pbp_a_hnumber	pbp_a_plan_identifier	segment_id	pbp_a_ben_cov	pbp_a_plan_type	orgtype	bid_id	version	pbp_c_vt_grp_id	pbp_c_vt_grp_type	pbp_c_vt_group_lbl	pbp_c_vt_outpt_bendesc_cats	pbp_c_vt_outpt_cstshr_yn	pbp_c_vt_outpt_coins_yn	pbp_c_vt_outpt_coins_min_pct	pbp_c_vt_outpt_coins_max_pct	pbp_c_vt_outpt_copay_yn	pbp_c_vt_outpt_copay_min_amt	pbp_c_vt_outpt_copay_max_amt
H0104	010	1	1	04	01	H0104_010_1	4	1	1	General	01111111111111111111110111110000011111111111111110	1						
H0104	010	2	1	04	01	H0104_010_2	4	1	1	General	01111111111111111111110111110000011111111111111110	1						
H0104	010	3	1	04	01	H0104_010_3	5	1	1	General	01111111111111111111110111110000011111111111111110	1						
H0104	010	4	1	04	01	H0104_010_4	4	1	1	General	01111111111111111111110111110000011111111111111110	1						
H0104	010	5	1	04	01	H0104_010_5	4	1	1	General	01111111111111111111110111110000011111111111111110	1						
H0104	011	1	1	04	01	H0104_011_1	5	1	1	General	01111111111111111111110111110000011111111111011110	1						
H0104	011	2	1	04	01	H0104_011_2	6	1	1	General	01111111111111111111110111110000011111111111011110	1						
H0104	011	3	1	04	01	H0104_011_3	6	1	1	General	01111111111111111111110111110000011111111111011110	1						
H0104	011	4	1	04	01	H0104_011_4	6	1	1	General	01111111111111111111110111110000011111111111011110	1						
H0104	011	5	1	04	01	H0104_011_5	6	1	1	General	01111111111111111111110111110000011111111111011110	1						
H0104	011	6	1	04	01	H0104_011_6	6	1	1	General	01111111111111111111110111110000011111111111011110	1						
H0151	001	0	1	01	01	H0151_001_0	5	1	1	Visitor Travel	01111111111111111111111111110000011111111111011111	1						
H0248	001	0	1	04	01	H0248_001_0	4	1	1		01111111111111111111110111111010011111111111111110	1						
H0248	002	0	1	04	01	H0248_002_0	3	1	1		01111111111111111111111111111010011111111111111110	1						
H0302	001	0	1	01	01	H0302_001_0	6	1	1		00001001000001001000000000000000000000000000000000	2	2			2		
H0302	004	0	1	01	01	H0302_004_0	7	1	1		00001001000001001000000000000000000000000000000000	2	2			2		
H0302	006	0	1	01	01	H0302_006_0	6	1	1		00001001000001001000000000000000000000000000000000	2	2			2		
H0302	007	0	1	01	01	H0302_007_0	6	1	1		00001001000001001000000000000000000000000000000000	2	2			2		
H0303	013	0	1	01	01	H0303_013_0	4	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H0303	015	0	1	01	01	H0303_015_0	4	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H0316	002	0	1	02	01	H0316_002_0	4	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H0316	014	0	1	02	01	H0316_014_0	4	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H0317	001	0	1	04	01	H0317_001_0	5	1	1		01111111111111111111110111110010011111111111111110	1						
H0317	002	0	1	04	01	H0317_002_0	5	1	1		01111111111111111111110111110010011111111111111110	1						
H0317	004	0	1	04	01	H0317_004_0	5	1	1		01111111111111111111110111110010011111111111111110	1						
H0317	006	0	1	04	01	H0317_006_0	3	1	1		01111111111111111111110111110010011111111111111110	1						
H0317	007	0	1	04	01	H0317_007_0	3	1	1		01111111111111111111110111110010011111111111111110	1						
H0318	002	0	1	01	01	H0318_002_0	3	1	1	Tier 1	01111111111111111111110111110000011111111111111111	1						
H0401	002	0	1	02	01	H0401_002_0	5	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H0401	008	0	1	02	01	H0401_008_0	5	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H0523	002	0	1	01	01	H0523_002_0	4	1	1	Tier 1	01111111111111111111110111110000011111111111111111	1						
H0523	022	0	1	01	01	H0523_022_0	5	1	1	Tier 1	01111111111111111111110111110000011111111111111111	1						
H0523	031	0	1	01	01	H0523_031_0	4	1	1	Tier 1	01111111111111111111110111110000011111111111111111	1						
H0523	032	0	1	01	01	H0523_032_0	4	1	1	Tier 1	01111111111111111111110111110000011111111111111111	1						
H0523	052	0	1	01	01	H0523_052_0	4	1	1	Tier 1	01111111111111111111110111110000011111111111111110	1						
H0523	054	0	1	01	01	H0523_054_0	4	1	1	Tier 1	01111111111111111111110111110000011111111111111111	1						
H0523	056	0	1	01	01	H0523_056_0	4	1	1	Tier 1	01111111111111111111110111110000011111111111111111	1						
H0523	057	0	1	01	01	H0523_057_0	4	1	1	Tier 1	01111111111111111111110111110000011111111111111111	1						
H0523	058	0	1	01	01	H0523_058_0	4	1	1	Tier 1	01111111111111111111110111110000011111111111111111	1						
H0523	059	0	1	01	01	H0523_059_0	4	1	1	Tier 1	01111111111111111111110111110000011111111111111111	1						
H0524	002	0	2	01	01	H0524_002_0	7	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0524	003	0	1	01	01	H0524_003_0	7	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0524	008	0	1	01	01	H0524_008_0	7	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0524	010	0	2	01	01	H0524_010_0	7	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0524	013	0	1	01	01	H0524_013_0	7	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0524	015	0	1	01	01	H0524_015_0	9	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0524	029	0	1	01	01	H0524_029_0	8	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0524	030	0	1	01	01	H0524_030_0	8	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0524	031	0	1	01	01	H0524_031_0	9	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0524	032	0	1	01	01	H0524_032_0	7	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0524	033	0	1	01	01	H0524_033_0	7	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0524	034	0	1	01	01	H0524_034_0	7	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0524	035	0	1	01	01	H0524_035_0	7	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0524	036	0	1	01	01	H0524_036_0	9	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0524	037	0	1	01	01	H0524_037_0	7	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0524	038	0	1	01	01	H0524_038_0	7	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0524	039	0	1	01	01	H0524_039_0	9	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0524	040	0	1	01	01	H0524_040_0	7	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0524	041	0	1	01	01	H0524_041_0	7	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0524	042	0	1	01	01	H0524_042_0	7	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0524	043	0	1	01	01	H0524_043_0	7	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0524	046	0	1	01	01	H0524_046_0	7	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0524	801	0	1	01	01	H0524_801_0	3	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0524	802	0	1	01	01	H0524_802_0	3	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0524	803	0	2	01	01	H0524_803_0	2	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0524	804	0	2	01	01	H0524_804_0	2	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0524	805	0	1	01	01	H0524_805_0	3	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0524	806	0	1	01	01	H0524_806_0	3	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0524	807	0	2	01	01	H0524_807_0	2	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0524	808	0	2	01	01	H0524_808_0	2	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0524	809	0	1	01	01	H0524_809_0	3	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0524	810	0	1	01	01	H0524_810_0	3	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0524	811	0	2	01	01	H0524_811_0	2	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0524	812	0	2	01	01	H0524_812_0	2	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0623	001	0	1	04	01	H0623_001_0	5	1	1		01111111111111111111110111110111011111111111011110	1						
H0623	009	0	1	04	01	H0623_009_0	4	1	1		01111111111111111111110111110111011111111111011110	1						
H0630	013	0	1	01	01	H0630_013_0	5	1	1	Inter-regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0630	014	0	1	01	01	H0630_014_0	2	1	1	Inter-regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0630	015	0	1	01	01	H0630_015_0	5	1	1	Inter-regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0630	016	0	1	01	01	H0630_016_0	5	1	1	Inter-regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0630	017	0	1	01	01	H0630_017_0	4	1	1	Inter-regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0630	018	0	1	01	01	H0630_018_0	4	1	1	Inter-regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0630	019	0	1	02	01	H0630_019_0	5	1	1	Inter-regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0630	805	0	2	01	01	H0630_805_0	2	1	1	Inter-regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0630	806	0	2	01	01	H0630_806_0	2	1	1	Inter-regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0630	807	0	1	01	01	H0630_807_0	3	1	1	Inter-regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0630	808	0	1	01	01	H0630_808_0	3	1	1	Inter-regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0630	809	0	2	01	01	H0630_809_0	2	1	1	Inter-regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0630	810	0	1	01	01	H0630_810_0	3	1	1	Inter-regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0630	811	0	2	01	01	H0630_811_0	2	1	1	Inter-regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0630	812	0	2	01	01	H0630_812_0	2	1	1	Inter-regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0630	813	0	1	01	01	H0630_813_0	3	1	1	Inter-regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0630	814	0	1	01	01	H0630_814_0	3	1	1	Inter-regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0630	815	0	2	01	01	H0630_815_0	2	1	1	Inter-regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0630	816	0	1	01	01	H0630_816_0	3	1	1	Inter-regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H0752	002	0	1	02	01	H0752_002_0	6	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H0755	030	0	1	01	01	H0755_030_0	3	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H0755	031	0	1	01	01	H0755_031_0	3	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H0755	032	0	1	01	01	H0755_032_0	2	1	1	Visitor Travel	01111111111111111111110111110000011111111111011110	1						
H0901	004	0	1	01	01	H0901_004_0	3	1	1	Tier 1	01111111111111111111110111110000011111111111111110	1						
H1013	011	0	1	01	01	H1013_011_0	6	1	1	V/T Services	00001111111011111110000000000000001000000110000000	1						
H1013	021	0	1	01	01	H1013_021_0	7	1	1	V/T Services	00001111111011111110000000000000001000000110000000	1						
H1013	024	0	1	01	01	H1013_024_0	6	1	1	V/T Services	00001111111011111110000000000000001000000110000000	1						
H1076	003	0	1	01	01	H1076_003_0	6	1	1	V/T Services	00001111111011111110000000000000001000000110000000	1						
H1076	010	0	1	01	01	H1076_010_0	6	1	1	V/T Services	00001111111011111110000000000000001000000110000000	1						
H1076	011	0	1	01	01	H1076_011_0	6	1	1	V/T Services	00001111111011111110000000000000001000000110000000	1						
H1076	016	0	1	01	01	H1076_016_0	7	1	1	V/T Services	00001111111011111110000000000000001000000110000000	1						
H1080	004	0	1	02	01	H1080_004_0	5	1	1	Visitor Travel	01111111111111111111110111110000011111111111111111	1						
H1080	042	0	1	01	01	H1080_042_0	5	1	1	Visitor Travel	01111111111111111111110111110000011111111111111111	1						
H1109	001	0	1	01	01	H1109_001_0	3	1	1	Tier 1	01111111111111111111110111110000011111111111111110	1						
H1109	003	0	1	01	01	H1109_003_0	3	1	1	Tier 1	01111111111111111111110111110000011111111111111110	1						
H1111	002	0	1	02	01	H1111_002_0	5	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H1170	002	0	1	01	01	H1170_002_0	5	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			2		
H1170	008	0	1	01	01	H1170_008_0	2	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			2		
H1170	009	0	1	01	01	H1170_009_0	5	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			2		
H1170	801	0	1	01	01	H1170_801_0	3	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			2		
H1170	802	0	1	01	01	H1170_802_0	3	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			2		
H1170	805	0	1	01	01	H1170_805_0	3	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			2		
H1230	001	0	1	01	01	H1230_001_0	4	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H1230	003	0	1	01	01	H1230_003_0	4	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H1230	801	0	1	01	01	H1230_801_0	6	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H1230	802	0	2	01	01	H1230_802_0	3	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H1230	803	0	1	01	01	H1230_803_0	5	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H1230	804	0	2	01	01	H1230_804_0	3	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H1230	805	0	1	01	01	H1230_805_0	3	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H1230	806	0	2	01	01	H1230_806_0	4	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H1286	002	0	1	02	01	H1286_002_0	4	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H1286	003	0	1	02	01	H1286_003_0	1	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H1286	004	0	1	02	01	H1286_004_0	5	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H1286	008	0	1	02	01	H1286_008_0	4	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H1302	001	0	1	04	01	H1302_001_0	7	1	1	In-Network Benefits	01111111111111111111110111110000011111111111011010	1						
H1302	004	0	1	04	01	H1302_004_0	5	1	1	In-Network Benefits	01111111111111111111110111110000011111111111011010	1						
H1303	001	0	1	04	01	H1303_001_0	4	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H1304	001	0	1	04	01	H1304_001_0	4	1	1	$15 copay	00001100000000000000000000000000000000000000000000	1						
H1304	001	0	1	04	01	H1304_001_0	4	3	1	$100 copay	00000000000000000000010000000000000000000000000000	1						
H1304	001	0	1	04	01	H1304_001_0	4	4	1	$0 copay	01100000000001001000000001010000011111111110000000	1						
H1304	001	0	1	04	01	H1304_001_0	4	7	1	$0 to $175	00000000000000000100000000000000000000000000000000	1						
H1304	001	0	1	04	01	H1304_001_0	4	2	1	$35 copay	00000011111110000001100000000000000000000000011010	1						
H1304	001	0	1	04	01	H1304_001_0	4	9	1	20% coinsurance	00000000000000100000000110000000000000000000100000	1						
H1304	001	0	1	04	01	H1304_001_0	4	8	1	10% to 20% coinsurance	00000000000000000000000000000000000000000001000000	1						
H1304	001	0	1	04	01	H1304_001_0	4	5	1	$175 copay	00000000000000000010000000000000000000000000000000	1						
H1304	001	0	1	04	01	H1304_001_0	4	6	1	$100 routine vision hardware	00000000000000000000000000000000000000000000000100	1						
H1304	001	0	1	04	01	H1304_001_0	4	10	1	10% coinsurance	00010000000000010000000000100000000000000000000000	1						
H1304	002	0	1	04	01	H1304_002_0	6	6	1	$100 routine vision hardware	00000000000000000000000000000000000000000000000100	1						
H1304	002	0	1	04	01	H1304_002_0	6	5	1	$175 copay	00000000000000000010000000000000000000000000000000	1						
H1304	002	0	1	04	01	H1304_002_0	6	4	1	$0 copay	01100000000001001000000001010000011111111110000000	1						
H1304	002	0	1	04	01	H1304_002_0	6	3	1	$100 copay	00000000000000000000010000000000000000000000000000	1						
H1304	002	0	1	04	01	H1304_002_0	6	2	1	$35 copay	00000011111110000001100000000000000000000000011010	1						
H1304	002	0	1	04	01	H1304_002_0	6	1	1	$15 copay	00001100000000000000000000000000000000000000000000	1						
H1304	002	0	1	04	01	H1304_002_0	6	8	1	10% to 20% coinsurance	00000000000000000000000000000000000000000001000000	1						
H1304	002	0	1	04	01	H1304_002_0	6	9	1	20% coinsurance	00000000000000100000000110000000000000000000100000	1						
H1304	002	0	1	04	01	H1304_002_0	6	10	1	10% coinsurance	00010000000000010000000000100000000000000000000000	1						
H1304	002	0	1	04	01	H1304_002_0	6	7	1	$0 to $175	00000000000000000100000000000000000000000000000000	1						
H1304	002	0	1	04	01	H1304_002_0	6	11	1	$0 to $175	00000000000000000100000000000000000000000000000000	1						
H1304	004	0	1	04	01	H1304_004_0	5	9	1	$0 to $100	00000000000000000100000000000000000000000000000000	1						
H1304	004	0	1	04	01	H1304_004_0	5	10	1	$200	00000000000000000000000000000000000000000000000100	1						
H1304	004	0	1	04	01	H1304_004_0	5	8	1	$500 preventive dental	00000000000000000000000000000000000000000000100000	1						
H1304	004	0	1	04	01	H1304_004_0	5	7	1	0% to 10%	00000000000000000000000000000000000000000001000000	1						
H1304	004	0	1	04	01	H1304_004_0	5	1	1	$10 copay	00001100000000000000000000000000000000000000000000	1						
H1304	004	0	1	04	01	H1304_004_0	5	2	1	$25	00000011111110000001100000000000000000000000011010	1						
H1304	004	0	1	04	01	H1304_004_0	5	3	1	$100	00000000000000000010010000000000000000000000000000	1						
H1304	004	0	1	04	01	H1304_004_0	5	4	1	10%	00000000000000010000000110100000000000000000000000	1						
H1304	004	0	1	04	01	H1304_004_0	5	5	1	20%	00000000000000100000000000000000000000000000000000	1						
H1304	004	0	1	04	01	H1304_004_0	5	6	1	$0	01110000000001001000000001010000011111111110000000	1						
H1350	001	0	1	01	01	H1350_001_0	6	1	1	Out of State Benefit	00001101000001101100000001000000001000000100000000	2	2			1	25.00	25.00
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H1350	009	0	1	01	01	H1350_009_0	5	1	1	Out of State Benefit	00001101000001101100000001000000001000000100000000	2	2			1	25.00	25.00
H1350	010	0	1	01	01	H1350_010_0	4	1	1	Out of State Benefit	00001101000001101100000001000000001000000100000000	2	2			1	25.00	25.00
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H1418	008	0	1	04	01	H1418_008_0	6	1	1		01111111111111111111110111110011011111111111111110	1						
H1418	009	0	1	04	01	H1418_009_0	4	1	1		01111111111111111111110111110011011111111111111110	1						
H1418	016	0	1	04	01	H1418_016_0	4	1	1		01111111111111111111110111110011011111111111111110	1						
H1418	017	0	1	04	01	H1418_017_0	9	1	1		01111111111111111111110111110011011111111111111110	1						
H1419	001	0	1	01	01	H1419_001_0	3	1	1	Tier 1	01111111111111111111110111110000011111111111111111	1						
H1509	001	0	1	04	01	H1509_001_0	5	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H1509	007	0	1	04	01	H1509_007_0	4	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H1509	009	0	1	04	01	H1509_009_0	4	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H1510	001	0	1	04	01	H1510_001_0	6	1	1		01111111111111111111110111110011011111111111111110	1						
H1510	004	0	1	04	01	H1510_004_0	5	1	1		01111111111111111111110111110011011111111111111110	1						
H1510	005	0	1	04	01	H1510_005_0	4	1	1		01111111111111111111110111110011011111111111111111	1						
H1510	007	0	1	04	01	H1510_007_0	4	1	1		01111111111111111111110111110011011111111111111111	1						
H1510	008	0	1	04	01	H1510_008_0	5	1	1		01111111111111111111110111110011011111111111111110	1						
H1517	003	0	1	04	01	H1517_003_0	7	1	1	Out of Area Covered Services	01111111111111111111110111110000011111111111111110	1						
H1517	004	0	1	04	01	H1517_004_0	9	1	1	Out of Area Covered Services	01111111111111111111110111110000011111111111011110	1						
H1517	801	0	1	04	01	H1517_801_0	4	1	1		01111111111111111111110111110000011111111111011110	1						
H1517	802	0	1	04	01	H1517_802_0	4	1	1		01111111111111111111110111110000011111111111011110	1						
H1517	803	0	1	04	01	H1517_803_0	4	1	1		01111111111111111111110111110000011111111111011110	1						
H1607	001	0	1	04	01	H1607_001_0	10	1	1	Out of Area Covered Services	01111111111111111111110111110000011111111111011110	1						
H1607	004	0	1	04	01	H1607_004_0	9	1	1	Out of Area Covered Services	01111111111111111111110111110000011111111111111110	1						
H1607	804	0	1	04	01	H1607_804_0	4	1	1		01111111111111111111110111110000011111111111011110	1						
H1607	805	0	1	04	01	H1607_805_0	4	1	1		01111111111111111111110111110000011111111111011110	1						
H1607	806	0	1	04	01	H1607_806_0	4	1	1		01111111111111111111110111110000011111111111011110	1						
H1681	001	0	1	04	01	H1681_001_0	6	1	1		01111111111111111111110111110000011111111111111110	1						
H1681	002	0	1	04	01	H1681_002_0	5	1	1		01111111111111111111110111110000011111111111111110	1						
H1681	003	0	1	04	01	H1681_003_0	4	1	1		01111111111111111111110111110000011111111111111110	1						
H1681	004	0	1	04	01	H1681_004_0	4	1	1		01111111111111111111110111110000011111111111111110	1						
H1681	005	0	1	04	01	H1681_005_0	4	1	1		01111111111111111111110111110000011111111111111110	1						
H1681	006	0	1	04	01	H1681_006_0	4	1	1		01111111111111111111110111110000011111111111011110	1						
H1681	007	0	1	04	01	H1681_007_0	4	1	1		01111111111111111111110111110000011111111111111110	1						
H1716	001	0	1	04	01	H1716_001_0	4	1	1		01111111111111111111110111110111011111111111111110	1						
H1716	002	0	1	04	01	H1716_002_0	4	1	1		01111111111111111111110111110111011111111111111110	1						
H1716	004	0	1	04	01	H1716_004_0	6	1	1		01111111111111111111110111110111011111111111111110	1						
H1716	006	0	1	04	01	H1716_006_0	6	1	1		01111111111111111111110111110111011111111111111110	1						
H1716	019	0	1	04	01	H1716_019_0	3	1	1		01111111111111111111110111110111011111111111111110	1						
H1717	001	0	1	04	01	H1717_001_0	4	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H1806	001	0	1	04	01	H1806_001_0	5	1	1		01111111111111111111110111110011011111111111111111	1						
H1806	002	0	1	04	01	H1806_002_0	7	1	1		01111111111111111111110111110011011111111111111111	1						
H1806	005	0	1	04	01	H1806_005_0	6	1	1		01111111111111111111110111110011011111111111111110	1						
H1944	001	0	1	02	01	H1944_001_0	6	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H1961	001	0	1	01	01	H1961_001_0	7	1	1	Medical services except inpatient  SNF	01111111111111111111110111110000000000000001000000	1						
H1961	003	0	1	01	01	H1961_003_0	8	1	1	Medical services except inpatient  SNF	01111111111111111111110111110000000000000001000000	1						
H2001	001	0	1	04	01	H2001_001_0	5	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H2029	001	0	1	04	01	H2029_001_0	5	1	1		01111111111111111111110111110010011111111111111111	1						
H2112	001	0	1	01	01	H2112_001_0	2	1	1	Tier 1	01111111111111111111110111110000011111111111111110	1						
H2112	007	0	1	01	01	H2112_007_0	3	1	1	Tier 1	01111111111111111111110111110000011111111111111110	1						
H2112	014	0	1	01	01	H2112_014_0	3	1	1	Tier 1	01111111111111111111110111110000011111111111111110	1						
H2150	002	0	1	18	06	H2150_002_0	8	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H2150	009	0	1	18	06	H2150_009_0	8	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H2150	021	0	1	18	06	H2150_021_0	6	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H2150	022	0	1	18	06	H2150_022_0	7	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H2150	028	0	2	18	06	H2150_028_0	6	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H2150	029	0	2	18	06	H2150_029_0	7	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H2182	001	0	1	02	01	H2182_001_0	5	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H2230	002	0	1	04	01	H2230_002_0	11	1	1		01111111111111111111111111111111111111111111111111	1						
H2450	001	0	1	18	06	H2450_001_0	3	1	1	Outpatient Services	01111111111111111111110111110000011111111111001111	1						
H2450	002	0	1	18	06	H2450_002_0	3	1	1	Outpatient Services	01111111111111111111110111110000011111111111001111	1						
H2450	005	0	1	18	06	H2450_005_0	3	1	1	Outpatient Services	01111111111111111111110111110000011111111111001111	1						
H2450	006	0	1	18	06	H2450_006_0	3	1	1	Outpatient Services	01111111111111111111110111110000011111111111001111	1						
H2450	007	0	1	18	06	H2450_007_0	4	1	1	Outpatient Services	01111111111111111111110111110000011111111111011110	1						
H2450	008	0	1	18	06	H2450_008_0	3	1	1	Outpatient Services	01111111111111111111110111110000011111111111011111	1						
H2450	009	0	1	18	06	H2450_009_0	3	1	1	Outpatient Services	01111111111111111111110111110001011111111111111111	1						
H2450	010	0	1	18	06	H2450_010_0	4	1	1	Outpatient Services	01111111111111111111110111110000011111111111011111	1						
H2450	011	0	1	18	06	H2450_011_0	3	1	1	Outpatient Services	01111111111111111111110111110001011111111111111111	1						
H2450	012	0	1	18	06	H2450_012_0	3	1	1	Outpatient Services	01111111111111111111110111110000011111111111011111	1						
H2450	013	0	1	18	06	H2450_013_0	4	1	1	Outpatient Services	01111111111111111111110111110000011111111111011111	1						
H2450	014	0	1	18	06	H2450_014_0	3	1	1	Outpatient Services	01111111111111111111110111110000011111111111011111	1						
H2450	015	0	1	18	06	H2450_015_0	3	1	1	Outpatient Services	01111111111111111111110111110000011111111111011111	1						
H2450	016	0	1	18	06	H2450_016_0	4	1	1	Outpatient Services	01111111111111111111110111110000011111111111001111	1						
H2450	017	0	1	18	06	H2450_017_0	4	1	1	Outpatient Services	01111111111111111111110111110000011111111111001111	1						
H2450	018	0	1	18	06	H2450_018_0	4	1	1	Outpatient Services	01111111111111111111110111110000011111111111011111	1						
H2450	019	0	1	18	06	H2450_019_0	4	1	1	Outpatient Services	01111111111111111111110111110001011111111111111111	1						
H2450	020	0	1	18	06	H2450_020_0	4	1	1	Outpatient Services	01111111111111111111110111110000011111111111011111	1						
H2450	021	0	1	18	06	H2450_021_0	4	1	1	Outpatient Services	01111111111111111111110111110000011111111111011111	1						
H2450	022	0	1	18	06	H2450_022_0	4	1	1	Outpatient Services	01111111111111111111110111110000011111111111001110	1						
H2450	023	0	1	18	06	H2450_023_0	4	1	1	Outpatient Services	01111111111111111111110111110000011111111111001110	1						
H2450	024	0	1	18	06	H2450_024_0	4	1	1	Outpatient Services	01111111111111111111110111110000011111111111011110	1						
H2450	025	0	1	18	06	H2450_025_0	3	1	1	Outpatient Services	01111111111111111111110111110000011111111111011110	1						
H2450	026	0	1	18	06	H2450_026_0	4	1	1	Outpatient Services	01111111111111111111110111110000011111111111011110	1						
H2450	027	0	1	18	06	H2450_027_0	3	1	1	Outpatient Services	01111111111111111111110111110000011111111111011110	1						
H2461	005	0	1	18	06	H2461_005_0	9	1	1	Group 1	11101111111111111111110111100000000000000000010010	1						
H2461	005	0	1	18	06	H2461_005_0	9	3	1	Group 3	00000000000000000000001000001110000000000001100101	1						
H2461	005	0	1	18	06	H2461_005_0	9	2	1	Group 2	00010000000000000000000000010000011111111110001010	1						
H2461	006	0	1	18	06	H2461_006_0	7	5	1	Group 5	00000000000000000000010000000000000000000000000000	1						
H2461	006	0	1	18	06	H2461_006_0	7	8	1	Group 8	00000000000000000000000000000000000000000000000001	1						
H2461	006	0	1	18	06	H2461_006_0	7	3	1	Group 3	10000000000000000000000111000000000000000001000000	1						
H2461	006	0	1	18	06	H2461_006_0	7	2	1	Group 2	00010000000001111000000000010000011111111110011000	1						
H2461	006	0	1	18	06	H2461_006_0	7	7	1	Group 7	00000000000000000000000000000000000000000000000100	1						
H2461	006	0	1	18	06	H2461_006_0	7	6	1	Group 6	00000000000000000000001000001111100000000000100000	1						
H2461	006	0	1	18	06	H2461_006_0	7	4	1	Group 4	00100000000000000110000000000000000000000000000000	1						
H2461	006	0	1	18	06	H2461_006_0	7	1	1	Group 1	01001111111110000001100000100000000000000000000010	1						
H2461	007	0	1	18	06	H2461_007_0	3	1	1	Group 1	00000000000000000000000000000000000000000001000000	1						
H2461	007	0	1	18	06	H2461_007_0	3	2	1	Group 2	00000000000000000000001000001111100000000000100000	1						
H2461	007	0	1	18	06	H2461_007_0	3	3	1	Group 3	11111111111111111111110111110000011111111110011111	1						
H2462	004	0	1	18	06	H2462_004_0	2	2	1	Fully Covered Services	00010000000000000000000000000000011111111110110100	1						
H2462	004	0	1	18	06	H2462_004_0	2	1	1	US Travel 20% Coinsurance	01101111111111111111110111111000000000000001001010	1						
H2462	007	0	1	18	06	H2462_007_0	3	2	1	Medical Supplies and Part B Drugs	00000000000000000000000111000000000000000001000000	1						
H2462	007	0	1	18	06	H2462_007_0	3	3	1	Mental Health and Psychiatric Therapy	00000000100100000001000000000000000000000000000000	1						
H2462	007	0	1	18	06	H2462_007_0	3	4	1	Partial Hospitalization	00110000000001111110010000110000011111111010111100	1						
H2462	007	0	1	18	06	H2462_007_0	3	1	1	Office Visit Related	01001111011010000000100000001000000000000100001010	1						
H2462	008	0	1	18	06	H2462_008_0	8	4	1	100% Coverage	00110000000001111110010000110000011111111010111100	1						
H2462	008	0	1	18	06	H2462_008_0	8	1	1	Office Visit Related	01001111111110000000100000001000000000000100001010	1						
H2462	008	0	1	18	06	H2462_008_0	8	2	1	Medical Supplies and Part B Drugs	00000000000000000000000111000000000000000001000000	1						
H2462	008	0	1	18	06	H2462_008_0	8	3	1	Mental Health and Psychiatric Therapy	00000000100100000001000000000000000000000000000000	1						
H2462	010	0	1	18	06	H2462_010_0	1	1	1	$0 Copay Services	01111111111111111111110000111000011111111111111110	1						
H2462	010	0	1	18	06	H2462_010_0	1	2	1	20% Coinsurance	00000000000000000000000111000000000000000001000000	1						
H2462	011	0	1	18	06	H2462_011_0	5	1	1	$0 Copay Services	01111111111111111111110000111000011111111111111110	1						
H2462	011	0	1	18	06	H2462_011_0	5	2	1	20% Coinsurance	00000000000000000000000111000000000000000001000000	1						
H2462	012	0	1	18	06	H2462_012_0	4	1	1	$0 Copay Services	01111111111111111111110000111000011111111111111110	1						
H2462	012	0	1	18	06	H2462_012_0	4	2	1	20% Coinsurance	00000000000000000000000111000000000000000001000000	1						
H2462	015	0	1	18	06	H2462_015_0	2	2	1	100% Coverage	00010000000000000000000000000000001111111110000000	1						
H2462	015	0	1	18	06	H2462_015_0	2	1	1	20% Cost sharing	01101111111111111111110111111000000000000001001110	1						
H2462	016	0	1	18	06	H2462_016_0	1	1	1	US Travel	01111111111111111111110111111000011111111111001110	1						
H2462	017	0	1	18	06	H2462_017_0	3	1	1	US Travel	01111111111111111111110111111000011111111111001110	1						
H2542	001	0	1	04	01	H2542_001_0	5	1	1		01111111111111111111110111110011011111111111111110	1						
H2542	002	0	1	04	01	H2542_002_0	5	1	1		01111111111111111111110111110011011111111111111111	1						
H2542	003	0	1	04	01	H2542_003_0	5	1	1		01111111111111111111110111110011011111111111111110	1						
H2542	004	0	1	04	01	H2542_004_0	5	1	1		01111111111111111111110111110011011111111111111111	1						
H2654	004	0	1	01	01	H2654_004_0	5	1	1	Visitor Travel	01111111111111111111111111110000011111111111011111	1						
H2654	010	0	1	02	01	H2654_010_0	4	1	1	Visitor Travel	01111111111111111111111111110000011111111111011111	1						
H2654	013	0	1	02	01	H2654_013_0	5	1	1	Visitor Travel	01111111111111111111111111110000011111111111011111	1						
H2654	020	0	1	01	01	H2654_020_0	2	1	1	Visitor Travel	01111111111111111111111111110000011111111111011111	1						
H2802	001	0	1	01	01	H2802_001_0	4	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H2803	001	0	1	02	01	H2803_001_0	4	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H2803	002	0	1	02	01	H2803_002_0	4	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H2906	003	0	1	04	01	H2906_003_0	11	1	1	Worldwide Emergency	00001001000001111110011000010000000000000000000000	1						
H2960	004	0	1	01	01	H2960_004_0	12	1	1	Worldwide Emergency	00001001000001111110011000010000000000000000000000	1						
H2960	009	0	1	01	01	H2960_009_0	7	1	1	Worldwide Emergency	00001001000001111110011000010000000000000000000000	1						
H2960	010	0	1	01	01	H2960_010_0	12	1	1	Worldwide Emergency	00001001000001111110011000010000000000000000000000	1						
H2960	012	0	1	01	01	H2960_012_0	10	1	1	Worldwide Emergency	00001001000001111110011000010000000000000000000000	1						
H2960	018	0	1	01	01	H2960_018_0	11	1	1	Worldwide Emergency	00001001000001111110011000010000000000000000000000	1						
H2997	003	0	1	04	01	H2997_003_0	8	1	1	Out of Area Covered Services	01111111111111111111110111110000011111111111011110	1						
H3107	004	0	1	02	01	H3107_004_0	6	1	1	Visitor Travel	01111111111111111111110111110000011111111111111111	1						
H3107	008	0	1	02	01	H3107_008_0	1	1	1	Visitor Travel	01111111111111111111110111110000011111111111111111	1						
H3152	022	0	1	01	01	H3152_022_0	3	1	1	Tier 1	01111111111111111111110111110000011111111111111110	1						
H3152	041	0	1	01	01	H3152_041_0	2	1	1	Tier 1	01111111111111111111110111110000011111111111111110	1						
H3152	045	0	1	01	01	H3152_045_0	2	1	1	Tier 1	01111111111111111111110111110000011111111111111110	1						
H3152	046	0	1	01	01	H3152_046_0	3	1	1	Tier 1	01111111111111111111110111110000011111111111111110	1						
H3152	048	0	1	01	01	H3152_048_0	3	1	1	Tier 1	01111111111111111111110111110000011111111111111110	1						
H3152	077	0	1	01	01	H3152_077_0	3	1	1	Tier 1	01111111111111111111110111110000011111111111111110	1						
H3305	007	0	1	01	01	H3305_007_0	7	1	1	30% Coinsurance	01111111010011111111110111110000001111111011011010	2	1	30	30	2		
H3305	011	0	1	01	01	H3305_011_0	10	1	1	30% Coinsurance	01111111010011111111110111110000001111111011011010	2	1	30	30	2		
H3305	015	0	1	01	01	H3305_015_0	7	1	1	30% Coinsurance	01111111010011111111110111110000001111111011011010	2	1	30	30	2		
H3305	016	0	1	01	01	H3305_016_0	5	1	1	30% Coinsurance	01111111010011111111110111110000001111111011011010	2	1	30	30	2		
H3305	017	0	1	01	01	H3305_017_0	7	1	1	30% Coinsurance	01111111010011111111110111110000001111111011011010	2	1	30	30	2		
H3305	018	0	1	01	01	H3305_018_0	6	1	1	30% Coinsurance	01111111010011111111110111110000001111111011011010	2	1	30	30	2		
H3305	801	0	1	01	01	H3305_801_0	4	1	1	30% Coinsurance	01111111010011111111110111110000001111111011011010	2	1	30	30	2		
H3305	803	0	1	01	01	H3305_803_0	6	1	1	30% Coinsurance	01111111010011111111110111110000001111111011011010	2	1	30	30	2		
H3307	002	0	1	01	01	H3307_002_0	5	1	1	Visitor Travel	01111111111111111111110111110000011111111111111111	1						
H3307	012	0	1	01	01	H3307_012_0	5	1	1	Visitor Travel	01111111111111111111110111110000011111111111111111	1						
H3307	015	0	1	01	01	H3307_015_0	5	1	1	Visitor Travel	01111111111111111111110111111000011111111111011111	1						
H3307	018	0	1	01	01	H3307_018_0	1	1	1	Visitor Travel	01111111111111111111110111110000011111111111111111	1						
H3312	002	0	1	01	01	H3312_002_0	3	1	1	Tier 1	01111111111111111111110111110000011111111111111110	1						
H3312	018	0	1	01	01	H3312_018_0	3	1	1	Tier 1	01111111111111111111110111110000011111111111111110	1						
H3312	025	0	1	01	01	H3312_025_0	3	1	1	Tier 1	01111111111111111111110111110000011111111111111110	1						
H3312	040	0	1	01	01	H3312_040_0	2	1	1	Tier 1	01111111111111111111110111110000011111111111111110	1						
H3312	043	0	1	01	01	H3312_043_0	3	1	1	Tier 1	01111111111111111111110111110000011111111111111110	1						
H3312	048	0	1	01	01	H3312_048_0	3	1	1	Tier 1	01111111111111111111110111110000011111111111011110	1						
H3342	001	0	1	04	01	H3342_001_0	6	1	1	Out of Area Covered Services	01111111111111111111110111110000011111111111111111	1						
H3342	002	0	1	04	01	H3342_002_0	7	1	1	Out of Area Covered Services	01111111111111111111110111110000011111111111111111	1						
H3342	012	0	1	04	01	H3342_012_0	8	1	1	Out of Area Covered Services	01111111111111111111110111110000011111111111011110	1						
H3342	013	0	1	04	01	H3342_013_0	8	1	1	Out of Area Covered Services	01111111111111111111110111110000011111111111111111	1						
H3342	014	0	1	04	01	H3342_014_0	6	1	1	Out of Area Covered Services	01111111111111111111110111110000011111111111111111	1						
H3342	015	0	1	04	01	H3342_015_0	6	1	1	Out of Area Covered Services	01111111111111111111110111110000011111111111111111	1						
H3379	001	0	1	01	01	H3379_001_0	4	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H3388	001	0	1	01	01	H3388_001_0	4	1	1	30% Coinsurance	00001111011011101110100100010000000000000010001010	2	1	30	30	2		
H3388	002	0	1	01	01	H3388_002_0	7	1	1	30% Coinsurance	00001111011011101110100100010000000000000010001010	2	1	30	30	2		
H3388	003	0	1	01	01	H3388_003_0	5	1	1	30% Coinsurance	00001111011011101110100100010000000000000010001010	2	1	30	30	2		
H3388	004	0	1	01	01	H3388_004_0	7	1	1	30% Coinsurance	00001111011011101110100100010000000000000010001010	2	1	30	30	2		
H3404	001	0	1	04	01	H3404_001_0	9	1	1	Medicare Covered Part B Benefits	01111111110111111111110111110000011111111111011110	1						
H3404	002	0	1	04	01	H3404_002_0	13	1	1	Medicare covered Part B Benefits	01111111110111111111110111110000011111111111011110	1						
H3405	001	0	1	04	01	H3405_001_0	7	1	1		01111111111111111111110111110000011111111111111110	1						
H3405	002	0	1	04	01	H3405_002_0	5	1	1		01111111111111111111110111110000011111111111011110	1						
H3405	005	0	1	04	01	H3405_005_0	4	1	1		01111111111111111111110111110000011111111111111110	1						
H3405	006	0	1	04	01	H3405_006_0	4	1	1		01111111111111111111110111110000011111111111111110	1						
H3405	007	0	1	04	01	H3405_007_0	4	1	1		01111111111111111111110111110000011111111111011110	1						
H3456	001	0	1	02	01	H3456_001_0	5	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H3456	020	0	1	02	01	H3456_020_0	2	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H3456	023	0	1	02	01	H3456_023_0	6	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H3597	001	0	1	01	01	H3597_001_0	3	1	1	Tier 1	01111111111111111111110111110000011111111111011110	1						
H3597	002	0	1	01	01	H3597_002_0	4	1	1	Tier 1	01111111111111111111110111110000011111111111011110	1						
H3619	001	0	1	04	01	H3619_001_0	8	1	1		01111111111111111111110111110011011111111111111110	1						
H3619	004	0	1	04	01	H3619_004_0	6	1	1		01111111111111111111110111110011011111111111111110	1						
H3619	012	0	1	04	01	H3619_012_0	5	1	1		01111111111111111111110111110011011111111111111111	1						
H3619	013	0	1	04	01	H3619_013_0	5	1	1		01111111111111111111110111110011011111111111111110	1						
H3619	014	0	1	04	01	H3619_014_0	5	1	1		01111111111111111111110111110011011111111111111110	1						
H3619	015	0	1	04	01	H3619_015_0	5	1	1		01111111111111111111110111110011011111111111111110	1						
H3619	016	0	1	04	01	H3619_016_0	4	1	1		01111111111111111111110111110011011111111111111111	1						
H3619	017	0	1	04	01	H3619_017_0	6	1	1		01111111111111111111110111110011011111111111111110	1						
H3623	001	0	1	01	01	H3623_001_0	3	1	1	Tier 1	01111111111111111111110111110000011111111111111111	1						
H3623	003	0	1	01	01	H3623_003_0	3	1	1	Tier 1	01111111111111111111110111110000011111111111111111	1						
H3623	004	0	1	01	01	H3623_004_0	3	1	1	Tier 1	01111111111111111111110111110000011111111111111111	1						
H3659	001	0	1	02	01	H3659_001_0	5	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H3659	003	0	1	01	01	H3659_003_0	5	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H3659	031	0	1	01	01	H3659_031_0	5	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H3659	054	0	1	01	01	H3659_054_0	3	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H3812	001	0	1	04	01	H3812_001_0	4	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H3813	001	0	1	04	01	H3813_001_0	9	7	1	20% coinsurance	00000000000000111000000110100000000000000001000000	1						
H3813	001	0	1	04	01	H3813_001_0	9	6	1	$20 - $30 copayment	00000000100100000001000000000000000000000000000000	1						
H3813	001	0	1	04	01	H3813_001_0	9	1	1	zero copayment	00010000000001000000000000010000011111111110001100	1						
H3813	001	0	1	04	01	H3813_001_0	9	4	1	$100 copayment	00000000000000000000010000000000000000000000000000	1						
H3813	001	0	1	04	01	H3813_001_0	9	3	1	$300 copayment	00000000000000000100000000000000000000000000000000	2	2			1	300.00	300.00
H3813	001	0	1	04	01	H3813_001_0	9	2	1	$10 copayment	00000000000000000000000001000000000000000000000000	1						
H3813	001	0	1	04	01	H3813_001_0	9	9	1	$200 copayment	00000000000000000010000000000000000000000000000000	1						
H3813	001	0	1	04	01	H3813_001_0	9	8	1	$20 copayment	00001000000000000000000000000000000000000000000000	1						
H3813	001	0	1	04	01	H3813_001_0	9	5	1	$30 copayment	01100111011010000000100000000000000000000000010010	1						
H3813	003	0	1	04	01	H3813_003_0	10	8	1	$20 copayment	00001000000000000000000000000000000000000000000000	1						
H3813	003	0	1	04	01	H3813_003_0	10	7	1	20% coinsurance	00000000000000111000000110100000000000000001000000	1						
H3813	003	0	1	04	01	H3813_003_0	10	6	1	$20 - $30 copayment	00000000100100000001000000000000000000000000000000	1						
H3813	003	0	1	04	01	H3813_003_0	10	5	1	$30 copayment	01100111011010000000100000000000000000000000010010	1						
H3813	003	0	1	04	01	H3813_003_0	10	4	1	$100 copayment	00000000000000000000010000000000000000000000000000	1						
H3813	003	0	1	04	01	H3813_003_0	10	3	1	$300 copayment	00000000000000000100000000000000000000000000000000	2	2			1	300.00	300.00
H3813	003	0	1	04	01	H3813_003_0	10	2	1	$10 copayment	00000000000000000000000001000000000000000000000000	1						
H3813	003	0	1	04	01	H3813_003_0	10	1	1	zero copayment	00010000000001000000000000010000011111111110001100	1						
H3813	003	0	1	04	01	H3813_003_0	10	9	1	$200 copayment	00000000000000000010000000000000000000000000000000	1						
H3813	802	0	1	04	01	H3813_802_0	7	7	1	10% coinsurance	00000000000000111000000110100000000000000001000000	1						
H3813	802	0	1	04	01	H3813_802_0	7	6	1	$15.00 copayment	00001000000000000000000000000000000000000000000000	1						
H3813	802	0	1	04	01	H3813_802_0	7	5	1	$20 copayment	01100111111110000001100000000000000000000000010010	1						
H3813	802	0	1	04	01	H3813_802_0	7	4	1	$50 copayment	00000000000000000000010000000000000000000000000000	1						
H3813	802	0	1	04	01	H3813_802_0	7	3	1	$125 copayment	00000000000000000110000000000000000000000000000000	1						
H3813	802	0	1	04	01	H3813_802_0	7	2	1	$10 copayment	00000000000000000000000001000000000000000000000000	1						
H3813	802	0	1	04	01	H3813_802_0	7	1	1	zero copayment	00010000000001000000000000010000011111111110001100	1						
H3817	001	0	1	04	01	H3817_001_0	5	9	1	20% coinsurance	00000000000000100000000110000000000000000000100000	1						
H3817	001	0	1	04	01	H3817_001_0	5	10	1	10% coinsurance	00010000000000010000000000100000000000000000000000	1						
H3817	001	0	1	04	01	H3817_001_0	5	8	1	10% to 20% coinsurance	00000000000000000000000000000000000000000001000000	1						
H3817	001	0	1	04	01	H3817_001_0	5	7	1	$0 to $175	00000000000000000100000000000000000000000000000000	1						
H3817	001	0	1	04	01	H3817_001_0	5	6	1	$100 routine vision hardware	00000000000000000000000000000000000000000000000100	1						
H3817	001	0	1	04	01	H3817_001_0	5	5	1	$175 copay	00000000000000000010000000000000000000000000000000	1						
H3817	001	0	1	04	01	H3817_001_0	5	4	1	$0 copay	01100000000001001000000001010000011111111110000000	1						
H3817	001	0	1	04	01	H3817_001_0	5	1	1	$15 copay	00001100000000000000000000000000000000000000000000	1						
H3817	001	0	1	04	01	H3817_001_0	5	2	1	$35 copay	00000011111110000001100000000000000000000000011010	1						
H3817	001	0	1	04	01	H3817_001_0	5	3	1	$100 copay	00000000000000000000010000000000000000000000000000	1						
H3817	002	0	1	04	01	H3817_002_0	8	3	1	$100 copay	00000000000000000000010000000000000000000000000000	1						
H3817	002	0	1	04	01	H3817_002_0	8	4	1	$0 copay	01100000000001001000000001010000011111111110000000	1						
H3817	002	0	1	04	01	H3817_002_0	8	5	1	$175 copay	00000000000000000010000000000000000000000000000000	1						
H3817	002	0	1	04	01	H3817_002_0	8	6	1	$100 routine vision hardware	00000000000000000000000000000000000000000000000100	1						
H3817	002	0	1	04	01	H3817_002_0	8	7	1	$0 to $175	00000000000000000100000000000000000000000000000000	1						
H3817	002	0	1	04	01	H3817_002_0	8	8	1	10% to 20% coinsurance	00000000000000000000000000000000000000000001000000	1						
H3817	002	0	1	04	01	H3817_002_0	8	9	1	20% coinsurance	00000000000000100000000110000000000000000000100000	1						
H3817	002	0	1	04	01	H3817_002_0	8	10	1	10% coinsurance	00010000000000010000000000100000000000000000000000	1						
H3817	002	0	1	04	01	H3817_002_0	8	11	1	$0 to $175	00000000000000000100000000000000000000000000000000	1						
H3817	002	0	1	04	01	H3817_002_0	8	1	1	$15 copay	00001100000000000000000000000000000000000000000000	1						
H3817	002	0	1	04	01	H3817_002_0	8	2	1	$35 copay	00000011111110000001100000000000000000000000011010	1						
H3817	003	0	1	04	01	H3817_003_0	6	10	1	$200	00000000000000000000000000000000000000000000000100	1						
H3817	003	0	1	04	01	H3817_003_0	6	2	1	$25	00000011111110000001100000000000000000000000011010	1						
H3817	003	0	1	04	01	H3817_003_0	6	1	1	$10 copay	00001100000000000000000000000000000000000000000000	1						
H3817	003	0	1	04	01	H3817_003_0	6	4	1	10%	00000000000000010000000110100000000000000000000000	1						
H3817	003	0	1	04	01	H3817_003_0	6	5	1	20%	00000000000000100000000000000000000000000000000000	1						
H3817	003	0	1	04	01	H3817_003_0	6	6	1	$0	01110000000001001000000001010000011111111110000000	1						
H3817	003	0	1	04	01	H3817_003_0	6	7	1	0% to 10%	00000000000000000000000000000000000000000001000000	1						
H3817	003	0	1	04	01	H3817_003_0	6	8	1	$500 preventive dental	00000000000000000000000000000000000000000000100000	1						
H3817	003	0	1	04	01	H3817_003_0	6	9	1	$0 to $100	00000000000000000100000000000000000000000000000000	1						
H3817	003	0	1	04	01	H3817_003_0	6	3	1	$100	00000000000000000010010000000000000000000000000000	1						
H3832	001	0	1	04	01	H3832_001_0	7	1	1		01111111111111111111110111110000011111111111011110	1						
H3832	801	0	1	04	01	H3832_801_0	4	1	1		01111111111111111111110111110000011111111111011110	1						
H3832	802	0	1	04	01	H3832_802_0	4	1	1		01111111111111111111110111110000011111111111011110	1						
H3832	805	0	1	04	01	H3832_805_0	4	1	1		01111111111111111111110111110000011111111111011110	1						
H3832	806	0	1	04	01	H3832_806_0	4	1	1		01111111111111111111110111110000011111111111011110	1						
H3887	003	0	1	02	01	H3887_003_0	5	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H3909	001	0	1	04	01	H3909_001_0	9	1	1	Group 1	01111111111111111111110111110000011111111111011110	1						
H3909	007	0	1	04	01	H3909_007_0	8	1	1	Group 1	01111111111111111111110111110000011111111111011110	1						
H3916	001	0	1	04	01	H3916_001_0	11	1	1	Group 1	01111111111111111111111111110000011111111111111111	1						
H3916	002	0	1	04	01	H3916_002_0	11	1	1	Group 1	01111111111111111111111111110000011111111111111111	1						
H3916	005	0	1	04	01	H3916_005_0	11	1	1	US	01111111111111111111111111110000011111111111111111	1						
H3916	012	0	1	04	01	H3916_012_0	9	1	1	US	01111111111111111111111111110000011111111111011111	1						
H3916	015	0	1	04	01	H3916_015_0	11	1	1	US	01111111111111111111111111110000011111111111011111	1						
H3916	018	0	1	04	01	H3916_018_0	11	1	1	US	01111111111111111111111111110000011111111111011111	1						
H3916	019	0	1	04	01	H3916_019_0	11	1	1	Group 1	01111111111111111111111111110000011111111111111111	1						
H3916	020	0	1	04	01	H3916_020_0	11	1	1	Group 1	01111111111111111111111111110000011111111111111111	1						
H3916	022	0	1	04	01	H3916_022_0	11	1	1	Group 1	01111111111111111111111111110000011111111111011111	1						
H3916	024	0	1	04	01	H3916_024_0	11	1	1	Group 1	01111111111111111111111111110000011111111111011111	1						
H3916	025	0	1	04	01	H3916_025_0	11	1	1	Group 1	01111111111111111111111111110000011111111111111111	1						
H3916	026	0	1	04	01	H3916_026_0	11	1	1	Group 1	01111111111111111111111111110000011111111111111111	1						
H3916	027	0	1	04	01	H3916_027_0	11	1	1	Group 1	01111111111111111111111111110000011111111111111111	1						
H3921	001	0	1	04	01	H3921_001_0	4	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H3921	008	0	1	04	01	H3921_008_0	4	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H3923	013	0	1	04	01	H3923_013_0	7	1	1	Visitor Traveler	01111111111111111111110111110000011111111111111111	1						
H3923	017	0	1	04	01	H3923_017_0	8	1	1	Visitor Traveler	01111111111111111111110111110000011111111111111111	1						
H3923	801	0	1	04	01	H3923_801_0	5	1	1	Visitor Traveler	01111111111111111111110111110000011111111111111111	1						
H3923	802	0	1	04	01	H3923_802_0	5	1	1	Visitor Traveler	01111111111111111111110111110000011111111111111111	1						
H3923	803	0	1	04	01	H3923_803_0	5	1	1	Visitor Traveler	01111111111111111111110111110000011111111111111111	1						
H3931	004	0	1	01	01	H3931_004_0	3	1	1	Tier 1	01111111111111111111110111110000011111111111111110	1						
H3931	054	0	1	01	01	H3931_054_0	2	1	1	Tier 1	01111111111111111111110111110000011111111111111110	1						
H3931	055	0	1	01	01	H3931_055_0	2	1	1	Tier 1	01111111111111111111110111110000011111111111111110	1						
H3931	058	0	1	01	01	H3931_058_0	3	1	1	Tier 1	01111111111111111111110111110000011111111111111110	1						
H3931	064	0	1	01	01	H3931_064_0	3	1	1	Tier 1	01111111111111111111110111110000011111111111111110	1						
H3931	065	0	1	01	01	H3931_065_0	3	1	1	Tier 1	01111111111111111111110111110000011111111111111110	1						
H3931	070	0	1	01	01	H3931_070_0	3	1	1	Tier 1	01111111111111111111110111110000011111111111011110	1						
H4006	008	0	1	02	01	H4006_008_0	12	1	1	Travel Program	01111111111111111111110111010000001111111111110010	2	2			2		
H4036	003	0	1	04	01	H4036_003_0	7	1	1	Out of Area Covered Services	01111111111111111111110111110000011111111111111110	1						
H4036	004	0	1	04	01	H4036_004_0	7	1	1	Out of Area Covered Services	01111111111111111111110111110000011111111111011110	1						
H4036	801	0	1	04	01	H4036_801_0	3	1	1		01111111111111111111110111110000011111111111011110	1						
H4036	802	0	1	04	01	H4036_802_0	3	1	1		01111111111111111111110111110000011111111111011110	1						
H4036	803	0	1	04	01	H4036_803_0	3	1	1		01111111111111111111110111110000011111111111011110	1						
H4102	001	0	1	02	01	H4102_001_0	7	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H4102	025	0	1	01	01	H4102_025_0	1	1	1	Visitor Travel	01111111111111111111110111110000011111111111011110	1						
H4209	001	0	1	04	01	H4209_001_0	5	1	1	Like Section B	01111111111111111111110111110000011111111111011110	1						
H4209	003	0	1	04	01	H4209_003_0	5	1	1	Like Section B	01111111111111111111110111110000011111111111011110	1						
H4209	004	0	1	04	01	H4209_004_0	5	1	1	Like Section B	01111111111111111111110111110000011111111111111110	1						
H4209	006	0	1	04	01	H4209_006_0	5	1	1	Like Section B	01111111111111111111110111110000011111111111111110	1						
H4209	007	0	1	04	01	H4209_007_0	4	1	1	Like Section B	01111111111111111111110111110000011111111111111110	1						
H4209	008	0	1	04	01	H4209_008_0	4	1	1	Like Section B	01111111111111111111110111110000011111111111111110	1						
H4406	001	0	1	02	01	H4406_001_0	5	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H4408	001	0	1	04	01	H4408_001_0	5	1	1		01111111111111111111110111110000011111111111111110	1						
H4408	002	0	1	04	01	H4408_002_0	4	1	1		01111111111111111111110111110000011111111111111110	1						
H4408	006	0	1	04	01	H4408_006_0	4	1	1		01111111111111111111110111110000011111111111111110	1						
H4408	007	0	1	04	01	H4408_007_0	4	1	1		01111111111111111111110111110000011111111111111110	1						
H4408	008	0	1	04	01	H4408_008_0	4	1	1		01111111111111111111110111110000011111111111011110	1						
H4456	010	0	1	02	01	H4456_010_0	4	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H4456	013	0	1	02	01	H4456_013_0	4	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H4456	015	0	1	01	01	H4456_015_0	4	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H4456	020	0	1	01	01	H4456_020_0	1	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H4456	021	0	1	01	01	H4456_021_0	4	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H4456	025	0	1	02	01	H4456_025_0	4	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H4456	026	0	1	02	01	H4456_026_0	4	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H4514	007	0	1	01	01	H4514_007_0	4	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H4520	001	0	1	04	01	H4520_001_0	3	1	1		01111111111111111111110111110111111111111111011110	1						
H4520	002	0	1	04	01	H4520_002_0	7	1	1		01111111111111111111110111110111011111111111111110	1						
H4520	003	0	1	04	01	H4520_003_0	4	1	1		01111111111111111111110111110111011111111111111110	1						
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H5434	002	0	1	04	01	H5434_002_0	10	6	1	$50 copayment	00000000000000010010000000000000000000000000000000	1						
H5434	002	0	1	04	01	H5434_002_0	10	7	1	$75 copayment	00000000000001000000000000000000000000000000000000	1						
H5434	002	0	1	04	01	H5434_002_0	10	8	1	$100 copayment	00000000000000100000000000000000000000000000000000	1						
H5434	002	0	1	04	01	H5434_002_0	10	9	1	$150 copayment	00000000000000001101010000000000000000000000000000	1						
H5434	002	0	1	04	01	H5434_002_0	10	10	1	20% coinsurance	00000000000000000000000000000000000000000001000000	1						
H5434	002	0	1	04	01	H5434_002_0	10	11	1	DME	00000000000000000000000100000000000000000000000000	1						
H5434	002	0	1	04	01	H5434_002_0	10	12	1	$40 copayment	00000000100100000000000000000000000000000000000000	1						
H5470	002	0	1	04	01	H5470_002_0	8	1	1		01111111111111111111111111110011011111111111111110	1						
H5470	005	0	1	04	01	H5470_005_0	8	1	1		01111111111111111111111111110011011111111111111110	1						
H5470	007	0	1	04	01	H5470_007_0	7	1	1		01111111111111111111111111110011011111111111111110	1						
H5507	001	0	1	04	01	H5507_001_0	4	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H5516	001	0	1	04	01	H5516_001_0	5	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H5525	004	0	1	04	01	H5525_004_0	6	1	1		01111111111111111111110111110011011111111111111111	1						
H5526	002	0	1	04	01	H5526_002_0	5	1	1	US	01111111111111111111111111110000011111111111001110	1						
H5526	003	0	1	04	01	H5526_003_0	8	1	1	U.S.	01111111111111111111111111110000011111111111001110	1						
H5526	004	0	1	04	01	H5526_004_0	8	1	1	U.S.	01111111111111111111111111110000011111111111001110	1						
H5526	806	0	1	04	01	H5526_806_0	2	1	1	U.S.	01111111111111111111111111110000011111111111001110	1						
H5526	808	0	1	04	01	H5526_808_0	2	1	1	U.S.	01111111111111111111111111110000011111111111001110	1						
H5526	810	0	1	04	01	H5526_810_0	2	1	1	U.S.	01111111111111111111111111110000011111111111001110	1						
H5529	001	0	1	04	01	H5529_001_0	7	1	1	Out of Area Covered Services	01111111111111111111110111110000011111111111111110	1						
H5529	004	0	1	04	01	H5529_004_0	7	1	1	Out of Area Covered Services	01111111111111111111110111110000011111111111111110	1						
H5530	001	0	1	04	01	H5530_001_0	9	1	1	Out of Area Covered Services	01111111111111111111110111110000011111111111011110	1						
H5530	004	0	1	04	01	H5530_004_0	8	1	1	Out of Area Covered Services	01111111111111111111110111110000011111111111111110	1						
H5532	001	0	1	04	01	H5532_001_0	5	1	1	Visitor Travel	01111111111111111111110111110000011111111111111111	1						
H5749	001	0	1	02	01	H5749_001_0	4	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H5774	806	0	1	01	01	H5774_806_0	2	1	1		00101111111111111111111011111111101111111111111010	2	2			2		
H5793	001	0	1	01	01	H5793_001_0	3	1	1	Tier 1	01111111111111111111110111110000011111111111111110	1						
H5793	008	0	1	01	01	H5793_008_0	3	1	1	Tier 1	01111111111111111111110111110000011111111111111110	1						
H5813	003	0	1	01	01	H5813_003_0	3	1	1	Tier 1	01111111111111111111110111110000011111111111111110	1						
H5813	006	0	1	01	01	H5813_006_0	3	1	1	Tier 1	01111111111111111111110111110000011111111111111110	1						
H5821	001	0	1	02	01	H5821_001_0	11	1	1	US Travel Services with 20% Coinsurance	00100000000000000001000111000000000000000000000000	2	1	20	20	2		
H5821	001	0	1	02	01	H5821_001_0	11	2	1	US Travel Services with 42% Coinsurance	00000000100100000000000000000000000000000000000000	2	1	42	42	2		
H5821	001	0	1	02	01	H5821_001_0	11	3	1	US Travel Services with $2 Copay	00001001000000000000000000000000000000000000000000	2	2			1	2.00	2.00
H5821	001	0	1	02	01	H5821_001_0	11	4	1	US Travel Services with $5 Copay	00000010000011111000000000000000000000000000000000	2	2			1	5.00	5.00
H5821	001	0	1	02	01	H5821_001_0	11	5	1	US Travel Services with $16 Copay	00000000000000000000000000000000000000000001000000	2	2			1	16.00	16.00
H5821	001	0	1	02	01	H5821_001_0	11	6	1	US Travel Services In-netwok Costshare	01010100011000000110110000111100011111111110111111	2	2			2		
H5821	013	0	1	02	01	H5821_013_0	8	2	1	US Travel Services with $5 Copay	00000000000001111000000000000000000000000000000000	2	2			1	5.00	5.00
H5821	013	0	1	02	01	H5821_013_0	8	4	1	US Travel Services In-network Costshare	01111111111110000111110111111100011111111110101011	2	2			2		
H5821	013	0	1	02	01	H5821_013_0	8	1	1	US Travel Services with 50% Coinsurance	00000000000000000000000000000000000000000000010100	2	1	50	50	2		
H5821	013	0	1	02	01	H5821_013_0	8	3	1	US Travel Services with $16 Copay	00000000000000000000000000000000000000000001000000	2	2			1	16.00	16.00
H5821	020	0	1	01	01	H5821_020_0	11	1	1	US Travel Services with 50% Coinsurance	00000000000000000000000000000000000000000000000100	2	1	50	50	2		
H5821	020	0	1	01	01	H5821_020_0	11	2	1	US Travel Services with $5 Copay	00000000000001111000000000000000000000000000000000	2	2			1	5.00	5.00
H5821	020	0	1	01	01	H5821_020_0	11	4	1	US Travel Services In-network Costshare	01111111111110000111110001111100011111111110111111	2	2			2		
H5821	020	0	1	01	01	H5821_020_0	11	5	1	US Travel Services with 20% Coinsurance	00000000000000000000000110000000000000000000000000	2	1	20	20	2		
H5821	020	0	1	01	01	H5821_020_0	11	3	1	US Travel Services with $15 Copay	00000000000000000000000000000000000000000001000000	2	2			1	15.00	15.00
H5832	001	0	1	01	01	H5832_001_0	3	1	1	Tier 1	01111111111111111111110111110000011111111111011110	1						
H5850	002	0	1	01	01	H5850_002_0	5	1	1	V/T Services	00001111111011111110000000000000001000000110000000	1						
H5850	003	0	1	01	01	H5850_003_0	6	1	1	V/T Services	00001111111011111110000000000000001000000110000000	1						
H5850	004	0	1	01	01	H5850_004_0	6	1	1	V/T Services	00001111111011111110000000000000001000000110000000	1						
H5850	005	0	1	01	01	H5850_005_0	6	1	1	V/T Services	00001111111011111110000000000000001000000110000000	1						
H5850	006	0	1	01	01	H5850_006_0	6	1	1	V/T Services	00001111111011111110000000000000001000000110000000	1						
H5850	007	0	1	01	01	H5850_007_0	7	1	1	V/T Services	00001111111011111110000000000000001000000110000000	1						
H5850	012	0	1	01	01	H5850_012_0	6	1	1	V/T Services	00001111111011111110000000000000001000000110000000	1						
H5850	016	0	1	01	01	H5850_016_0	7	1	1	V/T Services	00001111111011111110000000000000001000000110000000	1						
H5850	017	0	1	02	01	H5850_017_0	7	1	1	V/T Services	00001111111011111110000000000000001000000110000000	1						
H5850	019	0	1	01	01	H5850_019_0	6	1	1	V/T Services	00001111111011111110000000000000001000000110000000	1						
H5850	020	0	1	01	01	H5850_020_0	7	1	1	V/T Services	00001111111011111110000000000000001000000110000000	1						
H5850	021	0	1	01	01	H5850_021_0	5	1	1	V/T Services	00001111111011111110000000000000001000000110000000	1						
H5850	022	0	1	01	01	H5850_022_0	6	1	1	V/T Services	00001111111011111110000000000000001000000110000000	1						
H5868	001	0	1	04	01	H5868_001_0	6	1	1		01111111111111111111110111110011011111111111011110	1						
H5868	004	0	1	04	01	H5868_004_0	4	1	1		01111111111111111111110111110011011111111111011110	1						
H5868	007	0	1	04	01	H5868_007_0	7	1	1		01111111111111111111110111110011011111111111011110	1						
H5950	001	0	1	01	01	H5950_001_0	3	1	1	Tier 1	01111111111111111111110111110000011111111111111110	1						
H5970	001	0	1	04	01	H5970_001_0	5	1	1		01111111111111111111110111110011011111111111111110	1						
H5970	002	0	1	04	01	H5970_002_0	5	1	1		01111111111111111111110111110011011111111111111111	1						
H5970	004	0	1	04	01	H5970_004_0	5	1	1		01111111111111111111110111110011011111111111111111	1						
H6360	001	0	1	18	06	H6360_001_0	5	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H6360	002	0	1	18	06	H6360_002_0	4	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H6360	004	0	1	18	06	H6360_004_0	3	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H6360	006	0	1	18	06	H6360_006_0	4	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H6360	007	0	1	18	06	H6360_007_0	3	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H6360	008	0	1	18	06	H6360_008_0	3	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H6360	009	0	2	18	06	H6360_009_0	5	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H6360	010	0	1	18	06	H6360_010_0	4	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H6360	011	0	1	18	06	H6360_011_0	3	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H6411	002	0	1	04	01	H6411_002_0	4	1	1		01111111111111111111110111110111011111111111111110	1						
H6411	007	0	1	04	01	H6411_007_0	4	1	1		01111111111111111111110111110111011111111111111110	1						
H6411	008	0	1	04	01	H6411_008_0	3	1	1		01111111111111111111110111110111011111111111111110	1						
H6609	001	0	1	04	01	H6609_001_0	3	1	1		01111111111111111111110111110011011111111111011110	1						
H6609	002	0	1	04	01	H6609_002_0	2	1	1		01111111111111111111110111110011011111111111011110	1						
H6609	003	0	1	04	01	H6609_003_0	4	1	1		01111111111111111111110111110011011111111111011110	1						
H6609	004	0	1	04	01	H6609_004_0	2	1	1		01111111111111111111110111110011011111111111011110	1						
H6609	005	0	1	04	01	H6609_005_0	4	1	1		01111111111111111111110111110101011111111111011110	1						
H6609	006	0	1	04	01	H6609_006_0	3	1	1		01111111111111111111110111110011011111111111011110	1						
H6609	009	0	1	04	01	H6609_009_0	4	1	1	Group 1	01111111111111111111110111110011011111111111111110	1						
H6609	010	0	1	04	01	H6609_010_0	4	1	1	Group 1	01111111111111111111110111110011011111111111111110	1						
H6609	011	0	1	04	01	H6609_011_0	5	1	1	Group 1	01111111111111111111110111110011011111111111111110	1						
H6609	012	0	1	04	01	H6609_012_0	3	1	1	Group 1	01111111111111111111110111110011011111111111111110	1						
H6609	013	0	1	04	01	H6609_013_0	4	1	1	Group 1	01111111111111111111110111110011011111111111111110	1						
H6609	014	0	1	04	01	H6609_014_0	4	1	1	Group 1	01111111111111111111110111110011011111111111111110	1						
H6609	015	0	1	04	01	H6609_015_0	4	1	1	Group 1	01111111111111111111110111110011011111111111111110	1						
H6609	016	0	1	04	01	H6609_016_0	4	1	1	Group 1	01111111111111111111110111110011011111111111111110	1						
H6609	017	0	1	04	01	H6609_017_0	3	1	1		01111111111111111111110111110001011111111111011110	1						
H6609	018	0	1	04	01	H6609_018_0	5	1	1		01111111111111111111110111110001011111111111011110	1						
H6609	019	0	1	04	01	H6609_019_0	5	1	1		01111111111111111111110111110011011111111111011110	1						
H6609	021	0	1	04	01	H6609_021_0	3	1	1		01111111111111111111110111110001011111111111011110	1						
H6609	022	0	1	04	01	H6609_022_0	8	1	1		01111111111111111111110111110001011111111111011110	1						
H6609	023	0	1	04	01	H6609_023_0	8	1	1		01111111111111111111110111110011011111111111011110	1						
H6609	024	0	1	04	01	H6609_024_0	2	1	1		01111111111111111111110111110011011111111111011110	1						
H6609	028	0	1	04	01	H6609_028_0	6	1	1		01111111111111111111110111110001011111111111011110	1						
H6609	029	0	1	04	01	H6609_029_0	4	1	1	Group 1	01111111111111111111110111110011011111111111111110	1						
H6609	036	0	1	04	01	H6609_036_0	3	1	1	Group 1	01111111111111111111110111110011011111111111111110	1						
H6609	038	0	1	04	01	H6609_038_0	4	1	1	Group 1	01111111111111111111110111110011011111111111111110	1						
H6609	041	0	1	04	01	H6609_041_0	4	1	1	Group 1	01111111111111111111110111110011011111111111111110	1						
H6609	042	0	1	04	01	H6609_042_0	4	1	1	Group 1	01111111111111111111110111110011011111111111111110	1						
H6609	045	0	1	04	01	H6609_045_0	4	1	1	Group 1	01111111111111111111110111110011011111111111111110	1						
H6609	046	0	1	04	01	H6609_046_0	4	1	1	Group 1	01111111111111111111110111110011011111111111111110	1						
H6609	049	0	1	04	01	H6609_049_0	5	1	1	Group 1	01111111111111111111110111110011011111111111111110	1						
H6609	050	0	1	04	01	H6609_050_0	4	1	1	Group 1	01111111111111111111110111110011011111111111111110	1						
H6609	051	0	1	04	01	H6609_051_0	4	1	1		01111111111111111111110111110111011111111111011110	1						
H6900	001	0	1	04	01	H6900_001_0	4	1	1		01111111111111111111110111110011011111111111111110	1						
H6900	002	0	1	04	01	H6900_002_0	6	1	1		01111111111111111111110111110011011111111111111111	1						
H6900	004	0	1	04	01	H6900_004_0	6	1	1		01111111111111111111110111110011011111111111111110	1						
H6900	005	0	1	04	01	H6900_005_0	5	1	1		01111111111111111111110111110011011111111111111111	1						
H6923	001	0	1	01	01	H6923_001_0	3	1	1	Tier 1	01111111111111111111110111110000011111111111111110	1						
H6923	003	0	1	01	01	H6923_003_0	3	1	1	Tier 1	01111111111111111111110111110000011111111111111111	1						
H7002	002	0	1	04	01	H7002_002_0	4	1	1		01111111111111111111110111110010011111111111011110	1						
H7187	003	0	1	02	01	H7187_003_0	4	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H7187	009	0	1	02	01	H7187_009_0	4	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H7188	003	0	1	04	01	H7188_003_0	8	1	1		01111111111111111111110111110111011111111111111110	1						
H7188	005	0	1	04	01	H7188_005_0	3	1	1		01111111111111111111110111110111011111111111111110	1						
H7526	001	0	1	01	01	H7526_001_0	5	1	1	Outpatient Services	01111111111111111111110111110000011111111111011111	2	1	20	20	2		
H7526	003	0	1	01	01	H7526_003_0	4	1	1	Outpatient Services	01111111111111111111110111110000011111111111011111	2	1	20	20	2		
H7526	004	0	1	01	01	H7526_004_0	5	1	1	Outpatient Services	01111111111111111111110111110000011111111111011111	2	1	20	20	2		
H7908	001	0	1	01	01	H7908_001_0	3	1	1	Tier 1	01111111111111111111110111110000011111111111111110	1						
H7917	008	0	1	04	01	H7917_008_0	7	6	1	Outpatient Diag/Lab/X-Rays	00000000000001001000000000000000000000000000000000	2	2			2		
H7917	008	0	1	04	01	H7917_008_0	7	9	1	$100 Cost Group	00000000000000000000000000000000000000000000110100	2	2			2		
H7917	008	0	1	04	01	H7917_008_0	7	7	1	Not Covered	00000000001000000000001000001110100000000000000001	2	2			2		
H7917	008	0	1	04	01	H7917_008_0	7	8	1	$20 Cost Group	01000100000010000000100000000000000000000000000000	2	2			1	20.00	20.00
H7917	008	0	1	04	01	H7917_008_0	7	1	1	Preventative Services and HH	00010000000000000000000001010001011111111110000000	2	2			2		
H7917	008	0	1	04	01	H7917_008_0	7	2	1	$35 Cost Group	00100011110100000001000000000000000000000000001010	2	2			1	35.00	35.00
H7917	008	0	1	04	01	H7917_008_0	7	3	1	$150 Cost Group	00000000000000000110010000000000000000000000000000	2	2			1	150.00	150.00
H7917	008	0	1	04	01	H7917_008_0	7	4	1		00001000000000000000000000000000000000000000000000	2	2			1	15.00	15.00
H7917	008	0	1	04	01	H7917_008_0	7	5	1		00000000000000110000000110100000000000000001000000	2	1	20	20	2		
H7917	009	0	1	04	01	H7917_009_0	7	8	1	$20 Cost Group	01000100000010000000100000000000000000000000000000	2	2			1	20.00	20.00
H7917	009	0	1	04	01	H7917_009_0	7	9	1	$100 Cost Group	00000000000000000000000000000000000000000000110100	2	2			2		
H7917	009	0	1	04	01	H7917_009_0	7	1	1	Preventative Services and HH	00010000000000000000000001010001011111111110000000	2	2			2		
H7917	009	0	1	04	01	H7917_009_0	7	7	1	Not Covered	00000000001000000000001000001110100000000000000001	2	2			2		
H7917	009	0	1	04	01	H7917_009_0	7	2	1	$35 Cost Group	00100011110100000001000000000000000000000000001010	2	2			1	35.00	35.00
H7917	009	0	1	04	01	H7917_009_0	7	5	1		00000000000000110000000110100000000000000001000000	2	1	20	20	2		
H7917	009	0	1	04	01	H7917_009_0	7	4	1		00001000000000000000000000000000000000000000000000	2	2			1	15.00	15.00
H7917	009	0	1	04	01	H7917_009_0	7	3	1	$150 Cost Group	00000000000000000110010000000000000000000000000000	2	2			1	150.00	150.00
H7917	009	0	1	04	01	H7917_009_0	7	6	1	Outpatient Diag/Lab/X-Rays	00000000000001001000000000000000000000000000000000	2	2			2		
H7917	010	0	1	04	01	H7917_010_0	7	5	1		00000000000000110000000110100000000000000001000000	2	1	20	20	2		
H7917	010	0	1	04	01	H7917_010_0	7	6	1	Outpatient Diag/Lab/X-Rays	00000000000001001000000000000000000000000000000000	2	2			2		
H7917	010	0	1	04	01	H7917_010_0	7	7	1	Not Covered	00000000001000000000001000001110100000000000000001	2	2			2		
H7917	010	0	1	04	01	H7917_010_0	7	8	1	$20 Cost Group	01000100000010000000100000000000000000000000000000	2	2			1	20.00	20.00
H7917	010	0	1	04	01	H7917_010_0	7	9	1	$100 Cost Group	00000000000000000000000000000000000000000000110100	2	2			2		
H7917	010	0	1	04	01	H7917_010_0	7	1	1	Preventative Services and HH	00010000000000000000000001010001011111111110000000	2	2			2		
H7917	010	0	1	04	01	H7917_010_0	7	2	1	$35 Cost Group	00100011110100000001000000000000000000000000001010	2	2			1	35.00	35.00
H7917	010	0	1	04	01	H7917_010_0	7	3	1	$150 Cost Group	00000000000000000110010000000000000000000000000000	2	2			1	150.00	150.00
H7917	010	0	1	04	01	H7917_010_0	7	4	1		00001000000000000000000000000000000000000000000000	2	2			1	15.00	15.00
H7917	011	0	1	04	01	H7917_011_0	6	6	1	Outpatient Diag/Lab/X-Rays	00000000000001001000000000000000000000000000000000	2	2			2		
H7917	011	0	1	04	01	H7917_011_0	6	7	1	Not Covered	00000000001000000000001000001110100000000000000001	2	2			2		
H7917	011	0	1	04	01	H7917_011_0	6	4	1		00001000000000000000000000000000000000000000000000	2	2			1	15.00	15.00
H7917	011	0	1	04	01	H7917_011_0	6	3	1	$150 Cost Group	00000000000000000110010000000000000000000000000000	2	2			1	150.00	150.00
H7917	011	0	1	04	01	H7917_011_0	6	2	1	$35 Cost Group	00100011110100000001000000000000000000000000001010	2	2			1	35.00	35.00
H7917	011	0	1	04	01	H7917_011_0	6	1	1	Preventative Services and HH	00010000000000000000000001010001011111111110000000	2	2			2		
H7917	011	0	1	04	01	H7917_011_0	6	5	1		00000000000000110000000110100000000000000001000000	2	1	20	20	2		
H7917	011	0	1	04	01	H7917_011_0	6	9	1	$100 Cost Group	00000000000000000000000000000000000000000000110100	2	2			2		
H7917	011	0	1	04	01	H7917_011_0	6	8	1	$20 Cost Group	01000100000010000000100000000000000000000000000000	2	2			1	20.00	20.00
H7917	012	0	1	04	01	H7917_012_0	7	7	1	20% Cost Group	00000000000000110000000110100000000000000001000000	1						
H7917	012	0	1	04	01	H7917_012_0	7	6	1	Ambulance	00000000000000000000010000000000000000000000000000	2	2			1	150.00	150.00
H7917	012	0	1	04	01	H7917_012_0	7	5	1	$225 Cost Group	00000000000000000110000000000000000000000000000000	2	2			1	225.00	225.00
H7917	012	0	1	04	01	H7917_012_0	7	4	1	$35 Cost Group	00100001111100000001000000000000000000000000001010	2	2			1	35.00	35.00
H7917	012	0	1	04	01	H7917_012_0	7	3	1	$20	01001110000010000000100000000000000000000000000000	2	2			1	20.00	20.00
H7917	012	0	1	04	01	H7917_012_0	7	1	1	Not Covered	00000000000000000000001000001110100000000000000001	2	2			2		
H7917	012	0	1	04	01	H7917_012_0	7	2	1	Zero Cost Group	00010000000001001000000001010001011111111110000000	2	2			2		
H7917	012	0	1	04	01	H7917_012_0	7	8	1	$100 Cost Group	00000000000000000000000000000000000000000000110100	2	2			2		
H7917	013	0	1	04	01	H7917_013_0	7	1	1	Not Covered	00000000000000000000001000001110100000000000000001	2	2			2		
H7917	013	0	1	04	01	H7917_013_0	7	2	1	Zero Cost Group	00010000000001001000000001010001011111111110000000	2	2			2		
H7917	013	0	1	04	01	H7917_013_0	7	3	1	$20	01001110000010000000100000000000000000000000000000	2	2			1	20.00	20.00
H7917	013	0	1	04	01	H7917_013_0	7	4	1	$35 Cost Group	00100001111100000001000000000000000000000000001010	2	2			1	35.00	35.00
H7917	013	0	1	04	01	H7917_013_0	7	5	1	$225 Cost Group	00000000000000000110000000000000000000000000000000	2	2			1	225.00	225.00
H7917	013	0	1	04	01	H7917_013_0	7	7	1	20% Cost Group	00000000000000110000000110100000000000000001000000	1						
H7917	013	0	1	04	01	H7917_013_0	7	6	1	Ambulance	00000000000000000000010000000000000000000000000000	2	2			1	150.00	150.00
H7917	013	0	1	04	01	H7917_013_0	7	8	1	$100 Cost Group	00000000000000000000000000000000000000000000110100	2	2			2		
H7917	014	0	1	04	01	H7917_014_0	7	7	1	20% Cost Group	00000000000000110000000110100000000000000001000000	1						
H7917	014	0	1	04	01	H7917_014_0	7	6	1	Ambulance	00000000000000000000010000000000000000000000000000	2	2			1	150.00	150.00
H7917	014	0	1	04	01	H7917_014_0	7	5	1	$225 Cost Group	00000000000000000110000000000000000000000000000000	2	2			1	225.00	225.00
H7917	014	0	1	04	01	H7917_014_0	7	4	1	$35 Cost Group	00100001111100000001000000000000000000000000001010	2	2			1	35.00	35.00
H7917	014	0	1	04	01	H7917_014_0	7	3	1	$20	01001110000010000000100000000000000000000000000000	2	2			1	20.00	20.00
H7917	014	0	1	04	01	H7917_014_0	7	2	1	Zero Cost Group	00010000000001001000000001010001011111111110000000	2	2			2		
H7917	014	0	1	04	01	H7917_014_0	7	1	1	Not Covered	00000000000000000000001000001110100000000000000001	2	2			2		
H7917	014	0	1	04	01	H7917_014_0	7	8	1	$100 Cost Group	00000000000000000000000000000000000000000000110100	2	2			2		
H7917	015	0	1	04	01	H7917_015_0	7	7	1	20% Cost Group	00000000000000110000000110100000000000000001000000	1						
H7917	015	0	1	04	01	H7917_015_0	7	6	1	Ambulance	00000000000000000000010000000000000000000000000000	2	2			1	150.00	150.00
H7917	015	0	1	04	01	H7917_015_0	7	5	1	$225 Cost Group	00000000000000000110000000000000000000000000000000	2	2			1	225.00	225.00
H7917	015	0	1	04	01	H7917_015_0	7	4	1	$35 Cost Group	00100001111100000001000000000000000000000000001010	2	2			1	35.00	35.00
H7917	015	0	1	04	01	H7917_015_0	7	3	1	$20	01001110000010000000100000000000000000000000000000	2	2			1	20.00	20.00
H7917	015	0	1	04	01	H7917_015_0	7	2	1	Zero Cost Group	00010000000001001000000001010001011111111110000000	2	2			2		
H7917	015	0	1	04	01	H7917_015_0	7	1	1	Not Covered	00000000000000000000001000001110100000000000000001	2	2			2		
H7917	015	0	1	04	01	H7917_015_0	7	8	1	$100 Cost Group	00000000000000000000000000000000000000000000110100	2	2			2		
H7917	026	0	1	04	01	H7917_026_0	5	1	1	Not Covered	00000000000000000000001000001110100000000000000001	2	2			2		
H7917	026	0	1	04	01	H7917_026_0	5	2	1	Zero Cost Group	00010000000001001000000001010001011111111110000000	2	2			2		
H7917	026	0	1	04	01	H7917_026_0	5	3	1	$20	01001110000010000000100000000000000000000000000000	2	2			1	20.00	20.00
H7917	026	0	1	04	01	H7917_026_0	5	4	1	$35 Cost Group	00100001111100000001000000000000000000000000001010	2	2			1	35.00	35.00
H7917	026	0	1	04	01	H7917_026_0	5	5	1	$225 Cost Group	00000000000000000110000000000000000000000000000000	2	2			1	225.00	225.00
H7917	026	0	1	04	01	H7917_026_0	5	6	1	Ambulance	00000000000000000000010000000000000000000000000000	2	2			1	150.00	150.00
H7917	026	0	1	04	01	H7917_026_0	5	7	1	20% Cost Group	00000000000000110000000110100000000000000001000000	1						
H7917	026	0	1	04	01	H7917_026_0	5	8	1	$100 Cost Group	00000000000000000000000000000000000000000000110100	2	2			2		
H7917	027	0	1	04	01	H7917_027_0	5	4	1	$35 Cost Group	00100001111100000001000000000000000000000000001010	2	2			1	35.00	35.00
H7917	027	0	1	04	01	H7917_027_0	5	5	1	$225 Cost Group	00000000000000000110000000000000000000000000000000	2	2			1	225.00	225.00
H7917	027	0	1	04	01	H7917_027_0	5	6	1	Ambulance	00000000000000000000010000000000000000000000000000	2	2			1	150.00	150.00
H7917	027	0	1	04	01	H7917_027_0	5	7	1	20% Cost Group	00000000000000110000000110100000000000000001000000	1						
H7917	027	0	1	04	01	H7917_027_0	5	8	1	$100 Cost Group	00000000000000000000000000000000000000000000110100	2	2			2		
H7917	027	0	1	04	01	H7917_027_0	5	1	1	Not Covered	00000000000000000000001000001110100000000000000001	2	2			2		
H7917	027	0	1	04	01	H7917_027_0	5	2	1	Zero Cost Group	00010000000001001000000001010001011111111110000000	2	2			2		
H7917	027	0	1	04	01	H7917_027_0	5	3	1	$20	01001110000010000000100000000000000000000000000000	2	2			1	20.00	20.00
H7917	801	0	1	04	01	H7917_801_0	3	1	1	MH-Psych	00000000100100000000000000000000000000000000000000	2	1	45	45	2		
H7917	801	0	1	04	01	H7917_801_0	3	2	1	All Others	01011111011011111111110111110000011111111111011110	2	1	0	20	2		
H7917	801	0	1	04	01	H7917_801_0	3	3	1	Partial Hospitalization	00100000000000000000000000000000000000000000000000	2	1	50	50	2		
H7917	801	0	1	04	01	H7917_801_0	3	4	1	Non Covered	00000000000000000000001000001111100000000000100001	2	1	0	100	2		
H7917	802	0	1	04	01	H7917_802_0	3	1	1	MH-Psych	00000000100100000000000000000000000000000000000000	2	1	45	45	2		
H7917	802	0	1	04	01	H7917_802_0	3	2	1	All Others	01011111011011111111110111110000011111111111011110	2	1	0	20	2		
H7917	802	0	1	04	01	H7917_802_0	3	4	1	Non Covered	00000000000000000000001000001111100000000000100001	2	1	0	100	2		
H7917	802	0	1	04	01	H7917_802_0	3	3	1	Partial Hospitalization	00100000000000000000000000000000000000000000000000	2	1	50	50	2		
H7917	803	0	1	04	01	H7917_803_0	3	1	1	MH-Psych	00000000100100000000000000000000000000000000000000	2	1	45	45	2		
H7917	803	0	1	04	01	H7917_803_0	3	3	1	Partial Hospitalization	00100000000000000000000000000000000000000000000000	2	1	50	50	2		
H7917	803	0	1	04	01	H7917_803_0	3	2	1	All Others	01011111011011111111110111110000011111111111011110	2	1	0	20	2		
H7917	803	0	1	04	01	H7917_803_0	3	4	1	Non Covered	00000000000000000000001000001111100000000000100001	2	1	0	100	2		
H8091	001	0	1	04	01	H8091_001_0	5	1	1	All Other	01111111111111111111110111110000011111111111011110	1						
H8644	003	0	1	04	01	H8644_003_0	6	1	1		01111111111111111111110111110111011111111111111110	1						
H8707	001	0	1	04	01	H8707_001_0	5	1	1		01111111111111111111110111110000011111111111111110	1						
H8707	003	0	1	04	01	H8707_003_0	5	1	1		01111111111111111111110111110000011111111111011110	1						
H8707	005	0	1	04	01	H8707_005_0	4	1	1		01111111111111111111110111110000011111111111111110	1						
H8707	006	0	1	04	01	H8707_006_0	5	1	1		01111111111111111111110111110000011111111111111110	1						
H8707	007	0	1	04	01	H8707_007_0	5	1	1		01111111111111111111110111110000011111111111011110	1						
H8748	001	0	1	02	01	H8748_001_0	5	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H8748	002	0	1	02	01	H8748_002_0	5	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H8748	003	0	1	02	01	H8748_003_0	6	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H8748	004	0	1	02	01	H8748_004_0	5	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
H9001	001	0	1	01	01	H9001_001_0	5	1	1		00001000010001001000000000000000000000000000000000	1						
H9001	010	0	1	01	01	H9001_010_0	8	1	1		00001000010001001000000000000000000000000000000000	1						
H9001	011	0	1	01	01	H9001_011_0	7	1	1		00001000010001001000000000000000000000000000000000	1						
H9001	013	0	1	01	01	H9001_013_0	7	1	1		00001000010001001000000000000000000000000000000000	1						
H9001	015	0	1	01	01	H9001_015_0	6	1	1		00001000010001001000000000000000000000000000000000	1						
H9001	017	0	1	01	01	H9001_017_0	6	1	1		00001000010001001000000000000000000000000000000000	1						
H9001	020	0	1	01	01	H9001_020_0	6	1	1		00001000010001001000000000000000000000000000000000	1						
H9001	021	0	1	01	01	H9001_021_0	6	1	1		00001000010001001000000000000000000000000000000000	1						
H9001	022	0	1	01	01	H9001_022_0	5	1	1		00001000010001001000000000000000000000000000000000	1						
H9001	024	0	1	01	01	H9001_024_0	6	1	1		00001000010001001000000000000000000000000000000000	1						
H9001	025	0	1	01	01	H9001_025_0	6	1	1		00001000010001001000000000000000000000000000000000	1						
H9001	026	0	1	01	01	H9001_026_0	5	1	1		00001000010001001000000000000000000000000000000000	1						
H9001	801	0	1	01	01	H9001_801_0	3	1	1		00001000010001001000000000000000000000000000000000	1						
H9001	803	0	1	01	01	H9001_803_0	3	1	1		00001000010001001000000000000000000000000000000000	1						
H9003	001	0	1	01	01	H9003_001_0	8	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H9003	006	0	1	01	01	H9003_006_0	5	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H9003	801	0	1	01	01	H9003_801_0	4	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H9003	802	0	1	01	01	H9003_802_0	4	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H9003	805	0	1	01	01	H9003_805_0	3	1	1	Inter-Regional Benefit Program	00011011111111111111110000110000011111111111001010	2	2			1	0.00	0.00
H9011	003	0	1	01	01	H9011_003_0	5	1	1	Visitor Travel	01111111111111111111111111110100011111111111111111	1						
H9011	016	0	1	02	01	H9011_016_0	5	1	1	Visitor Travel	01111111111111111111110111110000011111111111111111	1						
H9011	018	0	1	01	01	H9011_018_0	5	1	1	Visitor Travel	01111111111111111111110111110000011111111111111111	1						
H9011	019	0	1	02	01	H9011_019_0	5	1	1	Visitor Travel	01111111111111111111110111110000011111111111111111	1						
H9011	020	0	1	01	01	H9011_020_0	5	1	1	Visitor Travel	01111111111111111111110111110000011111111111111111	1						
H9011	021	0	1	02	01	H9011_021_0	5	1	1	Visitor Travel	01111111111111111111110111110000011111111111111111	1						
H9503	001	0	1	04	01	H9503_001_0	3	1	1		01111111111111111111110111110010011111111111111110	1						
H9503	003	0	1	04	01	H9503_003_0	3	1	1		01111111111111111111110111110010011111111111111110	1						
H9572	001	1	1	04	01	H9572_001_1	12	1	1		01111111111111111111110111110000011111111111111111	1						
H9572	001	2	1	04	01	H9572_001_2	13	1	1		01111111111111111111110111110000011111111111111111	1						
H9572	001	3	1	04	01	H9572_001_3	12	1	1		01111111111111111111110111110000011111111111111111	1						
H9572	001	4	1	04	01	H9572_001_4	12	1	1		01111111111111111111110111110000011111111111111111	1						
H9572	001	5	1	04	01	H9572_001_5	12	1	1		01111111111111111111110111110000011111111111111111	1						
H9572	001	6	1	04	01	H9572_001_6	12	1	1		01111111111111111111110111110000011111111111111111	1						
H9572	002	1	1	04	01	H9572_002_1	11	1	1		01111111111111111111110111110000011111111111111111	1						
H9572	002	2	1	04	01	H9572_002_2	11	1	1		01111111111111111111110111110000011111111111111111	1						
H9572	002	3	1	04	01	H9572_002_3	11	1	1		01111111111111111111110111110000011111111111111111	1						
H9572	002	4	1	04	01	H9572_002_4	11	1	1		01111111111111111111110111110000011111111111111111	1						
H9572	002	5	1	04	01	H9572_002_5	11	1	1		01111111111111111111110111110000011111111111111111	1						
H9572	002	6	1	04	01	H9572_002_6	11	1	1		01111111111111111111110111110000011111111111111111	1						
H9572	003	1	1	04	01	H9572_003_1	10	1	1		01111111111111111111110111110000011111111111111111	1						
H9572	003	2	1	04	01	H9572_003_2	10	1	1		01111111111111111111110111110000011111111111111111	1						
H9572	003	3	1	04	01	H9572_003_3	10	1	1		01111111111111111111110111110000011111111111111111	1						
H9572	003	4	1	04	01	H9572_003_4	10	1	1		01111111111111111111110111110000011111111111111111	1						
H9572	003	5	1	04	01	H9572_003_5	10	1	1		01111111111111111111110111110000011111111111111111	1						
H9572	003	6	1	04	01	H9572_003_6	11	1	1		01111111111111111111110111110000011111111111111111	1						
H9572	801	0	1	04	01	H9572_801_0	13	1	1		01111111111111111111111111111111111111111111111111	1						
H9572	802	0	1	04	01	H9572_802_0	12	1	1		01111111111111111111111111111111111111111111111111	1						
H9572	803	0	1	04	01	H9572_803_0	13	1	1		01111111111111111111111111111111111111111111111111	1						
H9859	001	0	1	01	01	H9859_001_0	5	1	1	30% Coinsurance	01111111010011111111110111110000001111111011011010	2	1	30	30	2		
H9859	002	0	1	01	01	H9859_002_0	6	1	1	30% Coinsurance	01111111010011111111110111110000001111111011011010	2	1	30	30	2		
H9859	003	0	1	01	01	H9859_003_0	5	1	1	30% Coinsurance	01111111010011111111110111110000001111111011011010	2	1	30	30	2		
H9859	004	0	1	01	01	H9859_004_0	6	1	1	30% Coinsurance	01111111010011111111110111110000001111111011011010	2	1	30	30	2		
H9859	013	0	1	01	01	H9859_013_0	6	1	1	30% Coinsurance	01111111010011111111110111110000001111111011011010	2	1	30	30	2		
H9859	802	0	1	01	01	H9859_802_0	3	1	1	30% Coinsurance	01111111010011111111110111110000001111111011011010	2	1	30	30	2		
H9859	804	0	1	01	01	H9859_804_0	4	1	1	30% Coinsurance	01111111010011111111110111110000001111111011011010	2	1	30	30	2		
R3175	001	0	1	31	11	R3175_001_0	4	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
R3175	002	0	1	31	11	R3175_002_0	2	1	1	Visitor Travel	01111111111111111111110111111000011111111111011111	1						
R3332	001	0	1	31	11	R3332_001_0	10	5	1	$50 copayment	01000111010010000000100000000000000000000000011010	1						
R3332	001	0	1	31	11	R3332_001_0	10	6	1	$75 copayment	00000000000001000000000000000000000000000000000000	1						
R3332	001	0	1	31	11	R3332_001_0	10	7	1	$150 copayment	00000000000000000000010000000000000000000000000000	1						
R3332	001	0	1	31	11	R3332_001_0	10	8	1	$200 copayment	00000000000000000010000000000000000000000000000000	1						
R3332	001	0	1	31	11	R3332_001_0	10	9	1	$100 copayment	00000000000000100000000000000000000000000000000000	1						
R3332	001	0	1	31	11	R3332_001_0	10	10	1	20% coinsurance	00000000000000011101000100000000000000000001000000	1						
R3332	001	0	1	31	11	R3332_001_0	10	11	1	$40 copayment	00000000100100000000000000000000000000000000000000	1						
R3332	001	0	1	31	11	R3332_001_0	10	1	1	$0 copayment	00110000000000000000000011010000011111111110000100	1						
R3332	001	0	1	31	11	R3332_001_0	10	2	1	$5 copayment	00000000001000000000000000000000000000000000000000	1						
R3332	001	0	1	31	11	R3332_001_0	10	3	1	$15 copayment	00001000000000000000000000000000000000000000000000	1						
R3332	001	0	1	31	11	R3332_001_0	10	4	1	$25 copayment	00000000000000000000000000100000000000000000000000	1						
R5287	001	0	1	31	11	R5287_001_0	6	1	1	Visitor Travel	01111111111111111111110111110000011111111111111110	1						
R5287	002	0	1	31	11	R5287_002_0	4	1	1	Visitor Travel	01111111111111111111110111110000011111111111111110	1						
R5342	001	0	1	31	11	R5342_001_0	4	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
R5342	002	0	1	31	11	R5342_002_0	2	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
R5566	005	0	1	31	11	R5566_005_0	9	1	1	Group 1	01111111111111111111110111110000011111111111011110	1						
R5826	001	0	1	31	11	R5826_001_0	7	1	1		01111111111111111111110111110000011111111111111110	1						
R5826	002	0	1	31	11	R5826_002_0	7	1	1		01111111111111111111110111110011011111111111111110	1						
R5826	003	0	1	31	11	R5826_003_0	7	1	1		01111111111111111111110111110000011111111111111110	1						
R5826	004	0	1	31	11	R5826_004_0	8	1	1		01111111111111111111110111110000011111111111111110	1						
R5826	005	0	1	31	11	R5826_005_0	9	1	1		01111111111111111111110111110010011111111111111110	1						
R5826	006	0	1	31	11	R5826_006_0	12	1	1		01111111111111111111111111110011011111111111111110	1						
R5826	007	0	1	31	11	R5826_007_0	8	1	1		01111111111111111111110111110011011111111111111110	1						
R5826	008	0	1	31	11	R5826_008_0	7	1	1		01111111111111111111110111110011011111111111111110	1						
R5826	009	0	1	31	11	R5826_009_0	7	1	1		01111111111111111111110111110011011111111111111110	1						
R5826	010	0	1	31	11	R5826_010_0	8	1	1		01111111111111111111110111110001011111111111111110	1						
R5826	011	0	1	31	11	R5826_011_0	7	1	1		01111111111111111111110111110010011111111111111110	1						
R5826	012	0	1	31	11	R5826_012_0	7	1	1		01111111111111111111110111110111011111111111111110	1						
R5826	013	0	1	31	11	R5826_013_0	9	1	1		01111111111111111111110111110111011111111111111110	1						
R5826	014	0	1	31	11	R5826_014_0	6	1	1		01111111111111111111110111110010011111111111111110	1						
R5826	018	0	1	31	11	R5826_018_0	9	1	1		01111111111111111111110111110010011111111111011110	1						
R5826	021	0	1	31	11	R5826_021_0	8	1	1		01111111111111111111110111110011011111111111111110	1						
R5826	023	0	1	31	11	R5826_023_0	8	1	1		01111111111111111111110111110011011111111111111110	1						
R5826	026	0	1	31	11	R5826_026_0	6	1	1		01111111111111111111110111110111011111111111111110	1						
R5826	053	0	1	31	11	R5826_053_0	11	1	1		01111111111111111111111111110011011111111111111110	1						
R5826	062	0	1	31	11	R5826_062_0	7	1	1		01111111111111111111110111110011011111111111111110	1						
R5826	063	0	1	31	11	R5826_063_0	6	1	1		01111111111111111111110111110000011111111111111110	1						
R5826	064	0	1	31	11	R5826_064_0	5	1	1		01111111111111111111110111110000011111111111111110	1						
R5826	065	0	1	31	11	R5826_065_0	5	1	1		01111111111111111111110111110000011111111111111110	1						
R5826	066	0	1	31	11	R5826_066_0	6	1	1		01111111111111111111110111110011011111111111111110	1						
R5826	067	0	1	31	11	R5826_067_0	7	1	1		01111111111111111111110111110111011111111111111110	1						
R5826	068	0	1	31	11	R5826_068_0	5	1	1		01111111111111111111110111110010011111111111111110	1						
R5826	069	0	1	31	11	R5826_069_0	6	1	1		01111111111111111111110111110111011111111111111110	1						
R5826	070	0	1	31	11	R5826_070_0	5	1	1		01111111111111111111110111110010011111111111111110	1						
R5826	072	0	1	31	11	R5826_072_0	9	1	1		01111111111111111111110111110011011111111111111110	1						
R5826	074	0	1	31	11	R5826_074_0	7	1	1		01111111111111111111110111110010011111111111011110	1						
R5826	076	0	1	31	11	R5826_076_0	5	1	1		01111111111111111111110111110010011111111111011110	1						
R5826	077	0	1	31	11	R5826_077_0	6	1	1		01111111111111111111110111110000011111111111011110	1						
R5826	078	0	1	31	11	R5826_078_0	5	1	1		01111111111111111111110111110010011111111111011110	1						
R5826	079	0	1	31	11	R5826_079_0	5	1	1		01111111111111111111110111110000011111111111011110	1						
R5826	080	0	1	31	11	R5826_080_0	8	1	1		01111111111111111111110111110011011111111111111110	1						
R5826	081	0	1	31	11	R5826_081_0	7	1	1		01111111111111111111110111110011011111111111111110	1						
R5826	082	0	1	31	11	R5826_082_0	8	1	1		01111111111111111111110111110011011111111111111110	1						
R5941	003	0	1	31	11	R5941_003_0	12	1	1	Out of Area Covered Services	01111111111111111111110111110000011111111111111110	1						
R5941	007	0	1	31	11	R5941_007_0	4	1	1	Out of Area Covered Services	01111111111111111111110111110000011111111111111110	1						
R5941	008	0	1	31	11	R5941_008_0	7	1	1	Out of Area Covered Services	01111111111111111111110111110000011111111111111110	1						
R5941	009	0	1	31	11	R5941_009_0	10	1	1	Out of Area Covered Services	01111111111111111111110111110000011111111111010010	1						
R5941	801	0	1	31	11	R5941_801_0	6	1	1		01111111111111111111110111110000011111111111011110	1						
R5941	802	0	1	31	11	R5941_802_0	6	1	1		01111111111111111111110111110000011111111111011110	1						
R5941	805	0	1	31	11	R5941_805_0	6	1	1		01111111111111111111110111110000011111111111011110	1						
R5941	806	0	1	31	11	R5941_806_0	6	1	1		01111111111111111111110111110000011111111111011110	1						
R5941	807	0	1	31	11	R5941_807_0	6	1	1		01111111111111111111110111110000011111111111011110	1						
R5941	808	0	1	31	11	R5941_808_0	6	1	1		01111111111111111111110111110000011111111111011110	1						
R7439	001	0	1	31	11	R7439_001_0	10	1	1		01111111111111111111110111110000011111111111011110	1						
R7439	003	0	1	31	11	R7439_003_0	10	1	1		01111111111111111111110111110000011111111111011110	1						
R7439	006	0	1	31	11	R7439_006_0	10	1	1		01111111111111111111110111110000011111111111011110	1						
R7439	801	0	1	31	11	R7439_801_0	5	1	1		01111111111111111111110111110000011111111111011110	1						
R7439	802	0	1	31	11	R7439_802_0	5	1	1		01111111111111111111110111110000011111111111011110	1						
R7439	805	0	1	31	11	R7439_805_0	5	1	1		01111111111111111111110111110000011111111111011110	1						
R7439	806	0	1	31	11	R7439_806_0	5	1	1		01111111111111111111110111110000011111111111011110	1						
R7444	001	0	1	31	11	R7444_001_0	4	1	1	Visitor Travel	01111111111111111111110111110000011111111111011111	1						
R9943	001	0	1	31	11	R9943_001_0	10	1	1	Out of Area Covered Services	01111111111111111111110111110000011111111111011110	1						
R9943	004	0	1	31	11	R9943_004_0	8	1	1	Out of Area Covered Services	01111111111111111111110111111000011111111111111111	1						
R9943	805	0	1	31	11	R9943_805_0	6	1	1		01111111111111111111110111110000011111111111011110	1						
R9943	806	0	1	31	11	R9943_806_0	6	1	1		01111111111111111111110111110000011111111111011110	1						
R9943	807	0	1	31	11	R9943_807_0	6	1	1		01111111111111111111110111110000011111111111011110	1						
