02	01	H4406_001_0	5	10	Group 10	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H4406	001	0	1	02	01	H4406_001_0	5	9	Group 9	000000000000000000000000001000001100000000000000	2			1	0.00	0.00	2			2	
H4406	001	0	1	02	01	H4406_001_0	5	3	Group 3	000100000000001101100001110000000001111111000100	1	30	30	2			2			2	
H4406	001	0	1	02	01	H4406_001_0	5	4	Group 4	000000000000010000000000000000000000000000000000	1	30	30	1	10.00	10.00	2			2	
H4406	001	0	1	02	01	H4406_001_0	5	5	Group 5	000000000000000010000000000000000000000000000000	2			1	21.00	21.00	2			2	
H4406	806	0	1	02	01	H4406_806_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H4406	806	0	1	02	01	H4406_806_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H4406	806	0	1	02	01	H4406_806_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H4406	806	0	1	02	01	H4406_806_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H4406	807	0	1	02	01	H4406_807_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H4406	807	0	1	02	01	H4406_807_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H4406	807	0	1	02	01	H4406_807_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H4406	807	0	1	02	01	H4406_807_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H4406	808	0	1	02	01	H4406_808_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H4406	808	0	1	02	01	H4406_808_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H4406	808	0	1	02	01	H4406_808_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H4406	808	0	1	02	01	H4406_808_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H4407	022	0	1	02	01	H4407_022_0	5	1	30% coinsurance	011111111111111111111001101000000111111100000000	1	30	30	2			2			2	
H4407	022	0	1	02	01	H4407_022_0	5	2	Ambulance	000000000000000000000100000000000000000000000000	1	20	20	1	100.00	100.00	2			2	
H4407	023	0	1	02	01	H4407_023_0	8	2	Ambulance	000000000000000000000100000000000000000000000000	2			1	100.00	100.00	2			2	
H4407	023	0	1	02	01	H4407_023_0	8	1	30 % coinsurance	011111111111111111111001101000000111111111001010	1	30	30	2			2			2	
H4454	030	0	1	02	01	H4454_030_0	5	1	30% coinsurance	011111111111111111111001101000000111111100000000	1	30	30	2			2			2	
H4454	030	0	1	02	01	H4454_030_0	5	2	Ambulance	000000000000000000000100000000000000000000000000	1	20	20	1	100.00	100.00	2			2	
H4456	010	0	1	02	01	H4456_010_0	4	6	Group 6	001000000000000000000000000000000000000000000000	2			1	75.00	75.00	2			2	
H4456	010	0	1	02	01	H4456_010_0	4	7	Group 7	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H4456	010	0	1	02	01	H4456_010_0	4	8	Group 8	000000001001000000010000000000000000000000000000	2			1	35.00	45.00	2			2	
H4456	010	0	1	02	01	H4456_010_0	4	9	Group 9	000000000000000000000000001000001100000000000000	2			1	0.00	0.00	2			2	
H4456	010	0	1	02	01	H4456_010_0	4	1	Group 1	000010000010000000000000000000000010000000000000	2			1	20.00	20.00	2			2	
H4456	010	0	1	02	01	H4456_010_0	4	10	Group 10	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H4456	010	0	1	02	01	H4456_010_0	4	2	Group 2	010000110100100000001000000000000000000000011010	2			1	45.00	45.00	2			2	
H4456	010	0	1	02	01	H4456_010_0	4	3	Group 3	000100000000001101100001110000000001111111000100	1	30	30	2			2			2	
H4456	010	0	1	02	01	H4456_010_0	4	4	Group 4	000000000000010000000000000000000000000000000000	1	30	30	1	10.00	10.00	2			2	
H4456	010	0	1	02	01	H4456_010_0	4	5	Group 5	000000000000000010000000000000000000000000000000	2			1	21.00	21.00	2			2	
H4456	013	0	1	02	01	H4456_013_0	4	9	Group 9	000000000000000000000000001000001100000000000000	2			1	0.00	0.00	2			2	
H4456	013	0	1	02	01	H4456_013_0	4	6	Group 6	001000000000000000000000000000000000000000000000	2			1	75.00	75.00	2			2	
H4456	013	0	1	02	01	H4456_013_0	4	7	Group 7	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H4456	013	0	1	02	01	H4456_013_0	4	8	Group 8	000000001001000000010000000000000000000000000000	2			1	35.00	45.00	2			2	
H4456	013	0	1	02	01	H4456_013_0	4	5	Group 5	000000000000000010000000000000000000000000000000	2			1	21.00	21.00	2			2	
H4456	013	0	1	02	01	H4456_013_0	4	4	Group 4	000000000000010000000000000000000000000000000000	1	30	30	1	10.00	10.00	2			2	
H4456	013	0	1	02	01	H4456_013_0	4	3	Group 3	000100000000001101100001110000000001111111000100	1	30	30	2			2			2	
H4456	013	0	1	02	01	H4456_013_0	4	2	Group 2	010000110100100000001000000000000000000000011010	2			1	35.00	35.00	2			2	
H4456	013	0	1	02	01	H4456_013_0	4	10	Group 10	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H4456	013	0	1	02	01	H4456_013_0	4	1	Group 1	000010000010000000000000000000000010000000000000	2			1	20.00	20.00	2			2	
H4456	025	0	1	02	01	H4456_025_0	4	7	Group 7	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H4456	025	0	1	02	01	H4456_025_0	4	8	Group 8	000000001001000000010000000000000000000000000000	2			1	35.00	45.00	2			2	
H4456	025	0	1	02	01	H4456_025_0	4	9	Group 9	000000000000000000000000001000001100000000000000	2			1	0.00	0.00	2			2	
H4456	025	0	1	02	01	H4456_025_0	4	6	Group 6	001000000000000000000000000000000000000000000000	2			1	75.00	75.00	2			2	
H4456	025	0	1	02	01	H4456_025_0	4	1	Group 1	000010000010000000000000000000000010000000000000	2			1	20.00	20.00	2			2	
H4456	025	0	1	02	01	H4456_025_0	4	4	Group 4	000000000000010000000000000000000000000000000000	1	30	30	1	10.00	10.00	2			2	
H4456	025	0	1	02	01	H4456_025_0	4	3	Group 3	000100000000001101100001110000000001111111000100	1	30	30	2			2			2	
H4456	025	0	1	02	01	H4456_025_0	4	2	Group 2	010000110100100000001000000000000000000000011010	2			1	45.00	45.00	2			2	
H4456	025	0	1	02	01	H4456_025_0	4	10	Group 10	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H4456	025	0	1	02	01	H4456_025_0	4	5	Group 5	000000000000000010000000000000000000000000000000	2			1	21.00	21.00	2			2	
H4456	026	0	1	02	01	H4456_026_0	4	8	Group 8	000000001001000000010000000000000000000000000000	2			1	35.00	45.00	2			2	
H4456	026	0	1	02	01	H4456_026_0	4	9	Group 9	000000000000000000000000001000001100000000000000	2			1	0.00	0.00	2			2	
H4456	026	0	1	02	01	H4456_026_0	4	7	Group 7	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H4456	026	0	1	02	01	H4456_026_0	4	1	Group 1	000010000010000000000000000000000010000000000000	2			1	20.00	20.00	2			2	
H4456	026	0	1	02	01	H4456_026_0	4	10	Group 10	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H4456	026	0	1	02	01	H4456_026_0	4	2	Group 2	010000110100100000001000000000000000000000011010	2			1	35.00	35.00	2			2	
H4456	026	0	1	02	01	H4456_026_0	4	3	Group 3	000100000000001101100001110000000001111111000100	1	30	30	2			2			2	
H4456	026	0	1	02	01	H4456_026_0	4	4	Group 4	000000000000010000000000000000000000000000000000	1	30	30	1	10.00	10.00	2			2	
H4456	026	0	1	02	01	H4456_026_0	4	5	Group 5	000000000000000010000000000000000000000000000000	2			1	21.00	21.00	2			2	
H4456	026	0	1	02	01	H4456_026_0	4	6	Group 6	001000000000000000000000000000000000000000000000	2			1	75.00	75.00	2			2	
H4461	018	0	1	02	01	H4461_018_0	4	1		011011111111101111111101110000000000000000010010	1	20	20	2			2			2	
H4461	018	0	1	02	01	H4461_018_0	4	2		000100000000000000000000001001001111111111000100	2			1	0.00	0.00	2			2	
H4461	018	0	1	02	01	H4461_018_0	4	3		000000000000010000000000000000000000000000001000	1	0	20	2			2			2	
H4528	001	0	1	02	01	H4528_001_0	3	1	Group 1	000111110000111111100100001000000010000000000000	1	20	20	2			2			2	
H4528	001	0	1	02	01	H4528_001_0	3	2	Group 2	000000000000000000000000000000000101111111000000	2			2			2			2	
H4528	803	0	1	02	01	H4528_803_0	1	2	Group 2	000000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H4528	803	0	1	02	01	H4528_803_0	1	3	Group 3	000100000000010000000000000000001111111111001000	2			2			2			2	
H4528	803	0	1	02	01	H4528_803_0	1	1	Group 1	011011110110101111111101111000000000000000010110	1	20	20	2			2			2	
H4528	804	0	1	02	01	H4528_804_0	1	3	Group 3	000100000000010000000000000000001111111111001000	2			2			2			2	
H4528	804	0	1	02	01	H4528_804_0	1	1	Group 1	011011110110101111111101111000000000000000010110	1	20	20	2			2			2	
H4528	804	0	1	02	01	H4528_804_0	1	2	Group 2	000000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H4529	002	0	1	02	01	H4529_002_0	8	2		000011110100100000000000000000000000000000011010	2			1	40.00	40.00	2			2	
H4529	002	0	1	02	01	H4529_002_0	8	1		000100000010011011101000111000000000000000000000	1	20	20	2			2			2	
H4604	003	0	1	02	01	H4604_003_0	4	1	Group 1	000010000010000000000000000000000010000000000000	2			1	25.00	25.00	2			2	
H4604	003	0	1	02	01	H4604_003_0	4	10	Group 10	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H4604	003	0	1	02	01	H4604_003_0	4	2	Group 2	010000110100100000001000000000000000000000011010	2			1	45.00	45.00	2			2	
H4604	003	0	1	02	01	H4604_003_0	4	3	Group 3	000100000000001101100001110000000001111111000100	1	30	30	2			2			2	
H4604	003	0	1	02	01	H4604_003_0	4	9	Group 9	000000000000000000000000001000001100000000000000	2			1	0.00	0.00	2			2	
H4604	003	0	1	02	01	H4604_003_0	4	5	Group 5	000000000000000010000000000000000000000000000000	2			1	21.00	21.00	2			2	
H4604	003	0	1	02	01	H4604_003_0	4	6	Group 6	001000000000000000000000000000000000000000000000	2			1	75.00	75.00	2			2	
H4604	003	0	1	02	01	H4604_003_0	4	7	Group 7	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H4604	003	0	1	02	01	H4604_003_0	4	8	Group 8	000000001001000000010000000000000000000000000000	2			1	35.00	45.00	2			2	
H4604	003	0	1	02	01	H4604_003_0	4	4	Group 4	000000000000010000000000000000000000000000000000	1	30	30	1	10.00	10.00	2			2	
H4604	005	0	1	02	01	H4604_005_0	1	1	Group 1	000010000010000000000000000000000010000000000000	2			1	25.00	25.00	2			2	
H4604	005	0	1	02	01	H4604_005_0	1	10	Group 10	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H4604	005	0	1	02	01	H4604_005_0	1	2	Group 2	010000110100100000001000000000000000000000011010	2			1	45.00	45.00	2			2	
H4604	005	0	1	02	01	H4604_005_0	1	3	Group 3	000100000000001101100001110000000001111111000100	1	30	30	2			2			2	
H4604	005	0	1	02	01	H4604_005_0	1	4	Group 4	000000000000010000000000000000000000000000000000	1	30	30	1	10.00	10.00	2			2	
H4604	005	0	1	02	01	H4604_005_0	1	5	Group 5	000000000000000010000000000000000000000000000000	2			1	21.00	21.00	2			2	
H4604	005	0	1	02	01	H4604_005_0	1	6	Group 6	001000000000000000000000000000000000000000000000	2			1	75.00	75.00	2			2	
H4604	005	0	1	02	01	H4604_005_0	1	7	Group 7	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H4604	005	0	1	02	01	H4604_005_0	1	8	Group 8	000000001001000000010000000000000000000000000000	2			1	35.00	45.00	2			2	
H4604	005	0	1	02	01	H4604_005_0	1	9	Group 9	000000000000000000000000001000001100000000000000	2			1	0.00	0.00	2			2	
H4604	010	0	1	02	01	H4604_010_0	5	2	Group 2	010000110100100000001000000000000000000000011010	2			1	45.00	45.00	2			2	
H4604	010	0	1	02	01	H4604_010_0	5	6	Group 6	001000000000000000000000000000000000000000000000	2			1	75.00	75.00	2			2	
H4604	010	0	1	02	01	H4604_010_0	5	10	Group 10	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H4604	010	0	1	02	01	H4604_010_0	5	1	Group 1	000010000010000000000000000000000010000000000000	2			1	25.00	25.00	2			2	
H4604	010	0	1	02	01	H4604_010_0	5	9	Group 9	000000000000000000000000001000001100000000000000	2			1	0.00	0.00	2			2	
H4604	010	0	1	02	01	H4604_010_0	5	3	Group 3	000100000000001101100001110000000001111111000100	1	30	30	2			2			2	
H4604	010	0	1	02	01	H4604_010_0	5	4	Group 4	000000000000010000000000000000000000000000000000	1	30	30	1	10.00	10.00	2			2	
H4604	010	0	1	02	01	H4604_010_0	5	5	Group 5	000000000000000010000000000000000000000000000000	2			1	21.00	21.00	2			2	
H4604	010	0	1	02	01	H4604_010_0	5	7	Group 7	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H4604	010	0	1	02	01	H4604_010_0	5	8	Group 8	000000001001000000010000000000000000000000000000	2			1	35.00	45.00	2			2	
H4604	806	0	1	02	01	H4604_806_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H4604	806	0	1	02	01	H4604_806_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H4604	806	0	1	02	01	H4604_806_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H4604	806	0	1	02	01	H4604_806_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H4604	807	0	1	02	01	H4604_807_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H4604	807	0	1	02	01	H4604_807_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H4604	807	0	1	02	01	H4604_807_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H4604	807	0	1	02	01	H4604_807_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H4604	808	0	1	02	01	H4604_808_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H4604	808	0	1	02	01	H4604_808_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H4604	808	0	1	02	01	H4604_808_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H4604	808	0	1	02	01	H4604_808_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H4971	001	0	1	02	01	H4971_001_0	5	8	Group 8	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H4971	001	0	1	02	01	H4971_001_0	5	7	Group 7	001000000000000000000000000000000000000000000000	2			1	75.00	75.00	2			2	
H4971	001	0	1	02	01	H4971_001_0	5	6	Group 6	000000000000000010000000000000000000000000000000	2			1	21.00	21.00	2			2	
H4971	001	0	1	02	01	H4971_001_0	5	5	Group 5	000000000000010000000000000000000000000000000000	1	25	25	1	10.00	10.00	2			2	
H4971	001	0	1	02	01	H4971_001_0	5	4	Group 4	000000000000000000000001110000000000000000000100	1	30	30	2			2			2	
H4971	001	0	1	02	01	H4971_001_0	5	3	Group 3	000100000000001101100000000000000001111111000000	1	25	25	2			2			2	
H4971	001	0	1	02	01	H4971_001_0	5	2	Group 2	010000110100100000001000000000000000000000011010	2			1	35.00	35.00	2			2	
H4971	001	0	1	02	01	H4971_001_0	5	11	Group 11	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H4971	001	0	1	02	01	H4971_001_0	5	10	Group 10	000000000000000000000000001000001100000000000000	2			1	0.00	0.00	2			2	
H4971	001	0	1	02	01	H4971_001_0	5	1	Group 1	000010000010000000000000000000000010000000000000	2			1	20.00	20.00	2			2	
H4971	001	0	1	02	01	H4971_001_0	5	9	Group 9	000000001001000000010000000000000000000000000000	2			1	35.00	45.00	2			2	
H4971	801	0	1	02	01	H4971_801_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H4971	801	0	1	02	01	H4971_801_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H4971	801	0	1	02	01	H4971_801_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H4971	801	0	1	02	01	H4971_801_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H4971	802	0	1	02	01	H4971_802_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H4971	802	0	1	02	01	H4971_802_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H4971	802	0	1	02	01	H4971_802_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H4971	802	0	1	02	01	H4971_802_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H4971	803	0	1	02	01	H4971_803_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H4971	803	0	1	02	01	H4971_803_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H4971	803	0	1	02	01	H4971_803_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H4971	803	0	1	02	01	H4971_803_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H5211	001	0	1	02	01	H5211_001_0	9	3	$0 to $100 Copay and 20% Coinsurance	000000000000001000000000000000000000000000000000	1	20	20	1	0.00	100.00	2			2	
H5211	001	0	1	02	01	H5211_001_0	9	1	$0 to $20 Copay and 20% Coinsurance	001011011111000000010000000000000000000000001010	1	20	20	1	0.00	20.00	2			2	
H5211	001	0	1	02	01	H5211_001_0	9	2	No Copay and 20% Coinsurance	010100100000110111101001111000000111111111000000	1	20	20	2			2			2	
H5211	002	0	1	02	01	H5211_002_0	10	1	$0 to $20 Copay and 20% Coinsurance	001011011111000000010000000000000000000000001010	1	20	20	1	0.00	20.00	2			2	
H5211	002	0	1	02	01	H5211_002_0	10	4	$0 to $100 Copay and 20% Coinsurance	000000000000001000000000000000000000000000000000	1	20	20	1	0.00	100.00	2			2	
H5211	002	0	1	02	01	H5211_002_0	10	3	No Copay and 20% Coinsurance	010100100000110110001001111000000111111111000000	1	20	20	2			2			2	
H5211	002	0	1	02	01	H5211_002_0	10	2	$0 to $250 Copay and 20% Coinsurance	000000000000000001100000000000000000000000000000	1	20	20	1	0.00	250.00	2			2	
H5211	003	0	1	02	01	H5211_003_0	9	2	$0 to $250 Copay and 20% Coinsurance	000000000000000001100000000000000000000000000000	1	20	20	1	0.00	250.00	2			2	
H5211	003	0	1	02	01	H5211_003_0	9	1	$0 to $20 Copay and 20% Coinsurance	001011011111000000010000000000000000000000001010	1	20	20	1	0.00	20.00	2			2	
H5211	003	0	1	02	01	H5211_003_0	9	4	$0 to $100 Copay and 20% Coinsurance	000000000000001000000000000000000000000000000000	1	20	20	1	0.00	100.00	2			2	
H5211	003	0	1	02	01	H5211_003_0	9	3	No Copay and 20% Coinsurance	010100100000110110001001111000000111111111000000	1	20	20	2			2			2	
H5211	004	0	1	02	01	H5211_004_0	10	2	No Copay and 20% Coinsurance	010100100000110111101001111000000111111111000000	1	20	20	2			2			2	
H5211	004	0	1	02	01	H5211_004_0	10	3	$0 to $100 Copay and 20% Coinsurance	000000000000001000000000000000000000000000000000	1	20	20	1	0.00	100.00	2			2	
H5211	004	0	1	02	01	H5211_004_0	10	1	$0 to $20 Copay and 20% Coinsurance	001011011111000000010000000000000000000000001010	1	20	20	1	0.00	20.00	2			2	
H5211	005	0	1	02	01	H5211_005_0	12	1		011111111111111111111001111000000111111111001010	1	20	20	2			2			2	
H5211	006	0	1	02	01	H5211_006_0	8	1		011111111111111111111001111000000111111111001010	1	20	20	2			2			2	
H5253	004	0	1	02	01	H5253_004_0	5	3	Group 3	000100000000001101100001110000000001111111000100	1	30	30	2			2			2	
H5253	004	0	1	02	01	H5253_004_0	5	9	Group 9	000000000000000000000000001000001100000000000000	2			1	0.00	0.00	2			2	
H5253	004	0	1	02	01	H5253_004_0	5	8	Group 8	000000001001000000010000000000000000000000000000	2			1	35.00	45.00	2			2	
H5253	004	0	1	02	01	H5253_004_0	5	7	Group 7	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H5253	004	0	1	02	01	H5253_004_0	5	6	Group 6	001000000000000000000000000000000000000000000000	2			1	75.00	75.00	2			2	
H5253	004	0	1	02	01	H5253_004_0	5	5	Group 5	000000000000000010000000000000000000000000000000	2			1	21.00	21.00	2			2	
H5253	004	0	1	02	01	H5253_004_0	5	4	Group 4	000000000000010000000000000000000000000000000000	1	30	30	1	10.00	10.00	2			2	
H5253	004	0	1	02	01	H5253_004_0	5	2	Group 2	010000110100100000001000000000000000000000011010	2			1	50.00	50.00	2			2	
H5253	004	0	1	02	01	H5253_004_0	5	10	Group 10	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H5253	004	0	1	02	01	H5253_004_0	5	1	Group 1	000010000010000000000000000000000010000000000000	2			1	25.00	25.00	2			2	
H5253	007	0	1	02	01	H5253_007_0	4	2		000000000000000000000000000000000100000000000100	2			1	0.00	0.00	2			2	
H5253	007	0	1	02	01	H5253_007_0	4	3		000000000000010000000000000000000000000000000000	1	0	30	2			2			2	
H5253	007	0	1	02	01	H5253_007_0	4	1		011111111111101111111101111000001011111111011010	1	30	30	2			2			2	
H5253	011	0	1	02	01	H5253_011_0	5	2	Group 2	010000110100100000001000000000000000000000011010	2			1	35.00	35.00	2			2	
H5253	011	0	1	02	01	H5253_011_0	5	7	Group 7	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H5253	011	0	1	02	01	H5253_011_0	5	10	Group 10	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H5253	011	0	1	02	01	H5253_011_0	5	1	Group 1	000010000010000000000000000000000010000000000000	2			1	20.00	20.00	2			2	
H5253	011	0	1	02	01	H5253_011_0	5	3	Group 3	000100000000001101100001110000000001111111000100	1	30	30	2			2			2	
H5253	011	0	1	02	01	H5253_011_0	5	4	Group 4	000000000000010000000000000000000000000000000000	1	30	30	1	10.00	10.00	2			2	
H5253	011	0	1	02	01	H5253_011_0	5	9	Group 9	000000000000000000000000001000001100000000000000	2			1	0.00	0.00	2			2	
H5253	011	0	1	02	01	H5253_011_0	5	6	Group 6	001000000000000000000000000000000000000000000000	2			1	75.00	75.00	2			2	
H5253	011	0	1	02	01	H5253_011_0	5	5	Group 5	000000000000000010000000000000000000000000000000	2			1	21.00	21.00	2			2	
H5253	011	0	1	02	01	H5253_011_0	5	8	Group 8	000000001001000000010000000000000000000000000000	2			1	35.00	45.00	2			2	
H5253	021	0	1	02	01	H5253_021_0	3	8	Group 8	000000001001000000010000000000000000000000000000	2			1	35.00	45.00	2			2	
H5253	021	0	1	02	01	H5253_021_0	3	7	Group 7	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H5253	021	0	1	02	01	H5253_021_0	3	6	Group 6	001000000000000000000000000000000000000000000000	2			1	75.00	75.00	2			2	
H5253	021	0	1	02	01	H5253_021_0	3	5	Group 5	000000000000000010000000000000000000000000000000	2			1	21.00	21.00	2			2	
H5253	021	0	1	02	01	H5253_021_0	3	9	Group 9	000000000000000000000000001000001100000000000000	2			1	0.00	0.00	2			2	
H5253	021	0	1	02	01	H5253_021_0	3	3	Group 3	000100000000001101100001110000000001111111000100	1	30	30	2			2			2	
H5253	021	0	1	02	01	H5253_021_0	3	2	Group 2	010000110100100000001000000000000000000000011010	2			1	50.00	50.00	2			2	
H5253	021	0	1	02	01	H5253_021_0	3	1	Group 1	000010000010000000000000000000000010000000000000	2			1	25.00	25.00	2			2	
H5253	021	0	1	02	01	H5253_021_0	3	10	Group 10	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H5253	021	0	1	02	01	H5253_021_0	3	4	Group 4	000000000000010000000000000000000000000000000000	1	30	30	1	10.00	10.00	2			2	
H5253	028	0	1	02	01	H5253_028_0	5	7	Group 7	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H5253	028	0	1	02	01	H5253_028_0	5	8	Group 8	000000001001000000010000000000000000000000000000	2			1	35.00	45.00	2			2	
H5253	028	0	1	02	01	H5253_028_0	5	9	Group 9	000000000000000000000000001000001100000000000000	2			1	0.00	0.00	2			2	
H5253	028	0	1	02	01	H5253_028_0	5	1	Group 1	000010000010000000000000000000000010000000000000	2			1	20.00	20.00	2			2	
H5253	028	0	1	02	01	H5253_028_0	5	10	Group 10	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H5253	028	0	1	02	01	H5253_028_0	5	2	Group 2	010000110100100000001000000000000000000000011010	2			1	35.00	35.00	2			2	
H5253	028	0	1	02	01	H5253_028_0	5	3	Group 3	000100000000001101100001110000000001111111000100	1	30	30	2			2			2	
H5253	028	0	1	02	01	H5253_028_0	5	4	Group 4	000000000000010000000000000000000000000000000000	1	30	30	1	10.00	10.00	2			2	
H5253	028	0	1	02	01	H5253_028_0	5	5	Group 5	000000000000000010000000000000000000000000000000	2			1	21.00	21.00	2			2	
H5253	028	0	1	02	01	H5253_028_0	5	6	Group 6	001000000000000000000000000000000000000000000000	2			1	75.00	75.00	2			2	
H5253	807	0	1	02	01	H5253_807_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H5253	807	0	1	02	01	H5253_807_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H5253	807	0	1	02	01	H5253_807_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H5253	807	0	1	02	01	H5253_807_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H5253	808	0	1	02	01	H5253_808_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H5253	808	0	1	02	01	H5253_808_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H5253	808	0	1	02	01	H5253_808_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H5253	808	0	1	02	01	H5253_808_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H5253	809	0	1	02	01	H5253_809_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H5253	809	0	1	02	01	H5253_809_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H5253	809	0	1	02	01	H5253_809_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H5253	809	0	1	02	01	H5253_809_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H5302	003	0	1	02	01	H5302_003_0	8	2	pos 100% coverage no deductible	000100000000000000000000000000000000000000000000	2			2			2			2	
H5302	003	0	1	02	01	H5302_003_0	8	1	POS categories of serivice	011011111111111111111001111000000111111111000000	1	20	20	2			2			2	
H5302	005	0	1	02	01	H5302_005_0	5	1	POS Categories of Service	011011111111111111111001111000000111111111001010	1	20	20	2			2			2	
H5302	005	0	1	02	01	H5302_005_0	5	2	pos 100% coverage no deductible	000100000000000000000000000000000000000000000000	2			2			2			2	
H5302	006	0	1	02	01	H5302_006_0	8	6	POS Outpatient Surgery	000000000000000001100000000000000000000000000000	2			1	250.00	250.00	2			2	
H5302	006	0	1	02	01	H5302_006_0	8	7	POS Diagnostic Radiological Services	000000000000001000000000000000000000000000000000	2			1	300.00	300.00	2			2	
H5302	006	0	1	02	01	H5302_006_0	8	5	POS Partial Hospitalization	001000000000000000000000000000000000000000000000	2			1	75.00	75.00	2			2	
H5302	006	0	1	02	01	H5302_006_0	8	4	POS 100% coverage no deductible	000100000000000000000000001000000111111111000000	2			2			2			2	
H5302	006	0	1	02	01	H5302_006_0	8	3	POS Specialist copay	010001111111110110011000000000000000000000001010	2			1	35.00	35.00	2			2	
H5302	006	0	1	02	01	H5302_006_0	8	1	POS Coinsurance categories	000000000000000000000001110000000000000000000000	1	20	20	2			2			2	
H5302	006	0	1	02	01	H5302_006_0	8	2	POS Primary Care Physician copay	000010000000000000000000000000000000000000000000	2			1	15.00	15.00	2			2	
H5302	809	0	1	02	01	H5302_809_0	2	1		011111111111111111111001111000000100000011000000	1	20	20	2			2			2	
H5302	810	0	1	02	01	H5302_810_0	2	1		011111111111111111111001111000000100000011000000	1	20	20	2			2			2	
H5302	811	0	1	02	01	H5302_811_0	2	1		011111111111111111111001111000000100000011000000	1	20	20	2			2			2	
H5378	174	0	1	04	01	H5378_174_0	6	1		011111111111111111111111111110001111111111111110	1	20	20	2			2			2	
H5404	086	0	1	02	01	H5404_086_0	8	1		011100000000011111111100001000001111111111101110	1	0	25	1	0.00	150.00	2			2	
H5404	086	0	1	02	01	H5404_086_0	8	2		000011111111100000000000000000000000000000000000	2			1	15.00	40.00	2			2	
H5410	012	0	1	02	01	H5410_012_0	9	2	Ambulance	000000000000000000000100000000000000000000000000	2			1	100.00	100.00	2			2	
H5410	012	0	1	02	01	H5410_012_0	9	1	30 % coinsurance	011111111111111111111001101000000111111111001010	1	30	30	2			2			2	
H5420	001	0	1	05	01	H5420_001_0	5	1	No Copay	010000110010111111101000101000000111111110000000	2			2			2			2	
H5420	003	0	1	05	01	H5420_003_0	7	1	No Copay	000001010010010000000000001000000111111110000000	2			2			2			2	
H5420	003	0	1	05	01	H5420_003_0	7	2	$25 Copay	010000100000100100001000000000000000000000000000	2			1	25.00	25.00	2			2	
H5420	003	0	1	05	01	H5420_003_0	7	3	0% to 20% Coinsurance	000000000000000000000000100000000000000000000000	1	0	20	2			2			2	
H5420	003	0	1	05	01	H5420_003_0	7	4	$100 Copay	000000000000000010000000000000000000000000000000	2			1	100.00	100.00	2			2	
H5420	003	0	1	05	01	H5420_003_0	7	5	$0 to $100 Copay	000000000000001000000000000000000000000000000000	2			1	0.00	100.00	2			2	
H5420	003	0	1	05	01	H5420_003_0	7	6	$75 Copay	000000000000000001100000000000000000000000000000	2			1	75.00	75.00	2			2	
H5420	005	0	1	05	01	H5420_005_0	6	3	0% to 20% Coinsurance	000000000000000000000000100000000000000000000000	1	0	20	2			2			2	
H5420	005	0	1	05	01	H5420_005_0	6	2	$25 Copay	010000100000101100001000000000000000000000000000	2			1	25.00	25.00	2			2	
H5420	005	0	1	05	01	H5420_005_0	6	1	No Copay	000001010010010011100000001000000111111110000000	2			2			2			2	
H5420	006	0	1	05	01	H5420_006_0	6	1	No Copay	010010110010111111101000101000000111111110000000	2			2			2			2	
H5420	007	0	1	05	01	H5420_007_0	5	3	0% to 20% Coinsurance	000000000000000000000000100000000000000000000000	1	0	20	2			2			2	
H5420	007	0	1	05	01	H5420_007_0	5	1	No Copay	000000010010010011100000001000000111111110000000	2			1	0.00	0.00	2			2	
H5420	007	0	1	05	01	H5420_007_0	5	2	$25 Copay	010000100000101100001000100000000000000000000000	2			1	25.00	25.00	2			2	
H5420	008	0	1	05	01	H5420_008_0	6	1	No Copay	000000000000011000000000001000000111111110000000	2			1	0.00	0.00	2			2	
H5420	008	0	1	05	01	H5420_008_0	6	2	$25 Copay	010000100000100000001000000000000000000000000000	2			1	25.00	25.00	2			2	
H5420	008	0	1	05	01	H5420_008_0	6	3	$50 Copay	000000000000000110000000000000000000000000000000	2			1	50.00	50.00	2			2	
H5420	008	0	1	05	01	H5420_008_0	6	4	$100 Copay	000000000000000001100000000000000000000000000000	2			1	100.00	100.00	2			2	
H5420	008	0	1	05	01	H5420_008_0	6	6	$10 Copay	000001010010000000000000000000000000000000000000	2			1	10.00	10.00	2			2	
H5420	008	0	1	05	01	H5420_008_0	6	5	0% to 20% Coinsurance	000000000000000000000000100000000000000000000000	1	0	20	2			2			2	
H5420	009	0	1	05	01	H5420_009_0	7	2	$20 Copay	000000010010000000000000000000000000000000000000	2			1	20.00	20.00	2			2	
H5420	009	0	1	05	01	H5420_009_0	7	1	No Copay	000000000000011000000000001000000111111110000000	2			2			2			2	
H5420	009	0	1	05	01	H5420_009_0	7	7	20% Coinsurance	000000000000000000000000100000000000000000000000	1	20	20	2			2			2	
H5420	009	0	1	05	01	H5420_009_0	7	6	$100 Copay	000000000000000010000000000000000000000000000000	2			1	100.00	100.00	2			2	
H5420	009	0	1	05	01	H5420_009_0	7	5	$50 Copay	000000000000000001100000000000000000000000000000	2			1	50.00	50.00	2			2	
H5420	009	0	1	05	01	H5420_009_0	7	3	$20 Copay	010000100000100000001000000000000000000000000000	2			1	20.00	20.00	2			2	
H5420	009	0	1	05	01	H5420_009_0	7	4	$25 Copay	000000000000000100000000000000000000000000000000	2			1	25.00	25.00	2			2	
H5425	025	0	1	02	01	H5425_025_0	8	3	$100	000000000000000000100000000000000000000000000000	2			1	100.00	100.00	2			2	
H5425	025	0	1	02	01	H5425_025_0	8	1	20%	010100100000111111001100001000000111111111010010	1	20	20	2			2			2	
H5425	025	0	1	02	01	H5425_025_0	8	2	$40	000011010100000000000000000000000000000000000000	2			1	40.00	40.00	2			2	
H5425	026	0	1	02	01	H5425_026_0	8	1	20%	010100100000111111001100001000000111111111010010	1	20	20	2			2			2	
H5425	026	0	1	02	01	H5425_026_0	8	2	$40	000011010100000000000000000000000000000000000000	2			1	40.00	40.00	2			2	
H5425	026	0	1	02	01	H5425_026_0	8	3	$100	000000000000000000100000000000000000000000000000	2			1	100.00	100.00	2			2	
H5425	027	0	1	02	01	H5425_027_0	8	1	20%	010100100000111111001100001000000111111111010010	1	20	20	2			2			2	
H5425	027	0	1	02	01	H5425_027_0	8	2	$40	000011010100000000000000000000000000000000000000	2			1	40.00	40.00	2			2	
H5425	027	0	1	02	01	H5425_027_0	8	3	$100	000000000000000000100000000000000000000000000000	2			1	100.00	100.00	2			2	
H5427	086	0	1	02	01	H5427_086_0	5	2	0	000000000000000010000010001000000111111111000000	2			1	0.00	0.00	2			2	
H5427	086	0	1	02	01	H5427_086_0	5	11	295	001000000000000000000000000000000000000000000000	2			1	295.00	295.00	2			2	
H5427	086	0	1	02	01	H5427_086_0	5	10	25-50	000000100000100000000000000000000000000000000000	2			1	25.00	50.00	2			2	
H5427	086	0	1	02	01	H5427_086_0	5	1	15	000100000000000000000000000000000000000000000000	2			1	15.00	15.00	2			2	
H5427	086	0	1	02	01	H5427_086_0	5	3	20%	000000000000000100000001110000000000000000000000	1	20	20	2			2			2	
H5427	086	0	1	02	01	H5427_086_0	5	4	5	000010000000000000000000000000000000000000000000	2			1	5.00	5.00	2			2	
H5427	086	0	1	02	01	H5427_086_0	5	5	35	000000011011000000011000000000000000000000000000	2			1	35.00	35.00	2			2	
H5427	086	0	1	02	01	H5427_086_0	5	6	50	010000000000000000100000000000000000000000000000	2			1	50.00	50.00	2			2	
H5427	086	0	1	02	01	H5427_086_0	5	9	25-200	000000000000001000000000000000000000000000000000	2			1	25.00	200.00	2			2	
H5427	086	0	1	02	01	H5427_086_0	5	8	200	000000000000000001000000000000000000000000000000	2			1	200.00	200.00	2			2	
H5427	086	0	1	02	01	H5427_086_0	5	7	100	000000000000000000000100000000000000000000000000	2			1	100.00	100.00	2			2	
H5576	006	0	1	02	01	H5576_006_0	10	4	Point of Service - Mental Health	001000001001000000010000000000000000000000000000	1	45	45	2			2			2	
H5576	006	0	1	02	01	H5576_006_0	10	3	Point of Service - No Cost Share	000100000000000110000000000000001111111111000000	2			2			2			2	
H5576	006	0	1	02	01	H5576_006_0	10	1	Point of Service - Coinsurance	010000100000100000001001110000000000000000100100	1	20	20	2			2			2	
H5576	006	0	1	02	01	H5576_006_0	10	2	Point of Service - Copayment	000011010110011001100100000000000000000000000000	2			1	5.00	150.00	2			2	
H5576	007	0	1	02	01	H5576_007_0	10	4	Point of Service - Mental Health	001000001001000000010000000000000000000000000000	1	45	45	2			2			2	
H5576	007	0	1	02	01	H5576_007_0	10	2	Point of Service - Copayment	000011010110000001100100000000000000000000000000	2			1	5.00	150.00	2			2	
H5576	007	0	1	02	01	H5576_007_0	10	3	Point of Service - No Cost Share	000100000000000000000000000000001111111111000000	2			2			2			2	
H5576	007	0	1	02	01	H5576_007_0	10	1	Point of Service - Coinsurance	010000100000111110001001110000000000000000100100	1	20	25	2			2			2	
H5576	009	0	1	02	01	H5576_009_0	9	3	Point of Service - No Cost Share	000100000000000010000000000000001111111111000000	2			2			2			2	
H5576	009	0	1	02	01	H5576_009_0	9	1	Point of Service - Coinsurance	010000100000100100001001110000000000000000100100	1	20	20	2			2			2	
H5576	009	0	1	02	01	H5576_009_0	9	4	Point of Service - Mental Health	001000001001000000010000000000000000000000000000	1	45	45	2			2			2	
H5576	009	0	1	02	01	H5576_009_0	9	2	Point of Service - Copayment	000011010110011001100100000000000000000000000000	2			1	10.00	150.00	2			2	
H5576	010	0	1	02	01	H5576_010_0	9	3	Point of Service - No Cost Share	000110000000000000000000000000001111111111000000	2			2			2			2	
H5576	010	0	1	02	01	H5576_010_0	9	1	Point of Service - Coinsurance	010001110110111111101101110000000000000000111111	1	0	20	2			2			2	
H5576	010	0	1	02	01	H5576_010_0	9	2	Point of Service - Mental Health	001000001001000000010000000000000000000000000000	1	45	45	2			2			2	
H5576	801	0	1	02	01	H5576_801_0	4	3	Point of Service - No Cost Share	000110000000000000000000000000001111111111000000	2			2			2			2	
H5576	801	0	1	02	01	H5576_801_0	4	2	Point of Service - Mental Health	001000001001000000010000000000000000000000000000	1	45	45	2			2			2	
H5576	801	0	1	02	01	H5576_801_0	4	1	Point of Service - Coinsurance	010001110110111111101101110000000000000000000000	1	20	20	2			2			2	
H5576	802	0	1	02	01	H5576_802_0	4	3	Point of Service - No Cost Share	000110000000000000000000000000001111111111000000	2			2			2			2	
H5576	802	0	1	02	01	H5576_802_0	4	2	Point of Service - Mental Health	001000001001000000010000000000000000000000000000	1	45	45	2			2			2	
H5576	802	0	1	02	01	H5576_802_0	4	1	Point of Service - Coinsurance	010001110110111111101101110000000000000000000000	1	20	20	2			2			2	
H5576	803	0	1	02	01	H5576_803_0	3	1	Point of Service - Coinsurance	010001110110111111101101110000000000000000000000	1	20	20	2			2			2	
H5576	803	0	1	02	01	H5576_803_0	3	2	Point of Service - Mental Health	001000001001000000010000000000000000000000000000	1	45	45	2			2			2	
H5576	803	0	1	02	01	H5576_803_0	3	3	Point of Service - No Cost Share	000110000000000000000000000000001111111111000000	2			2			2			2	
H5591	001	0	1	02	01	H5591_001_0	9	3	Group 3	000000000000001100000001110000000000000000000000	1	20	30	2			2			2	
H5591	001	0	1	02	01	H5591_001_0	9	2	Group 2	000011111111100000010000000000000000000000001010	2			1	20.00	30.00	2			2	
H5591	001	0	1	02	01	H5591_001_0	9	1	Group 1	000000000000010010000000001000000000000010000100	2			2			2			2	
H5591	001	0	1	02	01	H5591_001_0	9	4	Group 4	000000000000000001100000000000000000000000000000	2			1	200.00	200.00	2			2	
H5594	001	0	1	02	01	H5594_001_0	8	1		000000010000000000000000000000000000000000000000	1	40	40	2			2			2	
H5594	006	0	1	02	01	H5594_006_0	7	1		000000010000000000000000000000000000000000000000	1	20	20	2			2			2	
H5594	018	0	1	02	01	H5594_018_0	9	1		000000010000000000000000000000000000000000000000	1	40	40	2			2			2	
H5594	019	0	1	02	01	H5594_019_0	8	1		000000010000000000000000000000000000000000000000	1	20	20	2			2			2	
H5594	022	0	1	02	01	H5594_022_0	8	1		000000010000000000000000000000000000000000000000	1	40	40	2			2			2	
H5594	023	0	1	02	01	H5594_023_0	7	1		000000010000000000000000000000000000000000000000	1	20	20	2			2			2	
H5594	024	0	1	02	01	H5594_024_0	7	1		000000010000000000000000000000000000000000000000	1	20	20	2			2			2	
H5594	025	0	1	02	01	H5594_025_0	7	1		000000010000000000000000000000000000000000000000	1	20	20	2			2			2	
H5652	001	0	1	02	01	H5652_001_0	6	3	Group 3	000000000000000000000000000000000100000000000101	2			1	0.00	0.00	2			2	
H5652	001	0	1	02	01	H5652_001_0	6	2	Group 2	000000000000010000000000000000000000000000000000	1	0	30	2			2			2	
H5652	001	0	1	02	01	H5652_001_0	6	1	Group 1	011110111111101111111101111000001011111111011010	1	30	30	2			2			2	
H5652	001	0	1	02	01	H5652_001_0	6	4	Group 4	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H5652	002	0	1	02	01	H5652_002_0	3	4	Group 4	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H5652	002	0	1	02	01	H5652_002_0	3	3	Group 3	000000000000000000000000000000000100000000000101	2			1	0.00	0.00	2			2	
H5652	002	0	1	02	01	H5652_002_0	3	1	Group 1	011110111111101111111101111000001011111111011010	1	30	30	2			2			2	
H5652	002	0	1	02	01	H5652_002_0	3	2	Group 2	000000000000010000000000000000000000000000000000	1	0	30	2			2			2	
H5652	003	0	1	02	01	H5652_003_0	6	1	Group 1	011111111111101111111101111000001011111111011010	1	30	30	2			2			2	
H5652	003	0	1	02	01	H5652_003_0	6	2	Group 2	000000000000010000000000000000000000000000000000	1	0	30	2			2			2	
H5652	003	0	1	02	01	H5652_003_0	6	3	Group 3	000000000000000000000000000000000100000000000101	2			1	0.00	0.00	2			2	
H5652	004	0	1	02	01	H5652_004_0	6	1	Group 1	011110111111101111111101111000001011111111011010	1	30	30	2			2			2	
H5652	004	0	1	02	01	H5652_004_0	6	2	Group 2	000000000000010000000000000000000000000000000000	1	0	30	2			2			2	
H5652	004	0	1	02	01	H5652_004_0	6	3	Group 3	000000000000000000000000000000000100000000000101	2			1	0.00	0.00	2			2	
H5652	004	0	1	02	01	H5652_004_0	6	4	Group 4	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H5746	012	0	1	02	01	H5746_012_0	5	2	Outpatient Radiology	000000000000001110000000000000000000000000000000	2			1	100.00	150.00	2			2	
H5746	012	0	1	02	01	H5746_012_0	5	1	Specialty Physician	000001011111000000010000000000000000000000001010	2			1	30.00	30.00	2			2	
H5746	012	0	1	02	01	H5746_012_0	5	3	Outpatient Surgery	000000000000000000100000000000000000000000000000	2			1	175.00	175.00	2			2	
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H5749	001	0	1	02	01	H5749_001_0	4	3	Group 3	000100000000001101100001110000000001111111000100	1	30	30	2			2			2	
H5749	001	0	1	02	01	H5749_001_0	4	2	Group 2	010000110100100000001000000000000000000000011010	2			1	45.00	45.00	2			2	
H5749	001	0	1	02	01	H5749_001_0	4	10	Group 10	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
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H5749	801	0	1	02	01	H5749_801_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H5749	801	0	1	02	01	H5749_801_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
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H5749	801	0	1	02	01	H5749_801_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H5749	802	0	1	02	01	H5749_802_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H5749	802	0	1	02	01	H5749_802_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H5749	802	0	1	02	01	H5749_802_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H5749	802	0	1	02	01	H5749_802_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H5749	803	0	1	02	01	H5749_803_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H5749	803	0	1	02	01	H5749_803_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H5749	803	0	1	02	01	H5749_803_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H5749	803	0	1	02	01	H5749_803_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H5774	014	0	1	02	01	H5774_014_0	7	3	20% Coinsurance Category	011101110110111111001000001000000111111111000000	1	20	20	2			2			2	
H5774	014	0	1	02	01	H5774_014_0	7	2	ER  Ambulance	000000000000000000000100000000000000000000000000	2			1	50.00	50.00	2			2	
H5774	014	0	1	02	01	H5774_014_0	7	4	0% Coinsurance Category	000000000000000000000010000000001000000000000101	2			2			2			2	
H5774	014	0	1	02	01	H5774_014_0	7	1	PCP	000010000000000000000000000000000000000000000000	1	40	40	2			2			2	
H5821	001	0	1	02	01	H5821_001_0	11	1	Services Subject to Coinsurance	010011110110111111101000001000001111111100111111	1	20	20	2			2			2	
H5821	001	0	1	02	01	H5821_001_0	11	2	Services not Subjet to Cost Sharing	000000000000000000000100000000000000000001000000	2			2			2			2	
H5821	013	0	1	02	01	H5821_013_0	8	2	Services not Subjet to Cost Sharing	000000000000000000000100000100000000000001000000	2			2			2			2	
H5821	013	0	1	02	01	H5821_013_0	8	1	Services Subject to Coinsurance	010011110110111111101000001000001111111100111111	1	20	20	2			2			2	
H5821	804	0	1	02	01	H5821_804_0	6	1	Services Subject to Coinsurance	010011110110111111101000001000001111111100111111	1	20	20	2			2			2	
H5821	804	0	1	02	01	H5821_804_0	6	2	Services not Subjet to Cost Sharing	000000000000000000000100000000000000000001000000	2			2			2			2	
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H5883	001	1	1	02	01	H5883_001_1	11	8		000000000000000000000100000000000000000000000000	2			1	50.00	50.00	2			2	
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H5883	001	1	1	02	01	H5883_001_1	11	5		000000000000010000000000000000000000000000000000	2			1	0.00	40.00	2			2	
H5883	001	1	1	02	01	H5883_001_1	11	4		000000000000001000000000000000000000000000000000	2			1	20.00	40.00	2			2	
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H6642	005	0	1	02	01	H6642_005_0	8	1		011110000000001111111000001000000111111101000000	1	0	30	1	0.00	100.00	1	50000.00	3	2	
H6642	005	0	1	02	01	H6642_005_0	8	2		000001111111100000000000000000000000000000000000	2			1	25.00	25.00	2			2	
H6642	006	0	1	02	01	H6642_006_0	8	1		011110000000001111111000001000000111111101000000	1	0	30	1	0.00	100.00	1	50000.00	3	2	
H6642	006	0	1	02	01	H6642_006_0	8	2		000001111111100000000000000000000000000000000000	2			1	25.00	25.00	2			2	
H6705	001	0	1	02	01	H6705_001_0	9	2		000011111111100000000000000000000000000000000000	2			1	5.00	30.00	2			2	
H6705	001	0	1	02	01	H6705_001_0	9	1		011100000000001111111000001000000111111101000000	1	0	25	1	0.00	100.00	1	50000.00	3	2	
H6705	002	0	1	02	01	H6705_002_0	9	1		011100000000001111111000001000000111111101000000	1	0	30	1	0.00	100.00	1	50000.00	3	2	
H6705	002	0	1	02	01	H6705_002_0	9	2		000011111111100000000000000000000000000000000000	2			1	5.00	30.00	2			2	
H6864	001	0	1	02	01	H6864_001_0	7	2		011011111111111111111101111000000000000011000000	1	20	20	2			2			2	
H6864	001	0	1	02	01	H6864_001_0	7	1		000100000000000000000000000000001111111100000000	2			2			2			2	
H6864	001	0	1	02	01	H6864_001_0	7	3		000000000000000000000000000000000000000000001111	2			2			2			2	
H7187	002	0	1	02	01	H7187_002_0	3	2	Group 2	000000000000010000000000000000000000000000000000	1	0	30	2			2			2	
H7187	002	0	1	02	01	H7187_002_0	3	3	Group 3	000000000000000000000000000000000100000000000100	2			1	0.00	0.00	2			2	
H7187	002	0	1	02	01	H7187_002_0	3	1	Group 1	011111111111101111111101111000001011111111011010	1	30	30	2			2			2	
H7187	003	0	1	02	01	H7187_003_0	4	5	Group 5	000000000000000010000000000000000000000000000000	2			1	21.00	21.00	2			2	
H7187	003	0	1	02	01	H7187_003_0	4	4	Group 4	000000000000010000000000000000000000000000000000	1	30	30	1	10.00	10.00	2			2	
H7187	003	0	1	02	01	H7187_003_0	4	3	Group 3	000100000000001101100001110000000001111111000100	1	30	30	2			2			2	
H7187	003	0	1	02	01	H7187_003_0	4	10	Group 10	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H7187	003	0	1	02	01	H7187_003_0	4	1	Group 1	000010000010000000000000000000000010000000000000	2			1	15.00	15.00	2			2	
H7187	003	0	1	02	01	H7187_003_0	4	9	Group 9	000000000000000000000000001000001100000000000000	2			1	0.00	0.00	2			2	
H7187	003	0	1	02	01	H7187_003_0	4	6	Group 6	001000000000000000000000000000000000000000000000	2			1	75.00	75.00	2			2	
H7187	003	0	1	02	01	H7187_003_0	4	7	Group 7	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H7187	003	0	1	02	01	H7187_003_0	4	8	Group 8	000000001001000000010000000000000000000000000000	2			1	35.00	45.00	2			2	
H7187	003	0	1	02	01	H7187_003_0	4	2	Group 2	010000110100100000001000000000000000000000011010	2			1	35.00	35.00	2			2	
H7187	009	0	1	02	01	H7187_009_0	4	10	Group 10	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H7187	009	0	1	02	01	H7187_009_0	4	9	Group 9	000000000000000000000000001000001100000000000000	2			1	0.00	0.00	2			2	
H7187	009	0	1	02	01	H7187_009_0	4	8	Group 8	000000001001000000010000000000000000000000000000	2			1	35.00	45.00	2			2	
H7187	009	0	1	02	01	H7187_009_0	4	7	Group 7	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H7187	009	0	1	02	01	H7187_009_0	4	6	Group 6	001000000000000000000000000000000000000000000000	2			1	75.00	75.00	2			2	
H7187	009	0	1	02	01	H7187_009_0	4	5	Group 5	000000000000000010000000000000000000000000000000	2			1	21.00	21.00	2			2	
H7187	009	0	1	02	01	H7187_009_0	4	4	Group 4	000000000000010000000000000000000000000000000000	1	30	30	1	10.00	10.00	2			2	
H7187	009	0	1	02	01	H7187_009_0	4	3	Group 3	000100000000001101100001110000000001111111000100	1	30	30	2			2			2	
H7187	009	0	1	02	01	H7187_009_0	4	2	Group 2	010000110100100000001000000000000000000000011010	2			1	35.00	35.00	2			2	
H7187	009	0	1	02	01	H7187_009_0	4	1	Group 1	000010000010000000000000000000000010000000000000	2			1	15.00	15.00	2			2	
H7187	801	0	1	02	01	H7187_801_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H7187	801	0	1	02	01	H7187_801_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H7187	801	0	1	02	01	H7187_801_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H7187	801	0	1	02	01	H7187_801_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H7187	803	0	1	02	01	H7187_803_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H7187	803	0	1	02	01	H7187_803_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H7187	803	0	1	02	01	H7187_803_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H7187	803	0	1	02	01	H7187_803_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H7187	804	0	1	02	01	H7187_804_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H7187	804	0	1	02	01	H7187_804_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H7187	804	0	1	02	01	H7187_804_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H7187	804	0	1	02	01	H7187_804_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H7220	004	0	1	02	01	H7220_004_0	10	1		011101111111111111111101111000000011111111001010	1	30	30	2			2			2	
H7220	801	0	1	02	01	H7220_801_0	5	1		011101111111111111111101111000000011111111001010	1	30	30	2			2			2	
H7220	802	0	1	02	01	H7220_802_0	5	1		011101111111111111111101111000000011111111001010	1	30	30	2			2			2	
H7281	001	0	1	02	01	H7281_001_0	5	2	Group 2	000000000000000000000000000000000101111111000000	2			2			2			2	
H7281	001	0	1	02	01	H7281_001_0	5	1	Group 1	000111110000111111100100001000000010000000000000	1	20	20	2			2			2	
H7281	002	0	1	02	01	H7281_002_0	3	1	Group 1	000111110000111111100100001000000010000000000000	1	20	20	2			2			2	
H7281	002	0	1	02	01	H7281_002_0	3	2	Group 2	000000000000000000000000000000000101111111000000	2			2			2			2	
H8050	001	0	1	02	01	H8050_001_0	9	1		011111111111111111111111111000001111111111011010	1	30	30	2			2			2	
H8050	006	0	1	02	01	H8050_006_0	5	1		011111111111111111111111111000001111111111011010	1	30	30	2			2			2	
H8050	007	0	1	02	01	H8050_007_0	7	1		011111111111111111111111111000001111111111011011	1	20	20	2			2			2	
H8578	010	0	1	02	01	H8578_010_0	4	6		000000000000000000100000000000000000000000000000	2			1	300.00	300.00	2			2	
H8578	010	0	1	02	01	H8578_010_0	4	5		000000000000011111000000001000000000000000000000	2			1	0.00	100.00	2			2	
H8578	010	0	1	02	01	H8578_010_0	4	4	Services with copayment	000011111111100000010000000000000000000000000000	2			1	30.00	30.00	2			2	
H8578	010	0	1	02	01	H8578_010_0	4	3	Home Health Services	000100000000000000001000000000000000000000000000	2			2			2			2	
H8578	010	0	1	02	01	H8578_010_0	4	7		000000000000000000000100000000000000000000000000	2			1	50.00	50.00	2			2	
H8578	010	0	1	02	01	H8578_010_0	4	2	Partial Hospitalization	001000000000000000000000000000000000000000000000	2			2			2			2	
H8578	010	0	1	02	01	H8578_010_0	4	9		000000000000000000000000010000000000000011000000	2			2			2			2	
H8578	010	0	1	02	01	H8578_010_0	4	8		000000000000000000000001100000000000000000000000	1	20	20	2			2			2	
H8578	010	0	1	02	01	H8578_010_0	4	14		000000000000000000000000000000000000000000001100	2			1	30.00	30.00	1	100.00	2	2	
H8578	010	0	1	02	01	H8578_010_0	4	13		000000000000000000000000000000000000000000110000	2			2			1	150.00	3	2	
H8578	010	0	1	02	01	H8578_010_0	4	12		000000000000000000000000000000000000000000000010	2			1	30.00	30.00	2			2	
H8578	010	0	1	02	01	H8578_010_0	4	11		000000000000000000000000000000000111111100000000	2			2			2			2	
H8578	010	0	1	02	01	H8578_010_0	4	10		000000000000000000000000000000001000000000000000	2			2			1	150.00	3	2	
H8578	010	0	1	02	01	H8578_010_0	4	1	CORF	010000000000000000000000000000000000000000000000	2			1	30.00	30.00	2			2	
H8578	801	0	1	02	01	H8578_801_0	1	8	Ambulance	000000000000000000000100000000000000000000000000	1	20	20	2			2			2	
H8578	801	0	1	02	01	H8578_801_0	1	5	Behavioral Health	000000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H8578	801	0	1	02	01	H8578_801_0	1	4	Physician Plus Services	000011110110100000010000000000001111111111011010	1	20	20	2			2			2	
H8578	801	0	1	02	01	H8578_801_0	1	3	Home Health Services	000100000000000000001000000000000000000000000000	2			2			2			2	
H8578	801	0	1	02	01	H8578_801_0	1	2	Partial Hospitalization	001000000000000000000000000000000000000000000000	1	20	20	2			2			2	
H8578	801	0	1	02	01	H8578_801_0	1	6	Outpatient Plus	000000000000011111100000001000000000000000000000	1	20	20	2			2			2	
H8578	801	0	1	02	01	H8578_801_0	1	1	CORF	010000000000000000000000000000000000000000000000	1	20	20	2			2			2	
H8578	801	0	1	02	01	H8578_801_0	1	7	DME	000000000000000000000001110000000000000000000000	1	20	20	2			2			2	
H8578	802	0	1	02	01	H8578_802_0	1	3	Home Health Services	000100000000000000001000000000000000000000000000	2			2			2			2	
H8578	802	0	1	02	01	H8578_802_0	1	4	Physician Plus Services	000011110110100000010000000000001111111111011010	1	20	20	2			2			2	
H8578	802	0	1	02	01	H8578_802_0	1	5	Behavioral Health	000000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H8578	802	0	1	02	01	H8578_802_0	1	6	Outpatient Plus	000000000000011111100000001000000000000000000000	1	20	20	2			2			2	
H8578	802	0	1	02	01	H8578_802_0	1	7	DME	000000000000000000000001110000000000000000000000	1	20	20	2			2			2	
H8578	802	0	1	02	01	H8578_802_0	1	2	Partial Hospitalization	001000000000000000000000000000000000000000000000	1	20	20	2			2			2	
H8578	802	0	1	02	01	H8578_802_0	1	1	CORF	010000000000000000000000000000000000000000000000	1	20	20	2			2			2	
H8578	802	0	1	02	01	H8578_802_0	1	8	Ambulance	000000000000000000000100000000000000000000000000	1	20	20	2			2			2	
H8578	803	0	1	02	01	H8578_803_0	1	8	Ambulance	000000000000000000000100000000000000000000000000	1	20	20	2			2			2	
H8578	803	0	1	02	01	H8578_803_0	1	7	DME	000000000000000000000001110000000000000000000000	1	20	20	2			2			2	
H8578	803	0	1	02	01	H8578_803_0	1	6	Outpatient Plus	000000000000011111100000001000000000000000000000	1	20	20	2			2			2	
H8578	803	0	1	02	01	H8578_803_0	1	5	Behavioral Health	000000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H8578	803	0	1	02	01	H8578_803_0	1	3	Home Health Services	000100000000000000001000000000000000000000000000	2			2			2			2	
H8578	803	0	1	02	01	H8578_803_0	1	2	Partial Hospitalization	001000000000000000000000000000000000000000000000	1	20	20	2			2			2	
H8578	803	0	1	02	01	H8578_803_0	1	1	CORF	010000000000000000000000000000000000000000000000	1	20	20	2			2			2	
H8578	803	0	1	02	01	H8578_803_0	1	4	Physician Plus Services	000011110110100000010000000000001111111111011010	1	20	20	2			2			2	
H8649	003	0	1	02	01	H8649_003_0	8	1		010110110110111111101001111000000111111111011110	1	30	30	2			2			2	
H8649	003	0	1	02	01	H8649_003_0	8	2	Ambulance	000000000000000000000100000000000000000000000000	2			1	150.00	150.00	2			2	
H8649	801	0	1	02	01	H8649_801_0	4	1		010110110110111111101101111000000111111111011110	1	20	20	2			2			2	
H8649	802	0	1	02	01	H8649_802_0	4	1		010110110110111111101101111000000111111111011110	1	20	20	2			2			2	
H8649	803	0	1	02	01	H8649_803_0	4	1		010110110110111111101101111000000111111111011110	1	20	20	2			2			2	
H8748	001	0	1	02	01	H8748_001_0	5	2	Group 2	010000110100100000001000000000000000000000011010	2			1	45.00	45.00	2			2	
H8748	001	0	1	02	01	H8748_001_0	5	3	Group 3	000100000000001101100001110000000001111111000100	1	30	30	2			2			2	
H8748	001	0	1	02	01	H8748_001_0	5	8	Group 8	000000001001000000010000000000000000000000000000	2			1	35.00	45.00	2			2	
H8748	001	0	1	02	01	H8748_001_0	5	5	Group 5	000000000000000010000000000000000000000000000000	2			1	21.00	21.00	2			2	
H8748	001	0	1	02	01	H8748_001_0	5	6	Group 6	001000000000000000000000000000000000000000000000	2			1	75.00	75.00	2			2	
H8748	001	0	1	02	01	H8748_001_0	5	7	Group 7	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H8748	001	0	1	02	01	H8748_001_0	5	9	Group 9	000000000000000000000000001000001100000000000000	2			1	0.00	0.00	2			2	
H8748	001	0	1	02	01	H8748_001_0	5	10	Group 10	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H8748	001	0	1	02	01	H8748_001_0	5	1	Group 1	000010000010000000000000000000000010000000000000	2			1	25.00	25.00	2			2	
H8748	001	0	1	02	01	H8748_001_0	5	4	Group 4	000000000000010000000000000000000000000000000000	1	30	30	1	10.00	10.00	2			2	
H8748	002	0	1	02	01	H8748_002_0	5	9	Group 9	000000000000000000000000001000001100000000000000	2			1	0.00	0.00	2			2	
H8748	002	0	1	02	01	H8748_002_0	5	8	Group 8	000000001001000000010000000000000000000000000000	2			1	35.00	45.00	2			2	
H8748	002	0	1	02	01	H8748_002_0	5	7	Group 7	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H8748	002	0	1	02	01	H8748_002_0	5	6	Group 6	001000000000000000000000000000000000000000000000	2			1	75.00	75.00	2			2	
H8748	002	0	1	02	01	H8748_002_0	5	5	Group 5	000000000000000010000000000000000000000000000000	2			1	21.00	21.00	2			2	
H8748	002	0	1	02	01	H8748_002_0	5	4	Group 4	000000000000010000000000000000000000000000000000	1	30	30	1	10.00	10.00	2			2	
H8748	002	0	1	02	01	H8748_002_0	5	3	Group 3	000100000000001101100001110000000001111111000100	1	30	30	2			2			2	
H8748	002	0	1	02	01	H8748_002_0	5	2	Group 2	010000110100100000001000000000000000000000011010	2			1	35.00	35.00	2			2	
H8748	002	0	1	02	01	H8748_002_0	5	10	Group 10	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H8748	002	0	1	02	01	H8748_002_0	5	1	Group 1	000010000010000000000000000000000010000000000000	2			1	15.00	15.00	2			2	
H8748	003	0	1	02	01	H8748_003_0	6	8	Group 8	000000001001000000010000000000000000000000000000	2			1	35.00	45.00	2			2	
H8748	003	0	1	02	01	H8748_003_0	6	7	Group 7	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H8748	003	0	1	02	01	H8748_003_0	6	6	Group 6	001000000000000000000000000000000000000000000000	2			1	75.00	75.00	2			2	
H8748	003	0	1	02	01	H8748_003_0	6	5	Group 5	000000000000000010000000000000000000000000000000	2			1	21.00	21.00	2			2	
H8748	003	0	1	02	01	H8748_003_0	6	9	Group 9	000000000000000000000000001000001100000000000000	2			1	0.00	0.00	2			2	
H8748	003	0	1	02	01	H8748_003_0	6	3	Group 3	000100000000001101100001110000000001111111000100	1	30	30	2			2			2	
H8748	003	0	1	02	01	H8748_003_0	6	2	Group 2	010000110100100000001000000000000000000000011010	2			1	40.00	40.00	2			2	
H8748	003	0	1	02	01	H8748_003_0	6	10	Group 10	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H8748	003	0	1	02	01	H8748_003_0	6	1	Group 1	000010000010000000000000000000000010000000000000	2			1	15.00	15.00	2			2	
H8748	003	0	1	02	01	H8748_003_0	6	4	Group 4	000000000000010000000000000000000000000000000000	1	30	30	1	10.00	10.00	2			2	
H8748	004	0	1	02	01	H8748_004_0	5	9	Group 9	000000000000000000000000001000001100000000000000	2			1	0.00	0.00	2			2	
H8748	004	0	1	02	01	H8748_004_0	5	8	Group 8	000000001001000000010000000000000000000000000000	2			1	35.00	45.00	2			2	
H8748	004	0	1	02	01	H8748_004_0	5	7	Group 7	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H8748	004	0	1	02	01	H8748_004_0	5	6	Group 6	001000000000000000000000000000000000000000000000	2			1	75.00	75.00	2			2	
H8748	004	0	1	02	01	H8748_004_0	5	5	Group 5	000000000000000010000000000000000000000000000000	2			1	21.00	21.00	2			2	
H8748	004	0	1	02	01	H8748_004_0	5	4	Group 4	000000000000010000000000000000000000000000000000	1	30	30	1	10.00	10.00	2			2	
H8748	004	0	1	02	01	H8748_004_0	5	3	Group 3	000100000000001101100001110000000001111111000100	1	30	30	2			2			2	
H8748	004	0	1	02	01	H8748_004_0	5	1	Group 1	000010000010000000000000000000000010000000000000	2			1	25.00	25.00	2			2	
H8748	004	0	1	02	01	H8748_004_0	5	10	Group 10	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H8748	004	0	1	02	01	H8748_004_0	5	2	Group 2	010000110100100000001000000000000000000000011010	2			1	40.00	40.00	2			2	
H8748	801	0	1	02	01	H8748_801_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H8748	801	0	1	02	01	H8748_801_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H8748	801	0	1	02	01	H8748_801_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H8748	801	0	1	02	01	H8748_801_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H8748	802	0	1	02	01	H8748_802_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H8748	802	0	1	02	01	H8748_802_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H8748	802	0	1	02	01	H8748_802_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H8748	802	0	1	02	01	H8748_802_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H8748	803	0	1	02	01	H8748_803_0	1	1	Group 1	010011110110101111111101111000000000000000011110	1	20	20	2			2			2	
H8748	803	0	1	02	01	H8748_803_0	1	4	Group 4	001000001001000000000000000000000000000000000000	1	45	45	2			2			2	
H8748	803	0	1	02	01	H8748_803_0	1	3	Group 3	000000000000010000000000000000000000000000000000	1	0	20	2			2			2	
H8748	803	0	1	02	01	H8748_803_0	1	2	Group 2	000100000000000000000000000000001111111111000000	2			1	0.00	0.00	2			2	
H9011	016	0	1	02	01	H9011_016_0	5	1	Group 1	010010110110100000001000000000000010000000111010	2			1	40.00	40.00	2			2	
H9011	016	0	1	02	01	H9011_016_0	5	2	Group 2	000100000000001101100001110000000001111111000100	1	30	30	2			2			2	
H9011	016	0	1	02	01	H9011_016_0	5	3	Group 3	000000000000010000000000000000000000000000000000	1	30	30	1	10.00	10.00	2			2	
H9011	016	0	1	02	01	H9011_016_0	5	4	Group 4	000000000000000010000000000000000000000000000000	2			1	21.00	21.00	2			2	
H9011	016	0	1	02	01	H9011_016_0	5	6	Group 6	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H9011	016	0	1	02	01	H9011_016_0	5	9	Group 9	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H9011	016	0	1	02	01	H9011_016_0	5	8	Group 8	000000000000000000000000001000001100000000000000	2			1	0.00	0.00	2			2	
H9011	016	0	1	02	01	H9011_016_0	5	7	Group 7	000000001001000000010000000000000000000000000000	2			1	35.00	45.00	2			2	
H9011	016	0	1	02	01	H9011_016_0	5	5	Group 5	001000000000000000000000000000000000000000000000	2			1	75.00	75.00	2			2	
H9011	019	0	1	02	01	H9011_019_0	5	5	Group 5	000000000000000010000000000000000000000000000000	2			1	21.00	21.00	2			2	
H9011	019	0	1	02	01	H9011_019_0	5	6	Group 6	001000000000000000000000000000000000000000000000	2			1	75.00	75.00	2			2	
H9011	019	0	1	02	01	H9011_019_0	5	7	Group 7	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H9011	019	0	1	02	01	H9011_019_0	5	4	Group 4	000000000000010000000000000000000000000000000000	1	30	30	1	10.00	10.00	2			2	
H9011	019	0	1	02	01	H9011_019_0	5	9	Group 9	000000000000000000000000001000001100000000000000	2			1	0.00	0.00	2			2	
H9011	019	0	1	02	01	H9011_019_0	5	8	Group 8	000000001001000000010000000000000000000000000000	2			1	35.00	45.00	2			2	
H9011	019	0	1	02	01	H9011_019_0	5	3	Group 3	000100000000001101100001110000000001111111000100	1	30	30	2			2			2	
H9011	019	0	1	02	01	H9011_019_0	5	2	Group 2	010000110100100000001000000000000000000000111010	2			1	40.00	40.00	2			2	
H9011	019	0	1	02	01	H9011_019_0	5	10	Group 10	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H9011	019	0	1	02	01	H9011_019_0	5	1	Group 1	000010000010000000000000000000000010000000000000	2			1	30.00	30.00	2			2	
H9011	021	0	1	02	01	H9011_021_0	5	4	Group 4	000000000000010000000000000000000000000000000000	1	30	30	1	10.00	10.00	2			2	
H9011	021	0	1	02	01	H9011_021_0	5	3	Group 3	000100000000001101100001110000000001111111000100	1	30	30	2			2			2	
H9011	021	0	1	02	01	H9011_021_0	5	2	Group 2	010000110100100000001000000000000000000000111010	2			1	40.00	40.00	2			2	
H9011	021	0	1	02	01	H9011_021_0	5	10	Group 10	000001000000000000000000000000000000000000000000	1	50	50	2			2			2	
H9011	021	0	1	02	01	H9011_021_0	5	9	Group 9	000000000000000000000000001000001100000000000000	2			1	0.00	0.00	2			2	
H9011	021	0	1	02	01	H9011_021_0	5	5	Group 5	000000000000000010000000000000000000000000000000	2			1	21.00	21.00	2			2	
H9011	021	0	1	02	01	H9011_021_0	5	6	Group 6	001000000000000000000000000000000000000000000000	2			1	75.00	75.00	2			2	
H9011	021	0	1	02	01	H9011_021_0	5	7	Group 7	000000000000000000000100000000000000000000000000	2			1	200.00	200.00	2			2	
H9011	021	0	1	02	01	H9011_021_0	5	8	Group 8	000000001001000000010000000000000000000000000000	2			1	35.00	45.00	2			2	
H9011	021	0	1	02	01	H9011_021_0	5	1	Group 1	000010000010000000000000000000000010000000000000	2			1	30.00	30.00	2			2	
H9047	024	0	1	02	01	H9047_024_0	11	1	Doctor Office Visits	000010010000000000000000000000000000000000000000	2			1	30.00	30.00	2			2	
H9047	024	0	1	02	01	H9047_024_0	11	2	All Other Services	011101101111111111111001111000001111111111011110	1	20	20	2			2			2	
H9047	035	0	1	02	01	H9047_035_0	7	2	All Other Services	011101101111111111111001111000001111111111011110	1	20	20	2			2			2	
H9047	035	0	1	02	01	H9047_035_0	7	1	Doctor Office Visits	000010010000000000000000000000000000000000000000	2			1	30.00	30.00	2			2	
H9047	805	0	1	02	01	H9047_805_0	7	1	Doctor Office Visits	000010010000000000000000000000100000000000000000	2			1	30.00	30.00	2			2	
H9047	805	0	1	02	01	H9047_805_0	7	2	All Other Services	011101101111111111111001111000001111111111011110	1	20	20	2			2			2	
H9047	806	0	1	02	01	H9047_806_0	9	1	Doctor Office Visits	000010010000000000000000000000100000000000000000	2			1	30.00	30.00	2			2	
H9047	806	0	1	02	01	H9047_806_0	9	2	All Other Services	011101101111111111111001111000001111111111011110	1	20	20	2			2			2	
H9302	008	0	1	02	01	H9302_008_0	5	1	Out-of-Network Professional Services	000000111111100000001000000000000000000000000000	2			1	50.00	50.00	2			2	
