pbp_a_hnumber	pbp_a_plan_identifier	segment_id	pbp_a_ben_cov	pbp_a_plan_type	orgtype	bid_id	version	pbp_c_pos_outpt_group_num_id	pbp_c_pos_group_lbl	pbp_c_pos_outpt_bendesc_cats	pbp_c_pos_outpt_coins_yn	pbp_c_pos_outpt_coins_min_pct	pbp_c_pos_outpt_coins_max_pct	pbp_c_pos_outpt_copay_yn	pbp_c_pos_outpt_copay_min_amt	pbp_c_pos_outpt_copay_max_amt	pbp_c_pos_outpt_maxplan_yn	pbp_c_pos_outpt_maxplan_amt	pbp_c_pos_outpt_maxplan_per	pbp_c_pos_outpt_deduct_yn	pbp_c_pos_outpt_deduct_amt	pbp_c_pos_outpt_cost_share	pbp_c_pos_outpt_cs_coins_yn	pbp_c_pos_outpt_cs_coins_min	pbp_c_pos_outpt_cs_coins_max	pbp_c_pos_outpt_cs_copay_yn	pbp_c_pos_outpt_cs_copay_min	pbp_c_pos_outpt_cs_copay_max
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H1080	004	0	1	02	01	H1080_004_0	4	1	Group 1	00000010000000000000000000000000000000100000	2			1	40.00	40.00	2			2								
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H2320	012	0	1	02	01	H2320_012_0	5	3	$100 Copay	00000000000000000000100000000000000000000000	2			1	100.00	100.00	2			2								
H2320	012	0	1	02	01	H2320_012_0	5	2	$175 Copay	00000000000000001000000000000000000000000000	2			1	175.00	175.00	2			2		3	2			1	45.00	45.00
H2320	012	0	1	02	01	H2320_012_0	5	14	Preventive Dental	00000000000000000000000000000000000000100000	1	0	50	2			2			2								
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H2320	013	0	1	02	01	H2320_013_0	5	9	40% Coinsurance	00001000000000000000000000000000000000000000	1	40	40	2			2			2								
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H2320	013	0	1	02	01	H2320_013_0	5	3	$50 Copay	00000000001001000000010000000000000000000000	2			1	50.00	50.00	2			2								
H2320	013	0	1	02	01	H2320_013_0	5	4	$35 Copay	00000011010110000000000000000000000000001010	2			1	35.00	35.00	2			2		2						
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H2320	013	0	1	02	01	H2320_013_0	5	6	$20 Copay	00000000000000010110000000000000000000000000	2			1	20.00	20.00	2			2		3	2			1	35.00	35.00
H2320	013	0	1	02	01	H2320_013_0	5	7	$10 Copay	00000000000000000000000000010000010011000000	2			1	10.00	10.00	2			2		2						
H2320	013	0	1	02	01	H2320_013_0	5	8	$0 Copay	00000100000000000000001000000001000000000000	2			2			2			2								
H2320	015	0	1	02	01	H2320_015_0	5	4	$75 Copay	00000000000000000000000100000000000000000000	2			1	75.00	75.00	2			2								
H2320	015	0	1	02	01	H2320_015_0	5	5	$50 Copay	00000000001001000000010000000000000000000000	2			1	50.00	50.00	2			2								
H2320	015	0	1	02	01	H2320_015_0	5	6	$45 Copay	00000011010110000000000000000000000000001010	2			1	45.00	45.00	2			2		2						
H2320	015	0	1	02	01	H2320_015_0	5	7	$35 Copay	01110000100000100000000000000000000000000000	2			1	35.00	35.00	2			2								
H2320	015	0	1	02	01	H2320_015_0	5	8	$25 Copay	00000000000000000110000000000000000000000000	2			1	25.00	25.00	2			2		3	2			1	45.00	45.00
H2320	015	0	1	02	01	H2320_015_0	5	9	$20 Copay	00000000000000010000000000000000000000000000	2			1	20.00	20.00	2			2		3	2			1	45.00	45.00
H2320	015	0	1	02	01	H2320_015_0	5	1	$200 Copay	00000000000000000001000000000000000000000000	2			1	200.00	200.00	2			2								
H2320	015	0	1	02	01	H2320_015_0	5	10	$10 Copay	00000000000000000000000000010000010011000000	2			1	10.00	10.00	2			2		2						
H2320	015	0	1	02	01	H2320_015_0	5	11	$0 Copay	00000100000000000000001000000001000000000000	2			2			2			2								
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H2320	015	0	1	02	01	H2320_015_0	5	2	$175 Copay	00000000000000001000000000000000000000000000	2			1	175.00	175.00	2			2		3	2			1	45.00	45.00
H2320	015	0	1	02	01	H2320_015_0	5	3	$100 Copay	00000000000000000000100000000000000000000000	2			1	100.00	100.00	2			2								
H2320	016	0	1	02	01	H2320_016_0	5	1	$150 Copay	00000000000000001000000000000000000000000000	2			1	150.00	150.00	2			2		3	2			1	35.00	35.00
H2320	016	0	1	02	01	H2320_016_0	5	10	30% Coinsurance	00000000000000000000000001100000000000000000	1	30	30	2			2			2								
H2320	016	0	1	02	01	H2320_016_0	5	9	40% Coinsurance	00001000000000000000000000000000000000000000	1	40	40	2			2			2								
H2320	016	0	1	02	01	H2320_016_0	5	8	$0 Copay	00000100000000000000001000000001000000000000	2			2			2			2								
H2320	016	0	1	02	01	H2320_016_0	5	7	$10 Copay	00000000000000000000000000010000010011000000	2			1	10.00	10.00	2			2		2						
H2320	016	0	1	02	01	H2320_016_0	5	6	$20 Copay	00000000000000010110000000000000000000000000	2			1	20.00	20.00	2			2		3	2			1	35.00	35.00
H2320	016	0	1	02	01	H2320_016_0	5	5	$25 Copay	01110000100000100000000000000000000000000000	2			1	25.00	25.00	2			2								
H2320	016	0	1	02	01	H2320_016_0	5	4	$35 Copay	00000011010110000000000000000000000000001010	2			1	35.00	35.00	2			2		2						
H2320	016	0	1	02	01	H2320_016_0	5	3	$50 Copay	00000000001001000000010000000000000000000000	2			1	50.00	50.00	2			2								
H2320	016	0	1	02	01	H2320_016_0	5	2	$75 Copay	00000000000000000000100100000000000000000000	2			1	75.00	75.00	2			2								
H2320	016	0	1	02	01	H2320_016_0	5	15	Diabetes Self-Management $10	00000000000000000000000000000000000001000000	2			1	10.00	10.00	2			2		3	2			1	35.00	35.00
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H2320	018	0	1	02	01	H2320_018_0	5	1	$200 Copay	00000000000000000001000000000000000000000000	2			1	200.00	200.00	2			2								
H2320	018	0	1	02	01	H2320_018_0	5	8	$25 Copay	00000000000000000110000000000000000000000000	2			1	25.00	25.00	2			2		3	2			1	45.00	45.00
H2320	018	0	1	02	01	H2320_018_0	5	7	$35 Copay	01110000100000100000000000000000000000000000	2			1	35.00	35.00	2			2								
H2320	018	0	1	02	01	H2320_018_0	5	6	$45 Copay	00000011010110000000000000000000000000001010	2			1	45.00	45.00	2			2		2						
H2320	018	0	1	02	01	H2320_018_0	5	5	$50 Copay	00000000001001000000010000000000000000000000	2			1	50.00	50.00	2			2								
H2320	018	0	1	02	01	H2320_018_0	5	4	$75 Copay	00000000000000000000000100000000000000000000	2			1	75.00	75.00	2			2								
H2320	018	0	1	02	01	H2320_018_0	5	9	$20 Copay	00000000000000010000000000000000000000000000	2			1	20.00	20.00	2			2		3	2			1	45.00	45.00
H2320	018	0	1	02	01	H2320_018_0	5	2	$175 Copay	00000000000000001000000000000000000000000000	2			1	175.00	175.00	2			2		3	2			1	45.00	45.00
H2320	018	0	1	02	01	H2320_018_0	5	14	Preventive Dental	00000000000000000000000000000000000000100000	1	0	50	2			2			2								
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H2320	018	0	1	02	01	H2320_018_0	5	12	40% Coinsurance	00001000000000000000000000000000000000000000	1	40	40	2			2			2								
H2320	018	0	1	02	01	H2320_018_0	5	11	$0 Copay	00000100000000000000001000000001000000000000	2			2			2			2								
H2320	018	0	1	02	01	H2320_018_0	5	10	$10 Copay	00000000000000000000000000010000010011000000	2			1	10.00	10.00	2			2		2						
H2320	018	0	1	02	01	H2320_018_0	5	3	$100 Copay	00000000000000000000100000000000000000000000	2			1	100.00	100.00	2			2								
H2320	019	0	1	02	01	H2320_019_0	5	8	$0 Copay	00000100000000000000001000000001000000000000	2			2			2			2								
H2320	019	0	1	02	01	H2320_019_0	5	7	$10 Copay	00000000000000000000000000010000010011000000	2			1	10.00	10.00	2			2		2						
H2320	019	0	1	02	01	H2320_019_0	5	10	30% Coinsurance	00000000000000000000000001100000000000000000	1	30	30	2			2			2								
H2320	019	0	1	02	01	H2320_019_0	5	9	40% Coinsurance	00001000000000000000000000000000000000000000	1	40	40	2			2			2								
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H2320	019	0	1	02	01	H2320_019_0	5	15	Diabetes Self-Management $10	00000000000000000000000000000000000001000000	2			1	10.00	10.00	2			2		3	2			1	35.00	35.00
H2320	019	0	1	02	01	H2320_019_0	5	2	$75 Copay	00000000000000000000100100000000000000000000	2			1	75.00	75.00	2			2								
H2320	019	0	1	02	01	H2320_019_0	5	3	$50 Copay	00000000001001000000010000000000000000000000	2			1	50.00	50.00	2			2								
H2320	019	0	1	02	01	H2320_019_0	5	4	$35 Copay	00000011010110000000000000000000000000001010	2			1	35.00	35.00	2			2		2						
H2320	019	0	1	02	01	H2320_019_0	5	5	$25 Copay	01110000100000100000000000000000000000000000	2			1	25.00	25.00	2			2								
H2320	019	0	1	02	01	H2320_019_0	5	6	$20 Copay	00000000000000010110000000000000000000000000	2			1	20.00	20.00	2			2		3	2			1	35.00	35.00
H2320	019	0	1	02	01	H2320_019_0	5	1	$150 Copay	00000000000000001000000000000000000000000000	2			1	150.00	150.00	2			2		3	2			1	35.00	35.00
H2320	021	0	1	02	01	H2320_021_0	5	14	Preventive Dental	00000000000000000000000000000000000000100000	1	0	50	2			2			2								
H2320	021	0	1	02	01	H2320_021_0	5	8	$25 Copay	00000000000000000110000000000000000000000000	2			1	25.00	25.00	2			2		3	2			1	45.00	45.00
H2320	021	0	1	02	01	H2320_021_0	5	1	$200 Copay	00000000000000000001000000000000000000000000	2			1	200.00	200.00	2			2								
H2320	021	0	1	02	01	H2320_021_0	5	10	$10 Copay	00000000000000000000000000010000010011000000	2			1	10.00	10.00	2			2		2						
H2320	021	0	1	02	01	H2320_021_0	5	11	$0 Copay	00000100000000000000001000000001000000000000	2			2			2			2								
H2320	021	0	1	02	01	H2320_021_0	5	12	40% Coinsurance	00001000000000000000000000000000000000000000	1	40	40	2			2			2								
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H2320	021	0	1	02	01	H2320_021_0	5	9	$20 Copay	00000000000000010000000000000000000000000000	2			1	20.00	20.00	2			2		3	2			1	45.00	45.00
H2320	021	0	1	02	01	H2320_021_0	5	2	$175 Copay	00000000000000001000000000000000000000000000	2			1	175.00	175.00	2			2		3	2			1	45.00	45.00
H2320	021	0	1	02	01	H2320_021_0	5	3	$100 Copay	00000000000000000000100000000000000000000000	2			1	100.00	100.00	2			2								
H2320	021	0	1	02	01	H2320_021_0	5	4	$75 Copay	00000000000000000000000100000000000000000000	2			1	75.00	75.00	2			2								
H2320	021	0	1	02	01	H2320_021_0	5	5	$50 Copay	00000000001001000000010000000000000000000000	2			1	50.00	50.00	2			2								
H2320	021	0	1	02	01	H2320_021_0	5	6	$45 Copay	00000011010110000000000000000000000000001010	2			1	45.00	45.00	2			2		2						
H2320	021	0	1	02	01	H2320_021_0	5	7	$35 Copay	01110000100000100000000000000000000000000000	2			1	35.00	35.00	2			2								
H2320	802	0	1	02	01	H2320_802_0	3	1	20% - 40% Coinsurance	01111111111111111111111101110000010011011110	1	20	40	2			2			2		2						
H2320	803	0	1	02	01	H2320_803_0	2	1	20% - 40% Coinsurance	01111111111111111111111101110000010011011110	1	20	40	2			2			2		2						
H2354	001	0	1	02	01	H2354_001_0	6	9	Group 9 - Office Visit Copay may apply	00000000000000011110000000000000001001001000	2			1	0.00	0.00	2			2		1	2			1	15.00	35.00
H2354	001	0	1	02	01	H2354_001_0	6	8	Group 8 -$200 Copay	00000000000000000001000000000000000000000000	2			1	200.00	200.00	2			2								
H2354	001	0	1	02	01	H2354_001_0	6	7	Group 7 - $100 Copay	00000000000000000000100000000000000000000000	2			1	100.00	100.00	2			2								
H2354	001	0	1	02	01	H2354_001_0	6	6	Group 6 - $50 Copay	00000000000000000000000100000000000000000000	2			1	50.00	50.00	2			2								
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H2354	001	0	1	02	01	H2354_001_0	6	4	Group 4 - $35 Copay	00010000110110100000000000000000000000000010	2			1	35.00	35.00	2			2								
H2354	001	0	1	02	01	H2354_001_0	6	1	Group 1 - $0 Copay	01100100000000000000001000010000010100000000	2			1	0.00	0.00	2			2								
H2354	001	0	1	02	01	H2354_001_0	6	2	Group 2 - $15 Copay	00000010000000000000000000000000000000000000	2			1	15.00	15.00	2			2								
H2354	001	0	1	02	01	H2354_001_0	6	5	Group 5 - $0 - $35	00000000000000000000000000000000000000001000	2			1	0.00	35.00	2			2		3	2			1	15.00	35.00
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H2354	013	0	1	02	01	H2354_013_0	6	9	Group 9 - Office Visit Copay may apply	00000000000000011110000000000000001001001000	2			1	0.00	0.00	2			2		3	2			1	10.00	25.00
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H2354	013	0	1	02	01	H2354_013_0	6	6	Group 6 - $25 Copay	00000000000000000000000100000000000000000000	2			1	25.00	25.00	2			2								
H2354	013	0	1	02	01	H2354_013_0	6	5	Group 5 - $0 - $25	00000000000000000000000000000000000000001000	2			1	0.00	25.00	2			2		3	2			1	10.00	25.00
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H2354	013	0	1	02	01	H2354_013_0	6	1	Group 1 - $0 Copay	01100100000000000000001000010000010100000000	2			1	0.00	0.00	2			2								
H2354	013	0	1	02	01	H2354_013_0	6	2	Group 2 - $10 Copay	00000010000000000000000000000000000000000000	2			1	10.00	10.00	2			2								
H2354	013	0	1	02	01	H2354_013_0	6	3	Group 3 - $20 Copay	00000001000000000000000000000000000000000000	2			1	20.00	20.00	2			2								
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H2354	015	0	1	02	01	H2354_015_0	6	4	Group 4 - $35 Copay	00000010000000000000000000000000000000000000	2			1	35.00	35.00	2			2								
H2354	015	0	1	02	01	H2354_015_0	6	5	Group 5 - $50 Copay	00000000010000000000000000000000000000000000	2			1	50.00	50.00	2			2								
H2354	015	0	1	02	01	H2354_015_0	6	6	Group 6 - 20% (Office Copay may apply)	00000000000000011110000000000000001001001000	1	20	20	2			2			2		3	2			1	35.00	50.00
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H2459	002	0	1	02	01	H2459_002_0	11	1	All Other POS Benefits	01111110111111111111111101110000010111001010	1	20	20	2			1	100000.00	3	2		2						
H2459	013	0	1	02	01	H2459_013_0	11	1	All Other POS Benefits	01111110111111111111111101110000010111001010	1	20	20	2			1	100000.00	3	2		2						
H2459	018	0	1	02	01	H2459_018_0	11	1	All Other POS Benefits	01111110111111111111111101110000010111001010	1	20	20	2			1	100000.00	3	2		2						
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H2486	003	0	1	02	01	H2486_003_0	7	10		00000000000000000000000000000000000100001000	2			1	0.00	40.00	2			2		2						
H2486	003	0	1	02	01	H2486_003_0	7	9	null	00000000000000000000000000000000010000000000	1	30	30	1	0.00	40.00	2			2								
H2491	001	0	1	02	01	H2491_001_0	7	1	Group 1	01110101110110111111101101110000010011000000	1	30	30	2			2			2		2						
H2491	002	0	1	02	01	H2491_002_0	7	1	Group 1	01110101110110111111101101110000010011000000	1	20	20	2			2			2		2						
H2491	004	0	1	02	01	H2491_004_0	8	1	Group 1	01110101110110111111101101110000010011000000	1	30	30	2			2			2		2						
H2649	021	0	1	02	01	H2649_021_0	5	1	null	01110011111111111110010000000000010011011110	1	30	30	2			2			2		2						
H2649	021	0	1	02	01	H2649_021_0	5	2	null	00000000000000000001000000000000000000000000	1	30	30	1	300.00	300.00	2			2								
H2654	010	0	1	02	01	H2654_010_0	5	10	Group 10	00000000000000000000000000000000010000000000	1	0	30	2			2			2								
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H2654	010	0	1	02	01	H2654_010_0	5	8	Group 8	00000000001001000000010000000000000000000000	2			1	35.00	45.00	2			2								
H2654	010	0	1	02	01	H2654_010_0	5	7	Group 7	00000000000000000000000100000000000000000000	2			1	200.00	200.00	2			2								
H2654	010	0	1	02	01	H2654_010_0	5	6	Group 6	00001000000000000000000000000000000000000000	2			1	75.00	75.00	2			2								
H2654	010	0	1	02	01	H2654_010_0	5	5	Group 5	00000000000000000010000000000000000000000000	2			1	21.00	21.00	2			2		2						
H2654	010	0	1	02	01	H2654_010_0	5	4	Group 4	00000000000000010000000000000000000000000000	1	30	30	1	19.00	19.00	2			2		2						
H2654	010	0	1	02	01	H2654_010_0	5	3	Group 3	00000100000000001101100000110001000011000100	1	30	30	2			2			2		2						
H2654	010	0	1	02	01	H2654_010_0	5	2	Group 2	01110001110100100000000000000000000000011010	2			1	45.00	45.00	2			2		2						
H2654	010	0	1	02	01	H2654_010_0	5	11	Group 11	00000000000010000000000000000000000000000000	2			1	30.00	45.00	2			2								
H2654	010	0	1	02	01	H2654_010_0	5	1	Group 1	00000010000000000000000000000000000000000000	2			1	30.00	30.00	2			2								
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H2667	016	0	1	02	01	H2667_016_0	8	2	group 2	00000000000000000000000100000000000000000000	2			1	150.00	150.00	2			2								
H2667	016	0	1	02	01	H2667_016_0	8	1		01111111111111111111111001110000010011011010	1	30	30	2			2			2		2						
H2667	017	0	1	02	01	H2667_017_0	6	1		01111011111111111111111001110000000111011010	1	30	30	2			2			2		2						
H2667	017	0	1	02	01	H2667_017_0	6	2	group 2	00000000000000000000000100000000000000000000	2			1	150.00	150.00	2			2								
H2667	017	0	1	02	01	H2667_017_0	6	3		00000100000000000000000000000000000000000000	2			1	0.00	0.00	2			2								
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H2803	001	0	1	02	01	H2803_001_0	7	2	Group 2	01110001110100100000000000000000000000011010	2			1	50.00	50.00	2			2		2						
H2803	001	0	1	02	01	H2803_001_0	7	3	Group 3	00000100000000001101100000110001000011000100	1	30	30	2			2			2		2						
H2803	001	0	1	02	01	H2803_001_0	7	9	Group 9	00000000000000000000001000000000000000000000	2			1	0.00	0.00	2			2								
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H2803	001	0	1	02	01	H2803_001_0	7	6	Group 6	00001000000000000000000000000000000000000000	2			1	75.00	75.00	2			2								
H2803	001	0	1	02	01	H2803_001_0	7	7	Group 7	00000000000000000000000100000000000000000000	2			1	200.00	200.00	2			2								
H2803	001	0	1	02	01	H2803_001_0	7	8	Group 8	00000000001001000000010000000000000000000000	2			1	35.00	45.00	2			2								
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H2803	002	0	1	02	01	H2803_002_0	6	1	Group 1	00000010000000000000000000000000000000000000	2			1	25.00	25.00	2			2								
H2803	002	0	1	02	01	H2803_002_0	6	10	Group 10	00000000000000000000000000000000010000000000	1	0	30	2			2			2								
H2803	002	0	1	02	01	H2803_002_0	6	11	Group 11	00000000000010000000000000000000000000000000	2			1	25.00	50.00	2			2								
H2803	002	0	1	02	01	H2803_002_0	6	2	Group 2	01110001110100100000000000000000000000011010	2			1	50.00	50.00	2			2		2						
H2803	002	0	1	02	01	H2803_002_0	6	3	Group 3	00000100000000001101100000110001000011000100	1	30	30	2			2			2		2						
H2803	002	0	1	02	01	H2803_002_0	6	4	Group 4	00000000000000010000000000000000000000000000	1	30	30	1	20.00	20.00	2			2		2						
H2803	002	0	1	02	01	H2803_002_0	6	5	Group 5	00000000000000000010000000000000000000000000	2			1	21.00	21.00	2			2		2						
H2803	002	0	1	02	01	H2803_002_0	6	6	Group 6	00001000000000000000000000000000000000000000	2			1	75.00	75.00	2			2								
H2803	002	0	1	02	01	H2803_002_0	6	7	Group 7	00000000000000000000000100000000000000000000	2			1	200.00	200.00	2			2								
H2803	002	0	1	02	01	H2803_002_0	6	8	Group 8	00000000001001000000010000000000000000000000	2			1	35.00	45.00	2			2								
H2803	002	0	1	02	01	H2803_002_0	6	9	Group 9	00000000000000000000001000000000000000000000	2			1	0.00	0.00	2			2								
H2803	010	0	1	02	01	H2803_010_0	6	1	Group 1	01111111111111101111111101110001000011011010	1	30	30	2			2			2		2						
H2803	010	0	1	02	01	H2803_010_0	6	2	Group 2	00000000000000010000000000000000010000000000	1	0	30	2			2			2		2						
H2803	010	0	1	02	01	H2803_010_0	6	3	Group 3	00000000000000000000000000000000000000000100	2			1	0.00	0.00	2			2								
H2803	012	0	1	02	01	H2803_012_0	6	2	Group 2	00000000000000010000000000000000010000000000	1	0	30	2			2			2		2						
H2803	012	0	1	02	01	H2803_012_0	6	1	Group 1	01111111111111101111111101110001000011011010	1	30	30	2			2			2		2						
H2803	012	0	1	02	01	H2803_012_0	6	3	Group 3	00000000000000000000000000000000000000000100	2			1	0.00	0.00	2			2								
H2803	801	0	1	02	01	H2803_801_0	3	2	Group 2	00000100000000000000000000000000010011000000	2			1	0.00	0.00	2			2		2						
H2803	801	0	1	02	01	H2803_801_0	3	1	Group 1	01110011110110111111111101110000000000011110	1	20	20	2			2			2		2						
H2803	801	0	1	02	01	H2803_801_0	3	3	Group 3	00000000000000010000000000000000000000000000	1	0	20	2			2			2		2						
H2803	801	0	1	02	01	H2803_801_0	3	4	Group 4	00001000001001000000000000000000000000000000	1	40	40	2			2			2								
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H2931	002	0	1	02	01	H2931_002_0	7	2	Group 2	01110001111101100000010000000000000000011010	2			1	50.00	50.00	2			2		2						
H2931	002	0	1	02	01	H2931_002_0	7	3	Group 3	00001100000000001111101000110001000011000100	1	40	40	2			2			2		2						
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H2931	002	0	1	02	01	H2931_002_0	7	5	Group 5	00000000000000010000000000000000000000000000	1	40	50	2			2			2		2						
H2931	002	0	1	02	01	H2931_002_0	7	6	Group 6	00000000000000000000000000000000010000000000	1	0	40	2			2			2								
H2931	002	0	1	02	01	H2931_002_0	7	7	Group 7	00000000000010000000000000000000000000000000	2			1	40.00	50.00	2			2								
H3044	004	0	1	02	01	H3044_004_0	9	1	PCP Visit	00000010000000000000000100000000010000000000	2			1	10.00	10.00	2			2								
H3044	004	0	1	02	01	H3044_004_0	9	2	Specialists	00000001111111100000000001110000000001000000	1	15	15	2			2			2		2						
H3044	004	0	1	02	01	H3044_004_0	9	3	Outpatient Services	00001000000000011111111000000000000000000000	1	20	20	2			2			2		2						
H3044	801	0	1	02	01	H3044_801_0	2	3		01111011110110111111111101110000000011011110	1	20	20	2			2			2		2						
H3044	801	0	1	02	01	H3044_801_0	2	1		00000100000000000000000000000000010000000000	1	0	0	2			2			2								
H3044	801	0	1	02	01	H3044_801_0	2	2		00000000001001000000000000000000000000000000	1	40	40	2			2			2								
H3044	802	0	1	02	01	H3044_802_0	2	1		00000100000000000000000000000000010000000000	1	0	0	2			2			2								
H3044	802	0	1	02	01	H3044_802_0	2	2		00000000001001000000000000000000000000000000	1	40	40	2			2			2								
H3044	802	0	1	02	01	H3044_802_0	2	3		01111011110110111111111101110000000011011110	1	20	20	2			2			2		2						
H3044	803	0	1	02	01	H3044_803_0	2	3		01111011110110111111111101110000000011011110	1	20	20	2			2			2		2						
H3044	803	0	1	02	01	H3044_803_0	2	1		00000100000000000000000000000000010000000000	1	0	0	2			2			2								
H3044	803	0	1	02	01	H3044_803_0	2	2		00000000001001000000000000000000000000000000	1	40	40	2			2			2								
H3044	804	0	1	02	01	H3044_804_0	4	3		01111011110110111111111101110000000011011110	1	20	20	2			2			2		2						
H3044	804	0	1	02	01	H3044_804_0	4	1		00000100000000000000000000000000010000000000	1	0	0	2			2			2								
H3044	804	0	1	02	01	H3044_804_0	4	2		00000000001001000000000000000000000000000000	1	40	40	2			2			2								
H3107	004	0	1	02	01	H3107_004_0	4	3	Group 3	00000000000000000000000000000000010000001100	1	0	30	2			2			2		2						
H3107	004	0	1	02	01	H3107_004_0	4	2	Group 2	00000000001001000000000000000000000000000000	1	50	50	2			2			2								
H3107	004	0	1	02	01	H3107_004_0	4	1	Group 1	00000111010110001111100000000001000011010010	1	30	30	2			2			2		2						
H3107	004	0	1	02	01	H3107_004_0	4	4	Group 4	00000000000000000000000000000000000100000000	2			1	0.00	0.00	2			2								
H3107	008	0	1	02	01	H3107_008_0	5	1	Group 1	00000111010110001111100000000001000011010010	1	30	30	2			2			2		2						
H3107	008	0	1	02	01	H3107_008_0	5	3	Group 3	00000000000000000000000000000000010000001100	1	0	30	2			2			2		2						
H3107	008	0	1	02	01	H3107_008_0	5	2	Group 2	00000000001001000000000000000000000000000000	1	50	50	2			2			2								
H3107	807	0	1	02	01	H3107_807_0	2	4	Group 4	00001000001001000000000000000000000000000000	1	40	40	2			2			2								
H3107	807	0	1	02	01	H3107_807_0	2	3	Group 3	00000000000000010000000000000000000000000000	1	0	20	2			2			2		2						
H3107	807	0	1	02	01	H3107_807_0	2	2	Group 2	00000100000000000000000000000000010011000000	2			1	0.00	0.00	2			2		2						
H3107	807	0	1	02	01	H3107_807_0	2	1	Group 1	01110011110110111111111101110000000000011110	1	20	20	2			2			2		2						
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H3154	006	0	1	02	01	H3154_006_0	5	1		01111111111111111111111001110001010011001010	1	35	35	2			2			2		2						
H3154	012	0	1	02	01	H3154_012_0	5	1		01111111111111111111111001110001010011001010	1	35	35	2			2			2		2						
H3154	801	0	1	02	01	H3154_801_0	5	1		01111111111111111111111001110001010011001010	1	35	35	2			2			2		2						
H3154	802	0	1	02	01	H3154_802_0	5	1		01111111111111111111111001110001010011001010	1	35	35	2			2			2		2						
H3154	805	0	1	02	01	H3154_805_0	6	1		01111111111111111111111001110001010011001010	1	35	35	2			2			2		2						
H3251	021	0	1	02	01	H3251_021_0	7	1	Group 1 - 20%	01111000100000111110001001110000000000000000	1	20	20	2			2			2		2						
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H3251	021	0	1	02	01	H3251_021_0	7	4	Group 4 - $75	00000000000000000000000100000000000000000000	2			1	75.00	75.00	2			2								
H3251	021	0	1	02	01	H3251_021_0	7	5	Group 5 - $20	00000010000000000000000000000000000000000000	2			1	20.00	20.00	2			2								
H3251	021	0	1	02	01	H3251_021_0	7	3	Group 3 - $250	00000000000000000001100000000000000000000000	2			1	250.00	250.00	2			2								
H3305	007	0	1	02	01	H3305_007_0	4	1	POS Benefit	01111011110100111111101101100000000000000000	1	30	30	2			1	5000.00	3	2		2						
H3305	011	0	1	02	01	H3305_011_0	5	1	POS Benefit	01111011110100111111101101100000000000000000	1	30	30	2			1	5000.00	3	2		2						
H3305	015	0	1	02	01	H3305_015_0	5	1	POS Benefit	01111011110100111111101101100000000000000000	1	30	30	2			1	5000.00	3	2		2						
H3305	016	0	1	02	01	H3305_016_0	5	1	POS Benefit	01111011110100111111101101100000000000000000	1	30	30	2			1	5000.00	3	2		2						
H3305	017	0	1	02	01	H3305_017_0	6	1	POS Benefit	01111011110100111111101101100000000000000000	1	30	30	2			1	5000.00	3	2		2						
H3305	018	0	1	02	01	H3305_018_0	5	1	POS Benefit	01111011110100111111101101100000000000000000	1	30	30	2			1	5000.00	3	2		2						
H3305	801	0	1	02	01	H3305_801_0	1	2		00000000001001000000000000000000000000000000	1	40	40	2			2			2								
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H3305	801	0	1	02	01	H3305_801_0	1	3		01111011110110111111111101110000000011011110	1	20	20	2			2			2		2						
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H3305	803	0	1	02	01	H3305_803_0	1	3		01111011110110111111111101110000000011011110	1	20	20	2			2			2		2						
H3305	803	0	1	02	01	H3305_803_0	1	2		00000000001001000000000000000000000000000000	1	40	40	2			2			2								
H3307	807	0	1	02	01	H3307_807_0	2	4	Group 4	00001000001001000000000000000000000000000000	1	40	40	2			2			2								
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H3307	807	0	1	02	01	H3307_807_0	2	1	Group 1	01110011110110111111111101110000000000011110	1	20	20	2			2			2		2						
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H3328	001	0	1	02	01	H3328_001_0	3	3		00000000000000010000000000000000000000000000	1	0	50	2			2			2		1	1	50	50	2		
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H3328	003	0	1	02	01	H3328_003_0	4	3		00000000000000010000000000000000000000000000	1	0	50	2			2			2		1	1	50	50	2		
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H3328	802	0	1	02	01	H3328_802_0	3	1		01111111111111111111111111110000011011001010	1	20	20	2			2			2		2						
H3328	803	0	1	02	01	H3328_803_0	1	1		01111111111111111111111111110000011011001010	1	20	20	2			2			2		2						
H3347	010	0	1	02	01	H3347_010_0	8	1	POS	01001101111111111111110000000000001000000000	1	30	30	2			2			2		2						
H3351	001	0	1	02	01	H3351_001_0	6	1	POS Group #1	01110111110110111111101101110000010011001010	1	30	30	2			1	1500.00	3	2		2						
H3351	002	0	1	02	01	H3351_002_0	8	1	POS Group #1	01110111110110111111101101110000010011001010	1	30	30	2			1	1500.00	3	2		2						
H3351	006	0	1	02	01	H3351_006_0	9	1	POS Group #1	01110111110110111111101101110000010011001010	1	30	30	2			1	3000.00	3	2		2						
H3351	007	0	1	02	01	H3351_007_0	7	1	POS Group #1	01110111110110111111101101110000010011001010	1	30	30	2			1	3000.00	3	2		2						
H3351	801	0	1	02	01	H3351_801_0	5	1	POS Group #1	01110111110110111111101101110000010011001010	1	20	20	2			1	5000.00	3	2		2						
H3351	802	0	1	02	01	H3351_802_0	5	1	POS Group #1	01110111110110111111101101110000010011001010	1	20	20	2			1	5000.00	3	2		2						
H3351	803	0	1	02	01	H3351_803_0	5	1	POS Group #1	01110111110110111111101101110000010011001010	1	20	20	2			1	5000.00	3	2		2						
H3351	804	0	1	02	01	H3351_804_0	5	1	POS Group #1	01110111110110111111101101110000010011001010	1	20	20	2			1	5000.00	3	2		2						
H3351	805	0	1	02	01	H3351_805_0	5	1	POS Group #1	01110111110110111111101101110000010011001010	1	20	20	2			1	5000.00	3	2		2						
H3351	806	0	1	02	01	H3351_806_0	5	1	POS Group #1	01110111110110111111101101110000010011001010	1	20	20	2			1	5000.00	3	2		2						
H3361	099	0	1	02	01	H3361_099_0	7	1	Group 1	01110101110110111111101101110000010011000000	1	20	20	2			2			2		2						
H3361	106	0	1	02	01	H3361_106_0	7	1	Group 1	01110101110110111111101101110000010011000000	1	20	20	2			2			2		2						
H3361	129	0	1	02	01	H3361_129_0	8	1	Group 1	01110101110110111111101101110000010011000000	1	20	20	2			2			2		2						
H3362	801	0	1	02	01	H3362_801_0	1	3		01111011110110111111111101110000000011011110	1	20	20	2			2			2		2						
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H3362	807	0	1	02	01	H3362_807_0	1	1		00000100000000000000000000000000010000000000	1	0	0	2			2			2								
H3362	807	0	1	02	01	H3362_807_0	1	3		01111011110110111111111101110000000011011110	1	20	20	2			2			2		2						
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H3362	817	0	1	02	01	H3362_817_0	1	3		01111011110110111111111101110000000011011110	1	20	20	2			2			2		2						
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H3362	819	0	1	02	01	H3362_819_0	1	3		01111011110110111111111101110000000011011110	1	20	20	2			2			2		2						
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H3362	820	0	1	02	01	H3362_820_0	1	3		01111011110110111111111101110000000011011110	1	20	20	2			2			2		2						
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H3456	001	0	1	02	01	H3456_001_0	6	1	Group 1	00000010000000000000000000000000000000000000	2			1	25.00	25.00	2			2								
H3456	001	0	1	02	01	H3456_001_0	6	10	Group 10	00000000000000000000000000000000010000000000	1	0	30	2			2			2								
H3456	001	0	1	02	01	H3456_001_0	6	9	Group 9	00000000000000000000001000000000000100000000	2			1	0.00	0.00	2			2								
H3456	001	0	1	02	01	H3456_001_0	6	8	Group 8	00000000001001000000010000000000000000000000	2			1	35.00	45.00	2			2								
H3456	001	0	1	02	01	H3456_001_0	6	7	Group 7	00000000000000000000000100000000000000000000	2			1	200.00	200.00	2			2								
H3456	001	0	1	02	01	H3456_001_0	6	6	Group 6	00001000000000000000000000000000000000000000	2			1	75.00	75.00	2			2								
H3456	001	0	1	02	01	H3456_001_0	6	5	Group 5	00000000000000000010000000000000000000000000	2			1	21.00	21.00	2			2		2						
H3456	001	0	1	02	01	H3456_001_0	6	4	Group 4	00000000000000010000000000000000000000000000	1	30	30	1	17.00	17.00	2			2		2						
H3456	001	0	1	02	01	H3456_001_0	6	3	Group 3	00000100000000001101100000110001000011000100	1	30	30	2			2			2		2						
H3456	001	0	1	02	01	H3456_001_0	6	2	Group 2	01110001110100100000000000000000000000011010	2			1	45.00	45.00	2			2		2						
H3456	001	0	1	02	01	H3456_001_0	6	12	Group 12	00000000000000000000000001000000000000000000	1	50	50	2			2			2								
H3456	001	0	1	02	01	H3456_001_0	6	11	Group 11	00000000000010000000000000000000000000000000	2			1	25.00	45.00	2			2								
H3456	020	0	1	02	01	H3456_020_0	6	1	Group 1	00000010000000000000000000000000000000000000	2			1	25.00	25.00	2			2								
H3456	020	0	1	02	01	H3456_020_0	6	8	Group 8	00000000001001000000010000000000000000000000	2			1	35.00	45.00	2			2								
H3456	020	0	1	02	01	H3456_020_0	6	7	Group 7	00000000000000000000000100000000000000000000	2			1	200.00	200.00	2			2								
H3456	020	0	1	02	01	H3456_020_0	6	6	Group 6	00001000000000000000000000000000000000000000	2			1	75.00	75.00	2			2								
H3456	020	0	1	02	01	H3456_020_0	6	5	Group 5	00000000000000000010000000000000000000000000	2			1	21.00	21.00	2			2		2						
H3456	020	0	1	02	01	H3456_020_0	6	9	Group 9	00000000000000000000001000000000000000000000	2			1	0.00	0.00	2			2								
H3456	020	0	1	02	01	H3456_020_0	6	3	Group 3	00000100000000001101100000110001000011000100	1	30	30	2			2			2		2						
H3456	020	0	1	02	01	H3456_020_0	6	2	Group 2	01110001110100100000000000000000000000011010	2			1	40.00	40.00	2			2		2						
H3456	020	0	1	02	01	H3456_020_0	6	12	Group 12	00000000000000000000000001000000000000000000	1	50	50	2			2			2								
H3456	020	0	1	02	01	H3456_020_0	6	11	Group 11	00000000000010000000000000000000000000000000	2			1	25.00	40.00	2			2								
H3456	020	0	1	02	01	H3456_020_0	6	10	Group 10	00000000000000000000000000000000010000000000	1	0	30	2			2			2								
H3456	020	0	1	02	01	H3456_020_0	6	4	Group 4	00000000000000010000000000000000000000000000	1	30	30	1	10.00	10.00	2			2		2						
H3456	023	0	1	02	01	H3456_023_0	6	8	Group 8	00000000001001000000010000000000000000000000	2			1	35.00	45.00	2			2								
H3456	023	0	1	02	01	H3456_023_0	6	9	Group 9	00000000000000000000001000000000000100000000	2			1	0.00	0.00	2			2								
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H3456	023	0	1	02	01	H3456_023_0	6	3	Group 3	00000100000000001101100000110001000011000100	1	30	30	2			2			2		2						
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H3456	023	0	1	02	01	H3456_023_0	6	11	Group 11	00000000000010000000000000000000000000000000	2			1	25.00	45.00	2			2								
H3456	023	0	1	02	01	H3456_023_0	6	10	Group 10	00000000000000000000000000000000010000000000	1	0	30	2			2			2								
H3456	023	0	1	02	01	H3456_023_0	6	1	Group 1	00000010000000000000000000000000000000000000	2			1	25.00	25.00	2			2								
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H3456	025	0	1	02	01	H3456_025_0	6	10	Group 10	00000000000000000000000000000000010000000000	1	0	30	2			2			2								
H3456	025	0	1	02	01	H3456_025_0	6	11	Group 11	00000000000010000000000000000000000000000000	2			1	25.00	45.00	2			2								
H3456	025	0	1	02	01	H3456_025_0	6	12	Group 12	00000000000000000000000001000000000000000000	1	50	50	2			2			2								
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H3456	025	0	1	02	01	H3456_025_0	6	8	Group 8	00000000001001000000010000000000000000000000	2			1	35.00	45.00	2			2								
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H3456	025	0	1	02	01	H3456_025_0	6	1	Group 1	00000010000000000000000000000000000000000000	2			1	25.00	25.00	2			2								
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H3528	807	0	1	02	01	H3528_807_0	3	3		01111011110110111111111101110000000011011110	1	20	20	2			2			2		2						
H3659	001	0	1	02	01	H3659_001_0	5	5	Group 5	00000000000000000010000000000000000000000000	2			1	21.00	21.00	2			2		2						
H3659	001	0	1	02	01	H3659_001_0	5	8	Group 8	00000000001001000000010000000000000000000000	2			1	35.00	45.00	2			2								
H3659	001	0	1	02	01	H3659_001_0	5	7	Group 7	00000000000000000000000100000000000000000000	2			1	200.00	200.00	2			2								
H3659	001	0	1	02	01	H3659_001_0	5	6	Group 6	00001000000000000000000000000000000000000000	2			1	75.00	75.00	2			2								
H3659	001	0	1	02	01	H3659_001_0	5	9	Group 9	00000000000000000000001000000000000000000000	2			1	0.00	0.00	2			2								
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H3659	001	0	1	02	01	H3659_001_0	5	10	Group 10	00000000000000000000000000000000010000000000	1	0	30	2			2			2								
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H3659	001	0	1	02	01	H3659_001_0	5	3	Group 3	00000100000000001101100000110001000011000100	1	30	30	2			2			2		2						
H3659	001	0	1	02	01	H3659_001_0	5	1	Group 1	00000010000000000000000000000000000000000000	2			1	32.00	32.00	2			2								
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H3659	807	0	1	02	01	H3659_807_0	2	4	Group 4	00001000001001000000000000000000000000000000	1	40	40	2			2			2								
H3660	028	0	1	02	01	H3660_028_0	5	5	Group 5 30% Coinsurance	00000000000000000000000001110000000000000000	1	30	30	2			2			2								
H3660	028	0	1	02	01	H3660_028_0	5	4	Group 4- $200 Copay	00000000000000000000000100000000000000000000	2			1	200.00	200.00	2			2								
H3660	028	0	1	02	01	H3660_028_0	5	3	Group 3- $40 Copay	01111001111111100000010000000000000000011010	2			1	40.00	40.00	2			2		2						
H3660	028	0	1	02	01	H3660_028_0	5	1	Group 1 20% Coinsurance	00000100000000011111100000000000000000000000	1	20	20	2			2			2		2						
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H3660	029	0	1	02	01	H3660_029_0	5	4	Group 4 30% Coinsurance	00000000000000000000000001110000000000000000	1	30	30	2			2			2								
H3660	029	0	1	02	01	H3660_029_0	5	1	Group 1 20% Coinsurance	00000100000000011111100000000000000000000000	1	20	20	2			2			2		2						
H3660	029	0	1	02	01	H3660_029_0	5	2	Group 2 $15 Copayment	00000010000000000000001000000000011011000000	2			1	15.00	15.00	2			2		2						
H3660	029	0	1	02	01	H3660_029_0	5	3	Group 3 $55 Copay	01111001110110100000000000000000000000011010	2			1	55.00	55.00	2			2		2						
H3660	029	0	1	02	01	H3660_029_0	5	5	Group 5 $250 Copay	00000000000000000000000100000000000000000000	2			1	250.00	250.00	2			2								
H3660	029	0	1	02	01	H3660_029_0	5	6	Group 6 $40 Copayment	00000000001001000000010000000000000000000000	2			1	40.00	40.00	2			2								
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H3660	032	0	1	02	01	H3660_032_0	5	5	Group 5 30% Coinsurance	00000000000000000000000001110000000000000000	1	30	30	2			2			2								
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H3660	032	0	1	02	01	H3660_032_0	5	1	Group 1 20% Coinsurance	00000100000000011111100000000000000000000000	1	20	20	2			2			2		2						
H3660	043	0	1	02	01	H3660_043_0	2	3	Group 3 $55 Copay	01111001110110100000000000000000000000011010	2			1	55.00	55.00	2			2		2						
H3660	043	0	1	02	01	H3660_043_0	2	1	Group 1 20% Coinsurance	00000100000000011111100000000000000000000000	1	20	20	2			2			2		2						
H3660	043	0	1	02	01	H3660_043_0	2	6	Group 6 $40 Copayment	00000000001001000000010000000000000000000000	2			1	40.00	40.00	2			2								
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H3660	043	0	1	02	01	H3660_043_0	2	4	Group 4 30% Coinsurance	00000000000000000000000001110000000000000000	1	30	30	2			2			2								
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H4270	001	0	1	02	01	H4270_001_0	11	1	All Other POS Benefits	01111110111111111111111101110000010111001010	1	20	20	2			1	100000.00	3	2		2						
H4270	002	0	1	02	01	H4270_002_0	11	1	All Other POS Benefits	01111110111111111111111101110000010111001010	1	20	20	2			1	100000.00	3	2		2						
H4270	003	0	1	02	01	H4270_003_0	11	1	All Other POS Benefits	01111110111111111111111101110000010111001010	1	20	20	2			1	100000.00	3	2		2						
H4270	004	0	1	02	01	H4270_004_0	14	1	All Other POS Benefits	01111110111111111111111101110000010111001010	1	20	20	2			1	100000.00	3	2		2						
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H4407	022	0	1	02	01	H4407_022_0	8	2	Ambulance	00000000000000000000000100000000000000000000	1	20	20	1	100.00	100.00	2			2								
H4407	023	0	1	02	01	H4407_023_0	7	1	30% coinsurance	01111111111111111111111001100000010011000010	1	30	30	2			2			2		2						
H4407	023	0	1	02	01	H4407_023_0	7	2	optional	00000000000000000000000100000000000000000000	2			1	100.00	100.00	2			2								
H4454	030	0	1	02	01	H4454_030_0	7	2	Ambulance	00000000000000000000000100000000000000000000	1	20	20	1	100.00	100.00	2			2								
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H4456	013	0	1	02	01	H4456_013_0	4	1	Group 1	00000010000000000000000000000000000000000000	2			1	20.00	20.00	2			2								
H4456	013	0	1	02	01	H4456_013_0	4	10	Group 10	00000000000000000000000000000000010000000000	1	0	30	2			2			2								
H4456	013	0	1	02	01	H4456_013_0	4	11	Group 11	00000000000010000000000000000000000000000000	2			1	20.00	35.00	2			2								
H4456	013	0	1	02	01	H4456_013_0	4	2	Group 2	01110001110100100000000000000000000000011010	2			1	35.00	35.00	2			2		2						
H4456	013	0	1	02	01	H4456_013_0	4	8	Group 8	00000000001001000000010000000000000000000000	2			1	35.00	45.00	2			2								
H4456	013	0	1	02	01	H4456_013_0	4	4	Group 4	00000000000000010000000000000000000000000000	1	30	30	1	16.00	16.00	2			2		2						
H4456	013	0	1	02	01	H4456_013_0	4	5	Group 5	00000000000000000010000000000000000000000000	2			1	21.00	21.00	2			2		2						
H4456	013	0	1	02	01	H4456_013_0	4	6	Group 6	00001000000000000000000000000000000000000000	2			1	75.00	75.00	2			2								
H4456	013	0	1	02	01	H4456_013_0	4	7	Group 7	00000000000000000000000100000000000000000000	2			1	200.00	200.00	2			2								
H4456	013	0	1	02	01	H4456_013_0	4	3	Group 3	00000100000000001101100000110001000011000100	1	30	30	2			2			2		2						
H4456	025	0	1	02	01	H4456_025_0	5	8	Group 8	00000000001001000000010000000000000000000000	2			1	35.00	45.00	2			2								
H4456	025	0	1	02	01	H4456_025_0	5	7	Group 7	00000000000000000000000100000000000000000000	2			1	200.00	200.00	2			2								
H4456	025	0	1	02	01	H4456_025_0	5	6	Group 6	00001000000000000000000000000000000000000000	2			1	75.00	75.00	2			2								
H4456	025	0	1	02	01	H4456_025_0	5	5	Group 5	00000000000000000010000000000000000000000000	2			1	21.00	21.00	2			2		2						
H4456	025	0	1	02	01	H4456_025_0	5	4	Group 4	00000000000000010000000000000000000000000000	1	30	30	1	17.00	17.00	2			2		2						
H4456	025	0	1	02	01	H4456_025_0	5	3	Group 3	00000100000000001101100000110001000011000100	1	30	30	2			2			2		2						
H4456	025	0	1	02	01	H4456_025_0	5	2	Group 2	01110001110100100000000000000000000000011010	2			1	45.00	45.00	2			2		2						
H4456	025	0	1	02	01	H4456_025_0	5	12	Group 12	00000000000000000000000001000000000000000000	1	50	50	2			2			2								
H4456	025	0	1	02	01	H4456_025_0	5	11	Group 11	00000000000010000000000000000000000000000000	2			1	20.00	45.00	2			2								
H4456	025	0	1	02	01	H4456_025_0	5	10	Group 10	00000000000000000000000000000000010000000000	1	0	30	2			2			2								
H4456	025	0	1	02	01	H4456_025_0	5	9	Group 9	00000000000000000000001000000000000000000000	2			1	0.00	0.00	2			2								
H4456	025	0	1	02	01	H4456_025_0	5	1	Group 1	00000010000000000000000000000000000000000000	2			1	20.00	20.00	2			2								
H4456	026	0	1	02	01	H4456_026_0	5	9	Group 9	00000000000000000000001000000000000000000000	2			1	0.00	0.00	2			2								
H4456	026	0	1	02	01	H4456_026_0	5	8	Group 8	00000000001001000000010000000000000000000000	2			1	35.00	45.00	2			2								
H4456	026	0	1	02	01	H4456_026_0	5	7	Group 7	00000000000000000000000100000000000000000000	2			1	200.00	200.00	2			2								
H4456	026	0	1	02	01	H4456_026_0	5	6	Group 6	00001000000000000000000000000000000000000000	2			1	75.00	75.00	2			2								
H4456	026	0	1	02	01	H4456_026_0	5	5	Group 5	00000000000000000010000000000000000000000000	2			1	21.00	21.00	2			2		2						
H4456	026	0	1	02	01	H4456_026_0	5	4	Group 4	00000000000000010000000000000000000000000000	1	30	30	1	16.00	16.00	2			2		2						
H4456	026	0	1	02	01	H4456_026_0	5	3	Group 3	00000100000000001101100000110001000011000100	1	30	30	2			2			2		2						
H4456	026	0	1	02	01	H4456_026_0	5	2	Group 2	01110001110100100000000000000000000000011010	2			1	40.00	40.00	2			2		2						
H4456	026	0	1	02	01	H4456_026_0	5	11	Group 11	00000000000010000000000000000000000000000000	2			1	20.00	40.00	2			2								
H4456	026	0	1	02	01	H4456_026_0	5	1	Group 1	00000010000000000000000000000000000000000000	2			1	20.00	20.00	2			2								
H4456	026	0	1	02	01	H4456_026_0	5	10	Group 10	00000000000000000000000000000000010000000000	1	0	30	2			2			2								
H4461	018	0	1	02	01	H4461_018_0	8	1	null	01111111111111111110110101110000000001011010	1	30	30	2			2			2		2						
H4461	018	0	1	02	01	H4461_018_0	8	2	null	00000000000000000001000000000000000000000000	1	20	30	2			2			2								
H4461	018	0	1	02	01	H4461_018_0	8	3	null	00000000000000000000000000000000000000000100	1	20	20	2			2			2								
H4461	018	0	1	02	01	H4461_018_0	8	4	null	00000000000000000000001000000000000010000000	2			1	0.00	0.00	2			2								
H4461	018	0	1	02	01	H4461_018_0	8	5		00000000000000000000000000000110000000000000	1	50	50	2			2			2								
H4461	018	0	1	02	01	H4461_018_0	8	6		00000000000000000000000000000000010000000000	1	0	30	2			2			2								
H4514	007	0	1	02	01	H4514_007_0	4	1	Group 1	01111111111111101111110000110001000011011110	1	30	30	2			2			2		2						
H4514	007	0	1	02	01	H4514_007_0	4	2	Group 2	00000000000000000000000000000000010000000000	1	0	30	2			2			2								
H4514	007	0	1	02	01	H4514_007_0	4	3	Group 3	00000000000000000000001000000000000000000000	2			1	0.00	0.00	2			2								
H4514	007	0	1	02	01	H4514_007_0	4	4	Group 4	00000000000000000000000100000000000000000000	2			1	200.00	200.00	2			2								
H4514	007	0	1	02	01	H4514_007_0	4	5	Group 5	00000000000000010000000000000000000000000000	1	30	30	1	15.00	15.00	2			2		2						
H4528	001	0	1	02	01	H4528_001_0	6	1	Group 1	00000111110000100001101100000000000000000000	1	20	20	2			2			2								
H4528	001	0	1	02	01	H4528_001_0	6	2	Group 2	00000000000000000000000000000001010010000000	2			2			2			2								
H4528	001	0	1	02	01	H4528_001_0	6	4	Group 4	00000000000000011110000000000000000000000000	1	20	20	2			2			2		1	1	20	20	2		
H4528	001	0	1	02	01	H4528_001_0	6	3	Group 3	00000000000000000000000000000000000001000000	2			2			2			2		1	1	20	20	2		
H4528	803	0	1	02	01	H4528_803_0	2	5	Group 5	00000000000000010000000000000000000000000000	2			2			2			2		1	1	20	20	2		
H4528	803	0	1	02	01	H4528_803_0	2	4	Group 4	00000000000000001110000000000000000001001000	1	20	20	2			2			2		1	1	20	20	2		
H4528	803	0	1	02	01	H4528_803_0	2	2	Group 2	00000000001001000000000000000000000000000000	1	40	40	2			2			2								
H4528	803	0	1	02	01	H4528_803_0	2	1	Group 1	01111011110110100001111101110000000010010110	1	20	20	2			2			2								
H4528	803	0	1	02	01	H4528_803_0	2	3	Group 3	00000100000000000000000000000000010000000000	2			2			2			2								
H4528	804	0	1	02	01	H4528_804_0	2	4	Group 4	00000000000000001110000000000000000001001000	1	20	20	2			2			2		1	1	20	20	2		
H4528	804	0	1	02	01	H4528_804_0	2	5	Group 5	00000000000000010000000000000000000000000000	2			2			2			2		1	1	20	20	2		
H4528	804	0	1	02	01	H4528_804_0	2	1	Group 1	01111011110110100001111101110000000010010110	1	20	20	2			2			2								
H4528	804	0	1	02	01	H4528_804_0	2	2	Group 2	00000000001001000000000000000000000000000000	1	40	40	2			2			2								
H4528	804	0	1	02	01	H4528_804_0	2	3	Group 3	00000100000000000000000000000000010000000000	2			2			2			2								
H4529	002	0	1	02	01	H4529_002_0	9	1		00000000000010011011101000110000000000000000	1	10	20	2			2			2		2						
H4529	002	0	1	02	01	H4529_002_0	9	2		00000111110100100000000000000000000100011010	2			1	0.00	50.00	2			2		2						
H4604	003	0	1	02	01	H4604_003_0	5	8	Group 8	00000000001001000000010000000000000000000000	2			1	35.00	45.00	2			2								
H4604	003	0	1	02	01	H4604_003_0	5	7	Group 7	00000000000000000000000100000000000000000000	2			1	200.00	200.00	2			2								
H4604	003	0	1	02	01	H4604_003_0	5	6	Group 6	00001000000000000000000000000000000000000000	2			1	75.00	75.00	2			2								
H4604	003	0	1	02	01	H4604_003_0	5	5	Group 5	00000000000000000010000000000000000000000000	2			1	21.00	21.00	2			2		2						
H4604	003	0	1	02	01	H4604_003_0	5	4	Group 4	00000000000000010000000000000000000000000000	1	30	30	1	18.00	18.00	2			2		2						
H4604	003	0	1	02	01	H4604_003_0	5	9	Group 9	00000000000000000000001000000000000100000000	2			1	0.00	0.00	2			2								
H4604	003	0	1	02	01	H4604_003_0	5	2	Group 2	01110001110100100000000000000000000000011010	2			1	50.00	50.00	2			2		2						
H4604	003	0	1	02	01	H4604_003_0	5	11	Group 11	00000000000010000000000000000000000000000000	2			1	25.00	50.00	2			2								
H4604	003	0	1	02	01	H4604_003_0	5	10	Group 10	00000000000000000000000000000000010000000000	1	0	30	2			2			2								
H4604	003	0	1	02	01	H4604_003_0	5	1	Group 1	00000010000000000000000000000000000000000000	2			1	25.00	25.00	2			2								
H4604	003	0	1	02	01	H4604_003_0	5	3	Group 3	00000100000000001101100000110001000011000100	1	30	30	2			2			2		2						
H4604	005	0	1	02	01	H4604_005_0	4	9	Group 9	00000000000000000000001000000000000100000000	2			1	0.00	0.00	2			2								
H4604	005	0	1	02	01	H4604_005_0	4	8	Group 8	00000000001001000000010000000000000000000000	2			1	35.00	45.00	2			2								
H4604	005	0	1	02	01	H4604_005_0	4	7	Group 7	00000000000000000000000100000000000000000000	2			1	200.00	200.00	2			2								
H4604	005	0	1	02	01	H4604_005_0	4	6	Group 6	00001000000000000000000000000000000000000000	2			1	75.00	75.00	2			2								
H4604	005	0	1	02	01	H4604_005_0	4	5	Group 5	00000000000000000010000000000000000000000000	2			1	21.00	21.00	2			2		2						
H4604	005	0	1	02	01	H4604_005_0	4	4	Group 4	00000000000000010000000000000000000000000000	1	30	30	1	10.00	10.00	2			2		2						
H4604	005	0	1	02	01	H4604_005_0	4	3	Group 3	00000100000000001101100000110001000011000100	1	30	30	2			2			2		2						
H4604	005	0	1	02	01	H4604_005_0	4	2	Group 2	01110001110100100000000000000000000000011010	2			1	50.00	50.00	2			2		2						
H4604	005	0	1	02	01	H4604_005_0	4	11	Group 11	00000000000010000000000000000000000000000000	2			1	25.00	50.00	2			2								
H4604	005	0	1	02	01	H4604_005_0	4	1	Group 1	00000010000000000000000000000000000000000000	2			1	25.00	25.00	2			2								
H4604	005	0	1	02	01	H4604_005_0	4	10	Group 10	00000000000000000000000000000000010000000000	1	0	30	2			2			2								
H4971	001	0	1	02	01	H4971_001_0	5	2	Group 2	01110001110100100000000000000000000000011010	2			1	60.00	60.00	2			2		2						
H4971	001	0	1	02	01	H4971_001_0	5	8	Group 8	00000000001001000000010000000000000000000000	2			1	35.00	45.00	2			2								
H4971	001	0	1	02	01	H4971_001_0	5	7	Group 7	00000000000000000000000100000000000000000000	2			1	200.00	200.00	2			2								
H4971	001	0	1	02	01	H4971_001_0	5	6	Group 6	00001000000000000000000000000000000000000000	2			1	75.00	75.00	2			2								
H4971	001	0	1	02	01	H4971_001_0	5	1	Group 1	00000010000000000000000000000000000000000000	2			1	40.00	40.00	2			2								
H4971	001	0	1	02	01	H4971_001_0	5	10	Group 10	00000000000000000000000000000000010000000000	1	0	30	2			2			2								
H4971	001	0	1	02	01	H4971_001_0	5	11	Group 11	00000000000010000000000000000000000000000000	2			1	40.00	60.00	2			2								
H4971	001	0	1	02	01	H4971_001_0	5	9	Group 9	00000000000000000000001000000000000000000000	2			1	0.00	0.00	2			2								
H4971	001	0	1	02	01	H4971_001_0	5	3	Group 3	00000100000000001101100000110001000011000100	1	30	30	2			2			2		2						
H4971	001	0	1	02	01	H4971_001_0	5	4	Group 4	00000000000000010000000000000000000000000000	1	30	30	1	17.00	17.00	2			2		2						
H4971	001	0	1	02	01	H4971_001_0	5	5	Group 5	00000000000000000010000000000000000000000000	2			1	21.00	21.00	2			2		2						
H4971	801	0	1	02	01	H4971_801_0	2	4	Group 4	00001000001001000000000000000000000000000000	1	40	40	2			2			2								
H4971	801	0	1	02	01	H4971_801_0	2	3	Group 3	00000000000000010000000000000000000000000000	1	0	20	2			2			2		2						
H4971	801	0	1	02	01	H4971_801_0	2	2	Group 2	00000100000000000000000000000000010011000000	2			1	0.00	0.00	2			2		2						
H4971	801	0	1	02	01	H4971_801_0	2	1	Group 1	01110011110110111111111101110000000000011110	1	20	20	2			2			2		2						
H5162	019	0	1	04	01	H5162_019_0	6	1	Medicare OP Coinsurance	01110011110110111111100111110000000111011111	1	20	20	2			2			2		2						
H5162	019	0	1	04	01	H5162_019_0	6	3	Mental Health	00001000001001000000010000000000000000000000	1	40	40	2			2			2								
H5162	019	0	1	04	01	H5162_019_0	6	2	Preventive Care	00000100000000000000001000000000010000100000	2			2			2			2								
H5211	001	0	1	02	01	H5211_001_0	12	1	Out-of-network coverage	01001111111111111111111001110001111011001010	2			2			2			1	5000.00	2						
H5211	002	0	1	02	01	H5211_002_0	13	1	Out-of-network coverage	01001111111111111111111001110001111011001010	2			2			2			1	5000.00	2						
H5211	003	0	1	02	01	H5211_003_0	12	1	Out-of-network coverage	01001111111111111111111001110001111011001010	2			2			2			1	5000.00	2						
H5211	004	0	1	02	01	H5211_004_0	13	1	Out-of-network coverage	01001111111111111111111001110001111011001010	2			2			2			1	5000.00	2						
H5211	005	0	1	02	01	H5211_005_0	12	1	Out-of-network coverage	01001111111111111111111001110001111011001010	2			2			2			1	5000.00	2						
H5211	006	0	1	02	01	H5211_006_0	11	1	Out-of-network coverage	01001111111111111111111001110001111011001010	2			2			2			1	5000.00	2						
H5253	004	0	1	02	01	H5253_004_0	4	4	Group 4	00000000000000010000000000000000000000000000	1	30	30	1	17.00	17.00	2			2		2						
H5253	004	0	1	02	01	H5253_004_0	4	5	Group 5	00000000000000000010000000000000000000000000	2			1	21.00	21.00	2			2		2						
H5253	004	0	1	02	01	H5253_004_0	4	3	Group 3	00000100000000001101100000110001000011000100	1	30	30	2			2			2		2						
H5253	004	0	1	02	01	H5253_004_0	4	2	Group 2	01110001110100100000000000000000000000011010	2			1	50.00	50.00	2			2		2						
H5253	004	0	1	02	01	H5253_004_0	4	11	Group 11	00000000000010000000000000000000000000000000	2			1	25.00	50.00	2			2								
H5253	004	0	1	02	01	H5253_004_0	4	10	Group 10	00000000000000000000000000000000010000000000	1	0	30	2			2			2								
H5253	004	0	1	02	01	H5253_004_0	4	1	Group 1	00000010000000000000000000000000000000000000	2			1	25.00	25.00	2			2								
H5253	004	0	1	02	01	H5253_004_0	4	9	Group 9	00000000000000000000001000000000000100000000	2			1	0.00	0.00	2			2								
H5253	004	0	1	02	01	H5253_004_0	4	6	Group 6	00001000000000000000000000000000000000000000	2			1	75.00	75.00	2			2								
H5253	004	0	1	02	01	H5253_004_0	4	7	Group 7	00000000000000000000000100000000000000000000	2			1	200.00	200.00	2			2								
H5253	004	0	1	02	01	H5253_004_0	4	8	Group 8	00000000001001000000010000000000000000000000	2			1	35.00	45.00	2			2								
H5253	007	0	1	02	01	H5253_007_0	4	1	Group 1	01111111111111101111111101110001000011011010	1	30	30	2			2			2		2						
H5253	007	0	1	02	01	H5253_007_0	4	3	Group 3	00000000000000010000000000000000010000000000	1	0	30	2			2			2		2						
H5253	007	0	1	02	01	H5253_007_0	4	2	Group 2	00000000000000000000000000000000000000000100	2			1	0.00	0.00	2			2								
H5253	011	0	1	02	01	H5253_011_0	4	9	Group 9	00000000000000000000001000000000000100000000	2			1	0.00	0.00	2			2								
H5253	011	0	1	02	01	H5253_011_0	4	8	Group 8	00000000001001000000010000000000000000000000	2			1	35.00	45.00	2			2								
H5253	011	0	1	02	01	H5253_011_0	4	7	Group 7	00000000000000000000000100000000000000000000	2			1	200.00	200.00	2			2								
H5253	011	0	1	02	01	H5253_011_0	4	6	Group 6	00001000000000000000000000000000000000000000	2			1	75.00	75.00	2			2								
H5253	011	0	1	02	01	H5253_011_0	4	5	Group 5	00000000000000000010000000000000000000000000	2			1	21.00	21.00	2			2		2						
H5253	011	0	1	02	01	H5253_011_0	4	3	Group 3	00000100000000001101100000110001000011000100	1	30	30	2			2			2		2						
H5253	011	0	1	02	01	H5253_011_0	4	2	Group 2	01110001110100100000000000000000000000011010	2			1	35.00	35.00	2			2		2						
H5253	011	0	1	02	01	H5253_011_0	4	12	Group 12	00000000000000000000000001000000000000000000	1	50	50	2			2			2								
H5253	011	0	1	02	01	H5253_011_0	4	11	Group 11	00000000000010000000000000000000000000000000	2			1	20.00	35.00	2			2								
H5253	011	0	1	02	01	H5253_011_0	4	10	Group 10	00000000000000000000000000000000010000000000	1	0	30	2			2			2								
H5253	011	0	1	02	01	H5253_011_0	4	1	Group 1	00000010000000000000000000000000000000000000	2			1	20.00	20.00	2			2								
H5253	011	0	1	02	01	H5253_011_0	4	4	Group 4	00000000000000010000000000000000000000000000	1	30	30	1	16.00	16.00	2			2		2						
H5253	021	0	1	02	01	H5253_021_0	3	8	Group 8	00000000001001000000010000000000000000000000	2			1	35.00	45.00	2			2								
H5253	021	0	1	02	01	H5253_021_0	3	7	Group 7	00000000000000000000000100000000000000000000	2			1	200.00	200.00	2			2								
H5253	021	0	1	02	01	H5253_021_0	3	6	Group 6	00001000000000000000000000000000000000000000	2			1	75.00	75.00	2			2								
H5253	021	0	1	02	01	H5253_021_0	3	5	Group 5	00000000000000000010000000000000000000000000	2			1	21.00	21.00	2			2		2						
H5253	021	0	1	02	01	H5253_021_0	3	4	Group 4	00000000000000010000000000000000000000000000	1	30	30	1	10.00	10.00	2			2		2						
H5253	021	0	1	02	01	H5253_021_0	3	9	Group 9	00000000000000000000001000000000000000000000	2			1	0.00	0.00	2			2								
H5253	021	0	1	02	01	H5253_021_0	3	2	Group 2	01110001110100100000000000000000000000011010	2			1	50.00	50.00	2			2		2						
H5253	021	0	1	02	01	H5253_021_0	3	11	Group 11	00000000000010000000000000000000000000000000	2			1	25.00	50.00	2			2								
H5253	021	0	1	02	01	H5253_021_0	3	10	Group 10	00000000000000000000000000000000010000000000	1	0	30	2			2			2								
H5253	021	0	1	02	01	H5253_021_0	3	1	Group 1	00000010000000000000000000000000000000000000	2			1	25.00	25.00	2			2								
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H5253	028	0	1	02	01	H5253_028_0	4	4	Group 4	00000000000000010000000000000000000000000000	1	30	30	1	17.00	17.00	2			2		2						
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H5302	003	0	1	02	01	H5302_003_0	8	2	POS 100% coverage no deductible	00000100000000000000000000000001010000000000	2			2			2			2								
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H5302	006	0	1	02	01	H5302_006_0	5	4	POS 100% coverage no deductible	00000100000000000000001000000001010001000000	2			2			2			2		2						
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H5302	006	0	1	02	01	H5302_006_0	5	1	POS coinsurance Categories	00000000000000000000000001110000000000000000	1	20	20	2			2			2								
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H5420	003	0	1	05	01	H5420_003_0	4	6	$0-$100 Copay	00000000000000001100000000000000000000000000	2			1	0.00	100.00	2			2		2						
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H5420	008	0	1	05	01	H5420_008_0	3	6	$20 Copay	00000001010010000000000000000000000000000000	2			1	20.00	20.00	2			2								
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H5420	009	0	1	05	01	H5420_009_0	5	3	$20 Copay	01110000100000100000000000000000000000000000	2			1	20.00	20.00	2			2								
H5420	009	0	1	05	01	H5420_009_0	5	4	$25 Copay	00000000000000000100000000000000000000000000	2			1	25.00	25.00	2			2		2						
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H5420	009	0	1	05	01	H5420_009_0	5	6	$55 Copay	00000000000000000010000000000000000000000000	2			1	55.00	55.00	2			2		2						
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H5420	010	0	1	05	01	H5420_010_0	5	6	$55 Copay	00000000000000000010000000000000000000000000	2			1	55.00	55.00	2			2		2						
H5420	010	0	1	05	01	H5420_010_0	5	5	$50 Copay	00000000000000000001100000000000000000000000	2			1	50.00	50.00	2			2								
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